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1P Chemist Druggist lessMedia ne NewsweeKiv Tor rnsrinscv I PSNC threaten legal action on dispensing fee Wales calls for action on poor checks script PI usage set to OT(a+<"* Junior Crea(*. by 120pc rise ^e* to their i+cAy, <ky rfcin over five years Shortages of generics a still danger real SOOTHES Oilatum Junior Cream Oilatum effectively and, being fragrance free, is gentle on the sensitive skin of children CREAM and babies While it REHYDRATES 1 it creates an emollient barrier on the skin HVMATCSI PROTECTS that aga,nst further drying-Andasyou'dexpectofanOilatum skin treatment, our Junior Cream is •1 suitable for eczema. For leaflets and FREE SAMPLES, call SUefel Laboratories on 0800 783 6699. www.oilatum.co.uk tAake i+ yoor recover)da+roio. 1 STAND UP TO FOOD ATTACK For sufferers ofheartburn and indigestion, it can take no more than a simple meal for a painful attack to start. Now you can get tough with difficult food. Arm your customers with Zantac 75 and good advice, and let each small tablet work quickly HEARTBURNSINDIGESTIONRELIEFFORUPTO12HOURS to fight excess acid and keep food friendly ranitidine (as HCI) all through the day or night. A force for comfort Zantac75Relief12'sProductInformation confusion,depression,hallucinations,involuntarymovementdisorders,changesin Presentation: each tablet contains 75mg ranitidine Uses: Symptomatic relief of liver function tests, hepatitis, jaundice, acute pancreatitis, leucopenia, heartburn, indigestion, acid indigestion and hyperacidity. Dosage and thrombocytopenia, agranulocytosis, pancytopenia, marrow hypoplasia, aplasia, Administration:Adultsandchildrenaged16andover,onetablet Nomorethantwo hypersensitivity reactions, bradycardia.A-V block, skin rash, vasculitis, alopecia, tabletsshouldbetakeninany24-hourperiod Contraindications:Hypersensitivity musculoskeletalsymptoms,impotenceandbreastswelling/discomfortinmen.See Precautions:Treatmentshouldberestrictedtomaximumof6dayscontinuoususe SPCforfurtherdetails LegalCategory:GSL RetailSellingPrice(exVAT):Zantac atanyonetime.Patientsshouldcontacttheirdoctoriftheirsymptomsdonotimprove 6's£1.69,Zantac 12's£331. ProductLicenceNumber: PL10949/0313 Licence after6dayscontinuoustreatment.Shouldnotbetakenbythefollowinggroupsof Holder:GlaxoWellcomeUKLimited,StockleyParkWest,Uxbndge,Middlesex,UB1 patients unless under medical supervision: those with difficulty swallowing, 1BT. Further information available on reguest from: Medical & ConsumerAffairs. persistentstomachpainorunintendedweightloss;thosemiddleagedorolderwith GlaxoSmithKline Consumer Healthcare, Wallis House, Great West Road. Brentford new or recently changed symptoms of indigestion; during pregnancy or in those TW8 9BD Date of preparation: May 2001 ZANTAC 75 RELIEF and ZANTAC 75 tryingtobecomepregnant,orbreastfeeding;thosetaking DEVICEareregisteredtrademarksoftheGlaxoSmithKlineGroupofCompanies fL- NSAIDs or with a history of porphyria Side Effects: ^Jpraa/rosmithKiine Generally well tolerated. Rarely headaches, dizziness, ©GlaxoSmithKline,2001 . Prescribing Information (PI) fpiease refei to the full 5PC befoie pres<ribing) Ifoan 150 mg prolonged release tablets FOR SMOKING CESSATION (bupropion HCI) Uses Smoking cessation (with motivational saunpdpoardtm)iinninsitcroattiinoen-dMeuplelnsdefnrtopmatiWentysi..Dosage Z MARKS THE SPOT treatmentwhilestillsmokingandset'targetstop date' insecondweek. 150mgod. for6days then150mgbd.forremainderof7to9week course.Maximum150mgsingledoseand300mg daily Allow ar least 8 hours between doses. Swallow tablets whole - do not crush/chew. Discontinueifnoeffectatweek7 Elderly, renal ormild-to-moderatehepaticimpairment. 150mg d Contra-indicationsHypersensitivity,curreni seizuredisorder/historyofseizures,CNStumour, abrupt alcohol/benzodiazepine withdrawal, current/previous eating disorder, severe hepatic cirrhosis,recent/currentMAOIs.bipolardisorder Precautions Predisposition to lowered seizure threshold/increased risk of seizures (includes previoushead injury,othermedications, alcohol abuse, diabetes, use of stimulants/anorectic products) - u^e only if the medical benefit of stoppingoutweighstheincreasedriskofseizure- considerusing 150mgo.d. forthesepatients; renal or mild-to-moderate hepatic impairment, eldetly;susceptibilitytopsychoticepisodes Drug interactions Theophylline, tricyclics. SSRIs, MAOIs, antipsychotics, beta-blockers, class 1c antiarrhythmics, enzyme inducers/inhibitors. orphenadnne, cyclophosphamide, levodopa. antimalarials, tramadol, qumolones, sedating antihistamines Pregnancy and lactation Not recommended Side effects Common dry mouth, gastrointestinal pain/upset, insomnia, tremor, concentration disturbance, headache, dizziness, depression, agitation, anxiety, rash, pruritus,urticaria,sweating,fevertastedisorders Uncommon chest pain, asthenia, tachycardia, blood pressure changes, flushing, confusion, anorexia,tinnitus,visualdisturbance. Rore: vasodilation, syncope, seizures, irritability, hostility,severehypersensitivityreactionsincluding anaphylaxis, arthralgia, myalgia and fever, erythema multiforme. Stevens Johnson syndrome.Discontinueifseizure,hypersensitivity reaction or anaphylaxis occurs Presentation and basic NHS cost 60 tablet'. £42.85 Product licence (PL) no. PL10949/0340 PLholderGlaxoWellcomeUKLtd..StockleyPark West,Uxbndge.UB11 IBT POM 1 I Furtherinformationisavailablefrom: Customer Contact Centre. GlaxoSmithKlme, StockleyParkWest,Uxbndge.MiddlesexUB11 1BT. E-mail,[email protected] wwwthetimeistight.co.uk wwwright-time.co.uk wwwzyban.co.uk Freephone:0800221441 ©GlaxoWellcomeUKLimited,2001 ZybanandtheZybanlogoaretrademarksofthe GlaxoSmithKlmeGroupofCompanies References 1. LeshnerAl HospPract1996;Oct15 47-59 2. Ferry LH. Prim Care Clin Off Pract 1999; 26:653-669. Nicotine addiction is a neurobiologically-mediated brain disease.1 Zyban is a uniq 3. Covey LS, Sullivan MA,JohnstonJA, el ol Drugs2000;59(1) 17-31. non-nicotine tablet therapy that works in the brain by acting on the neurotransmitt involved in nicotine addiction and withdrawal.23 GiaxoSmithKiine bupropion HCI SR Science against smoking GEN 26847/A-September2001 7 ; Contents, Chemist& Druggist The Newsweekly Pharmacy for Editor PatrickGrice,MRPharmS AssistantEditor Volume 256 No 6320 GuyL'Aimable,BA NewsEditor 1 42nd year of publication CharlesGladwin,MRPharmS ISSN 0009-3033 BusinessEditor NinaKeller-Henman,DiplBiol ContributingEditor AdriennedeMont,FRPharmS MarketingEditor SarahThackray Reporters PSNC: legal action on dispensing fee? VGaanreysPsaaraSgphuerriw,oModR,PhMaRrPmhSarmS ThePharmaceutical ServicesNegotiatingCommitteemayseeka judicial ArtEditor reviewovertheIlealth Minister'sdecision toreducethedispensingfee TonyLamb PrFoadyuJcotnieosn,EBdAitor Bid for pharmacy consortia in care centres ProductionSub-Editor TheNPAwantsnew primarycarecentrestogiveallaffected proprietorsthe LorriPimlott chancetojoinaconsortium there Editorialsecretary JanPowis Editorial(tel):01732377487; Welsh get tough on script checks c(fhaxe):m0d1r7u3g2®3c6m7pi0n6f5o;rmation.com TheAuditCommitteeoftheNational Assembly forWaleshascalled for PriceList toughersanctionsagainstpharmacistswhoconsistently failtocheck ColinSimpson(Controller), prescriptionexemptions. DarrenLarkin,MariaLocke PriceList(tel):01732377407 (fax):01732377559 For she's a jolly good fellow... GroupAdvertisementManager JuliandeBruxelles C&D'scontributingeditorAdriennede Monthasbeen GroupAdvertisementExecutives madeaFellow ofthe Royal Pharmaceutical Society for QuentinSoldan,MarkWailey distinction in theprofessionofpharmacy ClassifiedExecutive DebraThackeray Advertisementsecretary Parallel imports likely to rise 12 Question time 6 AE(fdlaavxi)e:nret0iS1sti7en3eg2l(et3el7):701177932377621 P1r2i0cepefrluccetnutatoivoenrstahnednoetxhtefrivfeacyteoarrss,wiclllaidrmisvReeuuptetrhseBvuasliuneeosfsPIInsiinghEturopeby Coming Events 13 Production KatrinaAvery NICE recommendations obligatory in 2002 Opinion 16 PublishingDirector SpFSetecerivgaeulsBPWrrieolmjseeorcntMsRMPahnaargmeSr HtthrAeeisartamgenenndetrPsaClfTraosnmnwuJiaalllnuhaaalrlvyoecatlth.irToehnesemywohnwiitclhlhsbcetoouelfxdipnemdcetfaeudnndtbioundmggeefeottrctNuhItesCceoElstsasepwophuretorveoefd XMraarykseetrw1atch 30 ©CMPInformationLtd Chemist&DruggistincorporatingRetail Chemist,PharmacyUpdateandBeaut} Letters 46 Counter PCuMblPisIhnefdoSramtautridoanyLstbdy, Food for thought Classified 47 SovereignWay,Tollbridge, KentTN91RW ContinuingherBodyBasicsseries, FawzFarhanexplainshownutrientsare Back issues 50 C&Dontheinternetat: metabolised bv thebody http:/A\\\udotpharmacvcom/ Subscriptions:(Home)£140perannum, (Overseas&:hire)S345perannumincluding postage,£1Mlpercopy(postageextra) AdditionalPriceList,£78perannum Circulationandsubscription: CMPInformationLtd,TowerHouse, SHoavrebroeriogunghPa,rkL,eiLcsa.thLkiEll16St9,LMFarket A level playing field for all 36 Telephone:01858438809 LPCsshouldavoid gettinginvolvedinredesigninglocal pharmaceutical Fax:01858434958 services,saysDrDarrinBaines Refundsoncancelledsubscriptionswillonlyhe providedatthe-publisher'sdiscretion,unless sspuebcsicfriciapltliyonguoaffrearnteedwithinihetermsof For generics no system is perfect 39 Theeditorialphotosusedarccourtesyofthe Themaximum priceschemehas undoubtedlyhadsomesuccess,butis supplierswhoseproductstheyfeature italong-termsolution?NinaKeller-Henmantakesalookatwhat's happeninginthegenericsmarket •••• •• •• •• In the year 2020... 45 CMP Michael Barbour, winneroftheUniChemYoungPharmacistBusiness Award 2001, looksaheadtothe futureofpharmacy UiiiI'mJP.ti:;iiiev,Mwli.i Chemist-Druggist 8 December2001 S Thisweek w PSNC APPOINTMENTS PSNC threatens Pharmacists CSM on the action over fees DrTerenceMaguire from Northern Ireland hasbeen appointed totheCommitteeon SafetyofMedicines,alongwith Alison Blenkinsopp, Professorof The Pharmaceutical Services sumsystemofpayment. This thatsetsareasonable fee." PracticeofPharmacyatKeele Negotiating Committee has required hertorecoverthe Therewas"absolutelyno University, whowasre-appointed. invited the Health MinisterHazel overpaymentmadetocontractors dissent" within theCommittee DrMaguirerecentlystooddown Blearstoreview herdecisionto causedby lastyear'sprescription aboutthecourseof actionthatis asdirectoroftheNorthernIreland reducethedispensingfeeto87.4p volume increases. beingtaken, sheadded. PSNC CentreforPharmacyPostgraduate from November 1. Ifshedoesnot PSNCsaystherearenobinding canafforda legal challenge EducationandTraininginOctober dosothen PSNCintendstoseek rules. The global sumsystemisa withouthavingtoseekadditional (seeC&D, Oct6,p4). a judicialreview. meansby whichasumofmoney funds from LPCs. • LordHuntalsoannounced that InalettersenttoMsBlears last tofund thecommunity pharmacy The Company Chemists PeterNoyce, Professorof Friday, PSNC"invited" the dispensingsystemiscalculated. Association hasgiven its PharmacyPractice, Universityof ministertoacceptthather "It hasnot been specified within unanimoussupport tothePSNC. Manchester, hasbeenappointedto decision wasbeingmadeona legislationand thereforeministers DigbyEmson,chairmanof the theMedicines Commission. fundamentally flawed basis. She arenotboundtocomply with it." CCA,said: "TheCCAsupports hDaescbeemebnergi2v8entoardeesapdolnidne.of exeScuuetivSeh,arspaeid,:P"SWNeChsopcehitehfat tsheeekPinSgNtCosenascutrievitthyaitnctohnitsraacrteoarisn' Rise in ESPS AtameetingwithPSNCin shewillrecognisethatthe additional workload isbeing payments mid-NovemberandattheNPA disastrousdecisionshemadewas assessed fairly." dinnerlastweek (C(5DDecember reachedonafalse understanding /,p6) MsBlearssaidshewas ofherpositionandthatwe Formoreinformation: Theannual target payment forthe boundby the rulesoftheglobal canexpectarevised decision www.psnc.org.uk 287 contractorsintheEssential \ Small PharmacySchemehasrisen SURVEY to£40,350for2001-02, in line Young people at risk Complaints with the global sum. Thequalifyingthreshold isnovvi 23,040prescriptionsand the leaflet Smoking, drinkinganddrugs alsoroseto24percentin 2000. maximum monthlypaymentis misuseamongyoungpeople This figureroseagain withageto £2,900. Tomaketheback increasedbetween 1999and 2000, 49percentof 15 yearolds. TheHealth ServiceOmbudsman's paymentfrom April, the accordingtoanational surveyof ClassA drugusageamong office hasrevised itsinformation maximum monthly payment 7,000schoolchildrenaged 11-15 pupils wasalsohigherat9per leaflet, givingdetailson how to will increaseto£3,870 for published bv theDepartmentof cent. However, cannabiswasthe makeacomplaint. A form helps December. Health. most likelydrugtobeused. Some complainantsputtheircasein Theproportionofpupilswho 28percentof 15 yearoldssaid writing The leafletisavailable in This month's smoked at leastonecigarettea theyhad useditinthelastyear. severalethnicminority languages. Update question weekincreased to 10percentin Although6percentsaid they Braille,audiocassetteand large 2000,a riseof 1 percentfrom had beenoffered heroinor print paper enclosed 1999. Smokingalsoincreased methadone,only 1 percenthad sharply withage, with23 percent used them. Formoreinformation: Enclosedin this of 15 yearoldssmokingregularly. Tel:020 72174942 week'sissueis Thenumberof pupils whohad Formoreinformation: E-mail:OHSC.Enquiries@ombudsman. thequestionnaire drunkalcoholin thepreviousweek www.doh.gov.uk gsi.gov.uk (2217)forthe following Pharmacy Questiontime Updatemodulescarriedin November: • ExploringCandida (1217) The Royal Pharmaceutical Society is •Thedigestivetract(1218) proposing to close the museum as part of Whatyou.toldus: Ovariancancer(1219) its budgetary cuts. Do you support this % PharmacyUpdateisadistance i move? 100 learningprogrammeaccredited zo bytheCollegeofPharmacy ®Yes ®No ®Don'tknow 80 83% Practice. Previousmodules Youcanrecord yourvoteonourwebsitf.irwip.ciotphcirmacy.com. On canbeobtainedbyusingthe thehomepageyouwill findalinktotheQuestionTimepage. Select faxbackserviceon08705 60 youranswerandthenclickonthe"vote"box. Youransweris 441188oraccessingthe Yauotuomhaatviecaulnltyilconloloatnedo.nDecember 11 tocastyourvote. Wewill 40 1OC dwrovtwP.hdaortpmhaacrymawceyb.sciotme.at publishtheresultin C&D,December 15. >CCOD J* ThePharmacyUpdate 20 Q"Oc ij multiplechoicequestionnaire Lastweekweaskedyou: 0% and telephonemarkingservice DoyoustillhaveconfidenceinthePSNCasanegotiatingbodyafter i i aresupported byGenus therecentpayimposition? Pharmaceuticals. 6 8 December2001 ChemistsDruggist Thisweek Back to school with Lloydspharmacy Lloydspharmacyisinvestingover £20,000toprovide20ofits pharmacistswithanopportunityto undertakeapostgraduate medicinesmanagement training programmeatKeele University. Thedistancelearning programme startsin Decemberand provides pharmacistswithanunderstanding ofmedicinesmanagementand pharmaceuticalcare. Thecompanyispayingforcourse fees, locumcostsandtravelling expenses. Lloydspharmacyis investigatingfurtherlearning opportunitiesfornextyear. Drug recall by Aventis Furthertothedrug recallissued by AventisPasteurMSDon November 20(C&D, November24, p5)the GSK'sveryownCoventGarden:thecompany'snew93,000m2corporateheadquarters ismadeupbythreefive- companyisrecallingallremaining ssttroereetyibnucilluddiengasLloinnkdeidsbsytoare1,4a2hmai"rsdtrreeseste"r.,Itbaanlks,oidrnyclculdeeasnaer1a6n-sdtoarheeyaclatrhpaanrdkifnitgntesoswecre.ntFraeci.liAtipehsaarlmoancgythies, abantdPcaphtaieeesdnitoasftrVwiahcq.otahaivnjeecrteiconesi,veaddutlhte however,conspicuouslyabsent.GSKstaffarebeingmovedintothenewpremisesinstagesuntil March2002 vaccineshould beadvisedto contacttheirdoctorasthey maynothavereceivedadequate NPA backs study Private-Rx protectionagainsthepatitisA. PTC website sold Formoreinformation: on consortias Tel:08005872390. to economist NHS Interactive TheNational Pharmaceutical leading topostcode variationsin enquiry service Association's Board hasagreed standards. Private-Rx, thepharmacist-only thatapaperbeprepared setting TheBoardagreed therewasa ' website, hasbeensold to I)r Anew-look NHS DirectOnlinesite, ocuotnstohreticaasien fporrimpahrayrmcaarceycentres. niemepdlefmoernctoerdesntatainodnaarldlsy,tsoobtehe I)aSririmnonBaiWnheist,akaehre,alptrhopercioentoomriosft. wsehrivciche,inicslnudoewsaunpianntderarcutninvienge.nquiry TheNPAbelievesthatwhena NPA will producearesource the site,said that it hadbecomeso Pheaatlitehntesnaclyscolohpaaveediaaccoefsosvetora40n0ew newprimarycarecentreisbuilt,all pack for PC"Isand health busy itwasnolongerpossible to topics. affected proprietorsshouldbe authorities. run it in hisspare timeand it •Hazel Blears, healthminister, has giventhechancetojoin a PCTmembers' task force wasachoiceofclosingorselling announcedafourthpilot, toprovide consortium in thecentre. There TheNPA,CompanyChemists the site. healthinformationthroughdigital should notbeamonopolyinwhich Associationand Pharmaceutical Dr Baines, directorof medM, interactiveTVtoviewersin Hulland onecontractorcouldpayforthe ServicesNegotiatingCommittee confirmed that Private-Rx EastYorkshire. exclusiverighttooperatethere. haveorganisedameetingfor would remain "exclusive, AttheNovembermeeting. pharmacist membersof PCT independentand free". He Formoreinformation: Board members wereconcerned executiveboardstodiscussways said that hismotivation for www.nhsdirect.uk thatpharmaciesshould notbe thatpharmacyorganisationscould buyingthesite was not OFT forced outofbusinessinthisway. support them. commercial. "Asanacademic control of entry Itwasin the public interest for Monitoringofadvertising I can see the valuein things like survey pharmacyownerstoco-operate The Pharmaceutical Groupofthe this." withoneanotherandsoprovide European Union intendsto He alsoconfirmed that there TheOfficeofFairTrading (OFT) is thebestpossiblearrangements for monitora five yearpilot in which willbe nochangesto thesite consulting pharmacistsaspartofits thepublic. manufacturerswillbeableto | unlesstheyareapprovedby the ongoingreviewofcontrolofentry TCohsetNsPofAcilsicnoincaclergnoevdearsntaonhceow pPrreosvcirdieptiinofnorOmnaltyioMneodniccienretsain I sctaenerei-nmgaiclomDmritBtaeien.esPeople TareshgkeuilnOagtFipTohnsha.ramsaicsissutesdaaboquutestthieonlniakeilrye ccloimnimcualnigtovyeprhnaanrcmeacsytractoeuglidesbfeor dirTehctelyPtGoEthUe pauibmlsict.omakesure wweibtshitaen.ysuggestions forthe airmpraacntgeomnenptastiwenetrseifttohbeeexriesltaixnegd. implemented withoutadditional that theoutcome isin thebest Therearecurrently justover Italsoincludesaseriesofquestions funding. interestofthepatientand that 1200 pharmacistsmembersof relatingtoturnoverandopening TheNIIS guidelinessuggest onlyaccredited informationis Private-Rx. hours. that"healthauthoritiesand PC.Is available. The group would also s\hPoAuld(bionuvgehsttatchcisorcdoiunlgdlyb"ebutthe odiprpeocstetoancyonpsroupmoesraladtvoeratllioswingof I wFwowr.pmroirvaetei-nrfxo.rcmoa.tuikon : wFworw.mooftr.egoivn.fuokrmation: interpreted in different ways, POMs. E-mail:[email protected] CO ChemistSDruggist 8 December2001 7 Thiswcck N Ireland to Pharmacists Wales face in opt with in UK sanctions on script checks rest of CRHP under TheAudit Committeeofthe somepharmacistsarenot ® Providingbetterinformationtc National Assembly forWaleshas checkingexemptions fullycould pharmacistsaboutpatient ThePharmaceutical Societyof called fortoughersanctions bebecausetheyareunwillingto exemptioncriteria. Northern Ireland'sCouncil has against pharmacistswho damagetheirrelationship with O Havingabetterdefinitionof decided itisbettertojoin withthe consistently fail tocheck patients. Italsosuggestthatthe thestandardof performance UK restofthe overprofessional prescriptionexemptions. criteriaforexemptionistoo expected from pharmacistsin self-regulation, ratherthan going Thecall forsanctionswas complicated. assessingentitlementto italone. prompted by itsreport, CommunityPharmacyWales, exemption. TheCouncil thinksthe MaximisingIncomefrom whichofferedevidencetothe OHavingamoreeffective UK advantagesofcoming under Prescription Charges, in which the Assemblyin defenceof incentive forpharmaciststo legislation faroutweigh the AssemblysaystheNHS in Wales pharmacists,said: "Abusy dischargetheirpointof disadvantages. Membersagreedat could belosing£15 millionayear pharmacyisadifficult dispensingresponsibilities. theOctobermeetingthat it would becausepatientsarereceivingfree environmentin whichtocarryout 9 Havingsanctionsagainst beapositivemovetobe included prescriptionswhentheyarenot pointofdispensingchecks, pharmacistswhoconsistently fail, UK intheproposed Council for entitled tothem. Income from particularlywhenapatientisnot incheckingexemptionsproperly.'; theRegulationofHealthcare prescription chargesisestimated prepared toco-operate." Professions(CRHP). Ifnecessary, at£23mfor2000-01 Keyareasidentifiedbythe Formoreinformation: I PSNIcould light forautonomy Thereportsaysthereasonsthat report whereaction isneeded are: www.wales.gov.uk from within. Although Northern Ireland is notmentioned in theconsultation NPA documentModernisingthe The supervision debate: there must be Regulationof Healthcare Professions, itisextremely unlikely no relaxation of legal rules, says NPA thataparallelsystem wouldbeset up fortheprovince. IfN Irelandis notincluded, primarylegislation TheNational Pharmaceutical thatthereshould benorelaxation debatemusthighlightpublic takingoneortwoyearswould be Association haswelcomed the ofthecurrent legalsupervision safety asapriority. During neededand there would be newsthattheRoyal requirements,asinterpreted in dispensing,everyprescription questionsofparitywith Pharmaceutical Societyisto theCodeofEthicsand shouldbeseenatleastoncebya pOhaArmqaucoisrtusminwaGsrenaottBrreiatcahine.dat re-TohpeenNtPhAessuuppeprovritssiotnhedebate. ProAfnesysimoonvaleSttoadnodatrhdisswdooucludmebnet. apshsaersmsamceinsttcsaonthbaetcaarprrioefdesosuito.nalI the Society'sannual meetingon Society'sviewthatpharmacists ofgreatdetrimenttothe I'he NPA saysa pharmacist October 18, sofourproposed mustbe freed fromthe profession,bothnationallyand mustbeonthepremisesatall changestotheCodeofEthics mechanical aspectsofdispensing internationally, itsays. timeswhenprescriptionsare could notberatified. A further tospendmoretimewith patients. TheNPABoarddecidedatits dispensed,orwhen Pharmacy specialmeetingwillbeneeded. Butthe Association isadamant Novembermeetingthatanv medicinesaresold. O WesternHealth&Social ServicesBoard hasturned downa furtherrequest forfinancial supportfortheMcBrienand McSorley Statutory Committee inquiry,suggestingthatPSNI should recoupthedeficit. Clarifyingtheresourcingof such inquiries, MrsMaltbysaid PSNIonlypaid forcasesit broughtbeforetheStatutory Committee;otherpartieshad to payforcasestheybrought. Itwas agreed thatall casesshould be broughtbeforeCouncilbefore beingreferred totheStatutory Committee. '] In I.thics and ! ,a\\ ( Committee isexploringissuessurrounding mandatory continuingprofessional development. • Reciprocalregistration was approved forMissShauna SeventeendispensershavebeenawardedtheBootsDispensingDistinctionAward,forachievingmorethan90 O'Brien, 21 Hereford Place, percentintheirexamsandcoursework,DigbyEmson, pharmacysuperintendent,presentednineofthewinners Cheltenham,GloucsGL504JQ, withtheirawardsatBootsheadofficerecently. Fromlefttoright: DigbyEmson,pharmacysuperintendent,Nick •DrTerry Maguirewasco-opted RyanandDeniseBriggs(professionaldevelopment),LizNewby(contractmanufacturingspecials), LyndseyMutcl to fillMthe vacancyonCounciland AlanSare(development),PamHedges,AnneSorrell,JoanChilton(development),SandraPeel, PaulRead, Mrs Singletontofillavacancy RebeccaRoss,JulieBrereton,SteveChurton(assistantpharmacysuperintendent),LesleyHall,DerekWebb,and on theStatutoryCommittee. coursetutorEffiePitsillides December2001 Chemist:<Druggist WWHAM-Y new NUROF6N PHARMACY ONLY MAXIMUM STRENGTH TARGETEDRELIEFFORPAIN 0% double strength ibuprofen (1 Product information. Nurofen Gel Maximum Strength: years ofageexcept on theadviceofa doctor Precautions a)non-specificallergicreactionandanaphylaxis,b)respiratory Gel for topical administration containing ibuprofen 10%w/w andWarnings:Applywithgentlemassageonly.Avoidcontact tract reactivity comprising of asthma, aggravated asthma, Indications: For the relief of pain and Inflammation with eyes, mucous membranes and inflamed or broken skin bronchospasm or dyspnoea, or c) assorted skin disorders, associated with backache, non-senous arthritic conditions, Discontinue if rash develops. Hands should be washed including rashes ofvarious types, pruritis. urticaria, purpura, rheumaticand muscularpain, sprains, strains, sportsinjuries immediately after use. Notfor use with occlusive dressings angiodemaandlesscommonly,bullousdermatoses(including andneuralgia. Dosage:Adults,theelderlyandchildrenover Thelabelwillstate Donotexceedthestateddose Keepout epidermal necrolysis and erythema multiforme). Gastro- 14years.Squeeze2to5cmofthegel(50to125mgibuprofen) ofthe reach ofchildren Forexternal use only Ifsymptoms intestinal abdominal pain, dyspepsia Product Licence from the tube and lightly rub into the affected area until persistconsultyourdoctororpharmacist.Donotuseifyouare Number: PL 10972/0082 Licence Holder: Goldshield absorbed Themaximumnumberofapplicationsof5cmgelin allergicto ibuprofen oranyofthe ingredients, aspirin orany Group PLC (trading style. Goldshield Pharmaceuticals). any24hoursisfourWashhandsaftereachapplication.The other painkillers. Consult your doctor before use if you are NLA Tower. 12-16 Addiscombe Road, Croydon CR0 OXT doseshouldnotberepeatedmorefrequentlythaneveryfour takingaspirinoranyotherpain relieving medication,youare LegalCategory:P Price:MRRP£525 Dateofpreparation: hours. Do not exceed the stated dose Review treatment pregnant Notrecommendedforchildrenunder14years Side June 2001. Distributed by after2 weeks, especially ifthe symptomsworsen or persist Effects: Hypersensitivity reactions have been reported Crookes Healthcare Limited, CROOKES Children under 14 years Do not use on children under 14 following treatment with ibuprofen These may consist of Nottingham. NG23AA. NU295. HEALTHCARE Eumovate Eczema & Dermatitis Cream ProductInformation. Presentation: Cream containing clobetasone butyrate 0.05% w/w Uses:Short-termtreatmentandcontrol of patches of eczema and dermatitis including atopic eczema and primary irritantandallergicdermatitis Dosage and administration: Adults and children,aged 12yearsandover Apply sparingly to the affected area twice a day for up to 7 days If the condition improveswithin 7daysstoptreatment Ifconditiondoesnotimproveinthefirst 7 daysorbecomesworse, orifafter7 daystreatmentanimprovementisseen but further treatment is required, the patient should be advised to consult a doctor To be used in children under 12 years only on the advice of a doctor Contraindications: Known hypersensitivity Broken skin or skin lesionscausedbyinfectionwithviruses (eg herpes simplex, chicken pox), fungi (eg candidiasis, tinea) or bacteria (eg impetigo) Acne vulgaris Precautions: Absorption can be increased by occlusion so treatment is limited to no more than 7 days continuous treatment without occlusion Treatment should not be initiatedatthesamesiteforathirdtime without medical advice Only to be used for the treatment of eczema or dermatitis as other conditions may be masked orexacerbated. Should notbe used on the face, groins, genitals or between the toes Medical advice should be sought in seborrhoeic eczema. Consumersshould bewarned against letting the cream get into the eye, as topical steroids can cause glaucoma. Do not use with other Before gets to this, topical corticosteroids or in the it treatmentofpsoriasis Pregnancyand lactation: Useonlyon theadviceofa get to them doctor Side effects: Hypersensitivity. Exacerbation of symptoms Legal category:P Productlicencenumber: 10949/0346 Product licence holder: GlaxoSmithKlineConsumerHealthcare, Skin Flare-Up due to eczema and dermatitis, characterised by itchy, red Brentford, TW8 9GS Further information available on request dry and inflamed skin, can be extremely aggravating. Eumovate Eczema from: Medical and Consumer Affairs, & Dermatitis Cream, available without prescription, acts early and help: GlaxoSmithKline Consumer Healthcare, Wallis House, Great West Road, break the Itch-Scratch Cycle, before gets out of control. it Brentford, Middlesex, TW8 9BD PackagequantityandRSP: 15gtube No other over-the-counter medicine clears Skin Flare-Up more -£549 Dateofpreparation:August effectively than Eumovate Eczema & Dermatitis Cream.12 2001. Eumovate is a registered trademark of the GlaxoSmithKline GroupofCompanies ©GlaxoSmithKlineUKLimited, 2001 for Skin Flare-Up References: 1 MunroDD,WilsonL. BrMedJ WWWWWWWWeumovate 1975,3 626-8 www WWWW 2 Parneix-SpakeA, GoustasP, eczema & dermatitis cream w GreenR. JDermatolTreat[Inpress). clobetasone butyrate 0.05% Cl.xoSirathKlme over to you

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