The chemist and druggist [electronic resource]

44 Pages·1993·6.2 MB·English

by  UBM

.
CHEMIST&
DRUGGIST
The newsweekly for pharmacy July 10, 1993
MCA
consults
POM
on next
P
to switches
Boots apply for
three contracts
in Sainsbury's
Young manager
C&D
in 'focus*
Extra roles 'may
take ten years'
Implications of
EC
Directive
TO IMPROVE YOUR CATCH
on
labelling
. .
USE THE RIGHT LURE
German
scripts
If you are an independent pharmacy then your future could depend on
the ability to attract more customers who will make frequent return visits. 'settle down'
Customer expectations are very high so you'll need the right advice and
help to make the most of your retail catchment.
Numark are dedicated to provide the best possible added value services for Spotlight on
independent pharmacies. Talk to us now, about the wide ranging benefits
of Numark membership. Your customers will go for it, hook, line and sinker. Sangers (NI)
E33EE33 AAH
to take on
Barclavs with
For further information write or call in confidence to:
NUMARK MANAGEMENT LTD., NUMARK HOUSE, 5/6 FAIRWAY COURT, AMBER CLOSE,
TAMWORTH BUSINESS PARK, TAMWORTH, STAFFORDSHIRE B77 4RP TEL: [phone] latest buy
2
som£
j>(Sf>Rins>iRecr suppose you want
p i
PUASf... 5AU/ THIS it some j>//^ecr
THC
C/KRVoOtJ i/si TOO? /%J> LO\/€ sonzf
Disprin is going to be in the news
this year.
A new advertising campaign for the
brand breaks in the national press in
July and runs through to December.
consists of eye-catching cartoon
It
Some
strips. feature original Disprin
while others promote Disprin Direct
(unique pleasant-tasting tablets which
dissolve in the mouth without water).
We'll be giving your customers a
dose of Disprin in the dailies.
Make sure you can too.
Contains:A.pinnEP300mgandcanbeusedforthemildreliefofmildtomoderatepaininheadache,toothache,neuralgia,periodpains,rheumaticpainsandtoreducethe
symptomsofflu. coldsandsorethroats Directions:Disprintabletsshouldbedissolvedinwaterandswallowed DisprinDirectdispersesonthetongueandcanbe
conhedwoectdoar'nsdasdwvailcleowCeodnwtirtahionudtiwcaatteerd.:Doinspaagtei:enAtsdualltlseragincdtcohialsdprierninovoerrwi1th. 1petpot3ictaubllceetrsoervehrayemfoourrrhhoaugrisc,dbiustenaoste;motorebethuasne1d3wiint2h4chaouutriso;nCihnipladtrieenntusndweirth12as:tghivmea,onolry
recurringsti>maihproblems Aspirinmaycausestomachirritationand(rarely)bleeding,rash,bronchospasmoritching Inpregnancy:bestavoidedatterm.RSPprice:at
April1993,Disprintablets[PL44/01261.(12)C0.86(GSL).(24)C1 45(GSL),(48)C2.25(P).(96)C3.65(P).DisprinDirect[PL44/0069].(24)C1.66(GSL) Furtherinformation
fromReckitt&ColmanProductsLtd,DansomLane.Hull.HU870S.Tel [phone] Disprin.DisprinDirectandQ)aretrademarksofReckill&ColmanProductsLtd
CHEMIST& Thisweek
DRUGGIST
INCORPORATINGRETAILCHEMIST
& PHARMACYUPDATE VOLUME 240 NO 5889 133rd YEAR OF PUBLICATION ISSN 0009-3033
I IHIOKI\l
EditonJohnSkelton.MKPharmS
DeputyEditonPatrickCrice,MKPharmS
ContributingEditor:AdriennedeMont,
MRPharmS
BusinessEditor:ZacharyGoldring,MSc
NewsEditorJanePeely,PhD.MKPharmS
BeautyEditor:SarahPurcell,BA
TMeRcPhnhiacramlSReporter:MariaMurray, Even more potent Pharmacy medicines on-line for '94 as MCA reveals its hand 44
ArtEditor:TonyLamb Two H2 antagonists head the list with "golden oldies" the surprise entries
PriceListController:ColinSimpson
\n\kktisim; Boots go for NHS contracts in three oftheir seven Sainsbury in-store pharmacies 45
AdvertisementManager: Local opposition grows to their applications: Kent FHSA to hold public meeting
IanGerrard
ADsosuigstManytttAodnvertisementManager: David Sharpe says final pay package for "wider roles" could take ten years 45
AdvertisementExecutives: PSNC chairman addresses Young Pharmacists Croup on July 4
JuliandeBruxelies
Production:ShirleyWilson
AdvertisementDirector: The competent professional has nothing to fear from Law Department 45
FrancesShortland
PIItlJSIII K RPSGB's Sue Sharpe explains the role ofthe inspector further
Publisher:RonaldSalmon,FKPharmS
— -
PUBLISHING DIRECTOR Advice for a young pharmacist on business practice 60 REGULARS
Director:FelimO'Brien
John Kerry puts a Business in Focus
PPuubblliicsahteidonSsatLutrd,da(ymsebmybeBre.nnUnited Prescribing sanity returns in Germany 64 TSotpaitcuatlorryefCloemctmiiotntsee 4467
TNoenwbsrpiadpgeer.sKGernotu,pT),N9So1vRerWeignWay, More News from Germany after 1993 health cost blitz Medicalmatters 49
Telephone:[phone]
Telex:95132BentonG Sangers (NI) in the C&Dspotlight 65 Counterpoints 50
Facsimile:0732361534 Zack Goldring visits United Drugs' 1992 acquisition Letters 58
Subscriptions:Home£100perannum.Over- Questionsandanswers 68
£s2ea.s10&peErirceo£p1y4(0popsetragaennexutrma)i.ncludingposlage. Medicine labelling in the EC... 67 Businessnews 70
ABC iMemberoftheAudit ...Progress report on Directives from AFSGP's Leonora Nieto Comingevents 72
BureauofCirculations
in AAH buy Edinburgh-based M&S Toiletries 70 Businesslink 81
Aboutpeople 82
XUnitedNewspaperspublication "Head-on response to Barclays," says Bill Revel
Comment
Nowthetruthcanbe told! ThisweektheMedicinesControl Ms Kelly says nicotine patches, last year's deregulation
Agency has revealed the clutch ofPOM to P switches in its coup from the Government, could have put£50 million on
pipeline that are scheduled to be cleared by the year-end the market. More significantly, it has endorsed the
andto come on-stream in 1994. Nowthe consultativestage pharmacist as being at the forefront of High Street
has been reached, only administrat—ive hiccups within the healthcare, following in the wake ofthe vaginal imidazoles
MCA are likely to delay the flow and, as the affected which had a considerable impact in what is a smaller
companies an—dthe Government need delays like they need market opportunity.
stress ulcers delay is unlikely! Anyone who has had hay fever or thrush does not need a
Talkingofulcers, SB's muchOTC-trumpetedTagamet is doctortoconfirm theirself-diagnosisthenexttimetheyare
likelyto makethe runninginamarketshortlytobeblessed struck down. Pharmacists who are shy of counter-
withmorepotent molecules. Butitwill nothaveeverything diagnosis or prescribing must banish their timidity now.
its own way, having a surprise H2 competitor in Thomas Patients are all too eager to cut out the GP surgery queue,
Morson's Pepcid. The MCA list is a rich mix of on-patent, along with many GPs with time and drug budgets to
off-patent, newish and relatively antique medicines, all of protect, and not forgetting the increasingly parsimonious
whichpackapotentpatientpunch. Glaxoare likelytofinda Government.
solid market for the low NHS-priced, but not lowly, Corlan For two successive weeks, OTCs have been in the news
Pellets, while sodium cromoglycate should do well in the and in C&Ds leader columns. Despite David Sharpe's
allergic conjunctivitis market which grows by the year, as gloomypredictions (p45) aboutaten-yearleadtimefornew
pollutants of all kinds irritate both urban and rural roles, aswe said lastweek, the old role "ain't bad", and the
populations. recommender role eminently desirable, particularly in this
Quietly confident is perhaps the best description of the heady POM to P climate.
mood of Sheila Kelly, director of the Proprietary When you add the embryonic diagnostic role that
AssociationofGreatBritain. "The PAGB isverypleased.We pharmacists now perform professionally and cost-
believethissignificantbatchofPOMtoPswitcheswillgrow effectively, then the taxpayer should not have to look any
the OTC market, but I cannot put a figure on how far and further than the community pharmacist for "maintenance
how fast it will increase." healthcare".
Chemist & Druggist 10 JULY 1993 43
MCA
on MP
consults next calls for
'immediate'
POM
to P switches pay deal
NigelGriffiths,MPforEdinburgh
South and Labour's health and
Details of a handful of proposed for the treatment of seasonal treatment of acute seasonal consumeraffairs spokesman, has
POM to P switches have been allergic rhinitis in adults and (allergic) conjunctivitis. tabledan EarlyDayMotioninthe
issued for consultation by the children over 12 provided the Maximum pack sizes would be Commonscallingforthe 1993-94
Medicines Control Agency, in- following conditions are met: 5ml for eye drops and 5g for Scottishremunerationsettlement
cluding cimetidine, famotidine i) it is for non-aerosol nasal ointment. — to be implemented immediately.1
andbeclomethasonediproprionate. administration • Tioconazole This product, In the Motion, Mr Griffiths!
Subject to comments from ii) the maximum dose is 100 with a maximum strength of 2 congratulated the ScottishI
interested parties, and the micrograms per nostril percent,isexemptfromprescrip- Pharmaceutical General Council!
appropriate Parliamentary iii) the maximum daily dose is tion control when intended for andthe2,500communitypharma-
procedures,theproposedamend- 200 micrograms per nostril external application other than cists for "leading the way in;
ment to the Medicines Order iv) thepacksize isrestrictedtoa for vaginal use. The CSM has providing services for half a
couldcomeintoeffectbytheend maximum of200—doses. advised that tioconazole millionpatientsand membersof]
ofthe year. • Mebendazole Single oral administered vaginally for the the public every day".
The proposed changes follow doses of mebendazole for the control of vaginal candidiasis The motion goes on to note,!
the Government's determination treatment of enterobiasis have shouldalsobeexemptfromPOM with concern, that a number of
to make the POM to P process beenexcludedfrom POMcontrol control. "trail-blazing" services were
quicker, simpler and more since 1989. It is proposed to In addition, the sale being delayed In' the failure to
transparent for companies. extendtheavailabilitytoinclude: over-the-counter in pharmacies implement the 1993-94 Scottish!
Details of the proposed a) A multiple-dose family pack, ofAnhydrol Forte and Nicorette settlement, due on April 1.
amendments a—re as follows: containing not more than four Plus chewing gum has been Graeme Millar, chairman of
• Cimetidine supply without doses of lOOmg each, for the proposed. theSPGC,welcomedtheMotion.
a prescription for: single-dose treatment of differ- The CDSM has advised that "The SPGC is frustrated by the!\
a) The short-term symptomatic- ent individual membersoverthe thePOMordershouldbeamended delay in implementing the
relief of heartburn, dyspepsia age oftwo years in a family. to permit Corlan pellets (2.5mg settlement, which would give us
and hyperacidity provided the h) A two-dose pack containing hydrocortisone) to be available the base for introducing most of]
maximum dose of cimetidine is not more than lOOmg mebenda- tor the treatment of aphthous the additional services rec-
200mg, the maximum dailydose zole per dose for the repeated mouth ulcers. However, patients ommendedbytheWorkingPartyji
is soomg and the maximum treatment of an individual over under theage of 12yearsshould Report on the future of
treatment period is twoweeks. theageoftwoyears,eachdoseto receive medical advice before community pharmacy."
b) Theprophylacticmanagement be taken at least 14 days apart. treatment. • More than 100 MPs have now]
of nocturnal heartburn when • Ps—eudoephedrine hydrochlor- It is also proposed to update signedaMotioncondemningthe
takenasasingle night-timedose ide The POM order should be the list of individual topical Government'sfailureto"properly
of lOOmg fora treatment period amended to allow controlled hydrocortisone creams and address the continuing and
not exceeding—twoweeks. release preparations with a ointments available for the growing threat to thousands ofJ
• Famotidine supplywithout maximum dose of 90mg and a treatment of irritant dermatitis, local pharmacies".
prescription for the short-term maximum daily dose of 180mg contact dermatitis and/or insect • Nigel Griffiths, Labour's con-
symptomatic reliefofheartburn, be suppliedwithout prescription. bites. sumer affairs spokesman, has
dyspepsia and hyperacidity • Sodium cromoglycate The Consultation is invited before called on the Government to
provided the maximum dose is Committee on Dental and August 31, 1993. Comments inquire into the wide-ranging
lOmg, the maximum daily dose Surgical Materials have advised should be addressed to Mr H. De price differential for cosmetics;!
tisrea2t0mmengt paenrdiodtihsetwmoawxeeikmsu.m ethxacteedaiqnuge2oupserceeynetwd/rvopasndneoyte VMeerdeicJionneess inCRonotormol1401Agaetnctyh,e aUnKdanotdhienrthperoUdSu.ctHsecsloladimsinthtahte,i
—• Beclomethasonediproprionate ointment not exceeding 4 per Market Towers, 1 Nine Elms onaverage,thepriceofcosmetics
supply without prescription cent w/w be available for the Lane, London SW8 5NQ. is 58 per cent higher in the UK.
Infopoint systems into Vantage pharmacies
AAH are to install 50 Infopoint
systems in Vantage pharmacies TOUCH
nationwide.
Screen
The touch-screen information
system allows customers to information
access information on products nSE=RVIqCE—
and services available and are
being provided free of charge to
selectedAAH-owned pharmacies.
Customers use the interactive
program to help them through a
decision-making process which
defines their need and lists OTC
products stocked which meet
thatneed.Thecustomercanthen
viewscreensgivingmoreproduct
details. Products will be updated
monthly.
Only OTC products are-
featured and usersare prompted
frequently to ask their
pharmacist foradvice.
Supplied by Alphameric
communications, Infopoint will
beintheshopsattheendofJuly.
Vantagearehopingtoexpandthe
schemeatalaterdate.
44 Chemist & Druggist 10 JULY 1993
Widening pharmacist's Competent
pharmacists
role 'could take ten years' 'nothing to
fear from
The final remuneration package Addressing the question of EssentialSmall PhannacyScheme, inspectors'
will involve widening the role of whetherapharmacistwasatablet Mr Sharpe said: "Life isn't fair."
the pharmacist andwill probably counter or a health professional, lie went (in to assure those
take about ten years to be fully Mr Sharpe said that tablet present that the PSNC would The competent, professional
operational, David Sharpe, countingwasveryeasyand there negotiate the best deal possible pharmacist should have nothing
chairman of the Pharmaceutical wasalargenumberofpharmacists for most contractors but there to fear, and should derive some
Services NegotiatingCommittee, whodid mil want tochange from wouldalwaysbeafewwhowould benefit, from an inspector's visit,
told the Young Pharmacists' this role. lose out. Sue Sharpe, head of the Royal
GrouponJuly 4. "Manywill bedragged kicking • In the question and answer Pharmaceutical Society's Law
Addressing their Midlands and screaming into the 21st sessionattheendofthemeeting, Department, told the YPG
conference in Crick, Mr Sharpe century," he said. Mr Sharpe said that he did not meeting.
pointed out that the problems of In terms of remuneration, often pin hisflag tothe mast but However, the incompetent,
the pharmaceutical profession payment for tablet counting he did feel that pharmacywould unprofessionalpharmacistshould
werenotsolelyhis responsibility, would become proportionately have repeat dispensing on a fear, but the profession should
but also the responsibility ofthe lessand lessas thiswaswhatthe limited basiswithin twoto three benefit, froman inspector'svisit,
10,000 pharmacists practising in Government wanted. Mr Sharpe years. she said.
the community. also foresaw the end to front- When asked about the In the past, the Society's in-
Asking: "Is there a future for loading by the introduction ofa Pharmacy Support Group's spectors had policed pharmacy
pharmacy?", he answered it with flat rate dispensing fee and an movetoputupacandidateatthe premises and standards of prac-
another question: "Why should increased professional fee or Christchurch by-election, Mr tice. Now their role had been
there be a future for pharmacy? allowance, which would be Sharpe said that pharmacists in extended to include:
Why should it be treated differ- modular and related to the Australia had tried the same • informing pharmacists of the
ently from other businesses?" number of prescription items thinga numberofyearsagoand standards required by way of a
Themediawasfullofstoriesof dispensed. He said he wanted to had caused the Government to checklist sent out with the
redundancies affecting the see this threshold at no more swingagainst pharmacy. notification ofvisit
professions,MrSharpeexplained. than 1,000 per month. He said he had always been • encouraging pharmacists to
Dentists, barristersand solicitors Commenting on how fair this apolitical in his negotiations comply with the standards as
were all experiencing very real wastopharmacieswhichdispense with the Government as he had well as, in a small minority of
problems so why should less than the threshold amount, to be able to deal with the party cases, insistingon improvements
pharmacy be exempt? but were not covered by the in powerat the time. in standards
• enforcingtheSociety'sCodeof
Ethics.
Boots go for three 'NHS' Sainsburys Mrs Sharpe also presented a
brief summary of the proposals
Seven Boots in-store pharmacies will review the situation re- contract was refused on May 18 forthe newPharmacyStandards
will be open on July 26 but only gardingalternative arrangements by the FHSA. There is currently Tribunal. This would deal with
three applied for contracts: to provide an NHS dispensing an appeal lodged. pharmacists' breaches of the
Sevenoaks,CamberleyandPoole. service for their customers. InHemel Hempstead,anearby Code of Ethics which were not
Bootsannouncedtheirintention In Dorset Bill Ritchie, public independent pharmacist has sufficiently grave to warrant
of opening seven stores within relations officer for Dorset LPC, already been granted a minor reference to the Statutory
Sainsbury supermarkets, in- said that there was a lot of relocation into the Sainsbury's Committee, she said.
itially without NHS contracts in opposition in theareafrom local property. But Boots lease the Cases will be heard speedily
May (C£Z)May 29, p999). community pharmacists, and he pharmacy from Sainsbury. Mr with minimal formality, and the
But opposition to the in-store is describing the move as Malitskie, the pharmacist with Tribunal would be able to order
pharmacies is mounting, with "blatant leap-frogging". the contract on the premises, remedial work or a financial
confusion in some areas over In Hertfordshire, two Boots was unable to comment on the penalty, she explained.
contract applications. in-store pharmacies are to open situation at present. Boots are Appeal to an appeals
Boots have applied for a in Hemel Hempstead and St going ahead with re-fitting the committee would be possible,
contract for the in-store Albans. The St Albans branch, shop. although a sum ofmoneywould
pharmacy in the Sevenoaks like the one in Sevenoaks, has A Boots spokesman said the be taken as a deposit from
Sainsbury yet, when the store recentlyhadacontractapplication circumstances are different in appellantswhichwould be lost if
openedtwoyearsago,Kingswood for the premises. This was made each of thetwo cases and would the appeal failed.
Chemists had an application by Lloyds Chemists and the not comment at this stage. The proposed Tribunal now
turneddown. Bootswereamong had to go to the branches of
those opposed to Kingswood the Societyforconsultationand,
then. Fined for His pharmacy was visited by if accepted, should come into
Bootssaytheyareapplyingfor MrsMaryBrophy,aseniorinspec- force nextyear,accordingtoMrs
improper
acontractnowbecausecustomer tor of trie Royal Pharmaceutical Sharpe.
shopping patterns and needs Society,onMay26 lastyear, said As far as the Society's
change over time. They believe labelling Prosecutor Peter Finnegan. inspectorate was concerned, its
there is nowastrongcase foran "This case concerns the target procedures would be:
NHS dispensing service to be An Ealing pharmacist who failed failureofthedefendant,whowas • the worst premises would be
madeavailablefortheconvenience to keep his supplies of the superintendent pharmacist selected
ofcustomers using the store. prescription medicines properly of the business he ran with his • there would be an initial visit
Kent Family Health Services labelled and dated was fined a brother, to ensure that the law to explain procedures, list
Authority subcommittee is totalof£3,000andorderedtopay was complied with as far as six requirements and make a date
holdingapublicmeetingonJuly costs of nearly £4.000 at different prescription medicines forthe nextvisit
21 to gauge feeling to the in- IsleworthCrownCourtlastweek. are concerned," he said. • on the second visit, a formal
store pharmacy. Ritesh Shah ofOxleayAvenue, The medicines seized by Mrs report will be made ifstandards
RoyThomas,whosepharmacy Rayners Lane, Harrow, who runs Brophy bore no details of the are not acceptable. A letter will
would be adversely affected if Shiluns Ltd in Ealing, was medicine, no expiry date and no be sent from the Law
Boots receive a contract, has charged, with his company, with batch numbers. Department setting the date for
collected 500 signatures on a six offences under the Medicines "In the case ofwithdrawal by compliance
petition in just one week Act 1968. Bothwere foundguilty the manufacturers for any • on the third visit, ifstandards
opposing the Boots contract. by ajury on all counts. Six other reason, it would not have been are still unacceptable, there will
ABootsspokesmansaidifthey charges against Mr Shah alone possible to properly identify be referral to the Council for
do not receive the contract, they were dropped. these drugs," said counsel. action.
Chemist & Druggist 10 JULY 1993 45
Ecolabel debate on animal
may
be
testing resolved
Environmental criteria for But the Ecolabelling Board over the past two years, "marks
awarding Ecolabels have been have no plans as yet to include an important first step for the
passed for the first two product animal testing in the criteria, scheme", says chairman of the
categories, dishwashers and says a spokeswoman: "We UK Ecolabelling Board, Dr
washing machines. But progress consider that a separate issue Elizabeth Nelson. However, she
with the scheme has been slow, covered by the EC Directive on criticised the slow progress of
and arguments over whether animal testing, which aims to theschemetodateandcalledfor
animal testing should be phase it out by 1998." improved co-operation between
included in the criteria for Last week saw the resignation EC Member States and the
awarding Ecolabels continue. of the only environmental Commission.
Body Shop have been campaign representative on the The Ecolabel for washing
threatening for some time to UK Ecolabel Board, Tessa Rob- machines and dishwashers will
boycott the scheme because the ertson, formerly of the World give consumersaguarantee that
criteria forawardingan Ecolabel Wide Fund for Nature. the machines are efficient in
doesnot includeanimaltesting,a A pollution issues specialist, using water, energy and
misgivingsharedbyothermanu- Ms Robertson resigned from the detergents.
facturers, including Montagne Ecolabelling board due to Other Ecolabel categories to
Jeunesse. "disagreements" over proposals be covered by the UK board
But this may be about to for criteria regarding paper include light bulbs, hairstyling
change, says David Wheeler, products. Herreplacement isyet aids, deodorants and anti-
manager for environmental to be announced by the Depart- perspirantsandsanitaryproducts.
affairsatBodyShop:"Wemaynot were asking for," he said. ment ofEnvironment. Pharmacistsshouldseeproducts
be boycotting the Ecolabel as we This request is that animal Theadoptingofthecriteriafor with Ecolabels in the hairspray,
have received a letter from the testingbe included in thecriteria dishwashers and washing lightbulb and toilet tissues
Boardbasicallygivinguswhatwe forawardingproductsan Ecolabel. machines, developed in the UK sectors soon after Christmas.
Warning to 'Prescribe more to meet health targets'
pharmacists Government figures showing per cent ofmen and 17 per cent show that more, not less, treat-
that many hypertensives are not of women have raised blood ment is needed," says Dr John
after pill receiving treatment have been pressure. Ofthese,almost75per Griffin, director ofthe ABPI.
tragedy seized upon by theAssociation of cent are not receiving any Ifall the patients identified in
the British Pharmaceutical medication. the Government's survey were
1ndustryasanargumentformore The ABPI claims these figures treated, the ABPI estimates it
The Royal Pharmaceutical drug expenditure, not less. supportfearsthatrestrictionson would mean an annual increase
Society of Great Britain and the TheAssociationsaysthat ifthe prescribingaredamagingpatient ofbetween 8 and 12 per cent on
National Pharmaceutical .Associ- Government is to meet its own care. the current NHS medicine bill.
ation last week issued a joint health targets, more money has "While theGovernmentargues However, thiswould be offset by
statement after the death of a to be found for the provision of that the current 12 per cent savings intheestimatedhospital
12-year-oldgirl whotookchloro- medicines. growth in prescribing is not costsoftreatingcerebrovascular
quine tablets, thinking theywere Thehealthsurveyshowedthat, acceptable, itsownChiefMedical disease of more than £800
analgesics. ofthe total adult population, 16 Officer produces evidence to million a year.
Pharmacistsarebeingurgedto
tell the public to make sure that RPSGBStatutoryCommittee
children do not have free access
to medicines, asthis incident isa Reformed last week he had now overcome Restoration
sober reminder that medicines his drink problem. Under a
are potent substancesand that, if drinker programme organised by the likely in
taken incorrectly, can kill. reinstated Leicester Community Aicohol January
Medicinesmustbelockedaway Services, he was still allowed to
from small children. As they get drink occasionally, although
older they should be taught to A pharmacist who overcame his never alone, and spirits were A64-year-oldSwanseapharmacist,
have a responsible attitude to drink problem has won back his forbidden. struckoffafteran"elaborateand
them, and understand the right to practise. Douglas Cameron, senior sustaineddeception"oftheNHS,
dangers oftaking other people's Malcolm SmithofDeMontfort lecturer for the project, said Mr has been turned down in his
medicines or taking more than House, Oxford Street, Leicester, Smith had "clearly succeeded in thirdapplicationtobereinstated
the doctor or pharmacist has had been struck off the Register tethering back his alcohol to the Pharmaceutical Register.
suggested, the statement says. in April 1991 after the Royal consumption to trivial, non- But Philip Palmer, of
"It is also important that Pharmaceutical Society's Statutory problematic levels". He had Langland Bay Road, was told by
people are not put off from Committee heard that he had occupied himselfwith classes in the Statutory Committee of the
taking medicines as a result of been "not in proper control of foreignlanguagesandcomputing Royal Pharmaceutical Society
this sad incident." himself through drink while while unable to practise as a that if he applied again after
In a radio interviewwith LBC, workingas a locum. pharmacist. January 1, 1994, he would have
David Coleman, the immediate He had also appeared before Mr Smith told the Committee "a legitimate expectation" of
past president of the Society, Hinckley Magistrates Court that he hoped to do voluntary having his application granted.
highlighted the public's worries chargedwithassault on histhen service overseas work if re- HewasstruckoffinApril 1990
over malaria prophylaxis. wife and breach ofthe peace. He instated. afterbeingconvictedbySwansea
He said that anti-malarial wasclearedoftheassault charge Committee chairman Gary Crown Court on 12 counts of
tablets are safe if taken as hut boundovertokeepthepeace Flather QC said the Committee obtainingpropertybydeception.
instructed by the doctor or forayear. was concerned that Mr Smith Hewasfined£3,000withcostsof
pharmacist. It isvital thatpeople He was also banned from wasstill drinkingbut recognised £20,000 on August 12, 1989.
visiting the tropics should take driving for two years after being there was a body of respectable Mr Palmer told the hearing
proper precautions to protect convicted of a drink-driving opinion that moderate drinking thathe intendedtoworkonlyfor
them against catching malaria, offence. insomecasescouldbeasgoodas between three and five years
which is still a potent killer. Mr Smith told the Committee abstinence. before retiring.
45 Chemist & Druggist 10 JULY 1993
Welsh recruit foundation course for all preference to the uniformity of
students. the larger multiples.
learning To authenticate these Cynic I may be, but ifa high
therapies, and at the same time profile campaign can put the
facilitators break down the barriers of proverbial "boot" on the other
suspicion that presently exist foot, then my stamped
w< committee tor between mainstream medicine addressed envelope will he in
postgraduate pharmaceutical and the alternatives, an Ihe next post and the PSG will
education has created three obligatory three-year Bachelor have gained another member!
full-timepostsfortutors/learning ofMedicine degree should be
facilitators to provide continuing instituted for all aspi—ring True price of
education to community phar- health professionals and
macists throughout Wales. that includes medics, care in the
The key objective of the jobs pharmacists and dentists.
will be to promote and deliver a With a prerequisite ofthis community
full rangeofeducational facilities foundation degree, the
andopportunitiesprovidedbythe practitioner could then train
Welsh Centre to community and into his own particular Tpahteiennutsmbfoerrwohfopmsychisautprpilcy
other pharmacists. speciality with a second I
regular medication has
The tutors will replace the qualification, authenticated by
increased quite noticeably over
current network of eight a college system of
part-time local tutors, and will examination, entitling him to the past fewyears as the policy
pperroviydeearaomfifnaicem-utom-foafce15cohuorusress prreagcitsitsreatwiionthainndthpartoffeisesldi.onTahle ocfomtrmeuantiintgytahensdecplaotsiienngtslairnget,he
institutionalised, psychiatric
forpharmacistsat uptofive local control ofall these disciplines
vtheantue9s5ipnereaccehntaroefap.hIatrimsaicnitsetnsdeidn Education an ccoonutlrdoltlheednbbyeaefsfiencgtlievely choosWmphmitaoatnlpswlahasacseatraaankrdee,newevfhefenerctte.aissnow
Wthaeliersnewialrlesbtevweintuhei.n 25 miles of alternative dreefgiunliattioornyabnoddyexwchliusciho,n,bywould amdaanpyteodfwtehlelseanpdatiinetnetgsrhataevde
Tutorswillvisitpharmacistsat then ensure a credibility of
successfully into the
least once a year to establish the for alternative practice the present community, others do provide
educational needs of the fragmented system can never
siunbdijveicdtualm,attbeorth anind tmeordmes ooff medicines hope to achieve. proObnleempsartinictuhlearplyhadrifmfaiccuyl.t
deedluicvaetriy.onTahleymwailtlerbiealableditroecotflfye,r I have been complimentary to Popularising gMiecnhtaleelm,anr,ecIeisvheasllhicasll him
ainncdlaucdciensgsditsotcaoncmepulteearrsn.ingpacks tlhoebbcyofmoprlaemleonngtatriymem,ebduitcitnhees the PSG ombevdiiocuastieovnenweteoklmyyaunndtritaiisned
Thesuggesteddivisionofareas mavericks have continued to eye that he is very disturbed.
will be: North Wales (Gwynedd, cause problems for genuine The Pharmacy Support Group The other day I had cause to
aCnldwySdouatnhd-Wpeasrtt WoaflPeoswy(sM)i;d Maindd praAclttietrinoanteirvse. medicine is an ehxatsrseumdedleynploypfuolaurndanitdself wqiuteshttihoenGMiPchaanedl,'sdepsrpeistceription
SouthGlamorganandGwent):and u—ncontrolled area ofmedicine inundatedwith requests for careful explanation as towhy I
South-East Wales (Dyfed, West and therein lies not only its copies ofthe literature devised had to go through this process,
GlamorganandtherestofPowys). adtotwrnafcatlilv,enbeescsaubsuetIalbseoliietvse it bRyobHienrtCfloarrdkshtiorepupblhiacrimsaecihisst vtihoelreenaccetitoonthoeftshhroepataenndedmy
will never attain true opposition to the current staffwas quite frightening.
Counselling credibility until its educational remuneration proposals (C&D Fortunately, a period ofcareful
standards are controlled. July 3, p5). talk and an unexplained sudden
guidelines Thatviewpoint has recently I am not surprised, but 1 swing ofmood in Michael
been endorsed by a British suspect their popularity is averted a possibly dangerous
Aguidgerloiuneps aoinmincgountsoellpirngodufcoer wMehdiicchalcaAlslssofcoiraatisoinngrleeport mCloarrek'saecnotnrseepqrueenenucreiaolfMflrair in shiotwueavtieornwbeultl,Iincotmheeftuotukrne,ow
cinovmomlvuenipthyarmaphcayrmoarcgiasntissatiwoinlsl ttrhheegeurrlaiapstykin(ogfCbb&eoDidnyJguflsoyrw3ae,mapcp5he).dAbty aaprcnehysicperovliiipnttgiicoaanl1vd3eosplieurrmeecteotnhtbaernliosiennginto MciocuThlhadeelrh,ecuaumrso.iumrilainrtsritauiantiinognmy
in Scotland.
The Scottish Pharmaceutical criticism, I would go further this particular ginger group. staffin self-defence exists but,
Sntoaunndciendg tChoeimrmiptatreteiciphaatvieonani-n afnunddcaomnesnitdaelrcthhaatngae is intTehreestpehdarimnacthiisstvsemntousrte will nsehvoewrtnhemleesst,haMtitchheaeulndhearslying
aProsfteesesroirngCrogmraorutpy,. Tchheayirweidll bbye pnreocfeessssairoynailnstahreewtaryaianleldh—ealth pirnodbeapbelnydebnettohressmianlgllegroup so, reaIsaonmsianrethveerfyorreefarlo.nt ofthe
joined by the RPSGB Scotland and the alternative therapies despite the increased volume treatment ofpsychiatric
and the Scottish Office (Home must now be included in this apparently being illusory ifall patients in the community and
alinndTeshHeeoanalitcmhouDinsespetto)l,lpiarngmodouancngedogatudhivedirecs-.e aclcakTsnshioefwilBceaMtdiAgoenr.septohretgrowth of bppeaurnbtelificicitpdacetomeu,olndtshtceroapmrteiinncfgirpotahmleitrhe pmianytciesontnatsf,tfayhneattvenceohintathadecratnmwyyistfeholrtfmhanelor
on medicines and appliances in alternative medicine and support by reverting to their training in how to deal with
community pharmacy practice. suggests a basic scientific local independent pharmacy in potentially dangerous
Graeme Millar, chairman of situations. Granted I have so
dthaengeSrPSCt,hatsayis:ndi"vTihduearle hisealtthhe wfaorualvdoihdaevdeapnryefdeirsraesdteorfsf,icbiault I
boards will set up their own recognition ofpharmacy'svital
guidelines. This group will make Topical role in treating patients like
effective, simple recommen- Michael and, at least, the
dations to pharmacists while opportunity ofattending a
eren-sduirsitnrgibtuthiaotntheorfe imsoanseeynsibfloer wciotuhrsteheonmohroewdbiefsfticutlotdceaasles.
these services."
• The Scottish Pharmaceutical
REFLECTIONS
General Council has agreed to
sponsor ten delegates for the
Aberdeen "Working Together for
Health" conferencetobe heldon
July 17-18.
Chemist & Druggist 10 JULY 1993 4?
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Medical matters
Breast feeding offers
AlfaD
from Thevitamin Danalogue
protection cancer alfacalcidol isnowavailablefrom
Du Pont Pharmaceuticalsunder
the trade nameAlfaD.The
capsulesare indicated in
Breast feeding protects against women who breast-fed for up to the baby milk market as it only conditionswherecalcium
thedevelopmentofbreast cancer ninemonths,andafter 12months referstobreastfeedinginthefirst metabolism isdisturbed dueto
sintudyyoupnugbliwsohmeedn,inctohnecluBdreitsisah ifneewdoinmgefnorwmhoorecotnhtainnuaedyeabrr.east tcharneneotmonotrhs.doFornomtothweirsshwhtoo 0iism.pa2va5aimircleagdbl(le1a0i-0nh,yt£dw1ro2o.xs0yt8lra)etnaigontndh.slAmlfcagD
MedicalJournal. Patti Rundall ofthe BabyMilk breastfeed after this time (30,£10.80). Du Pont
Researchers interviewed 755 Action Group welcomed the babymilks are the alternative. Pharmaceuticals Ltd.Tel: 0462
women, diagnosed with breast study. "It makes it clear that A spokesman for Milupa said 482648.
cancer before the age of36, and breast feeding is good for the that the evidnce seems to Toradol inj 10mg
an equal number of closely mother as well as the baby." confirm the theory that breast
matched controls. Information Christine Russell, head of feedingreducestheriskofbreast Toradol (ketorolactrometarol) is
wasobtainedfromthewomenon nutrition at Cow & Gate, does cancer. "Milupahavealwayssaid nowavailable ina 10mgstrength,
their use of contraceptives, not foresee the report will affect that breast feeding is best." itnheamfiprostulnoens-sotfer1omilda(l£1a0n.t9i0-). Itis
duration of breast feeding, each inflammatory in theUKtogaina
lmievnesbeorsnacnhdildo,thteirmirnigskoffarcettourrsnfoorf Many HIV infected people linijceecntcieonforfourssehoasrta-tbeorlmus IV
breIatstwacsancfeoru.nd that the risk of unaware of status smeavnearegepmosetn-topoeframtoidveerpaatien.toSyntex
developing breast cancer Pharmaceuticals Ltd.Tel: 0628
decreased with increasing Almost half (49 per cent) of the AIDS was diagnosed than those 33191.
duration of breast feeding and 3,556adultswith known dates of who had been aware of their Convex stomas
with the number of babies first-positiveHIVtestresultshave infection forat least ten months. The new Impression rangeof
breast-fed for more than three been unaware of their infection The authors admit that people convexostomyproducts from
months.Breastfeedingababyfor for up to nine months before who are unaware that they have Hollisterisdesigned forthe
more than three months did not AIDS was diagnosed. In a study, HIV infection are not necessarily managementofretractedorflush
appear to confer any further published in the British Medical unaware of their risk of being stomas. The rangeisavailable on
reduction in risk. Journal, lack of awareness was infected. the DrugTariff. HollisterLimited.
The number of babies not associated with a number of However, lack ofawareness of Tel:[phone].
breast-fed was positively asso- characteristics. Theyare: HIVinfectiondelaystheinitiation Trisequens threes
ciated with risk ofbreast cancer. • Infectionthroughheterosexual of therapy. To obtain maximum The singlepacksize (1x28) of
Norelationwasfoundbetween contact benefit from early treatment and Trisequensand TrisequensForte
theageatfirstbreast feedingand • AIDS reported outside the prophylaxis, people must be is beingdiscontinued.Novo
riskofbreastfeeding.Norwasthe Thames regions aware of their infection well in NordiskPharmaceuticals Ltd.
number of births found to be • Being non-white advanceofthe diagnosisofAIDS. Tel:[phone].
relatedtotheriskofbreastcancer • Men were more likely to be Recentdatahasraisedquestions Tenidap
among parous women. unaware than women about the best time to start
One possible mechanism for • 15-24 and over-50 age groups anti-retroviral therapy, but aPpfipzleircahtaisonfiilnedthaepUroKdufcotrElnicaebnlceex
the negative association between Peoplediagnosed in 1992were prophylaxisagainstthecommonest (tenidap),acytokine modulator
breast feeding and breast cancer least likely to be unaware ofHIV life-threatening opportunistic forthetreatmentofrheumatoid
couldbetheprolongedlactational infection. infection, Pneumocystis carinii, arthritis. PfizerLtd.0304
amenorrhoea in women who People aware of their HIV has been shown to reduce its 616161.
breastfeed.Mensesreturnedata infectionforashortperiodbefore incidence. Health education Ativan inj short
mediandurationofsixmonthsin diagnosis of AIDS were more mustbereassessedtoensure it
likely to die in the month that is reaching these groups. Duetoproductiondifficulties,
Ativan injectionwill beoutof
Osteoporosis stockforthenextfewweeks.
Majority of population have Furthersuppliesareexpectedto
treatment becomeavailable towards theend
CHD ofAugust.WyethLaboratories.
risk factors Tel:[phone].
guide
Bayer shorts
Only 12 per cent of men and 11 high levels ofall four.
The first comprehensive patient percent ofwomen in the UKare Amongall theadultssurveyed, Bayerpicregretthat, dueto
gthueidUeKtofortroesattemoepnotrsosiavsaihlaasblbeeeinn ffraecetorfsroasmsotchieatefdouwrithmacjoorronrairsyk c1e6ntpeorfcweonmteonf mhaednraainsded1b7lopoedr cMCihaganrneasgvteeessnsatPFotowhrdeteesro,aurreMcisegtirloalfvesuspsplayn,d
launched by the National heart disease (CHD) and stroke, pressure, almost three-quarters unavailable. Bayerpic.Tel:
Osteoporosis Society. It contains according to a major health of whom were taking no 0063539000.
the latest information on all the survey by the Government. medication to lower it. Berk brands
medicationswhichcaneffectively Stroke and coronary heart Dr Kenneth Caiman, the
halt bone loss, particularly disease causeapproximatelytwo- Government's chief medical Berkhasbrandedthreeofits
alternatives to hormone fifths of all deaths in the UK. officer has set out measures to products: cimetidine200mg
replacement therapy, together Raised blood pressure, smoking, lower vulnerability to these dtaibplyertisdxam1o2l0ebleOcOommgestaUbllteetcs;x 100
with guidance on diet, exercise, heavy drinking and lack of diseases. His "list of challenges" hasbeenbrandedModaplat (list
painreliefandpreventionoffalls. exercise are all contributory includes taking the stairs instead pricehasfallen from£11.62 to
Copies can be obtained by factors to these two conditions. of the lift or escalator, eating £7.36), and naproxen500mg
sending a cheque for £1 and a Around one in five of those fresh fruit, giving up smoking, tabletsx 100 hasbeen branded
SAE for 28p to the National surveyedhadhighlevelsforthree protectingyourselffr—om the sun Timpron (listprice increasedto
Osteoporosis Society, PO Box ofthefourrisksand2 percentof and reducing stress "Take a £22). BerkPharmaceuticals.Tel:
10, Radstock, Bath BA3 3YB. menand3percentofwomenhad tenminutetime-outeveryday." 0532 380099.
Chemist & Druggist JULY 993 49
1 1
Counterpoints
add water Sanatogen add
Brita first
vegetarian vitamin
for babies
filter Sanatogen are launchinga vitaminsand mineralswill
one-a-dayvitamin combat possible
supplement designed nutritional deficiency
Brita, manufacturers of specially forvegetarians amongvegetarians and
water filter systems,are and vegans. vegans, say Sanatogen.
launchingat the end ofthe SanatogenVegetarian is The product isavailable
month what they claim is gelatine-free and contains asa30-day pack (£2.69) or
the first water filter — iron, zinc, vitamin B12, a60-day pack (£4.49).
specifically for babies vitamin D, vitamin B6, Roche Nicholas Consumer
the Brita Baby. calcium, riboflavin, folic Healthcare. Tel: 0707
Brita Baby usesa two acidand copper. These 328128.
cartridge system. The first
cartridge reduces nitrate
content, while the second
reduces carbonate
hardness by removing
chlorineand heavy metals
Sanatogen
such as copper. In addition,
agauze filter prevents
unwanted particles passing
through the filtered water.
Brita Baby is suitable for
children undersix months,
afterwhich the filter can
be used asa normal water
filterforall the familyby
removing the top funnel
and insertingastandard
Brita cartridge.
Each cartridge will treat content). Retail price is Brita Baby isavailable
up to60 litres ofwater £29.99with cartridge from the end ofJuly.
(depending on nitrate replacement setsat£7.99. Brita. Tel: [phone].
Added value from
Mothers put trust in pharmacists
Elizabeth Arden
Three out often mothers confident in their ailments. The main reason
say they would be happy pharmacist prescribing for motherswould like the ElizabethArden are giving containingaselection of
for pharmacists to thems, with 65 percent pharmacist to be able to consumersagood reason Elizabeth Arden products
prescribe medication for saying theywould be prescribe isconvenience. to purchase Lip Spa, their for£39.50.These include
them, according to the happy for pharmacists to Itemswhich would be water-based lipstick. From Ceramide Time Complex
1993 Farley's report. prescribe for their baby. popular for the pharmacist September 25, theywill capsules, Ceramide Eyes
Fewerwould feel confident Three-quarters of to prescribe are receive afree Lip Spa capsules, Ceramide
in the midwife, health mothersview pharmacists painkillers, eye drops, when they buy one in a moisture cream, Red Door
visitoror practice nurse as experts on medicineand decongestants, thrush choice offourshades. EDTsprayand Lip Spa.
prescribing for them. two-thirds feel theyare remedies and Also on offer this ElizabethArden. Tel:
Ofthose mothers, 77 well qualified toadvise contraceptives. Autumn isa coffret 071-224 1213.
percentwould be most them on their babies' The most common baby
ailmentwhich mothers
seek pharmacists' advice
on is teething. Other
common subjects
discussed include nappy
rash, cradle capand choice
ofmedication. Butonly36 1 £"C0*Err£
percentwouldask their
local pharmacist about
_ AN w £ feeding their baby. Ml"t**
I DUAL ACTION preSgmnoaknicnygisdustriillnga major e. | Kg***
problem, with 30 per cent
ofmothers continuing to
smoke during the first
three months, halfofthem
aged 16-24.
The message about
pre-conceptual care seems
to be getting through,
TCP'sdual-action antisepticcream hasredesigned with almost halfof
packaging to giveadistinctbrand imageacross the range, mothers makingsome sort
soas toappealparticularlyto mothers.The new look ofpreparation before
incorporatesawhitebackgroundwith a red FirstAid label. conceiving. The 1993 Nicorette 15mgpatchesare nowavailable in apackofthree
A human shadowon the sideofthebox points toa listof Farley Report. Crookes whichwill retail at£7.99. Pointofsale material, including
the problems forwhich thecream can be used. Chemist Healthcare. Tel: 0602 aposterand showcard, areavailable. Kabi Pharmacia.Tel:
Brokers Ltd.Tel: [phone] 507431. 0908 661101
50 Chemist & Druggist 10 JULY 1993