The chemist and druggist [electronic resource]

2005·5.1 MB·English

by  UBM

Chemist&Druggist
The Newsweekly for Pharmacy
29 October 2005
Doubts raised
over preps
flu
istribution plan
Scottish Exec
pays price for
11 11 GSK scheme
Phoenix ditches
• # Wood as Numark
XJ
buy-out finalised
A
heaven scent
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fine fragrances
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Contents
Chemist&
Druggist
The Newsweekly
Editor
CharlesGladwin,MRPharmS
NewsEditor
GaryParagpuri,MRPharmS Volume 264 No 6518
ActingClinicalEditor
AshaFowells,MRPharmS First published
ContributingEditor
AdriennedeMont,FRPharmS September 15, 1859
SeniorBusinessReporter
MaxGosney ISSN 0009-3033
Reporter
AnnaHodgekiss
ProductionEditor
FayJones,BA
GroupArtEditor Pharmacy left cold by Roche flu drug plans
EditorialProductionAssistant Ruche'sdecision torestrictaccesstoTamifluandtosupply directly to
BethanyStraker pharmacies would compromisetreatmentofseasonal flu and hindera
EditorialSecretary responsetoanavian fluoutbreak,saysaseniorindustry figure
JanPowis
Editorial(tel):01732377487
(fax):01732367065 New GSK discount forces clawback change
[email protected]
PriceList TheScottishExecutiveHealth Departmenthasbeen forcedtoreduceits
ColinSimpson(Controller) target'clawback'ratebecauseof changestoGSK'sandIVAX'sdiscount
DarrenLarkin(DataManager)
MariaLocke(SeniorClerk) struccturesearlierin theyear
PriceUst(tel):01732377407
Gr(ofaux)p:0S1al7e3s2M3a7n7a5g59er New chief for Numark
[email protected] a Phoenix hasappointed Simon Colebeck (left) toreplace
SalesManager ..... David WoodatthehelmofNumarkafterfinalisingits
MarkWalley HI acquisitionofthegroup. MrColebeck, formermanaging
SClaDalasenssiiefMliaeSndparEugxyeetrceuntbiuvrge diimrpercotvorinogf NNuummaarrkk'sTprhadairnmga,cwyilslebrveiccehsa,rsgaeiddwDaitvhid Question Time 8
DebraThackeray,BA Cole,chief executiveatPhoenix
AdvertisementSecretary Opinion 14
Advertising(tel):01732377621 PSNC wants to substitute branded generics
(fax):01732377179 Letters 14/16
ProjectsandPriceServiceManager Inadamning22-pageresponsetonewstandard branded genericpricing
PatrickGrice,MRPharmS proposals, PSNChascalled forcommunitypharmaciststobeableto Xrayser 15
PharmacyProjects substitutebranded genericswithgenerics
MaryPrebble
01732377269 Medical Matters 20
Production Race riot hits pharmacies
PublishingDirector PharmacistsinBirmingham said theywere"shocked" and "scared" asracial Marketwatch 21
' PCihrMinl.PnCrpIannlrf.loHorinmwgatRieotanilLtCdheCmhiesmti,stPhiatrDmraucgjgist svtiroolenngcreioftlsarheidtlianstthweeLeko.zeSlelvsearraelapohfartmhaecciietyswereforcedtocloseasthe 100- Classified 30
Ipdjte.milBeaut)Cnunrcr
PublishedSaturdaysbyCMPInformationLtd, Back Issues 34
SovereignWay,Tonbndge,KentTNU1R\V
C&Dontheinternetat
hup//wwwdotpharmacy.com/ Drug excretion
(SOuvbesrcsreiapstiSo.nsEir(eH)oSm4e1)2£pe1r73anpnerumannSiunmg.le In the firstof twoarticleson drugexcretion, ProfessorDanny Burkeexplains
copiesC&D£3.50(postageextra) ExtraPrice- how drugsleavethebody viathebile, faecesandotherminorroutes
Listforsubscribers £16persinglecop);for
non-subscribers £55persingleeopy
SubscriptionplusadditionalPneeList:UK
£173plus£1211.overseas S412plus$205.
Circulationandsubscription:CMP
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Park.LathkillSt.MarketHarhomugh.Eeies
LElblEF Telephone 01N5S4hSSll
Fax:[phone] A nose for sales 24
Refundsoncancelledsubscriptionswillonlybe
providedatthepublisher'sdiseretion,unless SarahThackrav takesaseasonal look at the fragrancemarket
specificallyguaranteedwithinthetermsof
subscriptionoffer
Theeditorialphotosusedarecourtesyofthe September slowdowns 28
supplierswhoseproductstheyfeature
Thelatestsetofbusinessstatisticscompiled by Peter Varley
•••• ••••
••
Eurofile 29
CMP
Aroundupof European pharmacy news fromJorn Runge
UntiedBusinessMedia
CO
Chemist .Druggist 29 October2005 3
armacy
cold by
left
oche drug plans
flu
byMax Gosney&AshaFowells ensure thatitsatisfiestheNHS's and the Dol1 could only comment
£200million order for 14.6m on theTamiflu ithad stockpiled
Pharmacists' needsarebeing coursesofthedrugplaced in in caseofan influenzapandemic,
neglected as Rocheseekstomeeta March thisyear. sheadded.
Governmentquota forits flu drug 1lowever, aspokeswoman said Concernsoveravian flu have
Tamiflu (oseltamivir), asenior thecompany wasstill supplying sparked soaringdemand for
industry figure has warned. Tamiflu topharmacy wholesalers, Tamiflu, which iseffectiveagainst
Roche's decision to restrict and would increasetheamount thedeadly 115X1 strain ofthe
access toTamifluand tosupply "when the flu season starts". In disease,accordingtoRoche.
directly to pharmacies would themeantime, pharmaciescan Ketan Patel, proprietorat the
compromise treatment of seasonal ordera maximumof 10packs Ethel Road Pharmacy in
llu and hindera response toan directfrom Roche,she Leicester, said: "We've had lotsof
avian flu outbreak, accordingto commented. Although the customersaskingforTamiflu.
the undisclosed source. companysaid itcould notcommit Thefearfactorishugeamong
"IftheGovernmentneedsto todelivery dates, stock delivery patientsand GPs. Thedrughas
supply a large volumeofTamiflu could takethreetofourdays. been placedon short-supply
quickly then pharmaciesarethe GlaxoSmithKline, which longstock would taketoarrive. statuswithour wholesaler."
bestaccesspoint and it's full-line producestheantiviral flu drug Whenasked iftheDepartment PharmacistsacrosstheUK
wholesalerswhocansupply them Relenza, hasalsoreported of Health wasconcerned that haveacted toconsult andcalm
fastest," hesaid,adding: "I think distribution difficulties following patients werebeingdeniedaccess customersconfused overavian
Roche'sactionsarewrongand increased demand. A GSK toantiviralsbecauseofashortage flu. SteveBarton,apharmacist at
MG
will prove problematic for spokeswoman said thereappeared inthepharmaceutical wholesale Pharmacy in Bath,said: "I
pharmacists. How willtheygetin to be "ashorttermsupply chain,aspokeswoman said it was hadone lady whodemanded
touch with thecompany and pay problem",and she was unsure notaDoll problem. Doctors Tamiflu toprotectherselfand her
forthedrug?" when it wouldbe resolved. Again, could only writeprivate familyagainstavian flu. But I was
Thecommentscameafter pharmacistscan orderdirect from prescriptionsforthe drugs able toexplain toherthatthe
Rocheconfirmed it would be GSKona 'needs' basis,butthe (though seepanel) which fall diseaseis very unlikely. I haven't
distributingTamiflu centrally to spokeswomancould notsayhow outside the remitof the XIIS, dispensed thedrugyet."
Pandemic contingency plan for UK follows WHO guidelines
The Departmentof Ilealth has Aseparatepaperoutlinesthe availableat"localaccesspoints forhealthcareprofessionalsand
published a UK-wideplan for DoH plan todistributeandusethe throughouttheUK",aDo!I thepublic, issuedby thechief
responding toan influenza stockpiledantiviralswith theaim spokeswomansaid that strategic medicalofficer, and guidanceon
pandemic,on theadviceof the of ensuringmedicinesareavailable health authoritiesandPCTswould treatmentsand infection control
World IlealthOrganization. totreatpatientswithin 24to48 beresponsible forplanning in hospitalsand primary care
The framework document is hoursof theonsetofflu distribution at a local level. settings.
divided intophases, starting with symptoms. Otherrelevant documents Formoreinformation:
work that needsdoingbeforea Although the frameworkstates availableon the DoH'swebsite www.dh.gov.uk/PolicyAndGuidance/Em
pandemicemerges, followedbya that initial suppliesshouldbe includea guideto pandemic flu ergencyPlanning/PandemicFlu/fs/en
stepwiseescalating responseasthe
virusspreads. Themain objectives NICE guidance on prophylaxis and treatment
are tosave lives, reduce the health
impact and minimisedisruption to
healthand otheressentialservices, NICKissued guidanceon the useofoseltamivir, treatmentwithin48 hoursofsymptomonset.
saysthe plan's introduction. zanamivirand amantadine forprophylaxisand •Amantadine is not recommended forpost-
Both immunisationand antiviral treatmentofinfluenzain 2003. NICKstressed that exposure prophylaxis, seasonal prophylaxis,orflu
drugshavearole. However,a the drugs werenosubstitute forvaccination, which treatment. Oseltamivirand zanamivirarenot
pandemic flu viruswill be remainsthe mosteffective wayofpreventingillness recommended forseasonal prophylaxis, post-
"significantly different" from from flu, butsaid that wheneithertheAorB flu exposureprophylaxisortreatment of otherwise
ewixlilstnienegdsttroaibnesdaenvdelaonpeewd-vaccine s©trOaisnelitsacmiirvciurlaitsinrgecinomthmeencodmemdufnoirtpyos: t-exposure heaPlatthiyenitnsdairveidcuoanlssiwdietrhedflaut.-riskiftheyareover65
meaning it may not beavailable prophylaxis in at-riskadultsand adolescentsover 13 orhaveoneormoreof: chronicrespiratory disease
at all forthe first waveofa years whoarenot effectively protectedbytheflu (includingCOPDand asthma), significant
pandemic. In themeantime, vaccine,and forresidentsincareestablishments, cardiovasculardiseaseexcepthypertension,chronic
antiviral drugs will be usedand the regardlessof vaccinestatus. Treatmentmuststart renaldisease,immunosuppression, diabetesmellitus.
I)ol I hassaid it willstockpile 14.6 vvithin 4S hoursofcontact withasufferer. NHS prescriptions foroseltamivirand zanamivir
million coursesof Tamiflu •Oseltamivirand zanamivirarerecommended to willonly bereimbursed ifusedaccordingtothe
(oseltamivir)and developastrategy treat at-riskadultsand children whocan start NICEguidance,and mustbeendorsed "SKS".
for optimal use.
4 29 October2005 ChemistsDruggist
.
Athens 2006
Athens, homeoftheOlympicsin
2004, willhostthe2006AAH
Pharmaceuticalsconvention.The
event, fromJune2-7, willbe
themedaccordingtophilosophy,
politicsand pharmacy.
Flu jabs rise
Superdrugplanstodoubleitsflu
vaccinationprogrammeduring
2006. Over3,000peoplewill
receivethejaboverthenext
monthat20ofitsstores.
Clitherow quits
JeremyClitherowhasresignedfrom
theNational PharmacyAssociation's
boardofmanagement. Anelection
will beheldtofindareplacementfor
hisarea,which broadlycovers
MerseysideandCheshire.Thenew
board memberwill beannounced
on December21
J^MfrlJ
LJJJJ
JJy^J^Jjj
SCOTLAND
GSK
discount terms force
THESUMOf ^y
clawback adjustments HAKMAC ^rS,A
i' i
EAL'fiLLKNCE ^
C!3 Chemist Druggist Cl3
ThechangestoGSK\sand proprietary drugprices following development,AlexMacKinnon,
IVAX'sdiscountstructuresearlier thenew Pharmaceutical Price said that the SPGCwascontent jfxjZUTA
intheyearhave forced the Regulation Scheme. that thereduction represented the
ScottishExecutiveIIealth Astatement from the SEHD "most pragmatic way toaddress
Departmenttoreduce its target said that the next proprietary whatwereanumberof Haveyou redeveloped your
'clawback'ratefrom9.935 per drugs pricinginquiry, duenext outstanding issues". pharmacy premisessince
cent to9.117 percent. year, wouldensure that SPGCchairman Prank Owens January2004? Proudofthe
Applyingtodispensingsmade reimbursement forgeneric said the new scheme "would result?
betweenSeptember 1, 2005, and and proprietary productsis ensurethat futurediscount Then why notenterthe Platinum
September30, 2006, thenew consistent with the principles recovery alsoreflected the lower DesignAwards? You could win
clawbackscalealsoaimsto: beingpursued duringthe level ofdiscount now available", the UK's premierpharmacy
• Returntocontractorsasmall ongoingnegotiationsin thenew as wellasretrospectively design award, and aprizeofup
sumofdiscountover-recovered pharmacycontract. compensatingcontractors forthe to£2,000
duringthe fouryearsbetween Commentingon the latest over-recoveryofdiscounton There'salso aspecialtrophyfor
April,2000,andJune, 2004. announcement, SPGCheadof proprietaryproductsdispensed the bestentryfrom amultiple
• AC
Reflect the reduction in professional services sinceApril. pharmacybusiness.
Tofind out moreandforan entry
form call Mary Prebbleon
SPGC and SPF to discuss merger proposals 01yo7u3r2Ce3u7t7a2r6e9p,resoerntsapteiavke.to
Entries need to bewith us by
February 3, 2006.
TheScottish Pharmaceutical ina jointstatementissued on the SPGCStanding Committee
GeneralCounciland theScottish Wednesday. fortheremainderofthe EUTA
Pharmaceutical Federationare "Lnderthe termsof the current term," said the
proposingtomerge. proposalstheSPFwouldseek to statement.
Themovewould mean there wind up itsaffairsattheendof Theproposalswill be put TheFirstChoice
wouldbeasingle Scottish theyear, transferringresidual beforethe general councilof The UK's leading Health &
organisation torepresent assetstoSPGC, with SPF SPGCon November2, while www.BceeauuttayhPeaarlttnhecrasrhiap.com
community pharmacy contractors providingtwo representatives SPF willconsidertheproposal
in Scotland, theorganisationssaid tositasvotingmemberson towardstheend of November.
Chemist:-Druggist 29 October2005 S
PeptacLiquidandPeptacPeppermint
LiquidPrescribingInformation
names new
tioenix chief Presentation: Peptac Liquid: Aniseed
Flavoured Pink Suspension (each 5ml
containing 133.5mg Sodium
at the helm of Numark ABligcianrabtoenaantde80BmP,gC2al5c0imumgCarSboodniautme
BP). Peptac Peppermint Liquid:
Peppermint Flavoured White
Suspension (each 5ml containing
byMaxGosney On the way in voice. My vision istocreatea 213530.m5gmgSodSioudmiumAlgiBniactaerbaonndate80BmPg,
pharmacy family that'spullingin CalciumCarbonateBP).Indicationand
Phoenix hasappointed Simon thesamedirection. Thelargerthe Dosage:Forthetreatmentofheartburn
Colebeck toreplace David Wood family thebetter." or gastric acid reflux conditions such
atthehelmof Numarkafter David Wood leavesthe ahisatudsyspheeprsniiaa,anredfluoxtheoresocpohnadgiittiiosn,s
finalisingitsacquisitionof the companyafter 15 years. wherethe underlying cause isgastric
symbol group. Followinghisdeparture, Mr reflux: Adults and children over 12
MrColebeck, formermanaging Woodtold C&Dthathe was years: two to four 5ml spoonfuls:
directoratNumarkTradingLtd limited in what hecould saybut schpiolodnrfeunls(.6-1N2otyearrse):coomnemetnodtewdo5miln
(NTL), willbecharged with couldconfirm thathewasno childrenundersixyearsofage.Doses
improvingNumark'spharmacy longeratNumark." should be taken after meals and at
services,said David Cole,chief Phoenix, which acquired bedtime. Pregnancy and Lactation:
executiveat Phoenix. "Numark Numark ina£M).?> million Peptac Peppermint Liquid is indicated
forheartburnofpregnancyandmaybe
should focusexclusivelyon the takeover, alsoconfirmed used during lactation. No clinical data
needsand challenges facingthe arrangementsto pay all onexposedpregnanciesareavailable.
independent pharmacysectorby shareholders whoagreed tosell Animalstudiesdonotindicatedirector
offeringreal valueand greater Name:SimonColebeck theirsharestothecompany. indirectharmfuleffectswithrespectto
benefitstoitsmembership," he Background:Joined Numark Numarkrecorded pre-tax profits pregnancy, embryonal / foetal
said. "Webelievethatitis vital Trading Ltdasmanagingdirectorin of£1.7m in2004. It willcontinue- ddeevveellooppmmeenntt,.paTroturidtaiotne,ornpoostontahtaelr
that plansareput into place 2003,wherehesteeredtwoyears tooperatefromTarnworth. epidemiological data are available.
quicklytoherald anewera." ofdouble-digitgrowth. Caution should be exercised when
Formerchiefexecutiveofficer MrColebeckhasalsoworked prescribing to pregnant women.
atNumark,DavidWood, had left forhealthcarefirmsincluding Wpaatrineinntgsso:nCaarseodsihouumldrebsteriecxteerdcidsieetdaisn
thecompany with immediate Boots, CrookesHealthcareand each10mldosecontainsupto143mg
effect,confirmed MrCole. GlaxoSmithKline. ofSodium.Shouldnotbetakenwithin
MrColebeck, whobecomes Philosophy:Toleadasuccessful 1 to 2 hours of taking medicines by
mafatneragaitnwgo-dyieraecrttorenoufreNautmNaTrLk, tbhuesiinnetserseswthsiocfhitissriensdpeopnesnidbelnetto sbmeoyumttpahtk,oenmorsbfyopreprasmtioisert.netsPtehapaltnlearctgwicsohtowouelaednkysnooitff
planstoofferpharmacistsgreater pharmacymembers. its constituents. Peptac contains
influenceatthesymbol group. He parahydroxybenzoates (E214, E216)
said: "I wanttoleadacompany doorvisitsbyitsprofessional whichcancauseformationofaraised,
wherethemembershavea far servicesteam inabid tobecome itchy skin rash/hives: flaky, dry skin
patches (dermatitis), and rarely
gcrheaantgeersfaoyr.pThhairsmiascaytainmdeoIfwagrnetat mneoerdes,resasipdonMsriveCotloeibtescmke.mbers1 tbirgehatthniensgs.iDnrutgheInctheersacttiaonnsd:Adinftfaiccuildtsy
Numark tobethe naturalally for Attracting moremembers mayinteractwithmanyotherdrugsas
independent pharmacy." would alsoprovekeytoNumark's they alter the gastric pH which may
Numark willsetupanadvisory futuresuccess,said MrColebeck. aifonfiescattiondiosfsotlhuetioont,her dsroluugb.ilAinttyacidosr
board formed from independent "Forindependent pharmacyto reducetheabsorptionofcertaindrugs
pharmacistsand increasedoor-to- move forward it needsa collective from the following groups: ACE
inhibitors. Analgesics, Antibacterials,
Antiepileptics, Antifungals.
Antimalarials, Antipsychotics,
Retail tips Vet meds law comes into force BPeinpihciolslpahmionnea.teAnst,acidsLimthaiyumincreaansde
thepHoftheurineandaffecttherate
AAH Pharmaceuticalshas New regulationspreventing threeyears from thedateofthe ofdrug elimination. Excretionof basic
launched a guidetocategory manufacturersand wholesalers ( )rder, although the\ ma\ ddrruuggssariseedleicmrienaatseeddmowrheerreaapisdlya.ciDduiec
managementaspartofits fromdiscriminatingbetween recoverprescribingcosts from to effects at the renal level sodium
Vantagescheme. vetsand pharmacistsin the clients inother ways. bicarbonate may reduce plasma
TheAAH programme, which prices, discountsand rebates • Makeit illegal for lithium levels and increase plasma
costs£249,aimstoboostretail they offercomeinto forceon manufacturerstodiscriminate quinidine levels. Side-effects:
salesthrough improved October 31. between vetsand pharmacists Ccornasmtpispatoironb,elchfilnagtulmeanyce,occasstioomnaalclhy
merchandising. Thenew regulations, The in thepricesthey charge occur. Legal Category: GSL Package
Thecompany willoffertipson Supplyoj Relevant Ietennary ordiscountsand rebates Quantity: Peptac Liquid: Bottles
theplacement, promotion and MedicinalProducts, thc\ offer. containing 500ml. NHS list price:
pricingof rangesincluding SI2005:2751,also: Theregulations follow the £1.95. Peptac Peppermint Liquid:
toiletries,babycare, first aid, Require veterinary product 200.i Competition CommiPsOsiMon pBroitctel:es£1c.o9n5t.aiPnriondguct500Limcle.nceNHHSoldleisrt
oralcare, personal careand manufacturers togivenet pricing reporton thesupplyof and Manufacturer Pinewood
femininehygiene. information every threemonths to veterinary medicinesin the Laboratories Limited, Ballymacarbry,
AAH hasalsoannounced plans pharmacy customers. UK. Thisconcluded that Clonmel, Co. Tipperary, Ireland.
fora follow-up to itsseriesof IT $Require manufacturersto theexistingsupph structure- 0P4L917/N0u0m2b1e.r:PeptPaecptacPeppeLirqmuiindt:
workshopson the electronic supply, on demand, thenet did havecertain ad\erse Liquid: 04917/0027. Further
transferof prescriptions(ETP). pricesat which they will be effectson thepublic Information: Further information on
Over 1,000peopleattended 14 able tosupph during thenext interest. AC Peptac Liquid and Peptac Peppermint
eventsacross the UK. MG three months. Formoreinformation: Liquid isavailableontheSummaryof
Formoreinformation: Prevent vets from charginga http://www.opsi.gov.uk/si/si2005/ fPrroodmucttheCharlaiccteenrciestihcosldoerr.onDarteqeuesotf
[email protected] fee for givinga prescription for 20052751.htm preparation:September2005.
IWPEP/PAD/09/05
6 29 October 2005 Chemist Druggist
month
Flavour the
of
NEW
Choose peppermint or original aniseed Peptac and
make yourself flavour of the month with customers
Enjoy the taste of success not only with the
new choice of flavours but also with a fabulous
new look for Peptac. The formulation remains
unchanged.
W
Peptac Peppermint
delivers excellent
value with more product choice.
Excellent everyday value
www.ivaxfirstco.uk
may
randed generics plan Yellow Card
scheme now
£142m, warns PSNC
cost for patients
Thepublicarebeingencouraged
toreportsuspected sideeffects
PSNChascalled forcommunity percentofbranded genericsare Summarising, PSNCsaidthat from medicines inanew Yellow
pharmacists tobeable to priced below theequivalent providingpharmacistswithalist Cardschemebeingpilotedbythe
substitutebranded generics with generic Drug Tariff'price. Citing ofproducts wheregeneric Medicinesand Healthcare
generics, in adamning22-page theexampleof co-codamol tablets substitution wasacceptable would products RegulatoryAgency.
responsetonew standard branded effervescent 30mg/500mg, PSNC actasasimplealternative without The MHRAalready gathers
genericpricingproposals. says that there isalreadyanecdotal along-term cost tothe NIIS. data from doctorsand pharmacists
Although supportiveof the evidencethatbranded generic "Standard branded generics and thescheme willshortly
Department of Ilealth'sgeneral prescribingisrestrictingthe which arebioequivalentand includepatientsandcarers.
aimtotransferstandard branded competitivemarket forsome clinicallv interchangeablewith Patient Yellow Card reporting
genericsout ofthe generics. Asthenew pharmacy equivalentcompetitivegeneric- forms willbeavailablefrom GP
Pharmaceutical Price Regulation contract guaranteescommunity productsshould notberecognised surgeries, pharmaciesand other
Scheme, PSNCbelievesthe pharmacists£500m in retained by the NIIS as being different NIIS outletsacrossthe UKfrom
proposed reimbursement purchaseprofits, "thisloss would fromothergenericversionsofthe next week. Reportscanalsobe
mechanism will not result in value have tobe repaid to pharmacies by samemedicine," saidPSNC madeon theYellow Card website
formoney fortheNHS and flies theDoH. Therefore |it| will be PSNC'scall isechoed by the at rpww.yellowcard.gov.ukorby
in the faceof the termsofthe new fundingdirectlythe profitability NPA, which alsosupportsthe freephonetotheYellow Card
contract. As itstands, the of branded generics general principleofremoving hotlineon 0808 100 3352.
proposal islikely tocost manufacturers". standard branded generics from PrescribedandOTCmedicines,
community pharmacistsover PSNC's responsealsopoints PPRS butopposesany pricing herbaland complementary
£142 million. outthatsomeoftheproducts changesthatwilladverselyaffect remediesareall included in the
Rejectingentirely theproposal listed in theconsultation arenot members'businesses. "The NPA's scheme.
thatbranded genericsshould be currently released intothe solution is not to acknowledgethe ProfessorKentWoods,chief
paid at the lesserof eitherthe pharmacy distributionsystemor existenceofstandard branded executiveatthe MHRA, said: "By
Drug Tariffpriceorthe list price cannotbeeasilyprocured. genericsby establishingaseparate invitingpeople toreporttheir
ofthestandard genericmedicine, Ilandlingchargesforaspecial pricelist. Rather, pharmacists experiences,notonly areweable
PSNCalsopointedoutthatthe orderarecurrently passed on to should beable tosupply togainbetterinsightsintothe
proposalshave the potential to theNHSthrough outofpocket equivalentcomparable generics safety of medicines,but wecan
affectthecompetition thatdrives expenses. Furthermore,delays in againstprescriptions written for alsomoredirectly involvepeople
down pricesinthegenerics sourcinga productimpacton [branded generics]," said NPA m medicines regulation."
market. Itsresearch shows that 35 patientcareand convenience. chairman Raj Patel. AC TheRoyal Pharmaceutical
Society and ABPI both support
thescheme. Rob Darracott,
directorof corporateand strategic
1 00 hours for Cheltenham Lloydspharmacy developmentattheSociety,
pointedoutthatapatientreport
A Cheltenham Lloydspharmacy ontheadverseeffectsof medicines
hasstarted NHS dispensing-six would notreplacetheneed fora
and ahalfyearsafteropening- pharmacisttomakea reportbut
MHRA
thanks tothe 100-houropening wouldenablethe "to
exemption to thecontrolof entry considertheadversereaction from
regulations. different perspectives".
Thebranch,at thecity'sSt TheABPIadvisedthatcareful
Paul's health centre, isnow analysisofthedatawould be
opening between 8am and critical. It wouldalso welcome
10.30pm, Monday toSaturday, improvementshealthcare
and between9amand 10pmon professionals' reportingby
Sundays. Itisexpected torecruit providingbettertraining. JE
aroundsevenextra fulland part-
timestaffmemberstocoverthe Question
additional hours.
Thepharmacyhasaprivate
consultationareaand will This week's question:
continuetoofferservicessuchas Whichfireworkbestrepresentsthe
freeblood pressuretesting, free futureofthepharmacyprofession?
diabetes screening, repeat
Sparkler
dispensingand prescription
Catherinewheel
collection. Overthepasttwo years .
Banger
the branch hascarried out 753
Rocket
diabetesand blood pressure lesis, Dampsquib
1Joydspharmac) says. The
branch isalsoaccredited to Youhaveuntilnoonon November1
providemedicine usereviewsand chiropractorsand serves4(>,000 the primary healthcareoffering." tovoteatwww.dotpharmacy.com.
prescription interventions,butis patients. Lloydspharmacy DrPhil Fielding,aGPatthe WewillpublishtheresultsinC&D
yettoconductareview. superintendentAndyMurdock healthcentre,added: "Patients on November5.
TheSt Paul'scentre has 2') said: "Acquiringthe licence to will benefit fromamore
AC
GPs, chiropodistsand dispenseenables us tocomplete integrated service."
!D 8 29 October2005 Chemist&Druggist
coo
o
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3
f
9
"A*, ft
J
N°w there's more /a ^d^eclthaaever-for^oa ana'cpur rust^ers.fb/*thefirst
time Messedu/i(( enjoy national TVcoverage'/'n acampaign running throughout
November ai\(£ Pecernber.
MeilseA contains an extra active ingfeaient, Dip^nh^araminel-iMdro^iond.p-amilct
antihistamine whicH eases, keatyit^andLhelps te$tftj/s\eef>eTht$ rneans thai mothers
<nav) be more lifcely to ma*e Medised.their pco&uct of choice over ether products c>olu
eonta'm'inn pWelaiM,for the relief of Cok- ana {la ^fnpt^ms.
5& make 5u.reyou.re preparedfofmore rooms asking-for /Vle^^' and,Uo<k ut>r>oiA>.
Medised For Children Prescribing Information: Presentation: Clear to pale pink strawberry fits in epileptics. Hypersensitivity to paracetamol or any ofthe other constituents. Warnings:
flavoured liquid. Each 5ml contains: Paracetamol i2omg and Diphenhydramine Hydrochloride Ifsymptomspersist,dosageshouldnotbecontinuedformorethan3dayswithoutconsultinga
i2.5mg. Uses: Forthetreatmentofmild to moderate pain, includingteething pain, headache, doctor.Donotexceedthestateddose.Immediatemedicaladviceshouldbesoughtintheeventof
sorethroat,achesand pains. Symptomatic reliefofinfluenza, feverishnessand feverish colds. anoverdose,evenifthechildseemswell,becauseoftheriskofdelayedseriousliverdamage.This
Controlsexcessivemucoussecretionandeasesnasalirritation.Alsohelpsrestfulsleep.Dosageand productmaycausedrowsiness.Ifaffecteddonotdriveoroperatemachinery.Usewithcautionin
administration:Infantsandchildren3monthstounder1year:Halftoone5mlspoonful3-4timesdaily, patientswithrenalorhepaticimpairment.Sideeffectsarerare,butparacetamolhypersensitivity
l-under6years: Onetotwo 5mlspoonfuls3-4timesdaily.6-under 12years:Twotofour 5ml mayoccur.LegalCategory:P.PackSizeandRSP(excludingVAT):100mlbottle£2.80;200mlbottle
spoonfuls3timesdaily.Doseshouldnotberepeatedmorefrequentlythanfourhourintervals,and £4.12. Product Licence Number: PL11314/0135. Product Licence Holder:Seton ProductsLimited,
nomorethanfourdosesshouldbetakeninany24hourperiod.Donotgivetoinfantsunder3months, Tubiton House,Oldham,OLi3HS. DateofRevision: July2005. FurtherInformationavailable-ot>
exceptontheadviceofadoctor.Contraindications:Largedosesofantihistaminesmayprecipitate requestfrom:SSLInternational,Venus,1OldParkLane,TraffordPark,ManchesterM4;7HA,UK.
^^^"^ MedisedisaTradeMarkoftheSSLgroup.
^SL-jntemationalpk Furtherinformationisavailablefrom:SSLInternational,Venus,1OldParkLane,TraffordPark,ManchesterM417HA,UK.
Race pharmacies
riot hits
byMaxGosney wereable to pull theshutters Otheroperatorsreported a
downbeforetroublestarted. We narrow escapeasmany homesand
Pharmacies were forced tomake wereveryscaredandsomeofthe businessesweredamaged during
emergency closuresasracial rioters wereopenly sayingthey thedisturbances. AbdulBeggof
\iolcnce flared in Birmingham would burn theshopsdown." Chemipharm,alsoonLozells Rd,
last week. Customerswereleft without said: "Ilad we remained open
Local pharmacistssaid they essential medicines forseveral then I think wewould havehad
were"shocked" and "scared" as hoursastheCalstarpharmacy ourwindowsmashed. It'sa
the 100-strongriotshit in the closed threetimesduringthe worryingtimefortheareaand the
Lozellsareaofthecity. Dr violence, added DrThanki. "We customersarescared."
ChandraThanki, proprietoratthe had toexplain toaddictswhy they Theriots, which leftonedead
CalstarPharmacy, LozellsRoad, could notget theirmethadone and 35 injured, weretriggered by
adoctor.Contraindications: Hypersensitivity.
Lozells, said: "The police asked prescription, which wasadifficult claimsthata 14-year-old girl had Precautions: Denture wearers, transferred
ustoshut the pharmacysowe situation." been rapedbyagroupofmen. dependence, gastritis, peptic ulcers, allergic
reactions, cardiovascular disease, diabetes
mellitus,hyperthyroidism,phaeochromocytoma,
renalandhepaticimpairmentPregnancy&
Courses need lactation:Onlyafterconsultingahealthcare
professional. Side effects: Dizziness,
more cash headache,nausea,gastrointestinaldiscomfort,
hiccups, sore mouth or throat, jaw ache,
stickingtodentures. Uncommon:palpitation,
University pharmacycoursesmust erythema, urticaria, stomatitis. Rarely: atrial
bebetterfunded and carrya fibrillation, allergic reaction. RRP (ex VAT):
Boxesof30piecesand105pieces,inblister
greateremphasison clinical skills stripsof15pieces.Nicorette4mggum(£3.99)
toensure futuresuccess forthe (30),(£10.83)(105)Nicorette2mggum(£3.25)
profession, areporthasclaimed. (30),(£8.89)(105).legalcategory:GSLPL
Undergraduatetraining is numbers: 00032/0248, 0249, 0250, 0251,
restricted byunder-investment 0283, 0295. PL holder: Pharmacia Limited,
RamsgateRd,Sandwich,KentCT139NJ.Date
and alackofdirectexperience
with patients,said theAPPLET ofpreparation:August2005.
Nicorette (nicotine) Inhalator
project,athree-yearscheme Product Information: Presentation:
designed toadvance theproviUsiKon InhalationcartridgecontaininglOmgnicotine
oflaw andethicsteachingin fororomucosaluseviaamouthpiece.Uses:
schoolsof pharmacy. Forthereliefofnicotinewithdrawalsymptoms
Thereportcalledon the asanaidtogivingupsmoking.Itisusedto
Governmenttoreconsiderits hiemlmpediastmeolkyerasndraelsaodytothoelpstsompokesrmsokwihnog
classificationofpharmacy asa needtocutdowntheircigaretteusebefore
science. Theassociated lackof stopping.Dosage:Smokingcessation: 6-12
fundingwas limitingthe cartridges per day for 8 weeks. Halve the
opportunityfor oungpharmacists number of cartridges in weeks 9 and 10.
to"embedconceyptsof Reducetozerobyendofweek12.Smoking
reduction:Usebetweensmokingepisodesto
professionalism" via practice MG reduce smoking. A quit attempt should be
placements, itadded. made as soon as the smoker feels ready.
Professional advice should be sought if no
reduction in 6weeksorno quitattemptin
9 months. Nottobe used by people under
Fitness to practise list needs more clarity age 18 unless recommended by a doctor.
Contraindications: Hypersensitivity, non-
tobacco users. Precautions: Best used at
The Royal Pharmaceutical September2-i,p4),donotmake- evenwheretheapplicantis roomtemperature.Pepticulcer,cardiovascular
Society hascalled formoreclarity any provision forlocum already entered on a disease, systemic hypertension, peripheral
regardingcross-PCTregistration pharmacistsworkingacrossPCT supplementary list. vascular disease, diabetes mellitus,
in the forthcomingnew fitnessto boundariestoregisterintheir The RPSGBestimatesthat hyperthyroidism,phaeochromocytoma,hepatic
practiseregulations. 'home' PCT. Atleast25percent approximately21,000 pharmacists or renal disease, gastritis. Pregnancy &
lactation:Onlyafterconsultingahealthcare
regRuelsatpioonnds,intghetoNtHheSdraft opfripmhaarrymaccairsetasrewolrokciunmg in twhiellsiuniptpilalelmyeanptpalryyfloirstibnecltuwseieonnon porfoftehsrsoioantala.nSdidmeouetffhe,ctsh:eaCdoaucghhe,,irrrhiitnaittiiosn,
(PharmaieutittilServices pharmacists"sothe likelihoodof January and March 2006,and that pharyngitis, stomatitis, dyspepsia, anxiety,
Supplementary List) Regulations transferringbetween listsishigh" therewill beapproximately 1,000 nausea,drymouth,chestpain,skeletalpain,
2(105, chiefinspectorJackie shesaid new registrantsevery year. It diarrhoea, flatulence, local paraesthesia,
Giltrow warnsthat thecurrent Herresponsealsopointsout pointsoutthat, intheeventof allergy, depression, vomiting, dyspnoea,
thirst, gingival irritation, hiccups,
proposals relating to inclusionon thai serious fitnesstopractiseissues, palpitations. RRP (exVAT): 6-Starter pack
the supplementary listcould Theredonotappeartobeany thecurrentproposals risk (£3.39), 42-Refill pack (£11.37). Legal
result inan unnecessarily mechanisms forensuringthat duplicatingexistingprocesses. category:P.PLholder:PharmaciaLimited,
cumbersomeand slow system. someoneon thelistremains fitto " Theextension toNHS RamsgateRoad,Sandwich,KentCT139NJ.
PL number: 00032/0280. Date of
I.isting 1,i points for be !here disciplinary processeswill be preparation: August 2005. References
clarification andconsideration, ' Thereappearstobeno complementary tothoseexercised 1.PfizerConsumerHealthcaredataonfile-
MrsGiltrow pointsout that the provision in thedraft regulations bytheSociety. Itisimportant IPSOS-UKApril 2004. 2. Pfizer Consumer
draft supplementary list toallow exemptions from that PCTsarepermitted to Healthcaredataonfile-CDTS001.
regulations, which willapplj toall submittingall theinformation placerelianceontheRPSGB Dateofpreparation:October2005. 00631
registered pharmacists(C&D, required undertheregulations, regulatory role." AC
10 29October 2005 Chemist-.Druggist