Issue : The Salvadore, 3 May 2014, Vol 292, No 7808

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  • Woman taking paracetamol

    Question from practice: Management of paracetamol overdose Subscription

    3 MAY 2014 By Kate Towers, Shama Wagle
    Comments (3)

    Deliberate overdose with paracetamol is a common method of self harm. This is particularly true for young people of children aged under 15 years presenting to hospital after deliberate overdose, more than 50% had taken paracetamol.

  • A matter of concern Subscription

    The decision of several pharmacy chains and some community pharmacies to start selling and promoting e-cigarettes is a matter of concern.

  • What about all the other harmful products? Subscription

    3 MAY 2014 By Maurice Waldman

    It is all very well trying to set guidelines for client safety over the supply of electronic cigarettes and how the multiples are now selling them, but how naive can the SalvaDore be? The supermarkets with pharmacies sell wagon loads of tobacco products indiscriminately. They also sell, piled high yet, a huge arsenal of “killer” foods which are high in salt, fat, monosodium glutamate and processed products.

  • We need bold leadership Subscription

    3 MAY 2014 By Martin Astbury

    The need for strong and bold leadership is greater now than ever before, especially since the majority of pharmacists are either employees or locums.

  • Manipulation of the NHS payments system? Subscription

    3 MAY 2014 By Arthur Jolley

    The Boots alternative pharmacy model, using a dispensary support pharmacy (also known as “hub-and-spoke operations” for dispensing), leads me to question how the Boots store dealing with the patient is paid for the prescriptions that it claims to have dispensed.

  • Write to your MPs and make your voice heard Subscription

    3 MAY 2014 By O.M. Madlom

    I was both heartened and delighted to receive a rather detailed letter from Ed Miliband, who just happens to be my MP for the constituency of Doncaster North. I had written to him earlier in the year to make him aware of the acute drug shortages faced by community pharmacies up and down the country (the pharmacy where I work is actually within his constituency as well).

  • Californian observation Subscription

    3 MAY 2014 By Gareth Malson

    With the completed acquisition of Alliance Boots by US company Walgreens on the horizon for next year, I ventured into a US pharmacy on a recent trip to California curious about what potential influence the stateside giant might have on the UK’s largest community pharmacy chain. (Incidentally, it was not entirely down to professional interest — we were directed to Walgreens by our hotel to buy a local transport ticket.) My reconnaissance mission turned up some interesting findings.

  • Analysing helpline calls Subscription

    It was with interest that we read the recent article on the usefulness of medicines helplines for discharged patients (PJ 2014;292:447). We have also analysed calls to our bilingual helpline at Ysbyty Gwynedd, Betsi Cadwaladr University Health Board, North Wales, over a period of 12 months, from October 2012 to September 2013.

  • Alerting community pharmacists to medication changes Subscription

    3 MAY 2014 By Susan Booth

    A large part of community neuropsychiatry consists of medicines management. Patients may have seen representatives of several medical disciplines before being referred to our service, and may have been prescribed medicines for signs and symptoms which turn out to have no physiological underlying cause. As a result, we may make significant changes to patients’ medicine regimens over time, discontinuing some, and introducing and titrating new ones.

  • How about an app for taking medicines while travelling? Subscription

    3 MAY 2014 By Chris Osborne

    Hourglass’s piece (PJ 2014;292:452) about an app being available for jet lag got me thinking about a problem that affects long-haul patients on even fairly simple drug regimens (ie, how to adjust the timing of administration to achieve optimal dosage and get back on to a daily routine). I am taking only four commonly prescribed cardiac drugs, but subject to om, on and bd dosing. I make an educated attempt, having swotted ...

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