SA Pharmaceutical Journal - Volume 78, Issue 8, 2011
Volume 78, Issue 8, 2011
Author Sybil SeokaSource: SA Pharmaceutical Journal 78 (2011)More Less
Towards quality care together
Pharmacy Week provided the perfect opportunity for pharmacists and patients to examine their rights and responsibilities. The theme of Pharmacy Week reminds us that really need to work as a team and that quality care results in the best outcomes.
Author Annatjie BouwerSource: SA Pharmaceutical Journal 78, pp 7 –30 (2011)More Less
Pharmacists are ideally positioned, suitably equipped and well trained to play an important role in the screening, management and control of patients presenting with cardiovascular risk factors in the pharmacy. This article reviews highly prevalent cardiovascular disease risk factors which can be controlled, such as hypertension, dyslipidaemia and type 2 diabetes mellitus, and risk factors that can be avoided, such as tobacco smoking, obesity and physical inactivity. Suggestions are provided on how pharmacists can manage cardiovascular risk reduction in the pharmacy.
Source: SA Pharmaceutical Journal 78, pp 7 –11 (2011)More Less
The buck stops here : making sure that pharmacist's assistant work within their scope of practice
Scope of practice of the pharmacist's assistant
Indirect supervision in primary health care clinics
Scenarios that may appear before disciplinary committees
Joining the global pharmacy community : the PSSA becomes a member of FIP
World Congress of Pharmacy and Pharmaceutical Sciences 2011
Policy statements: an important benefit of membership
Author Ilse TruterSource: SA Pharmaceutical Journal 78, pp 12 –18 (2011)More Less
Patients prone to IgE-mediated allergic reactions are said to be atopic. Historically, atopic dermatitis (eczema), asthma and allergic rhinitis have been termed the "triad of atopy", although this association has recently come into question. Type I hypersensitivity reactions underlie all atopic and many allergic disorders, and are associated with elevated immunoglobulin E levels. Atopic hypersensitivity disorders exhibit a strong familial or genetic predisposition, although symptoms are induced by exposure to specific allergens. These antigens are typically environmental (e.g. respiratory allergy to pollens, grass or house dust) or foods (e.g. allergy to shellfish). Common clinical manifestations include hay fever, asthma, eczema and urticaria. Many sufferers have immediate reactions to skin tests (injection, patch or scratch) using the offending antigen. Different treatment options are available, including avoidance, antihistamines, corticosteroids, mast cell stabilisers and desensitisation therapy.
Author Derrick SmitSource: SA Pharmaceutical Journal 78, pp 31 –34 (2011)More Less
An ever-increasing number of people are exposed to contact lenses and the potential problems they may cause. These range in severity from mild to severe and sight-threatening. This article aims to highlight what to look for in the history taken from a contact lens wearer, and to give a brief overview of common eye problems caused by contact lenses and how to manage them appropriately in a primary care setting.
Author George MuntinghSource: SA Pharmaceutical Journal 78, pp 40 –45 (2011)More Less
Because grapefruit contains fibre, vitamin C, antioxidants and phytochemicals, the fruit and its juice are consumed widely to help meet daily nutritional requirements. However, in the past 15 years, studies have shown that grapefruit juice can induce a several-fold increase in the plasma levels of particular drugs that can result in increased therapeutic or even toxic effects. The effect seems to be mediated mainly by inhibition of the cytochrome P450 enzyme CYP3A4 in the wall of the small intestine. This results in a decreased intestinal first-pass metabolism of drugs metabolised by this enzyme leading to higher bioavailability and increased maximum plasma concentrations of the drug. The effect is most pronounced in drugs which experience a high firstpass effect.
The components of grapefruit juice which are the most probable causes of the interaction are the furanocoumarin derivatives. Concomitant grapefruit juice intake does not generally decrease the variability of drug pharmacokinetic parameters. Therefore, it is recommended that patients abstain from drinking grapefruit juice when they are taking a drug that is extensively metabolised, unless a lack of interaction has already been demonstrated for that drug. It is also recommended that drugs possibly interacting with grapefruit juice should be appropriately labelled. The purpose of this article is to examine the cause of this food-drug interaction, discern the list of affected medications and to equip the pharmacist with this knowledge and specify their role in counselling patients on options to avoid the possibility of a grapefruit-drug interaction.
Author Neeran JoosteSource: SA Pharmaceutical Journal 78, pp 49 –50 (2011)More Less
Oral liquid medicines are often extemporaneously prepared because of a lack of licensed formulations for the paediatric patient group. This is of great concern, and leaves 40% of the world's population at an increased risk for adverse events, suboptimal dosing, non-adherence and lack of access to new medicines.
Source: SA Pharmaceutical Journal 78 (2011)More Less
Annually each academic institution awards an inscribed academy medallion to the top academic student in each year of the BPharm degree, in recognition of the excellence in pharmaceutical sciences that is achieved at undergraduate level. Unfortunately, at the time of going to print recipient names had not yet been received from all universities. They will be featured at a later date.
Source: SA Pharmaceutical Journal 78, pp 52 –53 (2011)More Less
The Board of Healthcare Funders (BHF) annual conference was held in July this year. The conference theme was "The Turning Point." Changes in the private healthcare sector pose both potential opportunities and potential threats. The conference provided the platform for discussion of those issues that affect continued viability and sustainability of the sector.
Author Arnold TannenbaumSource: SA Pharmaceutical Journal 78, pp 56 –58 (2011)More Less
When Charles and Tilly Tannenbaum settled in the small town of Roodepoort in the late 1800s, their name was anything but synonymous with pharmacy. They ran a general store. It was their seven children, four boys and three girls, who would change things.
When their oldest son Hyme was ready to start work, he was apprenticed to Jack Blair, who owned the EJ Adcock Pharmacy in Ockerse Street, Krugersdorp. Hyme had found his passion and encouraged his younger brother, Jack, to follow in his footsteps. Third brother Len soon followed and in turn, youngest brother Arthur also joined Adcock's.
Source: SA Pharmaceutical Journal 78, pp 382 –390 (2011)More Less
Osteoarthritis (OA) is a common chronic degenerative joint disorder, and a major cause of pain and disability, especially in the elderly. The prevalence is steadily rising because of an increase in life expectancy and certain lifestyle factors. OA is a complex dynamic process, involving all tissues of the joint organ. Multiple risk factors are associated with the occurrence and progression of OA. There is extreme variability in presentation at different joint sites and between individuals. Management of OA involves a comprehensive approach, consisting of preventative measures and numerous therapeutic modalities which should be tailored to individual needs.