SA Pharmaceutical Journal - Volume 80, Issue 7, 2013
Volume 80, Issue 7, 2013
A fronte praceipitium a tergo lupi - Unknown.
"A precipice in front, wolves behind" or "Between a rock and a hard place" : president's messageAuthor Johann KrugerSource: SA Pharmaceutical Journal 80 (2013)More Less
It happens from time to time that a decision has to be made based on a choice between the devil and the deep blue sea. Often in the service of the PSSA, a similar decision has to be taken. The specific one of which I am thinking happened quite recently, when the Competition Commission published a document stating that it will be performing a market enquiry into the private healthcare sector. It all began with an article in Noseweek that highlighted the distortion in the market place in the pharmaceutical arena. Pharmacy was not included in that document, so my initial thought was: "What a relief. We are being scrutinised by everybody, and this time, for once, we are being left alone!"
Author Haley SmithSource: SA Pharmaceutical Journal 80, pp 9 –12 (2013)More Less
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease that is associated with airway obstruction. COPD is a major cause of chronic morbidity and mortality throughout the world. It is a progressive condition, but is partially reversible through treatment, especially when diagnosed early in its clinical course. Bronchodilators are important in treating the symptoms of COPD. Long-acting bronchodilators provide sustained symptom relief and are usually preferred in patients with COPD. Combining bronchodilators with different mechanisms of action appears to improve efficacy.
Source: SA Pharmaceutical Journal 80, pp 13 –19 (2013)More Less
Atrial fibrillation (AF) is a common cardiac rhythm disorder and patients with this condition are at an increased risk of strokes and other thromboembolic events. Available treatment options for the prevention of strokes in patients with AF include warfarin, aspirin and the novel oral anticoagulants (NOACs). Warfarin and aspirin reduce the risk of strokes in patients with AF and have been studied extensively. The NOACs are slowly beginning to make their way onto the South African market and are specifically highlighted in this article.
Source: SA Pharmaceutical Journal 80, pp 20 –26 (2013)More Less
The red eye is the most common ocular complaint in patients seeking medical assistance at primary healthcare level. The differential diagnosis of the red eye varies from relatively innocuous and trivial conditions to those that are more devastating and potentially blinding. The purpose of this article is to help identify certain key clinical features of the discussed conditions, to help avoid pitfalls in diagnosis and to convey appropriate treatment modalities.
Source: SA Pharmaceutical Journal 80, pp 27 –32 (2013)More Less
Allergic rhinitis (AR) is an important disease in South Africa. The South African Allergic Rhinitis Working Group (SAARWG) has published previous guidelines on AR diagnosis and management. Areas of concern have arisen that require additional information, including the management of AR in infancy, appropriate and inappropriate allergy testing, the cost of AR management, diagnosis and distinguishing the condition from sinusitis, use of over-the-counter (OTC) medications and the concept of the "united airway". Clinicians should consider the possibility of AR in infants with recurrent nasal symptoms. Allergy testing must be used wisely and be based on local allergens. Total immunoglobulin E testing is not routinely required to prove allergy. Acute and chronic sinusitis should be considered in conjunction with AR. Treatment of rhinitis will improve these conditions. OTC medications should be used sparingly and with caution. Concern for long-term use of topical decongestants must be noted. Asthma should always be considered in AR diagnosis. Immunotherapy is available in South Africa and may be extremely useful in selected AR patients. The SAARWG has proposed an algorithm for the diagnosis and management of rhinitis in South Africa. AR is common, important and troubling to patients, so every effort should be made to target therapy correctly. Patient education is important in the management of AR.
Source: SA Pharmaceutical Journal 80, pp 33 –38 (2013)More Less
The Academy of Pharmaceutical Sciences takes pleasure in sharing postgraduate students' success. The titles of the research projects provide insight into the scope and nature of pharmaceutical research that is taking place in the country. Unfortunately, because of space limitations, only the main supervisor of each research project has been listed.
The Academy congratulates all graduates and wishes them well in their future careers.
Author Wim GrobbelaarSource: SA Pharmaceutical Journal 80 (2013)More Less
Author Kobus Le RouxSource: SA Pharmaceutical Journal 80 (2013)More Less
Pharmacists are the custodians of medicine and not merely traders in medicine. This can have potentially harmful effects. The nature of our profession will always carry some risk when treating and advising patents on their heath and medication. Pharmacists need to realise their limitations and must know when to refer a patient to a medical practitioner.
Author Carolina SwanepoelSource: SA Pharmaceutical Journal 80, pp 48 –50 (2013)More Less
Source: SA Pharmaceutical Journal 80, pp 51 –53 (2013)More Less
The theme of this year's SAAHIP Conference was "Pharmacy serving with passion", with a particular focus on patient care and the overall improvement of pharmaceutical services. The conference aimed to inspire pharmacists to take pharmacy to the next level and to make a difference with respect to their day-to-day tasks. In line with this theme, an interactive workshop on pharmacovigilance was presented which allowed participants to decide for themselves whether pharmacovigilance is a vital tool for the pharmacist or a wasted effort. The workshop was presented by Prof Rob Summers and Ms Nomathemba Dube, of the Medunsa National Pharmacovigilance Centre, University of Limpopo, supported by Dr Hannelie Meyer, Department of Pharmacy, Medunsa Campus.
Author Stephan MollerSource: SA Pharmaceutical Journal 80 (2013)More Less
One thing is certain. Humankind dominates the Earth today. This feat has come at extreme cost, and whether or not we like the notion, it is still a battle. Without modern medicine, humankind would not be able to sustain the proverbial top-of-the-food-chain position. Humankind has grown to almost 7.2-billion beings, and will continue to do so at an approximate average of 3-4 lives per second, according to real-time world statistics.
Source: SA Pharmaceutical Journal 80 (2013)More Less
Amayeza Info Services has offered a free medicine information service to healthcare professionals in South Africa for more than 10 years. This service has grown exponentially over the years. Many pharmacists find that they need information that is not necessarily found in their usual reference books. They need up-to-the-minute information, and sometimes they need help interpreting its significance.