Family Health Diary Magazine – Autumn by Family Health Diary

familyhealthdiary.co.nz AUTUMN 2015

PLUS:

CRANBERRIES super versatile super yummy super food

Love your

Life

Our top 5 tips to boost: mind | body | mood

VOLTAREN RAPID feel the joy of movement

Win an Ocean Spray prize pack 速

See back page for details

Welcome to the autumn issue of Family Health Diary for 2015. It’s a bit scary to say the word ‘autumn’; it’s been such a long lovely summer. By now the New Year has found its rhythm and any resolutions will either be truly embedded, or long forgotten. I think it’s not till the nitty gritty of everyday life kicks in post January that any life changes can stick. I must admit I‘ve never been very good at keeping any resolutions! Nevertheless, my annual ambition is to get fitter. At the moment I’m keeping up the weekend walks with a girlfriend, but the calorie burning is usually undone by the coffee, croissant and conversation on the last stretch. I guess we could change our route to avoid the temptation, but then it wouldn’t be half as enjoyable. Anyway, I hope your New Year resolution, if you had one, is still valid a few months down track. On the health front, maybe it’s just being proactive and sorting out the little things before they grow into bigger things – or perhaps thinking about what you eat. I’m determined to try a few different recipes this year so I don’t get stuck on the usual ‘go to’ list in my head. This month there’s a giveaway to get you set up on the smoothie front. Now that’s a nice thought – drinking a long cool smoothie in the warm sun, before it cools down. Enjoy the last of the good weather while you can and catch you next time…

IN THIS ISSUE 4 Ocean Spray – Cranberries: super yummy, superfood 6 Seretide – Asthma under control 8 Phloe – Natural help for digestive complaints 10 Efexor-XR – Ask for it by name 12 Editorial – How to love your life 14 Voltaren Rapid – Feel the joy of movement 16 Elevit & Menevit – Plan the best start for your baby 18 Viagra & Avigra – Convenient treatment for ED 20 Bupa Medical Alarms – Help at hand when you need it 22 Depend Real Fit – Discreet help for bladder weakness 24 Prize of the Month – Ocean Spray Giveaway WIN 1 of 2 smoothie prize packs

Family Health Diary Autumn 2015

What's happening at familyhealthdiary.co.nz I received a copy of nutrition expert Claire Turnbull’s latest book “FEEL GOOD FOR LIFE” at exactly the right time. Like many, I had over-indulged during the holiday season and was thinking it was time to get back on track. Claire’s book promised to be “the ultimate guide to feeling good and looking fabulous!” Excellent, just what I needed.

FEEL GOOD FOR LIFE is by dietitian, fitness instructor and author Claire Turnbull. The book is on sale now, RRP $30.00 View recipes from the book and more by visiting www.familyhealthdiary.co.nz

FEEL GOOD FOR LIFE is an easy to “pick up and put down” guide – full of useful information, in simple language. There are plenty of opportunities for reader participation, starting with a questionnaire to work out which areas need attention – nutrition, mental health, stress and exercise. There are tasks throughout the book, to keep you on track – for example, a “pee chart” in the hydration section, and useful tips and tricks for adopting healthy habits. The advice in the book makes sense and I felt motivated and enthusiastic reading each chapter. I also loved the scrummy recipes in the back of the book. I’ve given the “Awesome overnight oats” a go…yum! Satisfying and nutritious.

Editor: Rhonwyn Newson Design: Raydar For editorial enquiries write to: editor@familyhealthdiary.co.nz For Family Health Diary advertising enquiries: Please phone sales manager Harinda Singh DDI: 09 306 2344 Email: harinda@brandworld.co.nz

Family Health Diary is published by BrandWorld Limited, Auckland. Phone 09 306 2340 Every effort has been made to ensure the contents of this magazine reflect current accepted medical opinion and that it is as up-to-date as possible, but it does not claim to be the last word on any medical matter featured. No medical or health information, however detailed, can ever be considered a substitute for consultation with, or the advice of, a qualified doctor. Though this publication contains information that may be of the greatest importance to your health and well-being, it is not intended to replace your doctor or discourage you from seeking his or her advice. If anything in Family Health Diary leads you to suppose you may be suffering from any of the serious conditions described, you are urged to see your doctor without delay. ©2014 Copyright. No part of this publication may be reproduced without the express permission of the publisher. Family Health Diary® is a registered trademark of BrandWorld Limited.

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Cranberries – Nature’s super fruit

Cranberries are an amazing fruit, and not just for their taste. They also contain PACs – unique compounds which help cleanse and purify the body. CRANBERRIES CLEANSE AND PURIFY ™ Cranberries contain proanthocyanidins (PACs), which are unique, powerful elements found deep inside cranberries, that may help cleanse and purify your body. PACs will support the natural process of flushing bacteria from the body. Cranberries have one of the highest levels of polyphenol antioxidant activity of among popular fruits. A growing body of research points towards the essential role cranberry could play in promoting whole body health and wellness.1 In particular, there is an increasing awareness of benefits delivered by cranberry’s rich polyphenol content, which 4

Family Health Diary Autumn 2015

helps contribute to whole body health.2

GET YOUR FILL Drinking a serving of cranberry juice a day is an easy way to get some cranberry goodness. Though you have to make sure the drink contains at least 25% cranberry content for it to be beneficial3. Ocean Spray® Cranberry Classic™ Juice Drink at 27% is one of the highest you’ll find. Available in the juice section of your supermarket. Call 0800 445 368 or visit www.oceanspray.com.au

MAKE YOUR OWN MIXED BERRY SMOOTHIE

Ingredients 1/4 cup Ocean Spray® Craisins® Dried Cranberries 3/4 cup Ocean Spray® Cranberry Light Juice Drink 1/2 cup frozen mixed berries (strawberries, raspberries, blackberries and blueberries) 170 grams Greek yogurt 1/2 banana, cut into slices

Directions Combine all ingredients in a blender. Blend for a few seconds on high speed or until ingredients are thoroughly combined. Pour into a large glass. Makes approximately 2 servings. Like this recipe? You’ll love our giveaway – everything you need to make a perfect smoothie.

Turn to the back cover for more details or visit: familyhealthdiary.co.nz

WHAT ARE CRAISINS® DRIED CRANBERRIES? Craisins® Dried Cranberries add a vibrant cranberry zing that’s great as a snack right out of the bag, and brings food to life! • Salads!

• Trail mix and on-the-go snacks!

• Yoghurt & fruit!

• Muffins, breads, biscuits!

And they’re good for you! • A ½ cup of Craisins® Dried Cranberries meets 50% of your daily recommended fruit needs • Source of fibre! Find great recipes at www.oceanspray.com.au

Citations: 1. Blumberg et al, Adv in Nutrition, 2014 2. Khoo C, Falk M. Cranberry Polyphenols: Effects on Cardiovascular Risk Factors. In Press: Polyphenols in Human Health and Disease, 1st Edition by Ronald Ross Watson, Victor R. Preedy (Editor), Sherma Zibadi (Editor). Elsevier; 2013. p. 1049-1065 and Kaspar KL and Khoo C. Cranberry Polyphenols in the Promotion of Urinary Tract, Cardiovascular and Emerging Health Areas, in Bioactives in Fruit: Health Benefits and Functional Foods (eds M. Skinner and D. Hunter), John Wiley & Sons, Ltd, Oxford, UK. Published Online: 24 JUN 2013. p. 273-92. 3. Avorn J, Monane M, Gurwitz JH, Choodnovskiy I, Lipsitz LA. Reduction of bacteriuria and pyuria after ingestion of cranberry juice. Journal of American Medical Association 1994; 271:751-754. TAPS NA 7616

OCEAN SPRAY®, CRAISINS®, CRANBERRY CLASSICTM and CLEANSE AND PURIFYTM are each trademarks of Ocean Spray, used with permission.

9 918258 178505 >

SAVE $1.00 on ANY Ocean Spray® 1.5L juice

drinks or Craisins® Dried Cranberries To the customer: This coupon is non-exchangeable and will be redeemed only on the product(s) stated on this coupon. Valid until 31 May 2015. To the retailer: Provided this coupon is redeemed in accordance with our customer offer, it will be credited in full, plus the normal handling fee, by simply sending to: The Coupon Company Ltd, PO Box 47319, Ponsonby, Auckland.

TCC 17850

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A life without wheezing is possible Coughing? Wheezing? Shortness of breath? Getting real control of asthma is possible… with the right treatment.1 If you live with asthma, do you assume you have to live with the symptoms too? You might also assume all asthma treatments are pretty much the same. If that’s the case, you might be surprised at what’s out there. At your next doctor’s visit, ask about options that will help you manage your asthma better. One option is Seretide® (fluticasone propionate/salmeterol xinafoate), which can actually help prevent symptoms in the first place.2

LEAVING SYMPTOMS BEHIND In a major New Zealand asthma study, 81% of people thought their asthma was well controlled,

yet three-quarters were using their blue reliever at least once daily and the remainder were taking at least 3-4 puffs a day.3 In short, most people overestimated their level of asthma control. The fact is, if you’re using your reliever more than twice a week, chances are your asthma is not as good as it could be.4

GET CONTROL OF ASTHMA Seretide can help you control your asthma, often to the point where the symptoms don’t bother you at all.1 Control means:4  • No coughing or wheezing • No night-time awakenings  • No emergency visits to your doctor or hospital • Participating in activities you enjoy and not having to avoid them  • Using a blue reliever inhaler less than two times a week and living life more.

Family Health Diary Autumn 2015

HOW SERETIDE WORKS Seretide's dual action formula is so good at treating asthma, it can actually help prevent symptoms in the first place. As a result you could have symptom-free days for most of the year.5

IS SERETIDE RIGHT FOR YOU? Your doctor is the best person to talk to about your asthma control. The most important thing is to let them know what symptoms you’re experiencing and how often you’re having them. You could also visit www.seretide.co.nz where you’ll find FAQs, as well as tips around nutrition, exercise and daily living with asthma.

ASK YOUR DOCTOR ABOUT FULLY FUNDED6 SERETIDE – THE PURPLE INHALER

Th e Seretid e Accuh ale r® The Seretid e Accuh ale r is a conven ient alte rnative to a2 traditional inh ale r becaus e: n, • It is eas y to use – justt ope shu and ale click, inh • You don ’t need to use a spa cer • It can be used by chil dre n ove r the age of fou r yea rs • It als o com es wit h ’ ll a dos e cou nte r so you always kno w exa ctly how ma ny dos es a re lef t.

1. Bateman ED et al. Am J Respir Crit Care Med 2004;170 (8): 836-844. 2. Seretide Datasheet, GSK New Zealand 3. Holt S. NZ INSPIRE Study Overview. Research Review. 2008:113. 4. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Updated 2012. Available at http://www.ginasthma.org/ Accessed 10 June 2013. 5. Woodcock A et al. Prim Care Resp J. 2007;16(3):155-161. 6. PHARMAC notification. Available from http://www.pharmac.health.nz/ckeditor_assets/attachments/641/ notification-2013-12- 09-eltrombopag-zanamivir.pdf. Accessed 9 December 2013. Seretide® (fluticasone propionate/salmeterol xinafoate; available as a 50/25, 125/25 or 250/25 micrograms per actuation inhaler, or as a 100/50 or 250/50 micrograms per actuation Accuhaler®) is a Prescription Medicine for the treatment of reversible obstructive airway disease (ROAD) including asthma, and for the treatment of chronic obstructive pulmonary disease (COPD). Seretide is a fully funded medicine. Seretide 250/25 microgram inhaler is a private purchase medicine that you will need to pay for. Use strictly as directed. Seretide is not for relief of acute symptoms. Always carry your reliever inhaler. Do not discontinue Seretide abruptly. Tell your doctor: If you are taking any other medicines or herbal remedies, you have pulmonary tuberculosis (TB), a thyroid problem or a heart problem, or you are having treatment for high blood pressure. Side Effects may include: Headache, 'shaky' feeling, fast heart rate, irritation in the nose and throat. If symptoms continue or you have side effects, see your doctor, pharmacist or health professional. For more information, see Seretide Consumer Medicine Information at www.medsafe.govt.nz. Normal doctor's office visit fees apply. Ask your doctor if Seretide is right for you. Seretide and Accuhaler are registered trade marks of the GlaxoSmithKline group of companies. Marketed by GlaxoSmithKline NZ Limited, Auckland. Adverse events involving GlaxoSmithKline products should be reported to GSK Medical Information on 0800 808 500. TAPS CH3930-14DE. familyhealthdiary.co.nz

Think you've tried it all to combat bloating and wind? At last an all natural product to help keep you regular and assist a healthy digestive system. It can be hard to get to the bottom of digestive complaints, and finding natural support can be hit and miss. Digestive health complaints can be caused by poor diet, lack of exercise, side effects from medicines or pregnancy, just to name a few. If you’ve tried a few ways to ease bloating, wind or irregularity, you may be interested in trying Phloe. Phloe is a natural, gentle daily supplement that has been clinically shown to help keep you regular and avoid digestive discomfort.

Family Health Diary Autumn 2015

HOW PHLOE WORKS Derived from kiwifruit, Phloe has a unique triple action formula. It combines fibre, prebiotics and enzymes to naturally support and optimise bowel health. This combination helps avoid episodes of bloating, flatulence and the ‘feeling of fullness’. The fibre in Phloe works by bulking the stool with moisture, which assists movement through the bowel.

DOCTORS RECOMMEND PHLOE A survey has shown that 65% of doctors see between 6-15 patients a week for gastrointestinal concerns. Digestive health complaints are very common, 91% of doctors in the survey said they would recommend Phloe to their patients.1

Join th e phloe health y you cl ub Sign up an d re ce ive m ag azin e, providin gHea lthy Y ou us eful info rm ation anyou with m an agin g your bowe d tip s on lon g- te rm. Y ou will l health prod uct info rm ation also re ce ive vouche rs fo r your nean d discou nt Phloe. Visit w w w. ph xt pu rcha se of fo r fu rth er info rm at lo e. co. n z ion.

The great thing about the enzymes in Phloe is that they work naturally and gently to support movement in the bowel. The prebiotics in Phloe have been shown to support the good bacteria in our digestive systems and help with the natural balance of bacteria in the gut. Having the right balance is one of the keys to maintaining good bowel health and overall wellbeing.

Available at pharmacies and supermarkets For more information visit www.phloe.co.nz 1. BGA GP Mailer, 1 July 2010. Always read the label and use only as directed. Supplementary to, and not a replacement for, a balanced diet. Data on file. Vital Foods Ltd, Auckland. TAPS CH4293

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Update your approval for Efexor-XR

It’s great when you find relief from major depression. So if Efexor-XR is working for you and your doctor feels you should continue treatment, you can stay on it. Just ask your doctor to update your authority number… If you’d like to stay with Efexor-XR and not be given another brand, it’s really important you ask your doctor to check the authority number Standard Prescription on your script. Pharmacy only

Rx 10 July 2014 cines once Dispense stat list medi close control. only unless endorsed

nded Efexor-XR 150mg Exte Release Capsules (28) Sig: 1 tab po mane Mitte: 90 tabs on Allowed) (No Generic Substituti

Authority No: CHEM1234567890 Expiry Date: 10 July 2016

It’s a number that appears at the bottom of your script, and you’ll want to be sure it’s not out of date.

Family Health Diary Autumn 2015

You see, it’s this number that enables you to receive the Efexor-XR capsules you’re used to, and not a tablet alternative.

FULLY FUNDED With an up-to-date authority number, Efexor-XR is fully funded, so there is no extra charge other than your usual doctor’s and pharmacy fee. You just need to let your doctor know that you want to stay with Efexor-XR, and ask your pharmacist for Efexor-XR by name.

MORE ABOUT EFEXOR-XR Efexor-XR is used in the treatment and prevention of relapse of depression and is also prescribed for a range of mood disorders including generalised anxiety, social anxiety and panic disorders. Efexor-XR’s dual-action approach to depression may help resolve a broad range of depression symptoms like constant sadness, trouble sleeping or low energy. Resolving these symptoms can be the first step to helping you control your depression so you can feel like your old self again.

STAY ON YOUR TREATMENT AS LONG AS PRESCRIBED One of the most important things for you to remember is to take your medication as prescribed, and stay on it for as long as your doctor advises. That’s because it’s not uncommon for depression symptoms to return. If you have found a treatment that works for you, and it’s Efexor-XR, then you don’t have to change. You can stay with what you know, so long as your authority number is up to date.

Wh at is the goa l of treatm ent? In treatin g depression, the goa l is more tha n just to fee l better – you wa nt to try an d eliminate all you depression sympto ms an d keep ther from coming back. Doctors call this m remission of sympto ms an d people the rea ch remission of sympto ms are who like ly to have their sympto ms retuless rn. For you, remission cou ld mean hav ene rgy again for you r favourite ing activities an d ren ewed inte rest in thi ngs you used to love doi ng. the If you r treatm ent is Efexor-XR, doctor will know the right dosag you r how lon g you need to sta y on Efee an d xorXR to get the best resu lts. For more inform ation on fully-fund Efexor-XR, visit ww w.p f ize r. co. ed nz

Ask your doctor to update your Authority Number and ask your pharmacist for Efexor-XR by name. EFEXOR-XR (venlafaxine hydrochloride, 37.5 mg, 75 mg, 150 mg) Modified Release capsules. EFEXOR-XR (venlafaxine hydrochloride) is a funded prescription medicine (restrictions apply) for the treatment of depression, panic and anxiety disorders. A pharmacy charge and normal doctor’s fees apply. Do not take EFEXOR-XR if you have an allergy to venlafaxine or any other capsule ingredients. Do not take EFEXOR-XR if you are on monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the last 14 days. Use with caution if you have a history of aggression, restlessness, glaucoma, kidney, liver, blood pressure or heart problems, raised cholesterol, a history of fits, a history or family history of bipolar disorder, abnormal bleeding tendencies, are diabetic, pregnant or breastfeeding. Tell your doctor if you are taking any other medicines. Common side effects include stomach, bowel or urinary tract problems, headache, difficulty sleeping, drowsiness, dizziness, nervousness, confusion, agitation, muscle tremor or weakness, fast heart beat, menstrual problems, weight loss, sweating, hot flushes, hair loss, bleeding or bruising more easily than normal, changes in your eye sight, sexual function problems. If you have any side effects see your doctor. Use strictly as directed. Consult your doctor to see if EFEXOR-XR is right for you. Contains venlafaxine hydrochloride 37.5 mg, 75 mg or 150 mg. Further information on EFEXOR-XR is available from www.medsafe.govt.nz or Pfizer New Zealand Ltd, Auckland. www.pfizer.co.nz Ph. 0800 736 363. V10913. TAPS NA6706 familyhealthdiary.co.nz

How to love YOUR life Our top 5 tips to get healthy and feel great

Weight gain? Not enough money in the bank? An empty social calendar? There are many factors which can leave you feeling unmotivated and blue. Thankfully, there are ways to boost your mood, body and mind. HAVE SOMETHING TO LOOK FORWARD TO A good way to alleviate feeling stuck in a mundane routine is to plan something to look forward to. This could be a night out, pampering treatment or even a trip away – whatever your budget allows. Having a fun activity lined up will help keep you feeling more positive and motivated to carry on with your everyday tasks – whether it be going to work, looking after little ones or pottering around the house.

Family Health Diary Autumn 2015

WHAT’S ON YOUR PLATE? Some high-calorie foods may provide a quick fix when you’re feeling low. But this initial rush will soon wear off, and you may feel worse than before eating it. Instead, stick to whole foods and plenty of fresh fruit and vegetables.

Here are some mood-boosting foods to stock up on: • Wholegrains, nuts, legumes and even our favourite yeasty-spread Marmite are all high in B vitamins. The can help the brain produce serotonin – which is thought to contribute to feelings of well-being. • Oily fish, flaxseed and walnuts are rich in Omega-3 fatty acids – essential to support healthy brain function.

EXERCISE WORKS When you’re feeling tired and uninspired, exercise might be the last thing on your mind. However, physical activity is one of the best ways to get yourself into a better, healthier space. Choose something you enjoy, so you have a better chance of sticking to it. Going for a walk, joining a group fitness class or trying out some relaxing yoga or Tai Chi can do wonders for your body and mind.

LAUGHTER, IT’S THE BEST MEDICINE Want an all-natural, easy and effective mood booster? Try laughter. It releases endorphins to help raise spirits and enhance a feeling of wellbeing. Try to see the funny side, laugh easily, and laugh more often – the results may surprise.

LIVE A LITTLE There’s nothing like stepping out of your comfort zone to shake off those listless feelings. Taking (measured) risks can help get the adrenalin pumping and increase feelings of accomplishment. You don’t need to do something extreme, so if sky-jumping isn’t your thing, you could begin by trying something as simple heading off to a café by yourself. While it’s common to feel down at times, it is important to seek help if these feelings persist. Your GP is a good first port-of-call.

For more information visit: familyhealthdiary.co.nz familyhealthdiary.co.nz

Back and muscle pain slowing you down? Ever hurt your back, and crawled into bed hoping the pain would go away… and it hasn’t? The culprit could be inflammation. WHAT IS INFLAMMATION?

GETTING BACK IN THE GAME

Inflammation is the body’s way of protecting an injury but, if left untreated, it may cause more pain and slow down recovery.

It doesn’t pay to ignore back pain, hoping it will just get better. Although tempting, hiding under the covers and restricting movement is also not the best route to recovery.

When you pull a muscle or tendon, the injury site becomes swollen, red, and more sensitive to touch or pain: a process called inflammation. Voltaren Rapid 25 effectively reduces pain and inflammation. Treating the pain and inflammation of an injury quickly may reduce restriction and discomfort, in order to help get you moving again sooner.

Family Health Diary Autumn 2015

It is important to keep moving to help manage back pain. This can include gentle exercise, physical manipulation – such as physiotherapy – and antiinflammatory medication – such as Voltaren Rapid 25 – to help provide temporary relief from acute pain and inflammation.

INJURY RECOVERY TIPS • In the first 48-72 hours following an injury, rest and apply ice packs to the affected area. • If appropriate, compression bandages and elevating the affected limb can also limit bruising and swelling. • After this initial period, it’s important to get moving again, because inactivity can cause stiffness, limit mobility and actually prolong the pain. • Gentle exercise and physical manipulation such as physiotherapy may help you feel better. Using an antiinflammatory treatment such as Voltaren Rapid 25 can also help you keep moving.

HOW DOES VOLTAREN RAPID 25 WORK? Voltaren Rapid 25 has three benefits: 1. it is an anti-inflammatory pain reliever 2. it’s fast acting* 3. and long lasting*

The powerful formula is clinically proven to help reduce pain in as little as 15 minutes. You won’t find Voltaren Rapid 25 on the shelf. This treatment is only available from your pharmacist – who can also give you expert advice on managing pain and inflammation.

Voltaren Rapid 25 ®

only available from your pharmacist VOLTAREN SUPPLIER OF PAIN RELIEF TO THE

*When taken as a dose of 2 x 25 mg tablets. Always read the label. Use only as directed. Voltaren Rapid 25 provides fast pain relief for up to 8 hours. Incorrect use could be harmful. Do not use if you have stomach ulcers. Your pharmacist's advice is required. If symptoms persist, see your healthcare professional. Novartis Consumer Health Australasia Pty Ltd Auckland, NZ. TAPS NA7611 familyhealthdiary.co.nz

Giving your baby the best start, together If you and your partner are planning a baby, both of you can play a part in providing the best start to their life. And your job starts before conception. FOR MUMS-TO-BE By preparing before you get pregnant, you’ll help ensure your baby has the nutrients it needs for healthy growth from the moment you conceive. That’s because by the time you find out you are pregnant, your baby’s vital organs will have already started forming.

It contains the right level of folic acid, as recommended by the Ministry of Health1, and iron to help combat fatigue and prevent dietary iron deficiency. It also contains iodine to assist with healthy brain development, as well as other essential nutrients. Only Elevit with Iodine is clinically proven to reduce the risk of neural tube defects by 92%2.

ELEVIT CAN HELP

TAKE ELEVIT WHEN YOU START TRYING

Elevit helps deliver essential nutrients your baby will need, right from day one.

To help give your baby the best start to life, Elevit should ideally be taken daily as soon as you start trying for a baby.

Family Health Diary Autumn 2015

FOR DADS-TO-BE While mums prepare their bodies for pregnancy, dads too can make sure they’re in the best possible shape for conception. As many couples have discovered, getting pregnant isn’t always straightforward, especially with sperm health in decline.

Optimisin g spe rm hea lth you To optimise spe rm hea lth, oki ng sm ng ppi sto can begin by lthy hea ing eat d an ng or dri nki ht foods – all of which hel ps figins tox d an ss the effect s of stre on the body.

MENEVIT CAN HELP Now there’s additional support for men. Menevit is specially formulated to support maintenance of sperm health.3 • Menevit contains antioxidants to help optimise a couple’s chances of getting pregnant. • Made up of seven key ingredients, it helps fight free radicals and supports maintenance of sperm health. Ideally Menevit should start being taken daily three months before trying for a baby.

For more information phone 0800 847 874 or visit www.elevit.co.nz or www.menevit.co.nz

Only available from pharmacies 1.Food and Nutritional Guidelines for Healthy Pregnant and Breastfeeding Women: A background paper. Ministry of Health 2006. 2. Czeizel Paed Drugs (2000) 2(6) 3. Tremellen K, Miari G, Froiland D, et al. Aust NZ J Obstet Gynaecol 2007;47(3). Always read the label and use strictly as directed. Supplementary to and not a replacement for a balanced diet. Bayer New Zealand Ltd, Auckland. TAPS CH4268

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Viagra – direct from your pharmacy* (Sildenafil Citrate)

If you’re taking Viagra or Avigra (Sildenafil Citrate), there’s some news. These products are now available direct from your pharmacist*. Pfizer New Zealand’s Viagra and Avigra are New Zealand’s most well-known treatments for erectile dysfunction and may now be available directly from your pharmacist. After completing a brief patient assessment form where you answer a few questions, if it’s right for you, you may get Avigra or Viagra, there and then.

WHY CHOOSE THE LITTLE BLUE PILL? For more than a decade, Pfizer has been a leading name in treating erectile dysfunction, helping millions of men the world over improve their sex lives. 18

Family Health Diary Autumn 2015

TESTED AND PROVEN Studies show that Viagra and Avigra both with the active ingredient sildenafil citrate, produces grade 4 erections (see scale above), in 58% of users.

OPTIMAL ERECTIONS The active ingredient in Viagra and Avigra has helped more than 37 million men in 120 countries reclaim their sex lives by improving the hardness of their erection. The quality of an erection is rated on a 1–4 scale, with 4 being an optimal,

Penis is larger but not hard

Penis is hard, but not hard enough for penetration

completely hard and fully rigid erection. Looking at the scale below, if you find yourself at a 1 or 2, you might want to take this magazine to your next doctor’s visit and discuss your options.

Penis is hard enough for penetration, but not completely hard

Penis is completely hard and fully rigid

Adapted from Mulhall JP, et al. Validation of the erection hardness score. J Sex Med 2007; 4: 1626-1634.5

Along with an optimal erection, many men using this treatment report an increase in sexual confidence, self-esteem and sexual relations satisfaction.

NEVER IGNORE ERECTION PROBLEMS There are many reasons why a man can experience erectile dysfunction, for example, stress and fatigue. If these erection problems persist, it’s time to see your doctor for a thorough check up.

Ask your doctor if Viagra can help you And request it at your pharmacy*

*Your pharmacist must have completed the approved learning modules and you must meet the health assessment criteria. VIAGRA is an unfunded prescription medicine containing 25, 50 and 100 mg sildenafil (as citrate). It is used to treat erection problems (impotence) in men. VIAGRA has risks and benefits. Consult your doctor or talk to a pharmacist who has completed the approved training modules to supply VIAGRA, to see if it is right for you. Use strictly as directed. Do not take VIAGRA if you are allergic to sildenafil, any of the ingredients in the tablet or are taking similar medication for impotence or a condition called pulmonary arterial hypertension. Do not take it if you are being treated for angina (chest pain) with medicines called nitrates or are using amyl nitrite, have other heart conditions or blood vessel problems that make sexual intercourse inadvisable, have suffered a heart attack or stroke in the last 6 months, have severe liver problems, have unusually high or low blood pressure that is not effectively treated, have loss of vision in one or both eyes from a disease called non-arteritic anterior ischaemic optic neuropathy (NAION) or have an eye disease called retinitis pigmentosa. Very common & common side effects include headache, dizziness, flushing, indigestion, nasal congestion, temporary changes in vision, diarrhoea, urinary tract infection, rash, abnormal vision. You will need to pay for this medicine and normal doctor’s fees apply for all prescriptions. Further information on VIAGRA is available from www.medsafe.govt.nz or from Pfizer New Zealand Ltd, Auckland, www.pfizer.co.nz Ph: 0800736 363. TAPS NA7610 familyhealthdiary.co.nz

Safer at home with Bupa

For almost 15 years Bupa has proudly provided medical alarms to thousands of New Zealanders. That’s why you and your family can be assured you are safer at home with Bupa. THE FREEDOM TO CHOOSE Bupa Medical Alarms are different. Clients have the freedom to choose the kind of help they require – whether it be from a neighbour, friend, family member, police, fire service or ambulance.

BUPA’S SERVICES • Bupa provides assistance 24 hours a day, 7 days a week, nationwide, your safety is our priority. • Bupa medical alarms work throughout the home – in the bathroom (they are showerproof), and even outside in the garden or garage. • Any emergency ambulance fees are covered when you press your Bupa button

Family Health Diary Autumn 2015

YOU WILL GET THE HELP YOU NEED It’s comforting to know that, with a Bupa medical alarm, the right assistance will be arranged for a client. Bupa understands that everyone has unique and specific needs, so services are tailored to suit each person. Simply phone 0800 60 80 99 to speak to a one of our friendly field officers. For more information email info@bupa.co.nz

"Mum has low blood pressure, but feels safe at home because she has a Bupa medical alarm. Bupa always stays talking to Mum until I arrive, so I know she’s safe. If she feels faint and wants help, she just wants me, not an ambulance. If the situation is more serious, I know Bupa will call an ambulance immediately and let me know. Mum’s safe at home – and doesn’t hesitate to push her alarm button." "Appreciated the fact that you stayed on the line until the ambulance arrived. When I had my fall, I was relieved that you got hold of my friend, and then still kept talking to me right up until help arrived"

YOUR BUPA MEDICAL ALARM

Fall Detector

Alarm Pendant

Wristband

Digital Compatible Alarm

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GSM Capable Alarm

*Call 0800 60 80 99 for details, terms and conditions apply

For more information visit: familyhealthdiary.co.nz familyhealthdiary.co.nz

Bladder weakness? You'd never know It may be incredibly common, but a weak bladder is a private matter. Now you can manage it without anyone knowing you’re wearing anything but regular underwear.

For New Zealanders with bladder weakness, finding a discreet and reliable way to manage it can be just as taxing as the problem itself. That’s where DEPEND® Real-Fit Underwear can help – a genuine answer to bladder control.

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With all the protection you would expect, DEPEND® Real-Fit Underwear is more discreet – the closest thing yet to real underwear.

DESIGNED FOR DESCRETION DEPEND® Real-Fit Underwear is made from a special cotton-flex fabric and designed for discretion. With its unique slim-fit design, it fits like regular underwear – even under close-fitting clothes. DEPEND® Real-Fit Underwear provides absorbent protection – with all-around leg elastics and worry-free odour protection. It is so like real underwear you won’t believe it until you have it on. 22

Family Health Diary Autumn 2015

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Ela stic wa istban d Cotton-lik e fabric M axim u m protection All-aroun d leg ela stics Wo rry-free odour protection.

RETRAIN YOUR BLADDER These techniques can help you suppress the urgent need to pass urine until an appropriate time and place is found. • When you feel you really need to pass urine, sit down and try to take your mind off wanting to go to the toilet. • Avoid those ‘just in case’ toilet trips – try to go only when your bladder is full and when you need to. • Walk, don’t run, to the toilet. • Minimise your intake of coffee, tea, cola and alcohol. • Do pelvic floor exercises for strengthening and confidence. • Drink six to eight glasses of fluids a day to help avoid constipation (which only makes the problem worse).

WHAT ABOUT LIGHT LEAKAGE? Men, here’s something just for you. If you experience only light to moderate leakage and could do with a shield, instead of a pant, then try these new DEPEND® Guards.

BENEFITS: • Guards fit inside your own underwear • Lock in place with strong adhesive • Leak barriers protect you while active • Worry-free odour control.

More information and advice on how to put together a bladder chart or diary can be found at www.continence.org.nz

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Available in medium and large sizes at supermarkets and selected pharmacies

Try out DEPEND® Real-Fit Underwear OR DEPEND® Guards for men. Call 0800 800 509 toll free or visit www.depend.co.nz for a free sample.

For more information visit: familyhealthdiary.co.nz familyhealthdiary.co.nz

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Enter at www.familyhealthdiary.co.nz *Terms and conditions apply. Ocean Spray速 and the associated logo are trademarks of Ocean Spray, used with permission.