Family Health Diary July/August 2011 by Family Health Diary

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www.familyhealthdiary.co.nz JULY/AUGUST 11

Save your sight while you can

WINTER BUGS... Knock them on the head

WIN the ultimate

Valued at

$2,300

crosstrainer

Well I have to confess the winter months have arrived. I’ve finally given up pretending it’s autumn. I’ve put the electric blanket on at night and started making winter casseroles and puddings, so I’ve well and truly embraced the cooler months. For now, our household has bypassed the usual coughs and colds that plague most of us mid-year… but it’s only a matter of time I suspect. Lots of helpful information in this issue of Family Health Diary about boosting your immune system to help ward off the lurgy. And if it does get you, we have advice on dealing with it. July is Glaucoma Awareness Month. Glaucoma is the number one preventable cause of blindness in New Zealand. Early detection and appropriate treatment can halt glaucoma, so a very good reason to read up on it. Turn to page 8 to find out more. See you again next issue, when the Rugby World Cup is all about to start! Let’s hope our men in black stay super healthy in the next couple of months… Till next time, stay warm, well and dry.

In this issue Affordable option for erection difficulties

Don’t let your bladder be boss

Beware of silent sight thief

Act fast when injury strikes

Win an Xterra crosstrainer

Is your asthma under control?

WINTER BUGS... Get your body prepared Round-the-clock vitamin C

Boost your energy

Cold or flu? Your pharmacy can help

Managing a nagging cough

WIN this Xterra 320 crosstrainer! Worth $2,300

Competition closes 28 August 2011 To enter visit

www.familyhealthdiary.co.nz 2

www.familyhealthdiary.co.nz

Keeping joints healthy

Medicine safety Family Health Diary reports… Is your home in the safety zone? 26 Right medicine, right dose, right time….

Pregnant? You need more iodine

Gently does it with skin care

A helping hand when you want to quit

Don’t put up with an itchy, flaky scalp

Say goodbye to heartburn discomfort

n Editor Neva Sinclair n Design Cathy Ellegard Goss n On the cover Jude Dobson n Cover photography Roy Emerson Photography n Make-up & styling Nikki Lovrich n For editorial enquiries, write to editor@familyhealthdiary.co.nz For Family Health Diary advertising enquiries please phone +64 9 306 2340 n 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, Fax (09) 307 9246. 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. ©2011 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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In this issue Affordable option for erection difficulties

Don’t let your bladder be boss

Beware of silent sight thief

Act fast when injury strikes

Win an Xterra crosstrainer

Is your asthma under control?

WINTER BUGS... Get your body prepared Round-the-clock vitamin C

Boost your energy

Cold or flu? Your pharmacy can help

Managing a nagging cough

WIN this Xterra 320 crosstrainer! Worth $2,300

Competition closes 28 August 2011 To enter visit

www.familyhealthdiary.co.nz 2

www.familyhealthdiary.co.nz

Keeping joints healthy

Medicine safety Family Health Diary reports… Is your home in the safety zone? 26 Right medicine, right dose, right time….

Pregnant? You need more iodine

Gently does it with skin care

A helping hand when you want to quit

Don’t put up with an itchy, flaky scalp

Say goodbye to heartburn discomfort

www.familyhealthdiary.co.nz

Erection difficulties?

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

Erectile Dysfunction is a cause of embarrassment for millions of men the world over. It is estimated that 39% of men over the age of 40 sometimes experience difficulty with erections.

While the occasional difficulty with erection is common in men from their mid-forties onwards, persistent difficulty should never be ignored.

Now there’s an affordable choice

Never ignore erection problems

It is known that a combination of stress and fatigue can result in bedroom difficulties. When those difficulties persist, it’s time to see your doctor for a thorough check-up. The health of your erection can be an early warning sign of a range of more serious conditions including cardiovascular disease and diabetes.

Optimal erections The active ingredient in 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

Penis is larger but not hard

Penis is hard, but not hard enough for penetration

on a 1–4 scale, with 4 being an optimal, 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

or more than a decade, Pfizer has been a leading name in the treatment of erectile dysfunction, helping change the lives of these men with the advent of the little blue pill. Today, the same trusted company is helping even more men improve their sex lives by making erectile dysfunction treatment more affordable.

Avigra – great value and results Avigra offers the same highly effective results as Pfizer’s well-known oral treatment for erectile dysfunction, but now there is 4

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Ask your doctor if Avigra can help you even more to smile about, with the added benefit of substantially reduced cost. Until now, the cost of treatment has prevented some men from receiving the help they needed. By making treatment much more affordable, this means more men may once again know the joys of an active and rewarding sex life.

Tested and proven Studies show that Avigra, with its active ingredient sildenafil citrate, produces grade 4 erections (see scale on the next page), in 58% of users.

And request it at your pharmacy AVIGRA (sildenafil citrate) is an unfunded prescription medicine for use by men in the treatment of erection problems resulting in a natural response to sexual stimulation. You will need to pay for this medicine and normal doctor’s fees apply. Do not use Avigra if you: are being treated for angina (chest pain) or other heart conditions with medicines called nitrates; are using amyl nitrite; have heart 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 an eye disease called non-arteritic anterior ischaemic optic neuropathy (NAION); have an eye disease called retinitis pigmentosa; have an allergy to AVIGRA or similar medications. Side effects include headache, dizziness, flushing, indigestion, nasal congestion, temporary changes in vision, diarrhoea, urinary tract infection or rash. If symptoms continue or you have side effects, see your doctor. If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital: signs of allergy such as shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other part; chest pain; sudden decrease or loss of hearing; seizures, fits or convulsions; a persistent and painful erection; loss of eyesight in one or more eyes. Use strictly as directed. Consult your doctor to see if AVIGRA is right for you. Contains sildenafil citrate 25 mg, 50 mg & 100 mg. Further information on AVIGRA is available from www.medsafe.govt.nz or from Pfizer New Zealand Ltd, Auckland, www.pfizer.co.nz Ph: 0800736 363. TAPS NA4902

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Erection difficulties?

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

Erectile Dysfunction is a cause of embarrassment for millions of men the world over. It is estimated that 39% of men over the age of 40 sometimes experience difficulty with erections.

While the occasional difficulty with erection is common in men from their mid-forties onwards, persistent difficulty should never be ignored.

Now there’s an affordable choice

Never ignore erection problems

Penis is larger but not hard

Penis is hard, but not hard enough for penetration

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

Avigra – great value and results Avigra offers the same highly effective results as Pfizer’s well-known oral treatment for erectile dysfunction, but now there is 4

www.familyhealthdiary.co.nz

Tested and proven Studies show that Avigra, with its active ingredient sildenafil citrate, produces grade 4 erections (see scale on the next page), in 58% of users.

www.familyhealthdiary.co.nz

Don't let your

bladder be BOSS Bladder control is taken for granted by most people. But for some, bladder weakness means their bladder becomes the boss, affecting their activities and enjoyment of life. The good news is it doesn’t have to be that way.

Regardless of the cause, and the degree of weakness, you just want to manage your bossy bladder so you can continue living your life, participating in activities you enjoy and getting out and about as normal. Pelvic floor exercises and bladder training programmes can help strengthen the muscles in the pelvic area so you can hold on longer between toilet visits. The key in managing the problem comes from the right protection, whether the weakness results in a few light drops when sneezing or coughing, or a more significant loss requiring a change of underwear or clothes.

SPECIFIC PRODUCTS FOR WOMEN AND MEN Because women and men are not the same, DEPEND® gender-specific underwear is designed to fit the female

and male body, to offer targeted protection where it is needed most. DEPEND® is the only gender-specific sanitary underwear in New Zealand. It comes in different sizes and different absorbencies depending on your needs, and now there’s a new large size for men.

LOOK AT THE FEATURES… • Protection for heavier or continuous bladder weakness • Breathable, comfortable fit, with an elasticised waist – pull them on and off just like normal underwear • Gentle leg elastics provide better protection • Reduced noise when walking due to the cloth-like outer cover • The only gender-specific underwear available in New Zealand

Depend® Guards for men DEPEND® Guards for Men are specifically designed for the male anatomy with a cup-like shape for a better fit. For light to moderate protection, these male guards are designed to be used in your own underwear.

or more than 600,000 New Zealanders, both women and men, bladder or bowel control problems are a fact of life. They can occur as a result of an underlying medical condition or physical changes to the body. Although bladder and bowel weakness is more common in the elderly, it can affect anyone at any age. It’s important to remember bladder and bowel control problems are symptoms, not diseases. They can often be cured and almost always successfully managed.

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Common causes of bladder weakness • • • • • •

Pregnancy and childbirth Urinary infections Diabetes Prostate gland surgery Menopause Neurological disease or injury (Parkinson’s, stroke or spinal cord injury) • Chronic constipation • Obesity.

Available from major supermarkets and selected pharmacies. For more information phone 0800 800 509 or visit www.depend.co.nz

sa Free mp le

For a free sample visit www.depend.co.nz or mail to: DEPEND® Samples, PO Box 56-612 Dominion Road, Auckland 1446 Choose one of the following DEPEND® products: Underwear for Women ❑ M ❑ L Super Plus Underwear for Men ❑ M Guards for Men ❑

❑L

(Limit one per household)

Name………………………………………… Address……………………………………… ……………………………………………… Phone………………………………………

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Don't let your

SPECIFIC PRODUCTS FOR WOMEN AND MEN Because women and men are not the same, DEPEND® gender-specific underwear is designed to fit the female

www.familyhealthdiary.co.nz

Common causes of bladder weakness • • • • • •

Available from major supermarkets and selected pharmacies. For more information phone 0800 800 509 or visit www.depend.co.nz

sa Free mp le

❑L

(Limit one per household)

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Glaucoma...

the silent sight thief If you had a choice between losing your sight, and preserving good eyesight, which would you choose?

In early glaucoma, there are no symptoms. In advanced glaucoma you lose the ability to see objects or people in your peripheral (side) vision, which may cause you to bump into things. Also, if you lose a certain amount of peripheral vision then you may no longer meet the visual requirements for driving.

How is glaucoma diagnosed? Eye care specialists detect glaucoma by measuring the internal pressure of your eye, as well as measuring your peripheral vision and observing the health of your optic nerve.

How is glaucoma treated? There is no cure for glaucoma, but modern treatments, like special eye drops used daily, can halt its progression and preserve the sight you have left.

July is Glaucoma Awareness Month

hen it comes to glaucoma, the silent sight thief, you do have a choice. Regular eye examinations can detect glaucoma early and if treated quickly, you can prevent progression of glaucoma and preserve your eyesight.

What is glaucoma? Glaucoma is an eye disease that causes damage to the optic nerve, which carries signals from the eye to the brain. If left untreated it can lead to blindness. Currently 8

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approximately 68,000 New Zealanders over the age of 40 have glaucoma. Glaucoma occurs when eye pressure builds up so that there is damage to the optic nerve, the nerve of sight. In an eye without glaucoma the eye pressure is at a level that does not damage the optic nerve. However, if there is resistance to drainage of the fluid inside the eye, the pressure rises. This leads to stress and strain on the optic nerve, which destroys the nerve cells responsible for vision. This damage is irreversible.

There’s an easy way to prevent glaucoma robbing you of your eyesight. Follow the simple 45 plus 5 rule – a glaucoma eye examination every 5 years from the age of 45 – and encourage friends and relatives to do the same. From the age of 60, you should have a glaucoma eye examination every 3 years. However, at any age, if you notice changes in your eyesight you should have your eyes examined at that time. For example, if you need hobby glasses, it is a good idea to have your eyes checked in case there is a problem.

Who is most at risk? Although anyone can get glaucoma, you are at higher risk if you fall into any of the following categories: • Aged 60 and over • Family history of glaucoma • Short sighted • High blood pressure • Previous eye injury.

Key facts about glaucoma • Glaucoma is a leading cause of blindness – it currently affects approximately 65 million people worldwide. • There is no cure for glaucoma, however, early detection could save your sight. • The damage to the optic nerve from glaucoma is irreversible. • Everyone is at risk, but age and family history increase the risk. • Half of those with glaucoma have no symptoms and don’t know they have it.

Preserving your vision is easy…have a regular eye examination. For more information or a free educational pamphlet

Visit: www.glaucoma.org.nz Or email: info@glaucoma.org.nz Or ph: 0800 GLAUCOMA

(0800 452 826)

www.familyhealthdiary.co.nz

Glaucoma...

the silent sight thief If you had a choice between losing your sight, and preserving good eyesight, which would you choose?

How is glaucoma treated? There is no cure for glaucoma, but modern treatments, like special eye drops used daily, can halt its progression and preserve the sight you have left.

July is Glaucoma Awareness Month

What is glaucoma? Glaucoma is an eye disease that causes damage to the optic nerve, which carries signals from the eye to the brain. If left untreated it can lead to blindness. Currently 8

www.familyhealthdiary.co.nz

Preserving your vision is easy…have a regular eye examination. For more information or a free educational pamphlet

Visit: www.glaucoma.org.nz Or email: info@glaucoma.org.nz Or ph: 0800 GLAUCOMA

(0800 452 826)

www.familyhealthdiary.co.nz

First aid for strains and sprains to help you get back in the game

RICER –

Rest – Rest from any activity that increases your pain. Ice – Ice the injured area for 20 minutes every 2 hours. Compression – Compress the injured area with a compression bandage. Elevation – Elevate the injured area above the level of your heart as much as possible. Referral – If swelling and pain have not eased after 2 days of RICE treatment, consult your pharmacist or healthcare professional.

What the All Blacks use

Stay in the game

Follow the All Blacks strategy

Behind every good sports team is a good strategy, and that goes for treating injury too. Quick action, and the right treatment get players back in the game sooner.

or the All Blacks, the elite of international rugby, that’s especially true. Injury can strike any time, whether it’s at training, at a game, or even lifting a bag onto the team bus. And if you’re an All Black you don’t want to be on the sideline.

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So how do the All Blacks deal with injury? For a start they take a proactive approach – early treatment is the key. If you delay treating the pain, the injury can linger, slowing your recovery. The All Blacks use Voltaren®, a treatment clinically proven to relieve both pain and inflammation.

All Blacks scrum coach Mike Cron says the right treatment can be the difference between getting back in the game, and sitting on the sideline. “Whether it’s Voltaren® Emulgel medicated rub or Voltaren® Rapid 25 tablets, sorting out both pain and inflammation is crucial. “That’s why the All Blacks choose Voltaren®,” Cron says.

Voltaren® targets pain and inflammation Voltaren® products contain the antiinflammatory ingredient diclofenac, which helps relieve both pain and inflammation. Voltaren® Emulgel is a specialist, medicated rub for muscle and joint pain. It works to relieve soft tissue pain and inflammation, targeting the source of pain and concentrating its action where you need it most. It’s easy to rub in and readily absorbed to help soothe aching muscles.

Voltaren® Rapid 25 tablets contain the same anti-inflammatory ingredient. They work fast, in as little as 15 minutes1, with the effect lasting up to 8 hours. Remember you don’t need to be an All Black to get injured. Acute injuries can happen when muscles or tendons are stretched too far or exposed to more weight or force than they can take. Even a sudden twist or awkward movement can damage ligaments, resulting in pain and inflammation. If you follow the All Blacks’ strategy to treat pain and inflammation quickly, you can get back to your everyday activities sooner.

Available at pharmacies. Voltaren® Emulgel also available at supermarkets

Voltaren Supplier of Pain Relief to the 1. When taken as an initial dose of 2 x 25mg tablets. Always read the label and use only as directed. Medicines have benefits and some may have risks. Consult your pharmacist if you require further information, if symptoms persist or if you have side effects. Voltaren® Emulgel (diclofenac diethylammonium 1.16%) for short-term relief of local pain and inflammation. Voltaren® Rapid 25 tablets (diclofenac potassium 25mg) for short term relief of acute, painful inflammatory conditions [Pharmacist Only Medicine]. Your pharmacist’s advice is required. Incorrect use could be harmful. Do not use if you have stomach ulcers. Novartis Consumer Health Australasia Pty Ltd, Auckland, NZ. TAPS NA5006

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First aid for strains and sprains to help you get back in the game

RICER –

What the All Blacks use

Stay in the game

Follow the All Blacks strategy

Behind every good sports team is a good strategy, and that goes for treating injury too. Quick action, and the right treatment get players back in the game sooner.

www.familyhealthdiary.co.nz

Available at pharmacies. Voltaren® Emulgel also available at supermarkets

www.familyhealthdiary.co.nz

We’re giving away the ultimate

elliptical crosstrainer

If you want to get in shape, and don’t like gyms, we want to give you a helping hand. This issue, we are giving away the ultimate exercise machine to one lucky Family Health Diary reader… an Xterra 320 elliptical crosstrainer.

Research shows great workout Research has shown elliptical machines give your muscles a great workout. They work the glutes (butt muscles) better than steppers and the quadriceps (thigh muscle) better than most other cardiovascular machines. In addition, varying the stride length on the elliptical trainer uses a larger variety of muscle groups. As the stride is lengthened, more calories are burned without any higher rate of perceived exertion by the user. 1,2,3

WIN

er!

this crosstrain Valued at

$2,300 1, 2, 3. Data on file.

To enter the draw to

WIN the Xterra 320 elliptical crosstrainer go to www.familyhealthdiary.co.nz Competition closes 28 August 2011. For terms and conditions visit our website.

Other features of the Xterra 320 crosstrainer include: • Smooth, low impact motion – great for people with old joint injuries or for those who want to maintain movement after recovery from surgery • Workout for legs, abdominals, arms and upper body – the crosstrainer moves both forwards and backwards so you can target a large range of muscles • Great cardiovascular training – the onboard computer helps plan and monitor cardio workout • Automatically increases or decreases intensity to keep your heart rate in the target zone • 8 different pre-set workouts such as intervals and mountains • 2 programmes you can create yourself, and store • Easy to use and feels natural – the elliptical motion is similar to walking • Long stride designed to allow a large range of motion and muscle use • 12 motivating programmes to provide interest, variety and different exercise benefits.

EXCLUSIVE OFFER TO OUR READERS – $600 OFF Purchase an Xterra 320 crosstrainer For $1695 (normal retail $2295)

he Xterra 320, provided courtesy of Fitness Fusion, gives you a weight-bearing, cardiovascular workout, similar to running, but without the impact on knees and hips. Elliptical crosstrainers are clever little 12

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QUOTE FHD 201107 machines. They work like this… You stand on the machine, hold the handles, and adopt a walking action, but unlike treadmills or jogging, or even walking, your feet never leave the footpads so there is no impact on joints and muscles.

www.fitnessfusion.co.nz or ph 0800 23 22 21 Deliveries nationwide. Offer expires 28 August 2011 If you buy an Xterra 320 from Fitness Fusion before 28 August 2011, and your name is drawn as the winner of the Family Health Diary competition, your money will be refunded.

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We’re giving away the ultimate

elliptical crosstrainer

WIN

er!

this crosstrain Valued at

$2,300 1, 2, 3. Data on file.

To enter the draw to

WIN the Xterra 320 elliptical crosstrainer go to www.familyhealthdiary.co.nz Competition closes 28 August 2011. For terms and conditions visit our website.

EXCLUSIVE OFFER TO OUR READERS – $600 OFF Purchase an Xterra 320 crosstrainer For $1695 (normal retail $2295)

www.familyhealthdiary.co.nz

Is your asthma well controlled? If you’re on an orange preventer inhaler, but still find yourself wheezing, coughing or reaching for your blue inhaler in the night, chances are your asthma is not as good as it could be.

means you don’t have to live with the wheezing, coughing and sleepless nights in the first place.2,3

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 may not realise you can have symptom-free days for most days of the year with Seretide, the purple inhaler.4 If you’re an asthma sufferer don’t assume that exercise or running around with the kids goes hand-in-hand with laboured breathing, turning ‘enjoyable’ activities into strenuous chores. Asthma treatment has come a long way, and there’s every chance you can put all these symptoms behind you.

Is your asthma under control?

Most people overestimate their asthma control In a major New Zealand asthma study, 81% of people thought their asthma was well controlled, yet three-quarters were using their reliever at least once daily and the remainder were taking at least 3-4 puffs a day. So if there’s one thing the study showed, it’s that most people overestimate their level of asthma control.1 14

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If this sounds like you, a move to Seretide®, the purple inhaler, could be the answer.

How Seretide can help Seretide is a two-in-one inhaler that combines the active ingredient in the orange preventer inhaler with the active ingredient in the green symptom controller. This combined approach helps control asthma long-term, which

Ask your doctor about Seretide – the purple inhaler

The first step to freeing yourself of symptoms is understanding how well controlled your asthma is right now. Control means… • No coughing or wheezing • No night-time interruptions • No emergency visits to your doctor or hospital • Participating in activities you enjoy and not having to avoid them • Using a reliever less than two times a week and living life more.5 There is a simple test to help you find out if your asthma really is under control – visit www.asthmacontrol.co.nz and answer the online questionnaire.

References: 1. Holt S. NZ INSPIRE – Study Overview. Research Review. 2008:1-13. 2. Bateman ED et al. Am J Respir Crit Care Med. 2004;170:836-844. 3. Bateman ED et al. Allergy. 2008;63:932-938 4. Woodcock A et al. Prim Care Resp J. 2007;16(3):155161 5. Global Initiative for Asthma. Global Strategy for Asthma Manangement and Prevention. Updated 2009. Available at http://www.ginasthma. org/Guidelineitem. asp??|1=2&12=1&intid=1561. Accessed 19 November 2010. Seretide® (fluticasone propionate/salmeterol xinafoate; available as a 50/25 or 125/25 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; Special Authority criteria apply. 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: ‘shaky’ feeling; headache; 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® is a trade mark of the GlaxoSmithKline group of companies. Marketed by GlaxoSmithKline NZ Limited, Auckland. TAPS NA5041-11JU www.familyhealthdiary.co.nz

means you don’t have to live with the wheezing, coughing and sleepless nights in the first place.2,3

Is your asthma under control?

www.familyhealthdiary.co.nz

If this sounds like you, a move to Seretide®, the purple inhaler, could be the answer.

Ask your doctor about Seretide – the purple inhaler

Round-the-clock

Vitamin C

We all know the benefits of Vitamin C, but getting enough of it isn’t the only challenge – keeping it in our bodies is the real issue.

As humans, we can’t manufacture Vitamin C within our bodies, so we have to get it from the foods we eat instead. Fruits and vegetables are the best source of Vitamin C, but even with a good diet or the help of a supplement, it’s tricky to get round-the-clock Vitamin C support. Vitamin C breaks down quickly in the body and is flushed out fast, so often after just a few hours, all that Vitamin C is gone!

The Ester-C® difference Nutra-Life Ester-C is a Vitamin C supplement with an important difference. It is the only Vitamin C that has undergone a patented water-based process so it’s absorbed twice as fast as regular Vitamin C, and stays in the body for a full 24 hours. So while normal Vitamin C has faded away, Ester-C is still there, providing immune support all day long.

Better than standard Vitamin C

Ester-C benefits • Supports a strong immune system • Provides full 24-hour support • Absorbed twice as fast as normal Vitamin C • Non-acidic and gentle on teeth and the stomach • Powerful antioxidant properties.

Tablets, chewables or powder Ester-C is available in 1000mg+ bioflavonoid tablets, in powder form, or as Ester-C and Ester-C + Echinacea Chewables. Echinacea is a time-tested herb, which like Vitamin C also helps maintain a healthy immune system.

Available from health food stores and pharmacies Contact the Naturopathic Advice Line on 0800 268 872 or visit www.nutralife.co.nz

As well as offering 24-hour support, Ester-C is easier on the stomach. Ordinary Vitamin C is acidic, potentially causing stomach discomfort in people sensitive to stomach acid. The water-based process used to make Ester-C helps reduce the acidity, making it gentler on the stomach than ordinary Vitamin C.

Ester-C for Kids

V 16

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itamin C is an essential winter nutrient needed to maintain healthy immunity, eyes, skin, teeth and bones.

Nutra-Life Ester-C For Kids has been specially formulated to help little ones stay well, naturally. It provides 24-hour immune support, is tummy and tooth-friendly, and comes in chewable, great-tasting animal shapes that kids will love.

Always read the label and use only as directed. If symptoms persist, consult a healthcare professional. TAPS DA817RS 3041

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Round-the-clock

Vitamin C

We all know the benefits of Vitamin C, but getting enough of it isn’t the only challenge – keeping it in our bodies is the real issue.

Better than standard Vitamin C

Available from health food stores and pharmacies Contact the Naturopathic Advice Line on 0800 268 872 or visit www.nutralife.co.nz

Ester-C for Kids

V 16

www.familyhealthdiary.co.nz

itamin C is an essential winter nutrient needed to maintain healthy immunity, eyes, skin, teeth and bones.

Always read the label and use only as directed. If symptoms persist, consult a healthcare professional. TAPS DA817RS 3041

www.familyhealthdiary.co.nz

Get the ENERGY your body needs

Not all mutivitamins are created equal Ingredients List

Betacarotene

If you’re a woman you probably play many roles – mother, daughter, wife, friend… And that’s before you start your working day.

Healtheries Women’s Multi

240mcg

Vitamin B1 (Thiamine)

25mg

Vitamin B2 (Riboflavin)

25mg

Vitamin B3 (Nicotinamide)

50mg

Vitamin B5 (Pantothenic Acid)

30mg

Vitamin B6 (Pyridoxine)

35mg

Vitamin B12 (Cyanocobalamin)

50mcg

Folic Acid (B complex vitamin)

300mcg

Vitamin C (Ascorbic Acid)

100mg

Vitamin D3 (Cholecalciferol)

2.5mcg

Vitamin E (dl-alpha tocopheryl acetate)

100mg

Vitamin H (Biotin)

50mcg

Calcium

40mg

Magnesium

20mg

Potassium

10mg

Manganese

A multvitamin can help

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Vitamin C to support a healthy immune system – essential for winter. Biotin for healthy beautiful hair. Iron for healthy immunity and to help fight stress & fatigue. Especially important for women.

25mcg

Iron (Ferrous Fumarate)

The right multivitamin can help address energy and stress levels and also help top you up with essential nutrients to support a healthy immune system. At this time of year, with winter well and truly here, it’s important to keep your immune system healthy so you can fight off the inevitable winter ills and chills. Taking a multivitamin is an easy and convenient way to improve energy

Folic Acid to keep cells healthy – especially important for women.

1mg

Selenium

t’s little wonder with such busy and often stressful lives, your health and vitality are often overlooked, leaving you feeling tired and a bit rundown. A little extra energy can make all the difference to how you feel, and it’s one of those things you won’t know was missing until you find it again.

Healtheries is high in B Vitamins essential for energy production.

10mg

levels, mental acuity and stamina. Healtheries Women’s Multi is a good choice for its notably high levels of B vitamins, ideal for energy and vitality.

Chromium

100mcg

Iodine

15mcg

Healtheries Women’s Multi

Spirulina powder

100mg

Healtheries Women’s Multi is made by New Zealand’s most trusted supplement company.* This once-a-day tablet contains the key nutrients New Zealand women need such as B group vitamins, iron, folic acid and calcium to support energy, immunity, bone strength and keeping your body in balance. So if it’s important for you to stay on the go – and have fun doing it – see what a difference this multivitamin can make. Just a little extra energy can take you a very long way.

Copper

200mcg

Zinc

6mg

Siberian Ginseng root (Eleutherococcus)

1.5g

Chromium to help control sweet cravings. Zinc for healthy immunity against winter ills & chills. Ginseng for energy, performance and stamina.

Available at supermarkets *Readers Digest most trusted brands survey July 2011. Always read the label and use only as directed. Garlic can interfere with the working of certain medical drugs. If symptoms persist, consult your healthcare professional. Supplementary to and not a replacement for a balanced diet. www.healtheries.co.nz Healtheries New Zealand. TAPS NA5035

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Get the ENERGY your body needs

Not all mutivitamins are created equal Ingredients List

Betacarotene

If you’re a woman you probably play many roles – mother, daughter, wife, friend… And that’s before you start your working day.

Healtheries Women’s Multi

240mcg

Vitamin B1 (Thiamine)

25mg

Vitamin B2 (Riboflavin)

25mg

Vitamin B3 (Nicotinamide)

50mg

Vitamin B5 (Pantothenic Acid)

30mg

Vitamin B6 (Pyridoxine)

35mg

Vitamin B12 (Cyanocobalamin)

50mcg

Folic Acid (B complex vitamin)

300mcg

Vitamin C (Ascorbic Acid)

100mg

Vitamin D3 (Cholecalciferol)

2.5mcg

Vitamin E (dl-alpha tocopheryl acetate)

100mg

Vitamin H (Biotin)

50mcg

Calcium

40mg

Magnesium

20mg

Potassium

10mg

Manganese

A multvitamin can help

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Vitamin C to support a healthy immune system – essential for winter. Biotin for healthy beautiful hair. Iron for healthy immunity and to help fight stress & fatigue. Especially important for women.

25mcg

Iron (Ferrous Fumarate)

Folic Acid to keep cells healthy – especially important for women.

1mg

Selenium

Healtheries is high in B Vitamins essential for energy production.

10mg

levels, mental acuity and stamina. Healtheries Women’s Multi is a good choice for its notably high levels of B vitamins, ideal for energy and vitality.

Chromium

100mcg

Iodine

15mcg

Healtheries Women’s Multi

Spirulina powder

100mg

Copper

200mcg

Zinc

6mg

Siberian Ginseng root (Eleutherococcus)

1.5g

Chromium to help control sweet cravings. Zinc for healthy immunity against winter ills & chills. Ginseng for energy, performance and stamina.

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Dimetapp for adults Dimetapp’s adult formulations address major cold and flu symptoms, including cough. The daytime/nightime liquid capsules provide relief for a full 24 hours, helping you get a good night’s sleep, but when taken as directed, not making you drowsy during the day.

Dimetapp for children Taste is a big factor with children’s medicines. If they don’t like the

taste, they won’t take it. Dimetapp’s children’s formulations not only taste great, but they’re also sugar-free and colour-free. The children’s elixir helps relieve both coughs and colds helping the kids (and you) get a good night’s sleep.

Ask your pharmacy staff which Dimetapp treatment is right for you

Is it cold or flu? It can be hard to tell the difference between a cold and flu, but there are key differences.

Colds & flu need powerful treatment When colds and flu strike the family, you just want fast, effective relief. For effective medicines you can trust, you need to head to your pharmacy.

o help keep things simple, whether it’s you or the kids who need relief, remember the name Dimetapp, only available from pharmacies.

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Best known for its proven and trusted range of children’s formulas, Dimetapp can provide fast and effective relief for adults too, making it the one-stop solution for the family’s cough, cold and flu needs.

The common cold is a viral infection of the nose, throat and nasal sinuses characterised by inflammation, discharge and nasal congestion. Symptoms to look for include a sore throat, runny nose, post-nasal drip, watery eyes, nasal stuffiness and a cough. A child with a cold may have a slight fever, but fever with a cold is unusual in adults.1 The flu is a viral infection of the air passages and lungs, caused by a different set of viruses to a cold. In addition to symptoms of a cold, a person suffering from the flu will also have muscular aches and pains, followed by a sudden onset of chills and fever developing over a 24-hour period. A severe headache is common, followed by a sore throat, a dry cough, sore or inflamed eyes and a general feeling of listlessness. Nausea and vomiting may occur in children.1

References. 1. http://www.dimetapp.co.nz/cough_ cold_information/index.html Pharmacy Medicine. Medicines have benefits hand some may have risks. Always read the label. Use only as directed. If symptoms persist, see your healthcare professional. Chlorpheniramine may cause drowsiness (avoid alcohol and driving). Phenylephrine may cause sleeplessness in some people. Incorrect use could be harmful. Not for children under 6 years. Contact your healthcare professional for information on precautions, contraindications and warnings, or refer to product packaging. Each 5mL of Dimetapp DM Elixir Colour Free Cough and Cold contains brompheniramine maleate 2mg, phenylephrine HCI 5mg and dextromethorphan HBr 10mg. Each day liquid capsule of Dimetapp Daytime/ Nightime liquid caps contains paracetamol 300mg, dextromethorphan HBr 10mg, each night liquid capsule contains paracetamol 300mg, dextromethorphan HBr 10mg, doxylamine 6.25mg. Each 1mL of Dimetapp 12 Hour Nasal Spray contains oxymetazoline HCl 500mcg. TAPS PP9923

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Dimetapp for children Taste is a big factor with children’s medicines. If they don’t like the

Ask your pharmacy staff which Dimetapp treatment is right for you

Is it cold or flu? It can be hard to tell the difference between a cold and flu, but there are key differences.

Colds & flu need powerful treatment When colds and flu strike the family, you just want fast, effective relief. For effective medicines you can trust, you need to head to your pharmacy.

o help keep things simple, whether it’s you or the kids who need relief, remember the name Dimetapp, only available from pharmacies.

www.familyhealthdiary.co.nz

Don’t let a cough wear you down... A cough is one of those things that can wear you down over time, especially when it lingers for several days or weeks. Long-lasting relief, however, can make this tiresome problem so much easier.

ecause all coughs are not the same, you need to target your cough with the right treatment. There’s no point treating a chesty, productive cough with a mixture designed to suppress dry coughs, and vice versa. For the right treatment, and long-lasting relief, head to your pharmacy for New Zealand’s number one cough treatment.*

Robitussin – Proven and effective relief Robitussin is a trusted name that’s become synonymous with coughs. It’s proven formulas are designed for every 22

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Robitussin Dry Cough Forte (Dry) Provides long-lasting relief for up to 8 hours from dry, irritating and hacking coughs.

Robitussin Cough & Chest Congestion (In-between) Loosens and helps clear chest congestion and controls coughs for up to 8 hours.

type of cough, from dry coughs to chesty coughs, and everything in between.

Why do we cough? The cough reflux is the respiratory tract’s first line of defence – the body’s way of clearing your lungs of foreign material and irritants. A cough can be the result of a cold or flu or other ongoing conditions like asthma, allergy or chronic bronchitis. It can also be caused by irritants such as cigarette smoke, air pollution, perfumes or scented air fresheners. If it lasts for weeks, a cough can take its toll, interfering with sleep and work, causing tiredness and chest pain.

Types of cough There are three common types of cough: • Dry cough, also known as an ‘unproductive’ cough, because there is no phlegm or mucus to cough up • In-between cough, medically termed a ‘congested unproductive’ cough • Chesty cough also known as a ‘productive’ cough, because phlegm is coughed up.

Suitable for adults and older children Robitussin is New Zealand’s number one cough treatment.* All the formulas can be used by adults and children over six years old, with dosages varying depending on age. With Robitussin only available at pharmacies, you can be sure to get reliable advice on which Robitussin formula is right for your cough.

Only available at pharmacies Robitussin Chesty Cough Forte (Chesty) Helps loosen mucus and breaks up heavy chest congestion.

* Source: Aztec Retail Sales Data MAT April 2011. Pharmacy Medicines. Robitussin Dry Cough Forte – each 10mL contains dextromethorphan HBr 30mg. Robitussin Cough and Chest Congestion – each 10mL contains guaiphenesin 200mg and dextromethorphan HBr 30mg. Robitussin Chesty Cough Forte – each 10mL contains guaiphenesin 200mg and bromhexine HCl 8mg. Medicines have benefits and some may have risks. Always read the label. Use only as directed. Incorrect use could be harmful. If symptoms persist or you have side effects see your healthcare professional. Not for children under six years. For additional information on precautions, contraindications and warnings, contact your healthcare professional or refer to product packaging. TAPS PP9922

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Robitussin – Proven and effective relief Robitussin is a trusted name that’s become synonymous with coughs. It’s proven formulas are designed for every 22

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Robitussin Dry Cough Forte (Dry) Provides long-lasting relief for up to 8 hours from dry, irritating and hacking coughs.

Robitussin Cough & Chest Congestion (In-between) Loosens and helps clear chest congestion and controls coughs for up to 8 hours.

type of cough, from dry coughs to chesty coughs, and everything in between.

Only available at pharmacies Robitussin Chesty Cough Forte (Chesty) Helps loosen mucus and breaks up heavy chest congestion.

www.familyhealthdiary.co.nz

NATUREâ&#x20AC;&#x2122;S HELPERS Glucosamine and chondroitin are important components of cartilage, critical to joint comfort, flexibility and recovery. Chondroitin provides structure and resilience, while glucosamine supports tendon and ligament health. But these naturally-occurring nutrients decrease with age. Taking a health supplement with chondroitin and glucosamine can help improve the health of joints affected by lower levels of these natural nutrients, so we can return to the activities we enjoy.

HEALTHERIES JOINTEX PLUS Because keeping active is important to overall health, many people make it a priority to ensure that their joints are flexible and supple. A highly potent formulation developed by Healtheries helps fight falling glucosamine and chondroitin levels.

with healthy joints

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Available nationwide from supermarkets, selected pharmacies and health food stores

KEY INGREDIENTS IN JOINTEX PLUS

On the move Healthy joints are essential to keeping us on the move and taking part in all sorts of fun, so we can feel good physically and emotionally. But itâ&#x20AC;&#x2122;s easy to take them for granted until, of course, trouble strikes.

Jointex Plus is a high-strength blend of glucosamine and chondroitin, which uniquely contains the ancient Indian herb boswellia. Boswellia has traditionally been used to support joint function and flexibility. These three key ingredients help with joint flexibility and assist in rebuilding cartilage. Jointex Plus helps tackle troublesome joints so we can keep on doing the things we love.

oints play an important role in our bodies, but we may not realise just how crucial they are until our movement becomes restricted. The bones of weight-bearing joints have a cushion of cartilage that gradually wears away over time, and must be replaced. This normal wear and tear can cause stiffness and discomfort. In the worst cases, the bones may rub against each other.

Glucosamine This natural substance supports tendon, ligament and cartilage health. Chondroitin Provides structure and resilience in cartilage, and helps hold water and nutrients in the joints. Boswellia Aids joint comfort and function.

Supplementary to and not a replacement for a balanced diet. Always read the label and use only as directed. If symptoms persist or you have side effects see your healthcare professional. Phone toll-free 0508 508 100 or visit www.healtheries.co.nz for more information. TAPS CH2931

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with healthy joints

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Available nationwide from supermarkets, selected pharmacies and health food stores

KEY INGREDIENTS IN JOINTEX PLUS

For more on joint care visit

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Are you SAFE

with your medicines? In homes around New Zealand, unused medicines lie in waiting just in case we might need them one day. We often forget what they were prescribed for, and never check expiry dates. Is this safe use of medicines? In this special Family Health Diary report we unravel the facts on safe use of medicines.

afety is all around us – we wear seatbelts in our cars, we use mouth guards on the sports field, we encourage safe sex, and we install child safety gates on the stairs. But do we apply the same safety logic when it comes to medicines? Medicine safety involves many things – using your medicines the right way, storing your medicines correctly, keeping medicines out of reach of children, and safely disposing of unwanted medicines.

Using your medicines Here are some guidelines on using your medicines • Always follow instructions on the label. If unsure how to take your medicine, talk to your pharmacist. • Labels may also give special instructions such as take with food, or on an empty stomach, or avoid alcohol. 26

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Storing your medicines Store medicines in their original containers with their original labels in a dry, cool place. Some medicines must be stored in a fridge and this will be stated on the label. Ensure they are stored at the back of the fridge, out of sight of children. Some medicines will have a use by or a discard after date and should not be used after these dates.

Never share medicines Prescribed medicines should never be shared – they should only be taken by the person they were prescribed for. Some people may have medical conditions, or take other medicines, that make your medicines unsuitable for them.

Disposing of unwanted medicines

Medicine safety with children

• Some medicines may make you sleepy. When taking these medicines avoid situations such as driving a car or operating machinery. • Some medicines may be labelled swallow whole which means they should not be chewed or crushed. • Some medicines can interact with other medicines so tell your doctor or pharmacist about other medicines you are taking including supplements purchased from a pharmacy, supermarket or health shop. • Some medicines can also interact with food. Your doctor or pharmacist will tell you which foods to avoid. • Tell your doctor and pharmacist if you are pregnant, become pregnant while on medication or are breastfeeding, so that a medicine is not prescribed that could harm the baby.

Almost 400 New Zealand children are admitted to hospital each year as a result of unintentional poisoning. The most common culprits are medicines, especially liquid paracetamol. All medicines should be stored out of reach, and sight, of children, preferably in a locked cupboard. Your pharmacy can provide medicines with child-resistant caps, but these are not child-proof, and care is still needed. If children are visiting other people’s homes, always check where their medicines are stored.

Double dosing common Some medicines contain more than one ingredient, especially cough, cold and flu preparations. Always check the ingredient list when purchasing medicines to ensure you don’t inadvertently double dose. The

Most of us have unused, and half-used medicines at home just in case we may need them in the future. Old medicines may no longer be effective, and chances are you don’t remember what they were prescribed for, and why. Unused medicines, or medicines past their expiry date, should be returned to your pharmacy for safe disposal. Don’t throw medicines out with the rubbish as they could easily fall into the wrong hands. Likewise medicines should never be flushed down the toilet or sink as trace elements of medicines have been detected in waterways around the world. Studies in the US and Italy have revealed traces of contraceptive drugs in waterways that can cause sterility in frogs. There is also evidence that the presence of antibiotics in waterways has an impact on the bacteria present and may lead to antibiotic resistance. most common double dosing situation involves paracetamol. You can easily double dose on paracetamol if your cold and flu remedy contains paracetamol, and you then take paracetamol separately for your headaches and muscle aches and pains.

Want to know more? Read the full-length article at

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Are you SAFE

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Disposing of unwanted medicines

Medicine safety with children

Want to know more? Read the full-length article at

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BETTER MEDICINE MANAGEMENT

It’s easy to get

right medicine, right dose, right time... If you’re on multiple medications, it can be difficult keeping track of what to take and when. Fortunately, there’s an easy way to avoid confusion and reduce the chance of error.

If you’re worried about your medicine management, there’s a simple and convenient way to lighten the load. It’s called the Medico Pak. The Medico Pak arranges all your daily medicines into pre-packed, ready-to-take doses. Each dose is clearly marked with the day and time it should be taken, which means there’s less chance of mixing your ‘breakfast’ medicines with your ‘lunchtime’ medicines.

LET YOUR PHARMACIST DO THE WORK The Medico Pak is packed by your pharmacist, which means the hassle of organising your daily doses is taken off your hands. A small charge may apply for this service. You’ll no longer have to sort through several medicine bottles to take your daily medication. With the Medico Pak, all the right pills and capsules are already sealed into handy tear-off doses.

WHO MIGHT NEED A MEDICO PAK? • People on multiple medications • People on holiday or with busy lifestyles • Nurses and caregivers who need a system they can trust • People on difficult regimes or those tapering off their medicines • Children and adolescents • Those with multiple caregivers • People with long-term chronic conditions.

Available at pharmacies

KEY BENEFITS OF THE MEDICO PAK

ife can get complicated if you’re on multiple medications that need to be taken at different times of the day. It’s easy to forget a dose or even overdose on one 28

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of your medicines. The chance of error can increase if you’re travelling, working too hard, or had your usual routine disrupted. It’s a simple fact of life – medication errors can, and do, happen.

• You can see at a glance if you’ve taken your medicine • Simple to use for people of all ages • Clear instructions, so there’s no confusion • One pack replaces bulky bottles • Discreet and portable – every dose comes in a convenient tear-off strip so you can take it wherever you go • Reduces the chance of error, overdose or underdose.

TAPS NA4103

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BETTER MEDICINE MANAGEMENT

It’s easy to get

Available at pharmacies

KEY BENEFITS OF THE MEDICO PAK

ife can get complicated if you’re on multiple medications that need to be taken at different times of the day. It’s easy to forget a dose or even overdose on one 28

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TAPS NA4103

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Pregnant?

Folic acid for every stage

You need more iodine You and your baby need a number of extra nutrients in pregnancy and one you may not be aware of is iodine.

Healthy cells depend on the continued and proper replication of our DNA, and folate (folic acid) plays an important role in that process.4 In pregnancy however, as your baby grows, the rate of folate breakdown in your body increases, and peaks in the third trimester. So you need to ensure your folate needs are met throughout your pregnancy.4

Other essential vitamins The graph shows the significant nutrient increases required in pregnancy recommended by the Ministry of Health and WHO (the pink part of the graph) with folic acid showing the greatest increase, followed by iodine. Recommended Daily Nutrient Intake

Elevit with Iodine meets Ministry of Health recommendations Elevit with Iodine pregnancy supplement delivers the essential nutrients both you and your baby will need, meeting the Ministry of Health’s recommended standards.1 Elevit contains 800mcg of folic acid and is the only pregnancy supplement clinically proven to reduce the risk of neural tube defects by 92%.3 Elevit with Iodine also contains 60mg of iron to help combat fatigue and prevent dietary iron deficiency, and 250mcg of iodine to assist with healthy brain development. It also contains zinc, vitamin C, calcium, B6, B12 and other essential nutrients – all in a once-daily tablet.

Take Elevit with Iodine daily

odine is essential for the healthy function of the thyroid. It plays a critical role in the development of your baby’s brain and nervous system during gestation and the first two years of life.1,2 In the first two trimesters, your baby is entirely dependent on maternal thyroid hormone so its not surprising that pregnant women need to maintain thyroxine production at almost double that of non-pregnant women.1,2

Elevit now contains iodine To top its long-standing benefits, Elevit pregnancy supplement now contains 250mcg of iodine, as recommended by 30

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the Ministry of Health,2 to assist with healthy brain development. Elevit with Iodine provides the extra nutrients needed in pregnancy from the start of the journey right through to the finish.1 Many women know about the importance of folic acid in early pregnancy – taking it in the first three months is essential in reducing the risk of neural tube defects, such as spina bifida.3 However, the need for additional nutrients doesn’t cease after the first trimester. The body’s demand for certain nutrients, especially folic acid, increases throughout pregnancy, up until your baby reaches maximum foetal growth.1

* Source: Ministry of Health 2006

w ne

* Iodine source: WHO 2005

To help prevent neural tube defects, Elevit with Iodine should be taken daily as soon as you start trying for a baby and for the first three months of pregnancy. Taken right throughout pregnancy it can help meet both yours and baby’s ongoing needs.

Only available from pharmacies For more information phone 0800 847 874 1. Food & Nutritional Guidelines for healthy pregnant & breastfeeding women: a background paper. Ministry of Health 2008. 2. Ministry of Health: Iodine status in New Zealand. May 2011. http://www.moh.govt.nz/moh.nsf/indexmh/nutrition-iodine 3. Czeizel Ae & Dudas I. NEJM 1992; 327: 1832-5 4. Higgins JR et al. Br J Obstet Gynaecol 2000; 107(9): 1149-54. Elevit with Iodine tablets are a Pharmacy Only medicine & contain vitamins B, C, D, E & minerals. Consult your healthcare professional to see if Elevit with Iodine is right for you. The New Zealand formulation of Elevit with Iodine is the same as that used in the Czeizel study except it contains Iodine and does not contain Vitamin A. Medicines have benefits & some may have risks. Always read the label and use only as directed. If symptoms persist or you have side effects, consult your healthcare professional. Supplementary to, and not a replacement for, a balanced diet. Registered Trademark. Bayer New Zealand Ltd, Auckland. TAPS NA5039

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Pregnant?

Folic acid for every stage

You need more iodine You and your baby need a number of extra nutrients in pregnancy and one you may not be aware of is iodine.

Take Elevit with Iodine daily

Elevit now contains iodine To top its long-standing benefits, Elevit pregnancy supplement now contains 250mcg of iodine, as recommended by 30

www.familyhealthdiary.co.nz

* Source: Ministry of Health 2006

w ne

* Iodine source: WHO 2005

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Look for a cleanser that helps restore the skin’s barrier function. And choose one that is pH balanced (around 7.0) to complement the acidic pH of the skin, which is 5.5 to 6.0. A pH higher than 7.5 could actually disrupt the ‘acid mantle’.

Follow dermatologist recommendations Not all moisturisers are the same, so choose dermatologist-recommended products, which are usually both gentle and hydrating. Cetaphil is one of the most highly researched and recommended skincare ranges with products that are hypoallergenic and fragrance-free. Cetaphil is suitable for all skin types including dry, sensitive skin and infant skin.

Cetaphil leaves out the skin irritants

Compromised skin needs a gentle approach

Cetaphil products are soap-free. Focusing on what to leave out of their products, as much as what to put in, Cetaphil has to be a good choice for peace of mind and healthy skin.

Studies show effectiveness

Follow the healthcare professionals lead

Skincare for all skin Did you know the largest bodily organ is your skin? And the skin you wear every day can become dry, compromised, scaly and flaky just from being exposed to the elements.

our skin is constantly subject to the irritating effects of heat, wind, dryness and pollution. Then there’s the added effect of chemical irritants found in detergents and many skincare products. Choosing a daily cleanser and moisturiser to restore compromised 32

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skin and maintain healthy skin, can be a mission. But it doesn’t have to be.

What to look for Start by checking ingredients – products that are fragrance-free, soap-free, non-irritating, and non-comedogenic (ie. won’t block the pores).

Cetaphil Gentle Skin Cleanser is just that – gentle. In a 21-day Cumulative Irritancy Study,* it was found to be the least irritating cleanser when compared to other leading brands. Unlike many other cleansers, Cetaphil is designed to cleanse, moisturise and restore your skin’s pH balance. It gets rid of the nasties leaving behind the goodies – your skin’s protective natural softeners. New Cetaphil Daily Advance Ultra Hydrating Lotion is designed to moisturise and restore dry, sensitive skin. With its Epidermal Replenishing Complex (ERC5) – a unique combination of five moisturising ingredients – it is clinically shown to hydrate, restore healthy skin function and protect against moisture loss, for a full 24 hours after a single application.*

Available in pharmacies, leading supermarkets and Farmers

* Data on file. TAPS NA7772

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Cetaphil leaves out the skin irritants

Compromised skin needs a gentle approach

Cetaphil products are soap-free. Focusing on what to leave out of their products, as much as what to put in, Cetaphil has to be a good choice for peace of mind and healthy skin.

Studies show effectiveness

Follow the healthcare professionals lead

Skincare for all skin Did you know the largest bodily organ is your skin? And the skin you wear every day can become dry, compromised, scaly and flaky just from being exposed to the elements.

www.familyhealthdiary.co.nz

skin and maintain healthy skin, can be a mission. But it doesn’t have to be.

What to look for Start by checking ingredients – products that are fragrance-free, soap-free, non-irritating, and non-comedogenic (ie. won’t block the pores).

Available in pharmacies, leading supermarkets and Farmers

* Data on file. TAPS NA7772

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the effects of nicotine on your body, reducing feelings of reward that keep you going back for another cigarette.

Going the distance

Week Two and beyond Your second week is when you set your quit date, which should be between days 8 to 14. Once you do quit smoking, the 1mg twice a day maintenance dose of Champix continues to help insulate you from cravings. As nicotine withdrawal typically lasts 10 weeks or more, it’s important to stay on Champix for the full 12-week course. It will help as you combat common triggers to smoke, such as friends who smoke, social events with other smokers and daily routines that are associated with smoking.

once you quit If you’re serious about quitting smoking, you may have heard about Champix. It’s a different approach to quitting, which could be the turning point for those who have struggled to quit in the past.

ive thousand Kiwis and counting have decided to quit using Champix – now fully funded for those who have tried other smoking cessation treatments without success.* Champix works on reducing cravings and withdrawal symptoms, in turn reducing your desire to smoke again. What’s more, with Champix, you don’t have to quit right away, but at the point where smoking no longer feels right (sometime during the second week of treatment).

STARTING ON Champix – Week One Champix is a 12-week course, which starts off with a starter pack before moving into a maintenance phase. In the first week you ease into the 34

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Go the distance

medication with a low-dose tablet, at which point you don’t even have to stop smoking. You’ll soon notice, however, that smoking may not feel the same or be as rewarding. That’s because Champix works by blocking

How Champix works 1. When you smoke, nicotine binds to receptors in the brain, which triggers the release of a feel-good chemical called dopamine. As nicotine levels drop after a cigarette is smoked, craving and withdrawal symptoms occur, prompting you to have another cigarette.

If you’re ready to stop smoking, ask your doctor about Champix. You may be eligible to have the entire 12-week course funded. Just remember that while Champix should help, it will take a combination of willpower, encouragement from family and friends and advice from a health professional to beat the habit for good.

2. Champix binds to the same receptors in the brain, also triggering the release of dopamine. But with Champix, a lesser amount is released over a longer period of time. That means you might experience fewer cravings and withdrawal symptoms in the absence of nicotine.

Ask your doctor about Champix

*Talk to your GP about whether you qualify for a funded course of Champix. Champix is a Prescription Medicine that helps adults over 18 years to stop smoking. Normal doctor’s & pharmacy fees apply. Do not take if you are under 18 years or are allergic to varenicline or any ingredients in Champix Tablets. Tell your doctor if you have ever had depression, other mental health problems, kidney problems, have a history of repeated fits, are pregnant, intend to become pregnant or are breastfeeding. Some people have had serious changes in behaviour, mood or thinking including self-harm or harming others. If you or your family notice changes in your behaviour or mood, stop taking Champix and see your doctor. Some people have had serious allergic reactions to Champix that can be life threatening. If you get swelling of the face, mouth, throat or a skin rash stop taking Champix and see your doctor immediately. Other possible side-effects include nausea, headache, difficulty in sleeping, abnormal dreams, dizziness, constipation, flatulence, dry mouth and changes in taste. If you have side-effects see your doctor. Always read the label and use strictly as directed. Consult your doctor to see if Champix is right for you. Contains varenicline 0.5mg & 1mg. Further information on Champix is available from www.medsafe.govt.nz or Pfizer New Zealand Ltd, Auckland, www.pfizer.co.nz. Phone 0800 736 363. TAPS NA4852

3. If you do have a cigarette while on Champix, nicotine won’t bind to receptors in the brain, and you might not experience the same feelings of satisfaction and reward as you did before.

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the effects of nicotine on your body, reducing feelings of reward that keep you going back for another cigarette.

Going the distance

STARTING ON Champix – Week One Champix is a 12-week course, which starts off with a starter pack before moving into a maintenance phase. In the first week you ease into the 34

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Go the distance

Ask your doctor about Champix

3. If you do have a cigarette while on Champix, nicotine won’t bind to receptors in the brain, and you might not experience the same feelings of satisfaction and reward as you did before.

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Itchy, flaky scalp? Three-way solution

It isn’t always easy to tell what’s causing your scalp problems. While dandruff is responsible for most itchy, flaky scalps, it could also be psoriasis or even dermatitis.

calp problems are caused by the over-production of skin cells and this happens when the delicate rhythm of skin renewal on the scalp is upset. Your scalp becomes itchy, and the excess dead skin cells flake off, usually ending up on your shoulders. It’s embarrassing wearing a dusting of white on your clothing, and most people assume the cause of their flaking scalp is dandruff. But it may not be. 36

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Is it dandruff? Dandruff, scalp dermatitis and even mild psoriasis all have similar symptoms. And this is where it gets tricky – if you’re unsure what is causing the problem, how do you know what to treat? An anti-dandruff shampoo won’t help a flaky scalp if dandruff isn’t the cause of the problem. The smartest approach is to get a diagnosis from your doctor, and use a shampoo proven to be effective on all three scalp conditions.

Neutrogena® T/Gel® Shampoo

talk to your doctor

Neutrogena® T/Gel® Shampoo is a three-way solution to scalp problems. It is proven effective in treating dandruff, psoriasis and scalp dermatitis. It works quickly to restore the scalp’s normal balance. It is the only shampoo containing Neutar® – a unique formulation designed to slow down the production of skin cells to a normal rate. The result is fewer and fewer flakes to land on your shoulders, and hair that is clean, soft and manageable.

Talk to your doctor about Neutrogena® T/Gel® Shampoo to see if it could help your scalp problems. Expert advice could help you identify the cause of the problem and provide you with the right solution.

Available at pharmacies and supermarkets

Winter makes it worse In winter, less ultraviolet light hits the scalp. UV light tends to reduce skin cell production in conditions such as psoriasis, and therefore reduces the amount of dead skin cells shed from the surface of the scalp. So less UV light in winter actually makes a flaky scalp worse.

An effective solution Neutrogena® T/Gel® Shampoo starts to work on contact, so it helps control the itching and flaking from the first use. Tests also prove the active ingredients in Neutrogena® T/Gel® Shampoo continue to work for hours after the shampoo is rinsed off.

Active ingredient: coal tar 0._% w/v. Johnson & Johnson (New Zealand) Ltd, Auckland. Medicines have benefits and some may have risks. Always read the label and use strictly as directed. If symptoms persist, contact your healthcare professional. TAPS PP9913

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Itchy, flaky scalp? Three-way solution

It isn’t always easy to tell what’s causing your scalp problems. While dandruff is responsible for most itchy, flaky scalps, it could also be psoriasis or even dermatitis.

www.familyhealthdiary.co.nz

Neutrogena® T/Gel® Shampoo

talk to your doctor

Available at pharmacies and supermarkets

www.familyhealthdiary.co.nz

Common Dietary triggers Heartburn can be triggered by: • Spicy or fatty food • Chocolate or sweets • Caffeinated or fizzy drinks • Alcohol • Eating large portions and eating before bedtime.

Get lasting relief

Heartburn & acid reflux? Be sure to treat the cause

Coping with heartburn or acid reflux twice a week or more is bad enough, without having to constantly treat it. So for frequent sufferers, there’s now great news – a prescription-free treatment that could free you from heartburn for up to three months.1

f you suffer from recurring heartburn, it might be because you’re only addressing the symptoms, not the cause. Heartburn and acid reflux occurs when acid from the stomach flows up into the food pipe (oesophagus), causing a burning pain in the chest and, in some cases, a sour acid taste in the mouth. Too much stomach acid is usually to blame, and so to tackle the problem effectively you may need to limit the amount of acid your stomach produces in the first place. 38

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Causes of heartburn The stomach uses acid to break down food for digestion, sterilise food and protect against infection. Specialised cells in your stomach lining produce this acid and pump it into the stomach. If too many of these pumps produce acid at the same time, it can result in excess stomach acid. Many things can trigger excess acid production – certain foods and drinks, having a busy lifestyle and specific medical conditions.

Watching what you eat, reducing excess weight, stopping smoking and avoiding stressful situations can all help reduce heartburn or reflux. But to stop heartburn or reflux at its source, you may need to regulate the production of stomach acid. That’s why millions of people worldwide use Losec®, shown to be

twice as effective as antacids in the relief of heartburn and reflux.2

Treat the root cause Unlike antacids that only temporarily relieve the symptoms of heartburn/ reflux, Losec regulates the amount of acid your stomach produces. Losec provides 24-hour relief from heartburn and reflux.3 And now, with the brand new addition of Losec Extra to pharmacy, longer-lasting relief might even be possible.

Losec Extra, without prescription Losec Extra (omeprazole 20mg) may provide up to three months relief when taken for two weeks.1 It’s now available from your pharmacy – without prescription – making it easier to get lasting freedom from the nagging pain of heartburn.

Ask for Losec® at your pharmacy 1. When taken for two weeks. Fendrick A et al. Clinical Gastroenterology & Hepatology. 2004; 2: 17-21. 2. Mason I, et al. The management of acid-related dyspepsia in General Practice: a comparison of omeprazole versus an antacid-alginate/ranitidine management strategy. Aliment Pharm Ther 1998; 12: 263-271. 3. Losec 10mg approved datasheet September 2009. Losec® is a registered trademark of the AstraZeneca group of companies. Each tablet contains omeprazole 10mg (Losec) or omeprazole 20mg (Losec Extra). Losec® is distributed under licence by Bayer New Zealand Limited. Losec is a Pharmacy Only Medicine used for the relief of reflux-like symptoms, heartburn or regurgitation for people aged 18 years and over. Medicines have benefits and some may have risks. Always read the label and use only as directed. If symptoms persist or you have side-effects see your pharmacist. For short-term treatment only. Bayer New Zealand Limited, Auckland. TAPS NA4715.

For more on indigestion and acid reflux visit

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Common Dietary triggers Heartburn can be triggered by: • Spicy or fatty food • Chocolate or sweets • Caffeinated or fizzy drinks • Alcohol • Eating large portions and eating before bedtime.

Get lasting relief

Heartburn & acid reflux? Be sure to treat the cause

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twice as effective as antacids in the relief of heartburn and reflux.2

For more on indigestion and acid reflux visit

www.familyhealthdiary.co.nz www.familyhealthdiary.co.nz

n i W

This amazing

Xterra crosstrainer

Valued at

$2,300

One lucky Family Health Diary reader will have this Xterra 320 elliptical crosstrainer delivered to their door!

To enter, visit www.familyhealthdiary.co.nz Competition closes 28 August 2011. For more information turn to pages 12-13.

Crosstrainer provided courtesy of Fitness Fusion www.fitnessfusion.co.nz