Pharmacy Magazine - June 2020

Pharmac

Valuable education for pharmacy staff

JUNE 2020

MAGAZINE

Allergies

over winter Monthl crosswo y rd

WIN!

Boost your immune system

5

*

Flu vaccine myths debunked

STRUGGLING TO KEEP YOUR PATIENTS ALLERGIES AWAY? CHOOSE ALLECET! Rapidly absorbed from the gut1

Peak plasma concentration is reached within one hour2

Onset of activity from 20 minutes1

S2 Allecet Syrup. Reg. No.: 37/5.7.1/0153. S2 Allecet Tablets Reg. No.: 37/5.7.1/0034.

For further prescribing information refer to the package insert as approved by the medicines regulatory authority.

References: 1. Derakhshandeh, K. & Mohebbi, M. Oral bioavailability and pharmacokinetic study of cetrizine HCl in Iranian healthy volunteers. Res. Pharm. Sci. 4, 113–121 (2009). 2. Zhang, L., et al. The clinical use of cetirizine in the treatment of allergic rhinitis. Pharmacology 92, 14–25 (2013).

CIPLA MEDPRO (PTY) LTD. Co. Reg. No. 1995/004182/07. Building 9, Parc du Cap, Mispel Street, Bellville, 7530, RSA. Website: www.cipla.co.za Customer Care: 080 222 6662.

Why take baby steps? #Balancedbelly #Infant

Support baby’s overall development with a unique three strain combination probiotic.

ProbiFlora Infant Drops take care of the entire gastrointestinal tract from oral health, small intestine to the colon.

Infant Drops Multistrain Probiotic3

Probiotic Product A Single Strain Formulation4

Drops per dose

4

5

Strains

3

1

Bifidobacterium lactis - 400 million CFU

Lactobacillus reuteri - 100 million CFU

CFU

Lactobacillus rhamnosus - 300 million CFU

Health benefits of probiotics are associated to adequate amounts1 and strain specific properties.2 In general the effective probiotic dosage seems to be in the range of 107 to 109 CFU/ mg per day.1

Lactobacillus salivarius - 300 million CFU

Cost5

R149,95

R192,95

CFU = colony-forming units

References: 1. Bertazzoni, E., Donelli, G., et al. Probiotics and clinical effects: is the number what counts? Journal of Chemotherapy 2013;25(4):193-212.

2. Fijan, S. Microorganisms with Claimed Probiotic Properties: An Overview of Recent Literature. Int. J. Environ. Res. Public Health 2014;11:4745-4767.

3. Probiflora Probiotics Infant Drops 3 strain – Regular (Drops) package insert.

4. Reference available on request.

5. Price Document, Data on File.

Probiflora Probiotic Infant Drops 3 strain-Regular drops. Each dose per 4 drops (0,167 ml) contains Bifidobacterium lactis 400 million CFU; Lactobacillus rhamnosus 300 Million CFU; Lactobacillus salivarius 300 million CFU. Health supplement. This unregistered medicine has not been evaluated by the South African Health Products Regulatory Authority for quality, safety or intended use.

Adcock Ingram Limited (Pty) Ltd. Reg. No. 1949/034385/06. Private Bag X69, Bryanston, 2021, South Africa. Tel. +27 11 635 0000 www.adcock.com 2019112510176679

Valuable education for pharmacy staff

HEALTH AND WELLNESS While men and women may be similar, we both have unique needs when it comes to skincare, grooming, and health

JUNE 2020

8

CONTENTS EDITOR’S NOTE

4

ICPA vs Clicks: important victory for community pharmacies

FRONT SHOP How long does it take for products to work?

13

19

Boost the immune system Stress, bad health habits, and poor nutrition compromise the immune system’s ability to keep cold and flu at bay Allergies over winter The bulk of allergens which have higher levels during winter are indoor allergens, including house dust mite, moulds, cockroaches, and pet dander

CUT OUT & KEEP: 5 FLU VACCINE MYTHS DEBUNKED

22

Know your products Nasal congestion occurs when nasal and adjacent tissues and blood vessels become swollen with excess fluid, causing a “stuffy” plugged feeling

*

7

17

EDUCATION

25

EDUCATION

5 common winter illnesses in children

PHARMACY LAW

31

As many of the common winter illnesses affecting children can be treated at a pharmacy, it is essential for pharmacy personnel to have basic knowledge of them

Scope of practice

CROSSWORD 33 Crossword #20 34 Crossword #19 Answers

www.medicalacademic.co.za

THE TEAM EDITOR: Nicky Belseck Email: nicky.belseck@newmedia.co.za Tel: 011 877 6155 LAYOUT AND DESIGN: Nazreen Bhyat ADVERTISING SALES EXECUTIVES: Angela Latimer Cell: 083 999 3123 Email: angela.latimer@newmedia.co.za DATABASE ADMINISTRATOR felicity.garbers@newmedia.co.za PUBLISHING TEAM GENERAL MANAGER: Dev Naidoo PUBLISHING MANAGER: Johann Gerber Email: johann.gerber@newmedia.co.za PRODUCTION MANAGER: Angela Silver PRODUCTION & TRAFFIC CONTROLLER: Sibulele Misani Email: sibulele.misani@newmedia.co.za

ART DIRECTOR: David Kyslinger Cover Price: R30.00 PRINTING Printed and bound by CTP Printers - Cape Town MANAGEMENT TEAM MANAGING DIRECTOR: Aileen Lamb COMMERCIAL DIRECTOR: Maria Tiganis BRAND STRATEGY DIRECTOR: Andrew Nunneley CHIEF FINANCIAL OFFICER: Venette Malone CEO: MEDIA24: Ishmet Davidson

Published on behalf of Media24 (Pty) Ltd by New Media Head Office: Media House, a division of Media24 (Pty) Ltd New Media House, 19 Bree Street, Cape Town PO Box 440, Green Point, Cape Town, 8051 Tel: +27 (0)21 417 1111 | Web: www.newmedia.co.za

JOHANNESBURG OFFICE: Ground floor, Media Park, 69 Kingsway Avenue, Auckland Park, 2092 Postal Address: PO Box 784698, Sandton, Johannesburg, 2146 Tel: +27 (0)11 877 6111 | Fax: +27 (0)11 713 9024

Unless previously agreed in writing Pharmacy Magazine, owns all rights to all contributions, whether image or text.

SOURCES: Shutterstock, supplied images, editorial staff.

While precautions have been taken to ensure the accuracy of its contents and information given to readers, neither the editor, publisher, or its agents can accept responsibility for damages or injury which may arise therefrom. All rights reserved. © Pharmacy Magazine. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, photocopying, electronic, mechanical or otherwise without the prior written permission of the copyright owners.

Pharmacy Magazine JUNE 2020 |

3

JUNE

2020

EDITOR’S NOTE

ICPA vs Clicks:

EVENTS Men’s Health Month

important victory for community pharmacies

National Youth Month World Blood Donor Month

W

hile COVID-19 is still dominating

the matter to the Director General of the DoH for

Western Cape High Court is a

consideration of a sanction against Clicks for

triumph for community

the contravention of the Act and Regulations,

Four years after the Independent Community

Go Turquoise for the Elderly Campaign

1 June

International Children’s Day

1-7 June

World Heart Rhythm Week

7 June

International Cancer Survivors Day

8 June

World Brain Tumour Day

14 June

World Blood Donor Day

16 June

Youth Day

18 June

Autistic Pride Day

22-28 June

SANCA Drug Awareness Week

25 June

World Vitiligo Day

26 June

International Day Against Drug Abuse and Illicit Trafficking

While the Western Cape High Court has referred

headlines, a recent ruling by the

pharmacies across SA.

15 May15 June

the Clicks Group has indicated that it will be appealing the decision.

Pharmacy Association (ICPA) first lodged a complaint with the Department of Health (DoH)

IN THIS MONTH’S ISSUE

against various subsidiaries of Clicks and its holding

With winter now firmly upon us we look at 5 Common

company, the Western Cape High Court last week

winter illnesses in children (page 25), Allergies over

ruled in favour of the ICPA.

winter (page 19), 5 Flu vaccine myths debunked

The judgment against Clicks essentially

(page 17), and Boost the immune system (page 13).

rules that groups with interests in both dispensing

In the pharmacy law feature we look at pharmacy

and manufacturing pharmacies are in contravention

scope of practice (page 31) and our front shop

of the Pharmacy Act. The Clicks Group owns

feature explores how long it takes for products to

Clicks retail pharmacies as well as Unicorn

work (page 7).

Pharmaceuticals through one of its subsidiaries. both retail and manufacturing, a pharmacy would

CROSSWORD CHALLENGE

gain financially if the product were promoted by

Congratulations to the

pharmacists in the chain’s network over other

winner of Crossword #18

products. This conflict could result in the

Karen Lonsdale. For your

consumer not receiving the best quality product

chance to win a R500

at the best available prices. Furthermore,

Woolworths voucher

products which are not strictly needed might be

don’t miss this month’s

recommended and sold, which is not in the best

crossword puzzle on

interest of the consumer.

page 33.

The judgment noted that by having an interest in

WORDS TO

LIVE BY

PM

“Being underestimated is one of the biggest competitive advantages you can have. Embrace it.”

– Author unknown

FEEDBACK Send your letters and news or events to nicky.belseck@newmedia.co.za

4

| JUNE 2020 Pharmacy Magazine

28 June - 4 July

World Allergy Week

DRY, IRRITATED & TIRED EYES?

With the NEW blink® eye care range 20501

freshness is just a blink away.

Applicant: Genop Healthcare (Pty) Ltd. PO BOX 3911, Halfway House, 1685, South Africa. Tel 0861 436 674. Co. Reg. No. 1984/011575/07. www.genop.co.za. 03/2020/PROMO/39. Marketed by Adcock Ingram Healthcare (Pty) Ltd. Reg. No. 2007/019928/07. Private Bag X69, Bryanston, 2021, South Africa. Tel +27 (00) 11 635 0000. www.adcock.com. Customer Care: 0860 ADCOCK/232625.© Johnson & Johnson Vision Care, Inc. 2020. Reg. No. G1180601630009. PP2020MLT4304.

dermatology / FRONT SHOP

HOW LONG DOES IT TAKE FOR PRODUCTS TO WORK? Patience is a virtue. We’ve heard that a thousand times, but in order to see results from a new skincare product, just how patient do we have to be?

AUTHOR: Dr Janine Ellenberger GR8SKN Skincare

{ {

Clients can help shorten their skin cycle with gentle exfoliation and vitamin A

T

o see results from most

However, improvements related to skin

products, we need to wait

texture, pigmentation, wrinkles, scarring,

roughly 3-4 skin cycles. The

acne, and sebum production all happen

length of a skin cycle varies

at the deepest, basal layer of the skin.

depending on the person: a skin cycle

Thus, improvements are usually not seen

might be about 28 days for young, healthy

until 3-4 skin cycles (4-5 months).

skin, but could be 50+ days for more mature skin. Sun exposure, pollution, and

TIPS FOR RESULTS

aging all slow down skin cycles.

• Do not give up: This goes without

Want to speed up the skin cycle?

saying, but routine and consistency are

Clients can help shorten their skin cycle

instrumental in making big changes

with gentle exfoliation (using alpha hydroxy

in skin. If clients try something for two

acids/fruit acids) and Vitamin A.

weeks and give up because they haven’t seen any changes yet, they’re not giving

THE SCIENCE BEHIND IT 3-4 skin cycles may seem arbitrary, but it’s not. When trying out a new product,

the basal skin cells enough time to show what they can do.

• Take pictures: It can be very difficult

that product starts making changes in the

to see subtle changes in skin over

deepest, basal layer of the epidermis. That

long periods of time. Taking pictures

layer slowly rises to the top layer of the

along the way can help clients see the

epidermis, one layer at a time. So, clients

improvements they seek.

S0

need to invest now to reap the benefits later.

Making improvements in skin takes time,

DIFFERENT TYPES OF RESULTS

dedication, and consistency. Just like

Those seeking skincare solutions for

exercising, one workout will not give you

conditions related to the surface of the skin

the results you’re looking for. It’s important

(like clogged pores) will see faster results,

to make fitness (and good skincare) a priority

typically around six weeks or one skin cycle.

in life for good.

PM

Pharmacy Magazine JUNE 2020 |

7

MEBET085 BETADINE SHAMPOO Medical Chronicle 56x265 2020/05/22 mm ®.indd 17:40 1

HEALTH & WELLNESS / men’s health

*

Men’s focus

While men and women may be similar, we both have unique needs when it comes to skincare, grooming, and health. In recognition of Men’s Health Month, we highlight 8 products specially engineered with men in mind.

{

Prep® Derma Protective Cream relieves the harshness of shaving and is scientifically

MALE FERTILITY Fertipil Plus for Men*

formulated to offer medicated protection for skin during shaving.

It’s no secret that exercise is good for the body, but did you know it can make skin glow too?

Fertipil Plus for Men has been

{

scientifically demonstrated to

LIP PROTECTION Labello® Active for Men www.labello.co.za

Labello® Active for Men is specially crafted to give lips long-lasting,

www.fertipil.co.za

www.aspenpharma.com

SMOOTH SHAVE Prep® Derma Protective Cream

effective moisturising care and

enhance male fertility and improve overall reproductive wellness as part of a healthy diet and lifestyle.

Advertisement supplement

protection without leaving any shine and colour on lips. Developed for men it is fragrance free.

CALM & SOOTHE Nivea Men Sensitive Cooling After Shave Lotion

comfortable cooling

SKIN DEEP Vaseline® MEN Even Tone Repairing Moisture Body Lotion

sensation. The alcohol-free

A breakthrough

formula with chamomile

in moisturising

instantly soothes and calms irritation without burning while offering

and seaweed extracts does not burn and soothes and calms the skin. For a lasting cool and calming sensation on sensitive skin.

www.vaseline.co.za

www.nivea.co.za

a long-lasting mild and

technology Vaseline® MEN Even Tone Lotion is fast absorbing, nongreasy, and helps to restore even skin tone.

HEAD FIRST Hawkins & Brimble Elemi & Ginseng Matt Clay

Old Spice® Wolfthorn

Ideal for creating texture and

to keep you dry and

movement, this versatile product can be used on both dry and damp hair.

Tsubaki Oil from the Tsubaki plant in Japan, and coconut oil to help improve hair condition without leaving it greasy.

*This unregistered supplement has not been evaluated by SAHPRA for its quality, safety, or intended use.

8

| JUNE 2020 Pharmacy Magazine

ANTIPERSPIRANT Old Spice® Wolfthorn Deodorant Stick Deodorant Stick helps www.oldspice.com

Cooling After Shave Lotion

www.hawkinsandbrimble.co.uk

Nivea Men Sensitive

odour free for up to 24 hours. Leaves you smelling great and feeling confident all day long.

men’s health / HEALTH & WELLNESS

MEN’S HEALTH

MONTH

HAIR GROOMING BaByliss for Men Nose & Ear Hair Trimmer BaByliss for Men Nose & Ear www.babyliss.com

Hair Trimmer has a tapered edge and circular cutting system to safely and quickly trim unwanted hair from the nose, ears, and other

Not only is it important to know what chemicals harm the skin & body, but it is equally important to know what ingredients nourish and feed the skin, promoting a healthy, happy barrier

hard-to-reach places.

Pharmacy Magazine JUNE 2020 |

9

AND FOR > 5 BR 0 D E

1

S AR YE

PHOLCODINE

SC

RI

BE

RA

PRE

N D 2- 5

TRU ST

DRY COUGH

H DD RY C O UG

B

Suppresses a dry cough for up to 10 hours#2 No known codeine-like side-effects at recommended doses*6,7

FROM THE iNOVA FAMILY TO YOUR FAMILY *Constipation, euphoria, addiction/habit forming6,7 Pholtex Forte References: 1. Data on file. 2. Pholtex Forte approved package insert, February 1999. 3. Pholtex Junior approved package insert, February 2004. 4. Impact Rx script data –September 2019. 5. Pholtex Plus approved package insert, July 2017. 6. Core pholcodine product information, Dec 2005 [Online]. Australian Government Department of Health, Therapeutic Goods Administration. [cited 27 September 2019]; Available from URL: https://search.tga.gov.au/s/search.html?collection=tga-websites-web&query=pholcodine. 7. Gibbon CJ (ed). South African Medicines Formulary, 5th ed. Cape Town, South African Medical Association, 2000. P 367, 464. #

Scheduling status: S2 Proprietary name (and dosage form): PHOLTEX FORTE liquid. Composition: Each 5 mL liquid contains Pholcodine 15 mg. Registration number: 32/10.1/0116. Scheduling status: S2 Proprietary name (and dosage form): PHOLTEX JUNIOR syrup. Composition: Each 5 mL liquid contains Pholcodine 5 mg. Registration number: 29/10.1/0013. Name and business address of applicant: iNova Pharmaceuticals (Pty) Ltd. Co. Reg. No. 1952/001640/07. 15e Riley Road, Bedfordview. Tel: 011 087 0000. www.inovapharma.co.za. For full prescribing information, refer to the package insert as approved by the SAHPRA (South African Health Products Regulatory Authority). Further information is available on request from iNova Pharmaceuticals. IN3497/19

supplements / EDUCATION

*

Boost the

immune

system Despite millions of Rands invested into medical research, a cure for the common cold or the flu has yet to be discovered

W

hile a wide range of medicines are available

our busy lifestyles, this isn’t always possible.

“While we know what we should be

to reduce the symptoms

doing to keep healthy, it’s not easy to

of the common cold

balance our health and the demands of

and the flu, antibiotics are useless against the bugs responsible for these illnesses.

day-to-day living.”

Dr Terblanche said prevention is better

The immune system is the body’s only

than a cure. “Ideally, to improve your

line of defence. But stress, bad health

immune system and prevent getting sick,

habits, and poor nutrition compromise

it’s important to get good nutrition by eating

the immune system’s ability to keep the

enough fruit, vegetables, and whole grains.

cold and flu at bay.

It is equally important to reduce your stress

This is according to Dr Anél Terblanche, Medical Officer at Samwumed Medical

by getting enough sleep and exercise.”

She suggests considering adding

Scheme, who said that while general

vitamin C and zinc supplementation to

healthy living is the best way to give your

boost the immune system when a balanced

immune system the upper hand, thanks to

lifestyle and diet aren’t enough.

{

Stress, bad health habits, and poor nutrition compromise the immune system’s ability to keep the cold and flu at bay

S0

{ Continued on next page...

Pharmacy Magazine JUNE 2020 |

13

METEE032 TEEJEL Pharmacy Magazine 56x265 mm_®.indd 2020/05/23 1 14:14

supplements / EDUCATION VITAMIN C A well know immune booster, this powerful antioxidant helps to maintain collagen function and heighten the body’s ability to repair wounds. Along with its immune supportive function that helps the body fight against bacteria, viruses, and other sources of infection, vitamin C also assists with iron uptake in the body. Iron is an important component of haemoglobin, the substance in red blood cells that carries oxygen from your lungs to transport it throughout your body.

Haemoglobin represents about two thirds of the body’s iron. If you don’t have enough iron, your body can’t make enough healthy oxygen-carrying red blood cells.

VITAMIN D Usually associated with building strong bones, a growing body of research suggests that vitamin D is vital for the proper functioning of the immune system. A fat-soluble vitamin, vitamin D is created when the skin is exposed to solar ultraviolet rays.

Doctors suggest we need to be exposed to approximately 15 minutes of sunlight per day to create enough vitamin D. It is important to know that supplementation of vitamin D should only be prescribed and controlled by a doctor, and only in patients who have proven low levels of Vitamin D.

ZINC Present in every tissue, organ, fluid, and secretion of the body, zinc is essential for proper immune function.

The World Health Organisation believes zinc deficiency is the leading cause of digestive tract infections among children. Critical for immune system function low zinc levels is associated with increased susceptibility to pneumonia and other infections in the elderly.

Unlike certain vitamins, zinc is not stored for long periods of time in the body. This means that we need to get a constant supply of quality zinc either in our diet or by supplements. Meat and chicken are excellent sources of zinc, as are nuts and lentils. In a Western diet, food products such as breakfast cereal are fortified with zinc and these products provide an increasingly important source of zinc.

TAKING CONTROL For most people and most colds, the usual

• A cough associated with the common cold

course and duration of illness is up to one

may be caused by nasal obstruction or

and a half weeks. People who only have

postnasal drip. To relieve these symptoms,

mild symptoms generally do not require any

it is recommended that a cough suppression

symptomatic treatment.

with dextromethorphan is used.

Those suffering various symptoms

Although zinc sulphate lozenges and syrup

associated with the common cold should

may decrease cold symptom severity and

treat them accordingly:

duration, Dr Terblanche advises against

• Analgesics may be used to relieve associated

using these because of uncertain benefits

symptoms (e.g. headache, ear pain, muscle

and known toxicities, including irreversible

and joint pains, malaise, and sneezing).

anosmia (loss of the sense of smell) for

• Symptomatic treatments for nasal

S0

S0

S0

some of these products. She adds that

symptoms that have moderate evidence

people are encouraged to take hygienic

of efficacy include combination product

measures such as handwashing, which can

containing an antihistamine and a

prevent the spread of respiratory viruses,

decongestant.

especially from younger children.

PM

Pharmacy Magazine JUNE 2020 |

15

MEBET064 BETADINE WOUND CARE Pharmacy Magazine 2020/05/23 56x26513:46 mm ®.indd 1

RELIEVES

ANY COUGH*

1-3

DRY2

WET

1-3

TICKLY CHESTY2 MUCUS 4

Contains Natural Ingredients1-3 ALCOHOL FREE**



LACTOSE FREE

GLUTEN FREE

* Children’s Cough Syrup - Cough associated with colds ** Syrups only References: 1. Pholtex Bronchostop® Cough Syrup professional information, September 2019. 2. Pholtex Bronchostop® Children’s Cough Syrup instructions for Use, February 2019. 3. Pholtex Bronchostop® Cough Pastilles professional information, September 2019. 4. Data on file.

Scheduling Status: S0 Proprietary name (and dosage form): Pholtex Bronchostop® Cough Syrup. Composition: Each 5 ml syrup contains: 39 mg Thyme herb extract and 277 mg Marshmallow root dry extract. Pharmacological Classification: Complementary Medicine: Discipline Specific Traditional Claims D33.6 Western Herbal Medicine. Scheduling Status: S0 Proprietary name (and dosage form): Pholtex Bronchostop® Cough Pastilles. Composition: Each pastille contains: 51.1 mg Thyme herb extract and 4.5 mg Marshmallow root dry extract. Pharmacological Classification: Complementary Medicine: Discipline Specific Traditional Claims D33.6 Western Herbal Medicine. Proprietary name (and dosage form): Pholtex Bronchostop® Children’s Cough Syrup. Composition: Each 5 ml syrup contains: 48 mg Marshmallow root dry extract and 250 mg Honey. These unregistered medicines have not been evaluated by the SAHPRA for its quality, safety or intended use. The claims made in this material is for medical information and educational purposes only. For full prescribing information, refer to the individual professional information or instructions for use. Further information is available on request from iNova Pharmaceuticals.

Name and business address of applicant: iNova Pharmaceuticals (Pty) Limited. Co. Reg. No. 1952/001640/07, 15e Riley Road, Bedfordview. Tel. No. 011 087 0000. www.inovapharma.co.za. IN3535/19.

5

CUT& OUTEP KE

vaccination / CUT OUT & KEEP

Flu vaccine

myths debunked

Although the flu affects so many people each year, myths and misconceptions continue to circulate

W

orldwide, flu epidemics result

misconceptions about the flu vaccination will

in 3-5 million cases of severe

help increase the number of patients receiving

illness and about 290 000-650 00

the flu shot, thereby decreasing the

respiratory deaths. Clarifying any

high morbidity and mortality rate due to flu.

MYTH: THE FLU VACCINE GIVES YOU THE FLU

MYTH: PREGNANT WOMEN SHOULD NOT GET THE FLU VACCINE

A patient cannot get the flu

Some patients think pregnant

from receiving a flu shot as the vaccine

women shouldn’t get the flu shot because

contains inactive flu viruses. It is common

they believe it could be harmful to the foetus

for some patients to experience side

thus leading to developmental issues like low

effects that are not related to the flu such

birth weight or miscarriage. The Centres for

as mild tenderness, redness, or swelling

Disease Control and Prevention recommend

in the area where they received the shot,

pregnant women should get vaccinated as it

headache, or a low-grade fever.

protects both mother and baby from the flu as expecting mothers are at a higher risk of serious complications from the flu.

MYTH: PEOPLE DON’T NEED TO GET THE FLU VACCINE EVERY YEAR

MYTH: HEALTHY

every year. A patient needs a vaccination

PEOPLE DON’T NEED TO GET THE FLU SHOT

that matches the new strain of the viruses

Anyone can get sick from the

each year. In order for a patient to protect

flu, healthy individuals included.

themselves as well as others from the flu,

A contagious condition, influenza can

they need to get the flu shot at the beginning

lead to serious complications like

of the flu season to allow the body’s

pneumonia. Even if a patient only

immune system the time it needs to build up

gets a mild case of the flu,

protective antibodies against the virus.

they can still pass it on

The viruses that can cause flu change

to more vulnerable groups such as new-born babies, adults over the

MYTH: THE FLU VACCINE

age of 65, and those

IS INEFFECTIVE

with weakened

Although getting the vaccine prevents most

immune systems.

patients from becoming ill with the flu, some patients will still become infected. This may occur because a patient becomes exposed to the virus before getting a vaccination, before the vaccination has taken effect, or because the vaccine doesn’t match the circulating virus closely enough.

The flu shot only protects against illnesses caused by the flu virus strains that match the vaccine strains. Other viral and bacterial infections cause similar symptoms and are often mistaken for flu. When there is a good match between vaccine and circulating influenza strains, the vaccine prevents infection in around three out of four healthy adults

✂

under 65 years of age (73%).

PM

Pharmacy Magazine JUNE 2020 |

17

FAST Relief

1

3

LONG Lasting

2

2

MOISTURIZING Effect

*

1

Nasal decongestant

LAUNCHING SOON <6

years

6+

years

Relief for up to

12 HOURS Your pocket-sized, nasal decongestant spray.

S1 OXYMIST Nasal Spray. Reg. No. 47/16.1/0792. S1 OXYMIST Nasal Spray. Reg. No. 47/16.1/0793.

1. Fuad, M. et al. Oxymetazoline adds to the effectiveness of fluticasone furoate in the treatment of perennial allergic rhinitis. J Allergy Clin Immunol 127, 927-934 (2011).

2. Druce, H. M. et al. Topical nasal decongestant oxymetazoline (0.05%) provides relief of nasal symptoms for 12 hours. Rhinology 56, 1â&#x20AC;&#x201C;8 (2018).

For full prescribing information, refer to the Professional Information approved by the medicines regulator authority. CIPLA MEDPRO (PTY) LTD. Reg. No. 1995/004182/07. Building 9, Parc du Cap, Mispel Street, Bellville, 7530, RSA. Website: www.cipla.co.za. Customer Care: 080 222 6662 [13262]

*

winter ailments / EDUCATION AUTHOR: Professor Claudia Gray

WORLD ALLERGY

WEEK

28 JUNE - 4 JULY

Allergies over winter As autumn comes to an end, allergies caused by grass and tree pollens are easing off, but with a new season comes a new set of prevailing allergens

Winter-related allergies can be mediated in three ways:

an increased exposure to such allergens during winter

• Exposure to those allergens which are more prolific

months is a reduction in indoor ventilation and an

during the winter months leading to typical allergic

associated increase in indoor humidity levels, and a

rhinitis or asthma.

greater amount of time spent indoors in contact with

• Worsening of allergies and asthma secondary to winter viruses.

• Worsening of symptoms because of the cold air itself.

such allergens.

Those with an allergy to pet dander can have symptoms all year round, but winter may be associated with more flare ups than usual. Reduced ventilation in

ALLERGENS WHICH ARE MORE PROLIFIC DURING THE WINTER MONTHS

the home (fewer open windows and doors), as well as

The bulk of allergens which have higher levels during

contribute.

increased time spent by pets indoors during winter, may

winter are indoor allergens, including house dust mite, moulds, cockroaches, and pet dander. The reason for

Patients with a pet dander allergy should take the following steps during winter: • Vacuum regularly using a vacuum cleaner with a HEPA filter (high efficiency particulate air filter).

*

Cold and flu viruses, which are prolific during winter, can mimic allergic symptoms and simultaneously exacerbate rhinitis and chest symptoms

• Discourage dogs from sleeping in bedrooms and on couches.

• Dogs should be groomed and washed regularly, but not inside the house.

Continued on next page...

{

Frequent use of nasal saline rinses and diligent use of allergic rhinitis and asthma control treatment can lessen the impact of viral illnesses

{ Pharmacy Magazine JUNE 2020 |

19

Cetirizine dihydrochloride 10 mg / tablet Cetirizine dihydrochloride 1 mg / mL

STRUGGLING TO KEEP YOUR PATIENTS ALLERGIES AWAY?

CHOOSE ALLECET!

Syrup: 60 mℓ / 150 mℓ

Tablets: 10’s / 30’s

From 2 years +

From 6 years +

Rapidly absorbed from the gut1

Peak plasma concentration is reached within one hour2

Onset of activity from 20 minutes1

S2 Allecet Syrup. Reg. No.: 37/5.7.1/0153. S2 Allecet Tablets Reg. No.: 37/5.7.1/0034.

For further prescribing information refer to the package insert as approved by the medicines regulatory authority.

References: 1. Derakhshandeh, K. & Mohebbi, M. Oral bioavailability and pharmacokinetic study of cetrizine HCl in Iranian healthy volunteers. Res. Pharm. Sci. 4, 113–121 (2009). 2. Zhang, L., et al. The clinical use of cetirizine in the treatment of allergic rhinitis. Pharmacology 92, 14–25 (2013).

CIPLA MEDPRO (PTY) LTD. Co. Reg. No. 1995/004182/07. Building 9, Parc du Cap, Mispel Street, Bellville, 7530, RSA. Website: www.cipla.co.za Customer Care: 080 222 6662.

winter ailments / EDUCATION

exposure levels do tend to peak over winter with

WORSENING OF ALLERGIES DUE TO WINTER VIRUSES

reduced household ventilation and increased time

Cold and flu viruses, which are

spent indoors. Fluffy blankets, down duvets, and

prolific during winter, can mimic

thick coats which have been taken out of storage

allergic symptoms and simultaneously

cupboards all trap house dust mite, increasing

exacerbate rhinitis and chest symptoms. Pre-existing

exposure even more during winter.

allergies can, in turn, also lead to prolongation

House dust mites are perennial allergens, but

of cold and flu symptoms. Frequent use of nasal During winter, those suffering from a house dust

saline rinses and diligent use of allergic rhinitis

mite allergy should take the following steps to

and asthma control treatment such as intranasal/

reduce allergen exposure:

inhaled corticosteroids can lessen the impact of

• Vacuum regularly using a vacuum cleaner with a

viral illnesses. Brief use of nasal vasoconstrictors,

HEPA filter.

• Reduce fluffy toys and blankets. Wash bedding

which exert a decongestant action on mucous membranes of the nasopharyngeal cavity can

and blankets at 60 degrees or higher, if possible.

provide relief of nasal congestion due to the common

Air thick blankets and duvets outside on a sunny

cold, sinusitis, allergic rhinitis, and hay-fever.

day. Fluffy toys and blankets can also be placed in the freezer overnight then washed at normal temperature to reduce dust mite carriage.

• Wet-mop floors instead of sweeping, especially in bedrooms.

• Consider use of house dust mite impermeable

WORSENING OF ALLERGIC SYMPTOMS BECAUSE OF THE COLD AIR ITSELF Cold-induced airway irritation or damage can cause rhinorrhoea or bronchospasm. This is worsened by rapid decreases in temperature and is particularly

mattress covers, pillow covers, and duvet

manifest during exercise in cold weather, when

encasings.

the normal compensatory nasal humidification is bypassed during exercise-induced hyperventilation.

Mould thrives in warm, damp regions and is prolific in coastal areas, both inside the house and outside

OTHER FACTORS

in the garden. Like dust mite it is a perennial allergen,

Further factors such as an increase in use of

but with reduced household ventilation during winter,

indoor fires, higher pollution production, increased

excess mould can grow in bathrooms, kitchens, and

use of air-drying indoor heaters can all worsen

cupboards during winter months.

respiratory allergies.

Some tips for reducing mould allergen levels in

CONCLUSIONS

the house during winter include:

Winter carries several risk factors for an

• Ventilate the house daily, even if the air is a little

exacerbation in respiratory allergies. Patients and

cold.

• Limit indoor plants and firewood as they can encourage mould proliferation.

• As much as possible avoid hanging wet washing inside the house.

*

healthcare providers should ensure that allergic rhinitis and asthma medication plans are up to date and being adhered to, and that indoor allergen exposure is reduced as much as possible during winter. Additional measures such as frequent use of saline sprays may be helpful in counteracting the

Cockroaches

drying effects of indoor heaters, and in reducing the

Cockroach droppings can cause allergic symptoms

impact of upper respiratory viruses.

PM

Those with an allergy to pet dander can have symptoms all year round, but winter may be associated with more flare ups than usual

and levels may increase during winter. Inhalation of cockroach droppings can worsen allergic rhinitis and asthma. Cockroach levels can be reduced by keeping food well contained and diligently cleaning up crumbs. Fixing leaky pipes and sealing cracks in the home can also help.

For information on AFSA's UCT-accredited “Understanding Allergies” online courses visit https://allergyfoundation.co.za/learning/

Pharmacy Magazine JUNE 2020 |

21

*

KNOW YOUR PRODUCTS / winter ailments

Combat congestion

Nasal congestion occurs when nasal and adjacent tissues and blood vessels become swollen with excess fluid, causing a â&#x20AC;&#x153;stuffyâ&#x20AC;? plugged feeling. Minor illnesses, for instance, a cold, the flu, and sinus infections, are the most common causes of nasal congestion.

Fortunately, illness-related congestion usually improves within a week

22

| JUNE 2020 Pharmacy Magazine

Nasal congestion rarely causes major health problems and is most often caused by the common cold or a sinus infection. Symptoms usually improve right away with proper treatment

winter ailments / KNOW YOUR PRODUCTS Nasal congestion can be more threatening in infants than in older children and adults.

Symptoms can interfere with infant feedings and can even lead to fatal breathing problems SCHEDULE 2 PRODUCT:

Coryx Paediatric Syrup**

S2 SCHEDULE 2 PRODUCT:

Opadry Yellow, Sodium

Ibumax Cold and Flu**

Lauryl Sulphate.

Contains lactose.

INDICATION:

INDICATION: Coryx Paediatric Syrup is indicated for the relief of

S2

symptoms associated with colds and influenza, such as nasal congestion.

INGREDIENTS:

Ibumax Cold and Flu tablets are

DOSAGE:

indicated for the relief of cold

ADULTS & CHILDREN

and flu symptoms, including

OVER 12 YEARS:

nasal congestion, headache,

Always take the lowest

fever, and sore throat.

possible dose for the shortest possible duration of treatment.

Each 5ml contains: Triprolidine Hydrochloride 1.25mg, Pseudoephedrine

½ medicine measure (2.5ml)

Hydrochloride 25mg,

3 times a day.

Vitamin C 75mg.

CHILDREN 6 MONTHS -

Preservatives: Sodium

2 YEARS*: Not recommended.

INGREDIENTS:

Take 1-2 tablets every

Each film-coated tablet

4-6 hours. Do not take more

contains: 200mg Ibuprofen

than 6 tablets in any 24-hour

and 30mg Pseudoephedrine

period. Always take Ibumax

DOSAGE:

Hydrochloride.

Cold and Flu with food or milk.

ADULTS & CHILDREN OVER

Inactive ingredients: Colloidal

Advise patients to consult their

12 YEARS: 2 medicine

Silicon Dioxide, Croscarmellose

doctor if symptoms persist

measures (10ml) 3 times a day.

Sodium, Lactose Monohydrate,

beyond 3 days.

CHILDREN 6-12 YEARS:

Magnesium Stearate, Microcrystalline Cellulose,

www.cipla.co.za 080 222 6662 Advertisement supplement

Benzoate 0.2% m/v, Potassium Sorbate 0.2% m/v.

*A doctor’s advice should be obtained before administering CORYX PAEDIATRICSYRUP to children aged less than 2 years.

Do not exceed the stated dose and if symptoms persist consult a doctor.

1 medicine measure (5ml)

www.cipla.co.za

3 times a day.

080 222 6662

CHILDREN 2-5 YEARS:

Advertisement supplement

If congestion lasts longer than a week, it’s often a symptom of an underlying health issue such as allergies, hay fever, nasal polyps, or chronic sinusitis SCHEDULE 0 PRODUCT:

Other ingredients:

Sinulex Forte Capsules***

Microcrystalline Cellulose, Magnesium Stearate, Pirosil.

S0

INDICATION: Sinulex’s comprehensive formula

DOSAGE:

supports the body’s ability to

ACUTE DOSAGE

naturally deal with allergens,

ADULTS AND CHILDREN

colds, flu, and sinusitis for healthier

ABOVE 12:

airways and a clear head. The

Take 1 capsules 3 times daily

active ingredients may help to

CHILDREN 6 - 12 YEARS:

reduce inflammation and fight the

Take 1 capsule 2 times daily

pathogens that can cause respiratory

It is recommended to take

infections and congestion.

this dosage for at least 5 consecutive days.

INGREDIENTS:

CHRONIC DOSAGE

Each capsule contains:

ADULTS AND CHILDREN

Pelargonium Sidoides

ABOVE 12 YEARS:

Extract PE60 100mg,

Take 1 capsule 2 times daily.

Horseradish Extract 200mg,

CHILDREN 6 - 12 YEARS:

www.tarapharmaceuticals.com

L-Ascorbic Acid (Vitamin C) 300mg.

Take 1 capsule daily. Or as

086 111 8272

prescribed by your healthcare professional.

Advertisement supplement

**For full prescribing information refer to the package insert approved by the medicine’s regulatory authority. ***This unregistered medicine has not been evaluated by SAHPRA for its quality, safety, or intended use.

Pharmacy PharmacyMagazine Magazine JUNE MAY 2020 |

23

THROAT

&

MOUTH

n oz

je

t

3-IN-1 SORE THROAT & MOUTH SOLUTION.

zle

MEET NIXIE

Learn more about Cold & Flu symptoms

SCAN HERE

S1 Proprietary name and dosage form: Oranix Oral Rinse/Spray Composition: Each 15 ml contains: Benzydamine HCI 22.5 mg, Chlorhexidine gluconate 18 mg, Alcohol 9 % v/v. Pharmacological classification: A. 16.4 Nasopharyngeal and bucco-pharyngeal antiseptics. Indications: For the relief of minor infections and painful inflammatory conditions of the mouth and throat.

Registration number: 34/16.4/0391. For full prescribing information refer to the Professional Information approved by the medicines regulatory authority. iNova Pharmaceuticals (Pty) Ltd 15E Riley Road, Bedfordview 2007.

Marketed by: CIPLA MEDPRO (PTY) LTD. Website: www.cipla.co.za Customer Care: 080 222 6662. [512762005a]

www.ciplaallergy.co.za

5 A

winter ailments / EDUCATION

Common winter illnesses in children

With the arrival of colder weather, you’ll increasingly be facing complaints of common winter illnesses from parents and guardians

s many of the common winter illnesses affecting children can be treated at a

THE COMMON COLD

pharmacy, it is useful for pharmacy

A viral infection, the common cold

personnel to have basic knowledge of them.

is the leading cause for children to visit the doctor and stay home from school. Although rhinoviruses are primarily responsible, there are over 200 cold causing viruses. Young children are more susceptible to contracting a cold, with some experiencing as many as 8-10 each year.

Colds tend to be more common during autumn and winter when children are indoors and closer to each other.

Cold viruses are found in the nose

RESPIRATORY SYNCYTIAL VIRUS Respiratory syncytial virus (RSV) is a common viral infection that affects the linings of the airways which includes the nose, throat, windpipe, bronchi, and bronchioles.

The most common cause of respiratory infections in infants and children under 2 years of age, almost all children have had a RSV infection by the time they are 2-3 years old.

Highly contagious, RSV spreads through direct

Other symptoms include:

and throat. Because children touch

• Sneezing

their noses, eyes, and mouths so often

• Low-grade fever

and then touch each other while

• Loss of appetite

playing, cold germs spread easily.

• Sore throat, and possibly difficulty

Parents, siblings, and caregivers can get viruses on their hands and then

swallowing • Cough

spread them between children by touch. Cold viruses may also be spread

There is no cure for the common cold and

through the air when a child with a cold

because it is caused by a virus, antibiotics

coughs or sneezes.

will have no effect in treating it. The

A child suffering from a cold will

most parents can do is ensure their child

have a runny nose with clear mucus,

is comfortable, gets plenty of rest, and

and then later thicker, coloured mucus.

drinks a lot of fluids.

contact with the nose and mouth secretions.

The virus can live on surfaces, toys, hands, etc.

NOROVIRUS

and infected children spread the virus before

Norovirus is probably the most common

symptoms appear. Droplets from a cough or sneeze

virus that few people have ever heard of.

may also spread the infection. RSV infections

Also known as the winter vomiting bug,

occur throughout the year, but there are typically

norovirus is part of a group of common

widespread outbreaks during the winter months.

viruses that cause gastroenteritis.

Symptoms of RSV are like the common cold.

Highly contagious, noroviruses can

Most children will have mild cold symptoms like

spread quickly in places where children

a clear runny nose, fever, and cough. Some

are in close contact like schools and

children may get an ear infection and a mild

day care centres. A patient can catch

fever. More serious symptoms include wheezing

a norovirus by touching a surface or

and difficulty breathing.

object that has been contaminated and

There is no effective treatment or vaccine for

then putting their hand in their mouth.

RSV infection. Cold like symptoms in infant

Consuming contaminated foods or

low-grade fever, body aches, and

patients should be treated with a gentle

beverages, and sharing cups and utensils

fatigue. Patients usually get sick

suctioning of the nose. Hot-air vaporisers should

are how the virus is spread.

12-48 hours after being exposed to the

be avoided because they carry the risk of

Symptoms of norovirus are much

virus. Treatment of norovirus primarily

scald burns, and cool- mist vaporisers may get

like other causes of gastroenteritis,

involves giving the body time to fight the

contaminated with moulds.

including vomiting and watery diarrhoea

virus on its own, drinking enough liquids,

that cause dehydration. Other symptoms

and getting plenty of rest.

Its important children get plenty of rest and drink enough liquids to avoid dehydration.

include nausea, stomach cramps,

Continued on next page...

Pharmacy Magazine JUNE 2020 |

25

CORI’S SUPER POWERS

Recommend SA’s NO. 1 Paediatric

COLD & FLU reliever1

Relieves cold & flu symtoms Unblocks noses Helps fight allergies Supports the immune system

RECOMMEND THE POWERFUL RELIEF OF CORYX PAEDIATRIC SYRUP FOR THE SYMPTOMS OF COLD & FLU. AVAILABLE WITHOUT A PRESCRIPTION.

Learn more about Cold & Flu symptoms

SCAN HERE

S2 Reg. No. 31/5.8/0056. NS1 Reg. No. 04/17.5.8/1652 (Namibia). Coryx paediatric syrup. Each 5 mℓ contains: triprolidine hydrochloride 1,25 mg, pseudoepherine hydrochloride 25 mg, vitamin c 75 mg. For full prescribing information, refer to the Professional Information approved by the medicines regulatory authority. Reference: 1. As per IMS data published April 2020. CIPLA MEDPRO (PTY) LTD Reg. No. 1995/004182/07. Building 9, Parc du Cap, Mispel Street, Bellville, 7530, RSA. Website: www.cipla.co.za Customer Care: 080 222 6662 [512762005c]

www.ciplaallergy.co.za

winter ailments / EDUCATION

STREP THROAT A common childhood illness, strep throat is caused by the bacteria streptococcus.

Rare in children younger than 2 years, it is more common in 4-8-year-olds. The most common cause of strep throat is Group A streptococcus (GAS). Also known as streptococcal pharyngitis, strep throat is usually spread through direct person-to-person transmission. Typically, transmission occurs through saliva or nasal secretions from an infected patient.

Patients with a strep throat are more

• Swollen tender glands in the neck

likely to transmit the bacteria. Although

• Headache, irritability, or fussiness

rare, spread of GAS infections may also

• Poor appetite

occur via food.

• Pain in the abdomen • A red rash on the body that feels like

A child with strep throat may have

sandpaper. It may appear 12-48 hours

these symptoms:

after the first symptoms. This is known

• Sore throat

as scarlet fever.

• Bright red swollen tonsils, sometimes with patches or streaks of pus • “Strawberry” look to the tongue or tiny red spots on the back roof of the mouth • Fever

{

Strep throat is usually treated with antibiotics, along with lots of rest and plenty fluids, the patients should be back to regular activities within a few days.

Most children recover from the flu within a week, but they may still feel very tired for as long as 3-4 weeks

{

FLU Influenza (flu) is a highly contagious viral infection that affects the air passages of the lungs. It is one of the most severe and common viral winter illnesses. Because the flu is caused by different flu viruses each season, patients are exposed to new types of viruses every year.

The flu is a respiratory disease but the whole body seems to suffer when the patient is a child.

According to the University of Rochester Medical Centre, symptoms include:

vomiting, and diarrhoea.

Because antibiotics aren’t effective

• High fever

against viral infections, treatment should

• Body aches, which may be severe

be focused on easing the patient’s

• Headaches

symptoms until the illness passes. Along

• Sore throat

with getting lots of bed rest and drinking

• Fatigue

plenty fluids, you may recommend the

• Runny or congested nose

patient receives a flu shot.

• Cough that gets worse

S0

Most children recover from the flu within a week. But they may still feel very tired for

And in some instances, nausea,

as long as 3-4 weeks.

PM

Pharmacy Magazine JUNE 2020 |

27

MEBET070 BETADINE MOUTHWASH & GARGLE Pharmacy 2020/05/23 Magazine 13:3156x265 mm

SA's history / PHARMACY LAW

Scope of practice

A

scope of practice outlines the functions, activities, and responsibilities for which

Pharmacy Magazine will be featuring a series of extracts from Pharmacy Law in South Africa (A Practitioner’s Handbook) over the coming months.

pharmacy personnel have been educated and are authorised to perform. It is

important that all registered persons should perform only those functions defined within their scope of practice. Working outside the appropriate scope of practice could present a risk to patients.

The acts specially pertaining to the profession of a pharmacist include activities for which only pharmacists are fully trained.31 They form the basis of the pharmacist’s scope of practice. Aspects of these acts may be delegated to pharmacist interns, pharmacy

Intended to be used by both pharmacy students and pharmacists in all areas of practice,

students, and pharmacy support personnel, but full responsibility cannot be delegated and ultimately, the pharmacist must take responsibility for work performed by subordinate pharmacy personnel. of practice, which is based on those functions and

ACTS SPECIALLY PERTAINING TO THE PROFESSION OF A PHARMACIST

activities that may be performed by that category of

The following are the prescribed acts specially

person. It is important for the pharmacist to know the

pertaining to the profession of a pharmacist:

scopes of practice of all registered pharmacy personnel.

• providing pharmaceutical care by taking

Each category of registered person has its own scope

Pharmacy Law in

32

Although each person can be held responsible for his

responsibility for the patient’s medicine-related

own actions, the pharmacist is ultimately responsible

needs and being accountable for meeting these

for ensuring that each person works only within his

needs, which shall include but not be limited to the

scope of practice.

following functions: evaluating a patient’s medicine-related needs

Pharmacist interns are permitted to perform the

o

by determining the indication, safety, and

scope of practice of a pharmacist, but it must be under

effectiveness of the therapy;

the supervision of their registered tutor. They may not

dispensing of any medicine or scheduled substance

work independently until they have completed the

o

on the prescription of a person authorised to

requirements for a pharmacist intern and have been

prescribe medicine;

registered as a pharmacist. Similarly, for purposes

furnishing of information and advice to any person

of training only, pharmacy students are permitted to

o

with regard to the use of medicine;

perform the scope of practice of a pharmacist, but

determining patient compliance with the therapy

under supervision of a pharmacist. If, while they are

o

and following up to ensure that the patient’s

still students, they work in a pharmacy in their spare

medicine-related needs are being met; and

time, they may work withing the scope of practice of a

providing pharmacist-initiated therapy;

pharmacist’s assistant basic or post-basic, depending on their year of study.

o

• the compounding, manipulation, preparation, or packaging of any medicine or scheduled substance,

Learner pharmacist’s assistants, basic, and post-

or the supervision thereof;

basic, may work according to the scope of practice of each category. They may not be supervised by

• the manufacturing of any medicine or scheduled substance or the supervision thereof;

a pharmacist’s assistant but must work under the supervision of a pharmacist.

• the purchasing, acquiring, importing, keeping, possessing, using, releasing, storage, packaging,

Working outside the appropriate scope of practice could present a risk to patients

repackaging, supplying, or selling of any medicine or scheduled substance or the supervision thereof; and • the application for the registration of a medicine in accordance with the Medicines Act.

PM

South Africa (A Practitioner’s Handbook), was borne of deep frustration and long experience.

The authors have seen how access to the text of the various Acts, regulations, rules, and guidelines that govern professional practice is insufficient. Written by Andrew Gray (BPharm MSc (Pharm) FPS FFIP), Lorraine Osman (DipPharm FPS), and Yousuf Vawda (BA BProc LLM LLD), the handbook meets a need in the pharmacological field for a title that educates on the legal and ethical requirements of pharmacist.

Pharmacy Law in South Africa (A Practitioner’s Handbook) is available in print format, eBook format, and online format. To purchase, or for more information visit LexisNexis online bookstore www.lexisnexis.co.za

31 Regulations relating to the practice of pharmacy. GNR. 1158 of 2000.

32 As described in reg 3 of the Regulations relating to the practice of pharmacy. GNR. 1158 of 2000.

Pharmacy Magazine JUNE 2020 |

31

CROSSWORD #20 1 3

2 5

4 6

5 10

6

7 3

8 2

7 11

9 8

10 1

11 9

12

13 13

WIN:

14

14

R500

15

15

{

1

WOOL WORT HS VOUC HER

12 4

TO ENTER Use the letters in the highlighted blocks to find the final answer for this month’s crossword puzzle.

Email the answer with your name, surname, and cellphone number to PharmacyMagazine@newmedia.co.za. Competition closes 20 July 2020.

Winners will be contacted directly. Visit www.medicalacademic.co.za for full terms and conditions.

2

3

4

5

6

7

8

9

10

11

12

13

{ 14

15

ACROSS

15. Stress, bad health habits, and poor nutrition _ _ _ _ _ _ _ the

2. Although each person can be held responsible for his own

immune system’s ability to keep cold and flu at bay. (PAGE 13-15)

actions, the _ _ _ _ _ _ _ is ultimately responsible for ensuring that each person works only within his scope of practice. (PAGE 31)

DOWN

5. Ibumax Cold and Flu tablets are indicated for the relief of cold

1. Prep Derma Protective Cream relieves the _ _ _ _ _ _ _ _ of shaving.

and flu symptoms, including nasal congestion, _ _ _ _ _ _ _ , fever,

(PAGE 8-9)

and sore throat. (PAGE 22-23)

3. Consider adding vitamin C and zinc _ _ _ _ _ _ _ _ to boost the

9. House dust mites are _ _ _ _ _ _ _ allergens, but exposure levels

immune system when a balanced lifestyle and diet aren’t

tend to peak over winter with reduced household ventilation

enough. (PAGE 13-15)

and increased time spent indoors. (PAGE 19-21)

4. _ _ _ _ _ _ Forte provides relief for persistent dry cough. (PAGE 12)

10. A contagious condition, influenza can lead to serious

6. A patient cannot get the flu from receiving a flu shot as the

complications like _ _ _ _ _ _ _. _ (PAGE 17)

vaccine contains _ _ _ _ _ _ _ flu viruses. (PAGE 17)

11. Clients can shorten their skin cycle with gentle _ _ _ _ _ _ _

7. Broncho Stop Cough Syrup is alcohol, gluten, and _ _ _ _ _ _ _ free.

and Vitamin A. (PAGE 7)

(PAGE 16)

13. Symptoms of norovirus are much like other causes

8. Although _ _ _ _ _ _ _ are primarily responsible, there are over 200

of _ _ _ _ _ _ _. _ (PAGE 25-27)

cold causing viruses. (PAGE 25-27)

14. Nasal congestion can be more _ _ _ _ _ _ _ in infants than in older

12. Nomopain is indicated for specific relief from pain associated

children and adults. (PAGE 22-23)

with _ _ _ _ _ _ _. _ (PAGE 32)

Pharmacy Magazine JUNE 2020 |

33

ANSWERS: CROSSWORD #19

CROSSWORD CROS SWOR WINN D #18 ER

Congra 1 2

P

T E4 N S

I

3

O N

4

A E R O B

O I

D

S

I

P

2

H A N D W A8 S H S 10

I 11

D

I

F

S C10 S

U

14

P H A R M3 A C

6

M I 11

I R

R

N

A

A

F

8

N G

I

O

9

A N X

P H Y S

I

I

13

N12

E15

O

G

C

R

E

T

T

I

S T

Y

S

T

I

A

V7

T14

E

O6 L O G

I

C A L

ANSWER:

T

2

3

4

I M E

5

6

T O

*

MAGAZINE

Sign up for our monthly newsletter to receive a digital copy of the latest issue of Pharmacy Magazine every month Visit www.medicalacademic.co.za to sign up or email the editor Nicky.Belseck@newmedia.co.za for more information.

| JUNE 2020 Pharmacy Magazine

L

L

Y

E

N

1

E T1 Y

I

I 15

I

12

D G N A13 T U R A

T5

DON’T MISS YOUR PERSONAL COPY OF Pharmac

34

C9

s

E 5

R 7

I

tulation

KARE N LONS DALE

7

8

9

10

11

12

13

14

15

V A C C I N A T E

MEDICAL academic

• INDUSTRY NEWS • HEALTH EDUCATION • SYMPTOMS, DIAGNOSIS, & TREATMENT • PRODUCT FEATURES • CPD ARTICLES

ONE OF SOUTH AFRICA’S LARGEST MEDICAL WHOLESALERS & DISTRIBUTORS

WIDE RANGE OF PPE PRODUCTS AVAILABLE AT TRANSPHARM - HOW TO BUY We offer speedy deliveries that range from twice-daily routes in the metro areas of Johannesburg, Pretoria and Cape Town to next-day deliveries in outlying areas.

• WIDER RANGE • BETTER PRICES • NO MINIMUM ORDER

- WE OFFER • Prescription &

Open a COD or 30 day account now & start placing your orders today.

Over the Counter Medication • Surgical Equipment & Consumables

• Frontshop Products • Veterinary Items • and much more!

Visit our website or contact our call centre for more information.

www.transpharm.co.za

CONTACT US TODAY TO START SAVING! ONLINE PAYMENT

- SERVICING • Pharmacies • Hospitals • Doctors • Veterinarians • Dentist • Homeopaths • Allied Healthcare Professionals

GAUTENG:

Tel: 012 377 9000 Email: clientservice@transpharm.co.za Email: orders@transpharm.co.za

WESTERN CAPE:

Tel: 021 929 2120 Email: infowc@transpharm.co.za

YOU CAN NOW PAY YOUR ACCOUNT ONLINE VIA CARD OR EFT WHEN PLACING ORDERS