2013年11月11日星期一
France Pas Cher Christian Louboutin Pumps Soldes advised to take chloroquine
Chemists to revise drug sale rules Boots the chemist is revising its procedures
on the sale of antimalarial drugs after an investigation by the daily telegraph
revealed widespread confusion about how to counter the disease and repeated
cases of incorrect advice from pharmacists and gps. The royal pharmaceutical
society also plans to provide its members with more uptodate information. Two
weeks ago on this page, dr richard dawood, a specialist in travel medicine,
argued that chloroquine and paludrine, the only combination of antimalarials
that can be sold without prescription, was being provided too freely and often
inappropriately. The daily telegraph has since been contacted by several
holidaymakers who have been sold the wrong antimalarial drugs for the areas in
which they were travelling and by others complaining of serious and unexpected
sideeffects.The paper has also conducted its own research into the wide
discrepancies in the advice given by doctors, pharmacists and travel
specialists. One sufferer, claire orchard, from devon, travelled to sri lanka
for two weeks in march last year.She was sold chloroquine and paludrine over the
counter at her local chemist and during her holiday suffered from panic
attacks.She said: "I went from being a confident and active person to one who
was terrified and constantly crying.At times i felt suicidal. "She had no
history of depression. Anne trew and her husband were prescribed chloroquine and
paludrine for their trip to sri lanka by their gp in surrey.Before their trip
they both suffered severe stomach cramps, diarrhoea and nausea. She said: "Our
symptoms were so bad that i telephoned our gp to ask if there was any
alternative medication.We were told there was nothing else available for the
area we were visiting.His suggestion was that we stop the chloroquine.As my
husband was bitten during the trip, we were obviously concerned by this advice.
" Helen savage, from leeds, complained of feeling dizzy and having blurred
vision, headaches and nausea when she was France Pas Cher
Christian Louboutin Pumps Soldes advised to take chloroquine and paludrine
by the practice nurse at her gp surgery for a trip to borneo. Tessa cobley, from
blackwood, gwent, was advised by a pharmacist in a cardiff branch of boots to
take chloroquine and paludrine when she went to kenya last year.The world health
organisation advises that lariam is now the only effective antimalarial in
kenya. "The pharmacist recommended chloroquine and paludrine without asking
where i was going,"Said mrs cobley.She fell ill in kenya and, once home, was
diagnosed as having serious kidney damage. "It took me three months to get
better,"She said. Kate hawker, from somerset, was working as a volunteer with a
charity in tanzania when her christian
louboutin soldes mother decided to join her for a holiday. When her mother
inquired about antimalarial drugs at her local pharmacy, she was advised that
she"Did not need to take any".She opted for a private prescription to obtain
lariam. Neil hill, link from hampshire,
was also recommended chloroquine and paludrine by his local independent chemist
for his trip to kenya and mauritius last year.He has a history of psoriasis, but
was not asked about this at the time he was given the drugs(Psoriasis sufferers
are advised, in the leaflet supplied with the drug, against taking it). During
his trip, mr hill's condition returned in an"Acute"Form. "Most of the skin fell
off my hands and feet.I cut short my holiday and my skin specialist sent me to
hospital. " A spokeswoman for boots said that, in light of the issues raised by
the daily telegraph, it"Would be writing to all pharmacists reminding them of
the correct procedures to follow and the recent changes to recommendations for
the prevention of malaria". The royal pharmaceutical society acknowledged
information needed to be updated on a more regular basis and said steps were
being taken to ensure this happened. A spokeswoman for astrazeneca, one of the
manufacturers of chloroquine and proguanil(The combined form of chloroquine and
paludrine), said that it was"Up to individuals to discuss their specific
situation with a healthcare adviser". But the adviser should always ask
questions about such things as the destination. "We take our responsibilities
very seriously in relation to malaria,"She added.
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