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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