inTervieW - Green Cross Publishing
inTervieW - Green Cross Publishing
inTervieW - Green Cross Publishing
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issue 10 volume 12 • novemBeR 2010<br />
Prolia: unique new treatment for<br />
post-menopausal osteoporosis now<br />
reimbursed in Ireland<br />
Amgen Ireland and GlaxoSmithKline (Ireland) ltd (GSK) recently announced<br />
that denosumab has become available in Ireland to treat osteoporosis in postmenopausal<br />
women at increased risk of fracture and will be reimbursed under the<br />
General Medical Services and Drugs Payment Schemes.<br />
In Ireland, more than 300,000 people have osteoporosis. Despite the availability<br />
of treatment options, many of these women experience fractures due to poor<br />
compliance with therapy. With proven efficacy and a six-monthly injection, denosumab<br />
offers women with osteoporosis a new alternative to current treatments.<br />
Denosumab works in a different way from other osteoporosis treatments. It<br />
is the first and only approved therapy that specifically targets RAnK ligand, an<br />
essential regulator of osteoclasts (the cells that break down bone). Denosumab<br />
helps stop the process that causes bone loss throughout the skeleton, resulting in<br />
greater bone density, stronger bones, and reduced risk for fractures at the spine,<br />
hip and other non-vertebral sites.<br />
The reimbursement for denosumab follows a review of the therapy’s cost-effectiveness<br />
by the national Centre for Pharmacoeconomics (nCPE) for the prevention<br />
of osteoporotic fractures in postmenopausal women and will be available on both<br />
the GMS and DPS schemes as of October 1st.<br />
Discussing denosumab, specialist in bone health at St James’s Hospital, Professor<br />
Bernard Walsh said: “It is good to have another proven therapeutic arm available<br />
to us in the treatment of osteoporosis. The clinical study results are impressive and<br />
confirm the efficacy of the use of a monoclonal antibody treatment in this disease.”<br />
Dr Gillian Darling, GP Specialist in Women’s Health in leopardstown and the<br />
Dublin Well Woman Centres commented: “As most osteoporosis patients are treated<br />
in primary care it is an advantage to have a treatment that can be administered in the<br />
GP surgery as well as the hospital clinic setting.<br />
“Recent studies would seem to point to a strong efficacy and good tolerability profile<br />
of denosumab in the treatment of osteoporosis in post-menopausal women.”<br />
Denosumab, which is being co-marketed in Ireland by Amgen and GSK, marks<br />
an innovative approach to the treatment of post menopausal osteoporosis. Statistics<br />
show that 90 per cent of hip fractures in senior citizens are due to osteoporosis<br />
and that one in five patients suffering hip fracture die within four months and 30<br />
per cent within a year.<br />
For more information on denosumab’s reimbursement, please visit www.ncpe.ie<br />
ClonMedica now distributing Hedrin<br />
and Virasoothe<br />
Thornton & Ross ltd (T&R) are pleased to announce the appointment<br />
of ClonMedica, the OTC Division of Clonmel Healthcare Company ltd<br />
as its distributor in the Republic of Ireland for the Hedrin range of head<br />
lice treatments and Care Virasoothe Chicken Pox Relief Cooling Gel. The<br />
change is effective from 1st november after which all orders should be<br />
sent to Clonmel Healthcare. T&R would like to thank Allphar Services ltd<br />
for establishing these products in Ireland. Allphar will remain as T&R’s<br />
distributor for the rest of its pharmacy range including the market leading<br />
Galfer and Cerumol brands.<br />
Commenting on the change Rob Purkis, European Market Development<br />
Manager for T&R, says that the move reflects the synergy of Hedrin and<br />
Virasoothe with ClonMedica’s successful children’s product range and<br />
the Company’s contacts with a range of healthcare professionals. A<br />
similar approach in the UK has made Hedrin the market leading head lice<br />
treatment1 and is establishing the more recently launched Virasoothe which<br />
is clinically proven to relieve the symptoms of chicken pox. T&R is keen to<br />
communicate the clinically proven benefits of these products to a wider<br />
group of healthcare professionals than has been possible before and this has<br />
been a key factor in the appointment of ClonMedica.<br />
Martin Gallagher, Marketing and Sales Director of Clonmel Healthcare<br />
ltd, commenting on the appointment, expressed his enthusiasm for this<br />
new venture and is confident that this addition to the Company’s range of<br />
children’s product will result in greater understanding of the benefits of<br />
Hedrin and Virasoothe amongst healthcare professionals.<br />
pRoducT news<br />
Multaq – first-line option<br />
in new 2010 ESC Guidelines for the<br />
Management of Atrial Fibrillation<br />
Sanofi aventis announced recently that the European Society of Cardiology<br />
(ESC) 2010 new Guidelines for the Management of Atrial Fibrillation (AF)<br />
have been released and recommend that Multaq (dronedarone) should be<br />
used for maintenance of sinus rhythm as a first-line treatment option in all<br />
patients with paroxysmal and persistent AF (class of recommendation I, level<br />
of evidence A) other than those with CHF nyHA class III/IV or unstable CHF<br />
nyHA class II (class of recommendation III, level of evidence B).<br />
Multaq was granted a Class I recommendation, a designation assigned<br />
in the guidelines when “there is evidence and/or general agreement that a<br />
given procedure/therapy is beneficial, useful, and effective.” The Task Force<br />
for the Management of Atrial Fibrillation of the ESC recognised the extensive<br />
clinical development of Multaq, giving it their highest ranking A for level of<br />
evidence. Moreover, the guidelines recommend that Multaq may also be<br />
used to achieve rate control in non-permanent AF except for patients with<br />
nyHA class III – IV or unstable heart failure (class of recommendation IIa,<br />
level of evidence B).<br />
Importantly the new guidelines include, for the first time, a statement<br />
on the importance of reducing hospitalisation as a key therapeutic goal in<br />
the management of AF. They also state that Multaq should be considered<br />
in order to reduce cardiovascular hospitalisation in patients with nonpermanent<br />
AF and cardiovascular risk factors (Class of recommendation IIa,<br />
level of evidence B) as well as in patients with AF and stable heart failure<br />
(nyHA Class I, II) (Class of recommendation IIa, level of evidence C). 1<br />
The guidelines do not recommend use of Multaq in patients with nyHA<br />
class III and IV or with recently unstable (decompensation within the prior<br />
month) nyHA class II heart failure.<br />
“Sanofi-aventis is pleased with this first-line recommendation for Multaq<br />
in the AF guidelines which recognises the extensive clinical development for<br />
the product as well as the innovative outcome of reducing cardiovascular<br />
hospitalisation as demonstrated in the ATHEnA trial,” said Marc Cluzel,<br />
Executive Vice President, Research and Development, sanofi-aventis.<br />
Xamiol 60g Gel discontinued<br />
lEO Pharma has announced that Xamiol Gel 60g will be discontinued<br />
from november 2010. Please note that Dovobet Gel 60g will continue<br />
to be available. Dovobet Gel 60g contains the identical product form,<br />
active ingredients and strength as Xamiol (calcipotriol/bethamethasone<br />
dipropionate). Dovobet Gel is indicated for both scalp and mild to moderate<br />
body plaque psoriasis. The price is also identical.<br />
This discontinuation is not due to any safety or quality issues with Xamiol<br />
Gel, therefore pharmacists and patients may continue to dispense or use<br />
Xamiol Gel that they currently have.<br />
If you require any further information, please contact the Marketing<br />
Department at 01 4908924 or email paul.kirwan@lEO-Pharma.com<br />
independent.ie<br />
37