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Influenza (continued) TREATMENT OPTIONS Category Examples Comments Analgesic/antipyretics Cough suppressants (antitussives) Combination products Antiviral Influenza vaccinations Natural / herbal products / supplements [GENERAL SALE] eg, paracetamol (Lemsip range, Panadol), ibuprofen up to 25s (Advil range, Nurofen range) [PHARMACY ONLY MEDICINE] eg, ibuprofen >25s (Advil range, Nurofen range), ibuprofen suspension (Fenpaed, Nurofen for Children), paracetamol suspension (Pamol, Panadol suspension) [PHARMACY] eg, Pholcodine (Duro-Tuss Dry Cough Range, Difflam Cough Lozenges, Pholcodine linctus) eg, dextromethorphan (Robitussin Dry Cough Forte, Strepsils Dry Cough Lozenges) [GENERAL SALE] eg, phenylephrine + paracetamol (Codral Relief Max Strength Cold & Flu Plus Decongestant*, Lemsip Max Cold & Flu With Decongestant) eg, decongestant + paracetamol + expectorant (Codral Relief Max Strength 6 Signs Cold & Flu*, Lemsip Max All In One Hot Drink) [PHARMACY ONLY MEDICINE] eg, decongestant + paracetamol (Maxiclear Cold & Flu Relief, Sudafed PE Sinus + Pain Relief) eg, decongestant + paracetamol + cough suppressant (Panadol Cold & Flu Relief PE) eg, decongestant + paracetamol + antihistamine (Codral Nighttime Cold & Flu*, Sudafed PE Sinus Day & Night Relief) eg, decongestant + paracetamol + antihistamine + cough suppressant (Codral All in One*,Codral Cold & Flu + Cough*, Coldrex PE Cold & Flu Day & Night) eg, decongestant + paracetamol + codeine (Codral Cold and Flu*) eg, decongestant + paracetamol + codeine + antihistamine (Codral Day & Night*, Codral Multi Action Cold & Flu*) eg, paracetamol + phenylephrine + caffeine (Lemsip Max Cold & Flu Day & Night Capsules*) [PRESCRIPTION MEDICINE] [PHARMACIST ONLY under certain conditions (see comments)] eg, oseltamivir (Tamiflu capsules) [PRESCRIPTION MEDICINE] – except when administered by a registered pharmacist vaccinator to adults and children aged over 13 eg, Fluarix, Fluvax, Influvac, Intanza, Vaxigrip Comvita range, honey, Bifidobacterium, Lactobacillus, ginseng (American), elderberry, echinacea, N-acetyl cysteine, olive leaf, vitamin D Products with an asterisk have a detailed listing in the Influenza section of OTC Products, on page 247. Analgesics can make a person feel more comfortable. Paracetamol is effective for most people. However, remind the customer not to exceed the recommended dose. Ibuprofen can provide longer symptom relief and is the NSAID least likely to cause stomach irritation. NSAIDs may be unsuitable for people on certain other medications or with some conditions (eg, asthma, kidney disease – see Refer to pharmacist). Advise the person to stop taking if stomach upsets, increased bruising or prolonged bleeding occur (see Reference Section, OTC Medicine – Precautions). Aspirin is not recommended for adolescents or children under 12 years old, or for children under 16 years old with a viral-related fever, or fever with chickenpox (see Childhood Pain and Baby Teething: Treatment options). Cough suppressants (eg, pholcodine, dextromethorphan) control or suppress the cough reflex and can provide relief from a dry, unproductive cough. Be aware that dextromethorphan can interact with other medicines that also have serotonergic activity (eg, antidepressants, tramadol, lithium, St John’s wort) (see also Coughs: Dry). Refer to the packet for ingredients which may include a decongestant to relieve nasal congestion (eg, phenylephrine), an analgesic for pain relief, an antihistamine to dry up runny noses (eg, loratadine, chlorpheniramine), a cough suppressant to stop a dry cough (eg, pholcodine, dextromethorphan), or an expectorant to help expel mucus from the lungs (eg, guaiphenesin). Analgesics (eg, paracetamol, ibuprofen, codeine) can help make a person feel more comfortable if they are in pain. Warn customers that codeine is an addictive substance and should not be used for more than three days at a time. Constipation or drowsiness may also occur. Monitor sales and be alert for any customers who may be misusing codeinecontaining preparations. Some antihistamines may cause drowsiness and affect a person’s ability to drive or operate machinery. Avoid alcohol. Cough suppressants (eg, pholcodine, dextromethorphan) can provide relief from a dry, unproductive cough and expectorants (eg, guaiphenesin) can help a chesty cough. Coughs associated with flu are more likely to be dry. People who take other medicines or have other medical conditions may be unable to take cold and flu tablets – check with your pharmacist. Products containing guaiphenesin, ipecacuanha, dextromethorphan, pholcodine, phenylephrine, pseudoephedrine [PRESCRIPTION], doxylamine, brompheniramine, promethazine, chlorphenamine, triprolidine or diphenhydramine should NOT be given to children aged less than six years, and pharmacist advice should be sought before using them in children aged less than 12 years. Shorten the duration and reduce the risk of complications of flu. Best when started within 48 hours of symptom onset. Can be sold by a pharmacist year round to adults and children aged 13 or older who have been exposed to the influenza virus. Available on prescription for younger children or for the prevention of influenza. Tamiflu is unfunded (customers pay full cost). For customers unable to swallow, Tamiflu capsules may be given by opening the capsule up over a small bowl and mixing the contents with a teaspoonful of sweetened food product (regular or sugar free), eg, honey, condensed milk, apple sauce, yoghurt to mask the taste. Privately purchased influenza immunisations may be given by pharmacists who are approved vaccinators. Funded influenza vaccinations may be given by pharmacist vaccinators to pregnant women and those aged 65 and over. Honey soothes the throat and stops cough. Bifidobacterium, Lactobacillus, ginseng and vitamin D appear to protect against flu. Elderberry and echinacea root extracts and N-acetyl cysteine may reduce flu symptoms. Olive leaf contains five times the antioxidant capacity of vitamin C and helps boost immunity. PharmacyToday.co.nz A part of your everyday. New Zealand’s premier pharmacy website keeping you up to date between issues. www.pharmacytoday.co.nz Page 98 HEALTHCARE HANDBOOK <strong>2017</strong>-2018 Common Disorders
CONTINUING OTC EDUCATION An ENHANCED ELearning Experience As well as your desktop, you can now access Pharmacy Today ELearning for professional development on your mobile or tablet. Easier and more flexible, this new and improved interactive platform allows you to earn your Enhance points whenever and wherever you want to. Independent, clinical education at your fingertips All pharmacist courses ENHANCE accredited New education modules available monthly FREE to our subscribers Visit www.pharmacytoday.co.nz and click on the ELearning tab. Page 99
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HEALTHCARE HANDBOOK incorporating t
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2017-2018 HEALTHCARE HANDBOOK PUBLI
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Index Common Disorders Acne--------
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Asthma and COPD CONTINUING OTC EDUC
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Head and scalp • Condition of hai
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HELP KIDS BE THEMSELVES AGAIN NEW L
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NUROFEN ZAVANCE* IS ABSORBED UP TO
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Acne Acne is a common skin problem
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Allergies An allergy occurs when th
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Asthma and COPD Asthma New Zealand
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Baby Feeding Breastfeeding is best
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Bites and Stings Bites and stings c
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Bruises, Scars, Spider Veins Bruise
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Childhood Diseases and Immunisation
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Childhood Pain and Baby Teething Pa
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Colds A cold is a contagious viral
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Cold Sores Cold sores are fluid-fil
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Constipation Constipation is the te
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Contraception & Sexual Wellbeing Co
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Contraception: Emergency Emergency
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Coughs: Dry Coughs are called dry o
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Coughs: Productive Coughs are consi
Page 52 and 53: Cuts, Abrasions and Blisters This t
Page 54 and 55: Cystitis [Bladder Infection] Cystit
Page 56 and 57: Dandruff Dandruff is a common condi
Page 58 and 59: Dermatitis/Eczema Dermatitis is a g
Page 60 and 61: Diabetes Diabetes is a condition in
Page 62 and 63: Diarrhoea and Vomiting Diarrhoea an
Page 64 and 65: Dry Skin Dry skin is skin that lack
Page 66 and 67: Ear Conditions Our ears allow us to
Page 68 and 69: Eye Conditions Almost two-thirds of
Page 70 and 71: Eye Conditions (continued) Type Sym
Page 72 and 73: Eyes: Contact Lenses Contact lenses
Page 74 and 75: Fever What is fever Fever is define
Page 76 and 77: Foot Care Common foot problems incl
Page 78 and 79: Fungal Infections: Superficial Supe
Page 80 and 81: Fungal Nail Infections (Onychomycos
Page 82 and 83: Gout Historically known as the “d
Page 84 and 85: Haemorrhoids Haemorrhoids (also cal
Page 86 and 87: Hair Loss Alopecia is the medical t
Page 88 and 89: Hay Fever Hay fever (also called in
Page 90 and 91: Hay Fever (continued) TREATMENT OPT
Page 92 and 93: Headache Headaches are common and c
Page 94 and 95: Head Lice Head lice (pediculosis ca
Page 96 and 97: Heart Health Cardiovascular (CV) di
Page 98 and 99: Indigestion, Heartburn and Gastriti
Page 100 and 101: Influenza Influenza (flu) is a comm
Page 104 and 105: Iron Deficiency Iron is an essentia
Page 106 and 107: Irritable Bowel Syndrome Irritable
Page 108 and 109: Menopause Menopause - the “change
Page 110 and 111: Migraine Migraines are a type of se
Page 112 and 113: Muscular Aches, Pains and Tightness
Page 114 and 115: Nappy Rash Nappy rash is a red rash
Page 116 and 117: Oral Health Oral health disorders i
Page 118 and 119: Osteoarthritis Osteoarthritis is th
Page 120 and 121: Osteoporosis Osteoporosis (meaning
Page 122 and 123: Period Pain and Endometriosis Perio
Page 124 and 125: Poisonings Any substance that has t
Page 126 and 127: Pregnancy Tests and Supplements Hom
Page 128 and 129: Preventive Health There are certain
Page 130 and 131: Probiotics and Prebiotics Probiotic
Page 132 and 133: Psoriasis Psoriasis is a long-term
Page 134 and 135: Scabies Scabies is a very contagiou
Page 136 and 137: Shingles Shingles (herpes zoster) i
Page 138 and 139: Sinus and Nasal Problems Sinuses ar
Page 140 and 141: Sleep Problems and Snoring Sleep is
Page 142 and 143: Smoking Cessation Almost 5000 New Z
Page 144 and 145: Sore Throat Sore throats are very c
Page 146 and 147: Strains and Sprains Sprains and str
Page 148 and 149: Sun Care Sunburn Sunburn occurs fro
Page 150 and 151: Sun Care: Eye Protection Protecting
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Sweating: Excessive (Hyperhidrosis)
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Toothache Toothache is the term use
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Travel Health (including Vaccinatio
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Travel Sickness Travel, or motion,
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Urinary Incontinence Urinary incont
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Urticaria (Hives) Urticaria refers
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Vaginal Health The vagina is a clos
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Varicose Veins and Support Stocking
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Vitamins and Dietary Supplements Vi
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Warts Warts are benign (non-cancero
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Weight Loss Obesity has reached epi
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Worms Pinworms (Enterobius vermicul
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Wound Care Our skin acts as a barri
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Wound Care (continued) Wound type M
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Glossary WHAT DOES THAT WORD MEAN?
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Chapter References (continued) Diar
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Chapter References (continued) Gord
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Significant learning opportunity: W
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PharmacyToday A part of your everyd
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OTC Medicines: Interactions When se
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OTC Medicines: Interactions OTC Med
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OTC Medicines: Precautions OTC Medi
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OTC Medicines: Precautions OTC Medi
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OTC Medicines: Adverse Effects OTC
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Herbal Supplements: Interactions He
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Drugs in Sport Treating Athletes Me
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Drugs in Aviation AVIATION - PRECAU
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Drugs in Pregnancy Drug use in preg
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NZ Support Groups ADHD Association
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NZ Support Groups New Zealand AIDS
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HEAT or INFLAMMATION Unlike heat ru
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OTC Products Over-the-counter produ
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OTC Products Index Foot Care - Fung
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»» Acne CRYSTADERM CREAM AFT PHAR
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»» Childhood Pain and Baby Teethi
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»» Colds BONNINGTON’S IRISH MOS
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CODRAL RELIEF MAX STRENGTH COLD & F
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OTRIVIN JUNIOR GLAXOSMITHKLINE CONS
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DULCOLAX SANOFI CONSUMER HEALTHCARE
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BENADRYL MUCUS RELIEF DOUBLE ACTION
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»» Dandruff COCO-SCALP AFT PHARMA
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EAR CLEAR WILSON CONSUMER PRODUCTS
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»» Foot Care - Fungal Infections
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TELFAST ORAL LIQUID SANOFI CONSUMER
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NUROFEN ZAVANCE RECKITT BENCKISER (
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MOOV HEAD LICE SOLUTION DOUGLAS PHA
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GAVISCON DUAL ACTION LIQUID RECKITT
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CODRAL COLD & FLU + COUGH JOHNSON &
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»» Irritable Bowel Syndrome GASTR
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VOLTAREN EMULGEL GLAXOSMITHKLINE CO
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TURMERIC EXTRA STRENGTH GOOD HEALTH
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PREGNOSIS EARLY PREGNANCY TEST DIP
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»» Sexual Wellbeing - Contracepti
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SUDAFED PE SINUS DAY + NIGHT RELIEF
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NICORETTE INHALATOR JOHNSON & JOHNS
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STREPSILS PLUS LOZENGES RECKITT BEN
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TRAVACALM TRAVEL BAND WILSON CONSUM
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CRYSTADERM CREAM AFT PHARMACEUTICAL
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An ENHANCED ELearning Experience As
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Product Index ANIME LUBRICANT 50ML-
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Manufacturer’s Index AFT Pharmace
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Topiramate Actavis Topiramate 25mg,
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