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CONTINUING OTC EDUCATION<br />

Sun Protection Advice<br />

Slip, Slop, Slap and Wrap!<br />

••<br />

Slip on a shirt and slip into the shade in summer<br />

»»<br />

Put on standard-approved sun-protective clothing or wear dark, tightly woven clothes.<br />

Seek shade between 10am and 4pm.<br />

••<br />

Slop on sunscreen<br />

»»<br />

Use an SPF 50+ broad spectrum sunscreen (that meets the revised AUS/NZS 2604:2012)<br />

»»<br />

Apply thickly (use at least seven teaspoonsful or 35ml) 15–20 minutes before going<br />

outside<br />

»»<br />

Reapply every two hours as well as after swimming or sweating.<br />

••<br />

Slap on a hat<br />

»»<br />

Choose a hat with a wide brim or a cap with flaps.<br />

••<br />

Wrap on a pair of sunglasses.<br />

»»<br />

Choose standard-approved wrap-around sunglasses.<br />

Sunscreen should not be used as a way of staying out in the sun longer, but as a way of reducing<br />

risk of UV exposure.<br />

ingredients (eg, oxybenzone, octyl methoxy cinnamate, octocrylene) and physical<br />

sunscreens, such as zinc and titanium oxide.<br />

Sensible sun protection is unlikely to make people vitamin D deficient as vitamin<br />

D is still made by the skin in the shade with sunscreen on. Sunscreens that allow for<br />

vitamin D production allow one specific wavelength of UVB light to penetrate the skin<br />

in order to make vitamin D. Therefore the benefits of allowing vitamin D penetration<br />

need to be weighed against the risks of unlimited penetration of that UVB wavelength<br />

all day. Sunsmart NZ and the NZ Ministry of Health recommend 30 minutes of sun<br />

exposure without sunblock every day before 10am and after 4pm from September<br />

to April. From May to August, 30 minutes of sunblock-free sun exposure should take<br />

place around the middle of the day.<br />

Initial assessment<br />

Despite New Zealand having higher levels of UV radiation than most of the rest of the<br />

world, we are not generally very good at applying sunscreen. For customers buying<br />

sunscreen, take note of their skin type and stress the importance of never getting<br />

sunburnt, especially to those with fair skin. Explain the different types of sunscreen<br />

and encourage proper and regular application (see text box Sun Protection Advice<br />

above). Educate visitors from overseas about the dangers of our sun and that<br />

protection is often required for most of the day (ie, 9.30am – 5pm) during summer.<br />

Sell customers presenting with mild sunburn a topical cooling preparation (eg,<br />

aloe vera) and an SPF 50+ sunscreen for future use. Refer anybody with "yes"<br />

answers to the Refer to Pharmacist questions to a pharmacist.<br />

Refer to<br />

PHARMACIST<br />

The following questions aim to identify customers who would benefit<br />

from further input from a pharmacist. Your initial assessment may<br />

have already provided some answers. Decide if any further questions<br />

still need to be asked and refer any “yes” answers to a pharmacist.<br />

• Does the person have any other health conditions (eg,<br />

immunosuppression, cancer)?<br />

• Does the person take any other medication, either prescribed by a<br />

doctor or bought from a shop or supermarket (including herbal/<br />

complementary medications) that may affect how long they should<br />

stay in the sun?<br />

• Does the person have severe sunburn and blisters?<br />

• Is the person in extreme pain, feeling unwell or have a headache?<br />

• Is the person complaining of burning more easily than before,<br />

especially if sun exposure has been minimal?<br />

• Is the person a young child with moderate to severe sunburn?<br />

• Does the person have any other symptoms, apart from sunburn?<br />

• Does the sunburn appear to be a recurring problem?<br />

• Does the person have any suspicious-looking moles?<br />

• Is the person allergic to any topical ingredients?<br />

»»<br />

ALL sunscreens need to be reapplied after immersion in water or after<br />

sweating.<br />

• Warn people taking phototoxic medications (eg, doxycycline) to limit sun<br />

exposure and use a broad-spectrum sunscreen when outside.<br />

• Avoid sunbeds since the risk of skin cancer is increased. Artificial tanning lotions<br />

may be used to create a tanned look without exposure to the sun.<br />

• Store sunscreen away from heat and discard once expired.<br />

Advice for customers<br />

• Sunscreen is considered safe to use on full-term babies over six months of<br />

age; however, it is still best to keep them out of the sun as much as possible.<br />

• Water-resistant sunscreen products retain sun protection properties for at<br />

least 40 minutes in water.<br />

SunSense is a premium sunscreen range,<br />

scientifically formulated for individual<br />

skin types. SunSense provides very high<br />

UVA and UVB broad spectrum protection.<br />

SunSense is fragrance free,<br />

non-comedogenic and contains added<br />

moisturisers to hydrate skin<br />

Always read the label,<br />

use only as directed<br />

NZ’s #1 Sunscreen brand in Pharmacy *<br />

*Iri Market Data, NZ National Pharmacy 13 wks to 22/01/17<br />

Page 145

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