Bronchiectasis is a common chronic disease where the airways of the lungs become abnormally widened. Patients present with recurrent cough, sputum production and are at risk of respiratory tract infections. Pharmacists and healthcare professionals need to be aware of the latest management strategies.
With the NHS working towards the integration of personalised medicine, in particular, aiming for whole-genome sequencing to be standard for specific conditions by 2020, it is important for pharmacists and healthcare professionals to be aware of the principles of pharmacogenomics and its evolving application into clinical practice.
Diabetes in pregnancy is associated with risks to the woman and to the developing foetus. Pharmacists and healthcare professionals need to be able to support and educate women who are planning pregnancy and those who are already pregnant to manage their diabetes.
Diabetes-related foot problems are common, and negatively impact patients’ quality of life, so it is important that pharmacists are aware of symptoms and the relevant care pathways for these patients to ensure they receive the best care and education regarding how to manage their condition. Produced in partnership with RB.
Non-alcoholic fatty liver disease is the term for a range of conditions caused by a build-up of fat in the liver. The condition is thought to be highly prevalent; however, the dearth of symptoms during early disease and the lack of a specific diagnostic test make it difficult to detect and manage at an early stage. This presents a considerable challenge for healthcare professionals.
Heparin is widely used for thromboprophylaxis or as a treatment in many clinical situations, however, it can cause serious adverse effects. Heparin-induced thrombocytopenia (HIT), an immune-mediated adverse drug reaction, is associated with high morbidity and mortality if undiagnosed.
Early diagnosis of lower limb oedema is crucial to prevent early oedema becoming chronic. Pharmacists and other healthcare professionals are ideally placed to identify patients on certain medicines at higher risk of oedema, and should be aware of signs of chronic oedema when assessing patients to allow for prompt referral.
Fluoroquinolones for treating tuberculosisSubscription
Tuberculosis (TB) remains a significant global health and socioeconomic challenge. The duration of current anti-TB therapies, the adverse effects of certain anti-TB drugs and the growing problem of drug-resistant TB on an international scale mean that it is imperative for new, effective and safe treatment regimens to be developed. Fluoroquinolones are a class of drugs that have been used in the treatment of TB for several decades. This article provides an overview of the current treatment ...
Pharmacists and healthcare professionals should be able to recognise the symptoms of depression in people who use their services and direct them towards accessing treatment. This article examines how a diagnosis of depression is made, the pharmacological and non-pharmacological treatments available, specific considerations for different patient groups, self-management approaches, and the role of the pharmacy team in managing and supporting patients who have symptoms of depression.
Although multiple myeloma is currently regarded as being incurable in the majority of patients, the outlook for patients diagnosed with the condition has improved markedly over the last 40 years, with survival rates quadrupling. Significant advances in both treatment and supportive therapies have contributed to these improved outcomes and are discussed in this article.
Specialist intervention may be required for patients who have severe dry eye disease, or if the condition does not respond to artificial tears or other treatment.
Highlights of CPD and learning in 2017Subscription
Try our quiz, with questions taken from this year’s learning and CPD articles, and check your knowledge of subjects ranging from sepsis and skin cancer to coeliac disease.
Over-the-counter treatments for dry eye disease are available in several different formulations including drops, gels, creams, ointments and sprays. Some of these formulations are known as ‘artificial tears’.
If a patient enters the pharmacy with eye symptoms, there are several questions pharmacy staff can ask to help find out whether their symptoms may be related to dry eye disease.
Computer vision syndrome is a group of eye and vision-related problems that result from prolonged computer, tablet, e-reader and mobile phone use. Patients may present to pharmacies complaining of eye discomfort and vision problems, so pharmacists and pharmacy teams should be able to distinguish the factors involved for particular patients
July 2017 saw publication of the fourth edition of ‘Drug misuse and dependence: UK guidelines on clinical management’, also known as the Orange Book, which provides guidance that supports healthcare professionals in the field of dependence on illicit and licit medicines. Pharmacists and pharmacy teams should be aware of this online-only update and what the changes mean for practice.
Community pharmacists are uniquely placed to deliver hepatitis C virus testing and treatment, and could help efforts in reaching the World Health Organization target for elimination of the disease by 2030.
Although children take responsibility for taking their medications at different ages, involving parents, and where possible children, in decision making is key to medicines optimisation.
How to diagnose and manage Trichomonas vaginalisSubscription
Trichomonas vaginalis, also known as trichomoniasis, is a curable sexually transmitted infection (STI) caused by a parasite, Trichomonas vaginalis. The majority of infected individuals are asymptomatic or have non-specific symptoms, making diagnosis difficult. Therefore, appropriate treatment and prevention strategies are important to prevent its spread.
Understand how to advise on chronic-open angle glaucoma, a condition in which intraocular pressure can permanently damage the optic nerve and nerve fibre, leading to blindness if left untreated.