In this issue
As the prevalence of vitamin D deficiency rises, the popularity of self-medicating with vitamin D supplements is growing. However, there is potential for overdosing and harm.
People aged 65 years and over have the highest risk of falling, with 30% of people aged over 65 years and 50% of people aged over 80 years falling at least once a year. Falls and fall-related injuries are a common and serious problem for older people. Falling has an impact not only on quality of life and health, but also healthcare costs. The costs to the NHS are estimated at more than £2.3bn per year.
Providing HIV care in community pharmacySubscription
HIV is a long-term, chronic condition which is usually only managed by clinical teams in secondary care and antiretroviral (ARV) treatment is usually supplied by hospital pharmacies or homecare companies.
As a GP with 25 years’ experience, a strong interest in medical education, and married to a community pharmacist, I am constantly amazed by how pharmacy has allowed itself to be sidelined and passed over by other medical-related professions. Salaries have not kept pace with similar groups, and there has been little in the way of role development and extension of skills. What few initiatives there are, such as minor ailment schemes, have been piecemeal and under-resourced.
The role of non-statin drugs, including ezetimibe, fibrates, bile acid binders, nicotinic acid derivatives, omega-3 fatty acid supplements and PCSK9 inhibitors, for the management of dyslipidaemia in adults.
Statin therapy has demonstrated remarkable efficacy in reducing mortalities associated with cardiovascular diseases through preventing myocardial infarction and ischaemic stroke. Despite the proven benefits of statins in this context, there are growing concerns among patients and physicians on the safety of short-term and long-term use and their adverse effects, especially muscle toxicity, resulting in non-adherence and withdrawal of the treatment. Reports and publications ...
Impact of electronic prescribing on patient safety in hospitals: implications for the UKSubscription
NHS hospitals in England are expected to be paperless by 2020, as set out in a comprehensive framework published by the National Information Board. The use of hospital electronic prescribing (EP) systems is therefore likely to increase rapidly in the near future. The aim of this review is to summarise the available evidence of the impact of inpatient EP on patient safety, with a focus on implications for the UK. MEDLINE and EMBASE were searched to identify systematic and narrative ...