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Brian Curwain' s stories

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  • Patients’ ethical framework should take precedence Subscription

    6 FEB 2017 12:14 By Brian Curwain

    I note there is concern over the proposed changes in the conscience clause suggested by the General Pharmaceutical Council (The Pharmaceutical Journal online, 22 December ...

  • No guarantee of quality with unlicensed vitamin D products Subscription

    3 JUN 2016 10:32 By Brian Curwain

    Colin Michie’s article on the risks of vitamin D self supplementation makes many useful points, including the risks associated with excess vitamin D  (Clinical Pharmacist, 2016;8:131). But there is one major issue that was not highlighted: the vast majority of vitamin D products sold through pharmacies and elsewhere ...

  • Foods that cause blood glucose spike Subscription

    4 FEB 2016 10:14 By Brian Curwain

    On the subject of obesity, there is some interesting work appearing. It relates to the body’s blood sugar response to various foods and also to the composition of one’s gut bacterial flora. For me, the blood glucose spike is the most interesting bit. What is clear is that blood glucose spikes that occur eating or drinking are a bad thing.

  • Serious side effect with quinolone antibiotics Subscription

    2 FEB 2016 11:13 By Brian Curwain

    A few weeks ago, I found myself in touch with a woman who was clearly unwell, with a lot of intractable peripheral pain, unable to work and unable to live a normal life. The symptoms had been of sudden onset and she associated them with a course of ciprofloxacin that she had been prescribed. The episode began 30 months before and, at the time of writing, is ongoing, with no signs of improvement. I had never heard of such an effect of ciprofloxacin and was initially somewhat sceptical. ...

  • New alcohol guidelines are not realistic Subscription

    18 JAN 2016 13:34 By Brian Curwain

    So now men have to cut their alcohol consumption in half, [according to new guidelines issued in the UK in January 2016]. It is important to remember that the studies leading to the issuing of such warnings are of populations, not individuals. Also they are frequently observational, rather than randomised, trials, ...

  • Absolute levels of risk are needed to make informed decisions for patients Subscription

    7 JAN 2016 14:51 By Brian Curwain

    Renal adverse effects of proton pump inhibitors (PPIs) were described in your research briefing ‘Proton pump inhibitors linked with chronic kidney disease’ (Clinical Pharmacist

  • E-cigarettes will not cure people from nicotine addiction Subscription

    9 DEC 2015 11:34 By Brian Curwain
    Comments (6)

    Louise Ross urges us to stop scaremongering about e-cigarettes (The Pharmaceutical Journal 2015;

  • E-cigarettes are creating the next generation of addicts Subscription

    7 MAY 2015 11:49 By Brian Curwain

    I note from The BMJ (2015;350:h2083) that e-cigarette use has tripled in middle and high school students in the United States from 2013 to 2014. This makes clear the intentions of the companies that market these products. More of the American school students now use e-cigarettes than traditional cigarettes.

  • Decriminalisation will change the way we work Subscription

    17 FEB 2015 12:35 By Brian Curwain

    The proposal in the government consultation ‘Rebalancing Medicines Legislation and Pharmacy Regulation’, which ends on 14 May 2015, is more than welcome. The proposal, if enacted, would end the situation where a single dispensing error ...

  • E-cigarettes: proceed with caution Subscription

    30 OCT 2014 16:48 By Brian Curwain
    Comments (3)

    I note that your online poll suggests support for the sale of e-cigarettes in pharmacies (2014;293:412). It is not clear who you polled but that is beside the point.

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