Symptoms in the Pharmacy: A Guide to the Management of Common Illness, 6th edition

349 Pages·2008·2.69 MB·English

by  Alison Blenkinsopp

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Symptoms in the Pharmacy
Symptoms in the Pharmacy: A Guide to the Management of Common Illness, 6th Edition Alison Blenkinsopp, P. Paxton
and J. Blenkinsopp © 2009 Alison Blenkinsopp, Paul Paxton and John Blenkinsopp. ISBN: 978-1-405-18079-5
i
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Symptoms in the Pharmacy
A Guide to the Management
of Common Illness
ALISON BLENKINSOPP
BPharm,MRPharmS,PhD
ProfessorofthePracticeofPharmacy
MedicinesManagement,SchoolofPharmacy
KeeleUniversity,Staffordshire
PAUL PAXTON
MB,ChB,FRCGP,DRCOG
FormerGPandGPTrainer
WorkingasTrainingConsultantandVolunteerAdvocate
CambridgeshireIndependentAdvocacyService,Cambridge
AND
JOHN BLENKINSOPP
MB,ChB,BPharm,MRPharmS
SeniorResearchFellow
MedicinesManagement,SchoolofPharmacy
KeeleUniversity,Staffordshire
sixth edition
A John Wiley & Sons, Ltd., Publication
iii
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Thiseditionfirstpublished2009,(cid:2)C 2005,2009byAlisonBlenkinsopp,PaulPaxtonandJohnBlenkinsopp
(cid:2)C 1989,1995,1998,2002byBlackwellPublishingLtd
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LibraryofCongressCataloging-in-PublicationData
Blenkinsopp,Alison.
Symptomsinthepharmacy:aguidetothemanagementofcommonillness/Alison
Blenkinsopp,PaulPaxton,andJohnBlenkinsopp.–6thed.
p.;cm.
Includesbibliographicalreferencesandindex.
ISBN978-1-4051-8079-5(pbk.:alk.paper) 1.Pharmacistandpatient. 2.Symptoms.
3.Durgs,Nonprescription. I.Paxton,Paul. II.Blenkinsopp,John. III.Title.
[DNLM:1.DrugTherapy–Handbooks.2.PharmaceuticalServices–Handbooks.3.Diagnosis–Handbooks.
4.ReferralandConsultation–Handbooks.QV735B647s2008]
RS122.5.B542008
615.5(cid:3)8–dc22
2008022794
ISBN:978-14051-8079-5
AcataloguerecordforthisbookisavailablefromtheBritishLibrary.
Setin10/12ptSabonbyAptaraInc.,NewDelhi,India
PrintedinSingaporebyMarkonoPrintMediaPteLtd
1 2009
iv
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Contents
Preface,vi Women’sHealth
Cystitis,223
Introduction:HowtoUseThisBook,1 Dysmenorrhoea,233
Vaginalthrush,242
RespiratoryProblems
Emergencyhormonalcontraception,
Coldsandflu,19
251
Cough,33
Commonsymptomsinpregnancy,258
Sorethroat,44
Allergicrhinitis,52
EyeandEarProblems
Respiratorysymptomsfordirect
Eyeproblems:thepainful
referral,61
redeye,263
Commonearproblems,270
GastrointestinalTractProblems
Mouthulcers,67
ChildhoodConditions
Heartburn,74
Commonchildhoodrashes,279
Indigestion,83
Colic,285
Nauseaandvomiting,93
Teething,288
Motionsicknessandits
Napkinrash,289
prevention,96
Headlice,295
Constipation,100
Threadworms(pinworms),303
Diarrhoea,110
Oralthrush,307
Irritablebowelsyndrome,121
Haemorrhoids,128
Insomnia
SkinConditions Insomnia,315
Eczema/dermatitis,139
Acne,148 PreventionofHeartDisease
Athlete’sfoot,154 Preventionofheartdisease,327
Coldsores,161
Wartsandverrucae,166 Appendix:SummaryofSymptomsfor
Scabies,172 DirectReferral,341
Dandruff,176
Hairloss,180 Index,343
Psoriasis,184
PainfulConditions Colourplatesarefound
Headache,191 facingp.152
Musculoskeletalproblems,208
CONTENTS v
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Preface
Thisisthesixtheditionofourbookandappearsalmosttwodecades
afterthefirst.Amongthechangessincethefiftheditionisthemoveof
more medicines from the prescription-only medicine (POM) category
tothepharmacy(P)medicinecategory.Newsectionsandcasestudies
onchloramphenicoleyedropsandointmentforinfectiveconjunctivitis,
sumatriptanformigraineandamorolfineforfungalnailinfectionsare
thusincluded.
TherehavealsobeenimportantchangesintheNationalHealthSer-
vice(NHS).Theimportanceofself-careisincreasinglyrecognised.In-
dependent prescribing by pharmacists has been introduced and some
communitypharmacistsaretreatingminorailmentsaspresciberseither
in their pharmacy or in a general practice setting. NHS-funded com-
munitypharmacyminorailmentschemeshavespreadtomoreareasin
England.AnationalschemehasbeenintroducedinScotlandandana-
tionalserviceisunderdiscussioninEngland.Undertheseschemespa-
tientswhoareexemptfromNHSprescriptionchargescanobtainfree
treatmentfromthepharmacy.Thusmorepeoplewillconsultthephar-
macistforadvicewhopreviouslyconsultedtheirdoctor.Theschemes
are well used, particularly for children’s minor illness and we have
further expanded our explanation of common childhood illnesses to
enable the pharmacist to manage where appropriate, to reassure and
referwhennecessary.
Thepublichealthroleofcommunitypharmacycontinuestoincrease
andwehaveextendedthesectiononweightmanagementinthechapter
onpreventionofCHD.
Astrengthofthisbookhasalwaysbeenitsevidence-basedapproach.
Thefindingsofnewsystematicreviewsofpublishedevidencetogether
withevidence-basedtreatmentguidelineshavebeenincorporatedand
updatedthroughout.
Asforpreviouseditionswehavereceivedpositiveandconstructive
feedback and suggestions from pharmacists (undergraduate students,
pre-registration trainees and practising pharmacists) and have tried
to act on your suggestions. The colour photographs of skin condi-
tions are new to this edition and in response to your requests. We
havealsoaddedmoreaccountsbypatientstoourcasestudiesandin-
cludedourdecision-makingframeworkmorefrequently.Wethankall
thepharmacistswhosentuscommentsandwehopeyoulikethenew
edition.
vi PREFACE
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WeonceagainthankKathrynCoatesandhernetworkofmums,who
providedadviceonchildhoodconditionsandonwomen’shealth,and
onthesortofconcernsandqueriesthattheyhopedtheirpharmacists
wouldanswer.
AlisonBlenkinsopp
PaulPaxton
JohnBlenkinsopp
PREFACE vii
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Plates 1, 4, 6, 7, 8, 10, 11 and 13 from Robin Graham-Brown and
TonyBurns.LectureNotesDermatology,9thedn.Oxford:Blackwell
Publishing,2007.Reproducedwithpermissionfromtheauthors.
viii
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Plate1 Typicaleczemadermatitisrash.
Plate2 Atopiceczema.
Plate3 Rosacea.
Symptoms in the Pharmacy: A Guide to the Management of Common Illness, 6th Edition Alison Blenkinsopp, P. Paxton
and J. Blenkinsopp © 2009 Alison Blenkinsopp, Paul Paxton and John Blenkinsopp. ISBN: 978-1-405-18079-5
1
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Plate4 Athlete’sfoot. Plate5 Tineacorporis.
Plate6 Tineacapitis.
2