1 x % HEMIST& X

HE RUMNEWSWEEKLY PHARMACY 20 July 1996 3,000 pharmacies

may go if RPM lost

Malone go-ahead for

season ticket sales

Sex attack pharmacist

struck off Register

Update: performance-

enhancing drugs in sport

Keeping a

watching

brief on

eye care SK>

Pharmacists' biggest

fears are revealed

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ongratulations to the Community Pharmacy Action Group lor its hard-hitting, albeit bleak reading, report on the impact of abolishing Price Maintenance. CHEM& c Resale Although it confirms the worst fears of pharmacists (see Business News, p96), it states the pharmacy case effectively, while stressing the DRUGGIST pharmacy's importance in the community. those, within Of course, there may be both and VOLUME 247 No 6044 136th YEAR OF PUBLICATION ISSN 0009-3033 without the profession, who see mass pharmacy closure as for the common good. And it is also 76 disappointing to see other health professionals Report commissioned by the Community Pharmacy Action backing Asda's stance, but it's hard to see how Group spells out the clangers if Resale Price Maintenance is lost there can be any long-term gain. The ultimate effect dissatisfied ofjob losses, increased GP burden and Oxygen services to be devolved to local level 77 patients will be a hard one to bear for a I )e] lartment of Health to devolve oxygen services by October 1 Government which introduced a Patient's Charter and for GPs already burdened by overwor k. Pre-papent certificates to be sold through pharmacies 77 It is patients to whom the Office of Fair Trading Regulations to be amended to allow sale directly to patients must look when considering RPM's fate, so it is good news that the Patients' Association has also From Practice to People 84 come out battling in the pharmacy comer (p78). Show how yon work in practice and win a prize! Guy Howland, the organisation's chief executive, is a fervent pharmacy supporter. He believes the profession's accessibility is key to its patient Update: the dope hope in sport Hill popularity and stresses that that must be maintained. Drugs in sport, pharmacy needle exchange

He points out that the supermarkets who are trying schemes, plus Research Digest to change pharmacy aim to "make a fast buck, rather than having anything to do with patients". care 90 In contrast, he feels the local pharmacy could be Trends and changes in the eye care market expanded to offer more services for patients to supplement those on offer from the surgery. Counterpart assistant training 94 His response is one of the positive spin-offs from There is si ill time to register staff! the whole RPM debate. Support such as this, backed by the Deloitte & Touche (TAG report, will Nurse prescribing regarded as an opportunity by many 96 have a long shelf-life and may be used in the future

( Haxo survey reveals threats and opportunities for pharmacists to help pharmacy reach its potential - hopefully with the RPM debate settled in the profession's favour. Co-op Health Care continues to expand 96

Five pharmacies acquired in North Midlands and North West

Editor Patrick < rrice, Chemist & Diuyiiisl mcorporatinij Retail

Ohwiir.l ^ I'Imiiii.ii Hpij.ili: CHEMIST& MRPharmS v Assistant Editor Maria Published Saturdays hy

DRUGGIST Mi Her Freeman Professional I td Dental relief aid deliver}' to Bihac in Bosnia 102 Murray, MRPharmS Sovereign Way, Timlnirlqe. Kent TN9 1RW News Editor Marianne Mac Donald, MRPharmS telephone 01732 364422 A pharmacist helps to deliver essential dental supplies Telex Milt RE G Technical Editor Fawz Faihan, MRPharmS 95132 Fax: 01732 361534 Beauty Editor Joanne Webb E-Mail: tlieiiidrii() ,(?ilnt|ih.imiacy com Business Editor Guy L'Aimable, BA Internet site

Imp //www ilnlpli.imi.il y i urn/ Contributing Editor A< Incline de Mont, MRPharmS Subscriptions Home £115 per annum Reporter ( lharles < lladwin MRPharmS 1 Overseas & Eire t'ltj . pel annum including postage Art Editor Tony Lamb £2 40 pei copy (postage extial Production Editor Vanessa Townsend, BA Circulation and subscription Royal Sovereign House, Beresford Street REGULARS Price List Colin Simpson (Controller) London SI I86BQ hi 0181 855 ////

I tarren Lai Kin, Maria Locke Refunds on cancelled subscriptions will News 76 Cambridge Counterpart 94 only In' provided at the publisher's Advertisement Manager .lull. in de lirnxelles discretion, unless specifically Assistant Advertisement Manager Doug Mytton guaranteed within the terms ot subscription offer Topical Reflections 73 Business News 96 Display Advertisement Executives The editorial photos used are courtesy Martin < lalder-Smith, Nick Fishet of the suppliers whose products they feature. Prescription Specialities 80 Classified Advertisements 97 Production Jenny I latl

Publisher Ron Salmon, FRPharmS Miller Freeman \fl Counterpoints 82 Business Link 98 Publishing Director Roger Murphy ABC <0 Miller Freeman pic. [996 Practice to People 84 About People 102 BUSINESS PRESS

CHEMIST k DRI GGIST 20 JULY 1996 75 - NEWS

000 pharmacies could go if RPM lost

Over 3,000 community pharma- investigated RPM in 1970 and is Numark is cies could face closure if Resale to decide by the autumn if there tackling the Price Maintenance is lost, reveals is any material change thai supermarkets a report commissioned by the would allow its demise. The head-on with a Community Pharmacy Action report divulges that there is pharmacy advice

( rroup. change, but it strengthens the campaign. Terry "Our concern," says CPAG case for RPM retention, as phar- Morris, Numark's spokesperson and director of the macists are now more reliant on managing National Pharmaceutical Associ- branded medicines. director, sees the ation Tim Astill, "is that the In 11)70, the average small campaign as a removal of RPM would force the pharmacy derived 7 per cent of complement to the closure of many small pharma- turnover from medicine sales Resale Price cies and reduce the services pro- and 10 per cent, from NHS dis- Maintenance vided by others, resulting in a pensing, with the margins on the defence: "Numark threat to public healthcare." latter at around 26 per cent. Now totally supports

The 'In defence of community NHS dispensing accounts for 70 the retention of RPM and what we want from this campaign is for the pharmacy' study by management per cent of turnover, with mar- consumer to ask the question: when did a supermarket shelf last consultant Deloitte & Touche gins down to 16 per cent, while advise me not to buy something?" Numark's 900 shareholder shows that the public would OTCs are responsible for 15-16 pharmacies will highlight the advisory role of trained pharmacy staff have access to fewer pharmacies per cent of turnover, around 45 and compare that with what's on offer in an ordinary supermarket via and would be forced to travel fur- per cent of the profit. posters and shelf cards, which ask a series of advice-related ther to get pharmaceutical The upshot of losing RPM questions and issues the challenge: Try asking your supermarket shelf advice, with the 1 proportions of would be a saving of S180 mil- these questions' vulnerable groups, such as the lion, plus another in 00, 000 saved elderly and those with young in policing. business viability will be threat- to the local community, but we families, higher in the areas most "Without RPM," says Mr Astill, ened (Business News, p96). do not believe that RPM supports at risk. There would also be a "there might be a short-term Supermarket chain Asda, at local pharmacies." reduced range of over the gain, but there will certainly be a the forefront of the fight to abol- Asda says that GPs and nurses counter medicines available and long-term loss." And 91 per cent ish RPM, comments: "We are back its stance on RPM. In an job losses would be incurred. of pharmacists surveyed by well aware of the services that Asda mailing to 30,000 GPs, some

The < >ftk e of F ur Tr riding last

whose pharmacy is at risk of clo- billion. per person per week ), but super- Guy Howland. "Lowering prices sure could be affected. # The range of non-prescrip- markets are more likely to offer will undoubtedly cause some • Additional travel costs of tion medicines available would seasonal reductions on adver- exist ing pharmacies to close and between S4.4 million and SI 5.9m be cut: the average pharmacy tised products rather than reduce choice. The public like would be incurred by people carries 700 OTC lines, while wholesale discounting. the access they currently get affected by the closure of their supermarkets cany 70. • The cost of administering from pharmacies and we need to local pharmacy. • Between 800 and 3,000 jobs RPM, around S100,000 annually, keep that available." • If a tenth of those who treat could be lost if pharmacies close, would also be saved. The OFT has been sent a copy of the Deloitte & Touche report.

Pharmacists to be more clinical with methadone? From Practice to People

Pharmacists' potential to adopt a assessed using an opiate with- deadline imminent Pharmacy Group more clinical role in managing drawal scale to titrate the methadone patients is to be methadone dose. An initial three- You've got less than two weeks MPs disappear from Westminster investigated by South Humber- day assessment by the referral to enter the Glaxo Well- for their three-month summer side's pharmacist-run Freelance agency scores various signs and come/C&D community phar- break on July 20, with no sign of a Needle Exchange. symptoms, such as sweating, agi- macy award, From Practice to long-awaited Pharmacy Group Community pharmacist Dr tation and mydriasis, to establish People (see page 84). being established to promote the Rod Tucker, director of the Free- the degree of withdrawal. The The award will be granted to interests of the sector. lance Group and devisor of the dose is titrated upwards until three community pharmacists Tory MP Sir Malcolm Thornton study, says: "The overall objec- symptoms are under control. who show how they are forging and Labour's Alan Keen said last tive ( if the project is to determine Thereafter, the pharmacist con- links with other health profes- year that they planned to set up a whether or not pharmacists can tinues daily monitoring of the sionals to benefit patients, group to lobby on behalf of phar- play a greater role in the clinical patient using the same scale. A other primary care workers and macies and vowed to launch the management of opiate-depen- change in the patient's drug-tak- their business. Closing date for body early this year. dent individuals." ing habit, such as taking addi- entries is July 31, 1996, and win-

But Sir Malcolm admits he has South I lumber Health Author- tional opiates, can also be indi- ning entries will be announced dropped out because of a lack of ity is paying SI per addict per day cated by changes in routine or on November 9. time. "Unfortunately, I ran up for pharmacists to supervise the behaviour. Winners will be offered the against the buffers," he says. methadone consumption of 30 Every fortnight during the pro- chance to attend one of the Mr Keen's office says the group patients over 13 weeks, plus an ject, the withdrawal scales are major 1997 conferences or has yet to be set up, but insists additional S750 for evaluation. A scored and given to the prescrib- choose from a range of manage- that the MP for Feltham still clinical audit, sheet will be main- ing agency responsible for the ment courses. intends it to go ahead. tained and clients will be overall management of the client.

76 CHEMIST & DRUGGIST 20 JULY 1996 NEWS

Oxygen to be devolved on October 1

The I 'epartmenl oi Health is to oi the Moll's last offei of 3 per will be inc< »rj » >rate< I into the sec- services. PSNC secretary Steph- devolve oxygen services i<> local cent in May (C&D May 25, p712). ond draft. en Axon is against health author- level by < ictobei 1 PSNC chairman Wally Dove Taxation advice Advice will be ities extending existing phar-

The Pharmaceutical Services says thai the offei w ill m it be put senl to LP< 's setting oul the lax macy rota hours to beyond those Negotiating Committee, winch to contractors. Providing an implications for allow ances paid of surgeries has opposed the move, will write agreement is reached then foi members attending LPC NAIIAT PSNC wants to create a to local pharmaceutical commit- PSNC will discuss the distribu- meetings. dialogue with the National Asso- tees with a model for local nego- tion of the global sum at its Sep- Primary care The I lull has indi- ciation of Health Authorities and tiations as soon as it receives tember meeting and the new i ated that the NHS Executive Trusts over developing pharma-

detailed si ure sin mill ilace would further position ceutical services. It is hoped that mure guidelines. ruct be in ] by welcome

t The NHS Executive expects ictobei 1 papeis from PSN( on the health money other than the global sum agreements wit h heall h auttv »ri- Director The first advertise- minister's paper 'Primary care: will be made available fi ir such ties in I"' made by January 1, ment for the new position of the future'. PSNC will place services.

( l!i!)7 'ontractors should carry duei lor w ill be placed Ihls week emphasis on the need for non- Conference The third confer- on as before unlil they receive iii the PSNC News and pharma- global sum money to be made ence organised jointly with the further advice from then LP( 's. ceutical piess available for local initiatives. Royal Pharmaceutical Society The number of oxygen head sets MPs The PSNC wants to thank Pilot trials PSNC has been in and the Pharmaceutical Advisers is to lir reduced, but contractors tin isc pharmacists who wr< ite to discussion with the DoH over ( JrOlip W ill be held al the Mello- who have to give up head sels their MPs to raise awareness of pilot trials in 1996/97. Il is stress- pole Hotel, Birmingham, on will be paid compensation. pharmacy remuneration It also in;; thai pharmacists should Novembei 7. The theme will be

PSN< ' warns dial monej is only wants io encourage LP( 's to con- receive then share of any money 'Pharmacists as partners in available f< a this financial year. tinue inviting MPs to \ isii phar- saved m icpeai dispensing healthcare'. Remuneration The hull and macies, so thai they gel a bettei pilots. LPC Conference PSNC has PSNC are poised on the brink of understanding ol community GP co-operatives PSN( is con received comments from a remuneration settlement foi phai ma< V issues cerned that there has been no LPCs about the March confer- l!)!)ii/!i7. PSNC has been Control of Entry Most of the national approach by local med- ence. The Committee will be

1 pr< mused an i iffei I iefi »r< the end comments made by PSNC over ical councils to the pharmacy looking at making the working

( ol the month, aftei ii met with the draft guide concei ning 'on- pi c pfessii m ovei the setting up i >l group sessions more interactive, health minister Gerald Malone. trol ol Entry regulations have GP co-operatives to provide ami will be targeting MPs more

This followed PSNC's rejection been acce] ited I iy the DoH and emergency oul of hours medical lor the dinner.

certification and reward

Medicines counter assistants

are m iw completing ( 'hem ist &

( Dnifjgist's 'am bridge < ounler- part course and certification is under way. The College of Pharmacy Practice hopes to have its cer- tificates of accreditation printed by Ihe end of July. < '&D will then begin a search of its computer records to find out which assistants have success- fully passed all modules in the previous lour weeks; their pharmacist will then get a letter lo sign and rel urn confirming

joint c ompletion ol' all case studies and that each assis- tant's customer communica- New research suggests that hairy men are more intelligent. More details can be found on p80 tion skills are satisfactory. Within one month of receipt of that letter from ihe pharmacist the assistant should receive a CPP certificate of accredita- Sale of season tickets receives go-ahead tion.

Each month, ( \Ki> will give Pharmacists are to be allowed to apply directly to then health A Department of Health spokes- bottles ol' champagne lo a suc- officially sell prescription pie authority, but m some areas man says Ihe changes should be cessfully-accredited assistant payment certificates. The health pharmacists have been supply- made bcli n e next April and discus- and their pharmacist - one PIN minister, Gerald Malone, an- ing certificates with the tacit sions a i e in progress with relevant will be draw n from a batch ol' nounced in a written answer lasl approval of the 1 IA bodies. One of the DoH's main con- accreditees. week that the Gi ivei iinient "pro "We have been making repre cerns is Ihe security ol the certifi- Al Ihe end of this year, one poses to amend cm rent regula- sentations lor some time foi a cates held in pharmacies accredited assistant will win a tions later this yeai to allow com- change in the regulations," says The National Asthma Cam weekend holiday lor two by munity pharmacists who wish to Pharmaceutical Services Negoti- paign has been lobbying lor a prize draw, courtesy ol' White- do so lo sell prescription pie ating Committee assistant secre- greatei awareness of 'season hall Laboratories, payment certificates directly to tary Mike Kins*. "Now we will he tickets', which Mr Malone says • Registration form and fur- patients". discussing details with the Nils will be further publicised after ther information on page 9 1. Al present, patients must Execul ive." I he n 'gulat ions are changed.

CHEMIST H. DKI GGIST 20 JULY 1996 n s

WCPPE goes on-line The Welsh Centre for Post-gradu- ate Pharmaceutical Education can now be accessed on the Internet. Pharmac ists should be given an undertaking consultations, ad- re-think on training so that all Aimed mainly at pharmacists I expanded role in the primary vising, prescribing and supple- health professionals share a core living in Wales, the site offers an care arena, according to the menting the work of the doctor base, and pharmacists will be index of literature for community Patients' Association. and nurse," says Mr Howland. allowed to develop their diagnos- pharmacists, a calendar of Welsh I Guy Howland, PA chief execu- He believes that pharmacists' tic and prescribing skills. pharmacy events and articles tive, says the Association is in the skills can be put to better use. "If The report is expected in Octo- published or presented by the process of writing a paper on the we do not utilise the skills in pri- ber, but the PA is keen to collate WCPPE's staff. future of pharmacy, which will mary care more effectively, then pharmacist evidence on how This will soon be expanded to place pharmacists at the fore- primary care as we know it will progress can be made. Informa- offer a distance learning pack front of primary care. "Our whole not survive. Let's get pharmacists tion should be sent to: The ordering system or allow reserva- thrust is that we want to see a to solve the primary care crisis." Patients' Association, 8 Guilford tion at a WCPPE evening course, role switch from dispensing to He feels that there should be a Street, London WC1N IDT with plans to put computer- I assisted learning material onto H

the Net . The WCPPE's home page address is http://www.cf.ac.uk/ uwcc/phrmy/WCPPE/pindex. Schaffer affair rolls on and on html. Its e-mail address is at: I [email protected]. • Boots has also set up an Inter- A veteran pharmacist who consignments of products from to work as a locum, said: "With net site (Website address: www. I bought more than £11,000 of Mr Schaffer, worth SI 1,301. the benefit of hindsight, I accept Boots.c-o.uk.) offering advice on drugs from the hack of an un- Josselyn Hill, solicitor to the my actions were at best naive common ailments, pharmacy ser- licensed wholesaler's car was Society, told the hearing that Mr and at worst stupid." vices and a vitamin database. or dered to be struck off the Reg- Judge, who had been practising In mitigation, David Reissmer ister this week. for 32 years, bought medicine told the Committee that Mr John Aloysius Judge, 56, super- from the back of Mr Schaffer's Schaffer was a trickster who had intendent pharmacist at Snow- car and received handwritten possibly put on his "hypoglae- More Sun E45 drop Pharmacy, Canterbury, invoices, although not all of the cemic attack" to gain Mr Judge's admitted purchasing unlicensed products were unlicensed. sympathy and confidence. recalls for Crookes drugs, but claimed he had been Mr Judge of Petham, Canter- "It was not more than ig- unaware that I hey were unli- bury, who admitted misconduct, norance in that he did not know- Hot on the heels of last month's censed at the time. said he had trusted Mr Schaffer some of the drugs were un- recall of seven batches of Sun I His supplier - Pierre Schaffer and assumed his supplies were licensed, although he accepts E45 Sun Block Cream, Crookes of Palm Bay, Margate - has "authentic". today that he should have done." Healthcare is now recalling all already been responsible for the Mr Judge said he had been told (fiving the Committee's deci- remaining stock of Sun E45 Fac- striking off of 1 1 other pharma- by Mr Schaffer that he would be sion, chairman Gary Flather QC tors 8 and 15. cists, with four more yet to supplied at "much keener" prices said Mr Judge is one of the Stock should be returned to appear before the Statutory because he had taken care of Mr longest-serving pharmacists to wholesalers or Crookes' territory Committee ol Ihe Royal Pharma Schaffer when he suffered a dia- have been caught out in the managers. Full refunds will be ceutical Society. betes attack in the pharmacy. 'Schaffer affair'. He told Mr given, with replacement stock Society inspectors visited Mr In a letter to the Society, Mr Judge that the Committee would available from July 29. Pharma- Judge's pharmacy in October, Judge, who sold the pharmacy in not entertain any application for cists with any queries should tele- I 1993, where they discovered 22 February this year but continued restoration for nine months. phone 0115 968 8711.

MCA cuts waiting

Striking off follows sex attack time for assessment

A pharmacist who terrorised a Detective sergeant Steve Mc- started shouting 'rape' loudly." The Medicines Control Agency is young woman by breaking into Gahey told the hearing the victim Mr Atwal then panicked and maintaining its status as the her flat and asking for sex was had gone to bed at 1.45am on the ran from the flat. However, he fastest authority in the world for I

ii i struck off the Register by a disci- night of June 24, 1994. At around was unable to find the way out 1 1 assessment 'I new di ngs plinary panel this week. 3.30am, Mr Atwal approached and he smashed a window. The MCA's sixth annual report I Rajinder Singh Atwal, 25, who the entrance to the block and Bleeding profusely, he then and accounts for 1995/96 shows I was studying at Manchester Infir- began talking to two residents banged on another resident's that the Agency has cut the mean H mary at the time, was jailed for who believed he knew somebody door claiming he had been assessment time to 51 days for four years by Manchester Crown and let him in. "He forced the mugged. He was taken to hospi- applications containing new ac- Court in May last year, after front door of her flat and went to tal but was later arrested after tive substances. Application fees being convicted of burglary with her bedroom. She awoke and the woman called the police. have also been reduced by intent to commit rape. He gradu- saw him standing close to her Mr Atwal, who is now serving 4 per cent. ated from John Moore University bed." his prison sentence, broke down in Liverpool just a year before Mr McGahey said the victim - in tears as he told the Committee forcing his way into the 25-year- who did not know Mr Atwal - he could make no excuse for his Slimming pills stay old woman's flat and threatening asked him how he got inside her behaviour. He said he committed to sin >ot her if she didn't have sex home. He showed her a bunch of the offence "in a drunken haze". The Department of Health has with him. keys and claimed he had believed Committee chairman Gary rejected calls for a ban on slim- The Statutory Committee of the a girl called Leigh lived there. Flather QC said the Committee ming pills, such as dexenflu- Royal Pharmaceutical Society was "He then asked her if she had no option but to strike him ramine, fenfluramine and maxin- told Mr Atwal had been out drink- would consent to making love off because of the conviction but dol, arguing that the drugs can be ing on the night of the offence, cel- with him and said she would added that the Society would useful in the treatment of obe- ebrating the successful presenta- have no choice in the matter entertain an application for sity. However, health minister tion of a paper on ast hma and a job because he would shoot her. She restoration in 1998 - he is due for Gerald Malone has asked for offer with Lloyds Chemists. was absolutely terrified and release in Dec ember next year. tighter prescribing guidelines.

m CHEMIST & DRUGGIST 20 JULY 1996 Over 80 per cent of

elderly on repeats A fair day's

( Iver so per cciii of eldei ly patients are on repeal prescriptions, bui a pay ,„ but quarter are inconvenienced by hav- ing in make a return trip in the _._cal. pharmacy because of 'owings'. According to a survey by Help only for some the Aged, the mosl popular service

Offered by pharmacies is home I make no apology for quoting delivery, used by lo pei cenl of the from the front page of the over-70s. Around a third of those Guardian (Thursday, July 11): surveyed in England and Wales said "There can be very few people Reflection they were nol completely satisfied here or anywhere else who with their current means of receiv- have sacrificed more in pay ing repeals restraint than members of this

"The efforl of visiting GPs and House," Alf Morris, Labour. I having to keep visiting pharma- beg to differ. In case Mr Morris but even if it is non-definitive, cies adds up In a .ureal deal of is unaware of pharmacy's the resulting publicity may time an inconvenience," says current problems, there is one attract sufficient political will Help the Aged's head of public profession which has not only to tackle a real legislative affairs, Mervyn Kohler. sacrificed but has been problem that at the moment The report also reveals thai sacrificed on the altar of allows the mavericks of a 71 per cenl of people o\el 60 Treasury frugality. mainly responsible industry to suller from ai leasl one long- Community pharmacy is exploit the gullibility of a lay standing illness. half 1 1 (nil rapidly approaching a crisis of public desperate for that rheumatism oi arthritis, a third recruitment that is purely a 'miracle cure'. from hypertension, and respira- function of the dissatisfaction tory illness or heart disease of pharmacists at the salaries afflicts one-quat ter. currently being offered. Our pay is an insult to any A change profession and would be

laughable if it was not so SHS hits the road serious. Job seekers are for the better If you feel ignorant about coeliac voting with their feet and disease or have patients who employers are now resorting would like lo know more, then to overseas recruitment in Scientific Hospital Supplies has order to fill the gap left by our at Glaxo? the answer. own graduates who are In a series of SHS autumn sem- seeking employment has a physiological function Glaxo's agency scheme was inars, aimed specifically at phar- elsewhere. and is therefore "medicinal in introduced in order to bring

macists and their customers, a I do not expect that the function". On this basis, it has this giant of the

gastro-enterologist will reveal Department of Health will pay classified it as a medicine and pharmaceutical industry the latest advances in research, any more attention to the has warned manufacturers closer to its customers. The

w hile a Iu\ ela home ec( inoiuisl current situation than it has to and retailers alike that it result, for me at least, has will demonstrate gluten-free reasoned argument in the should not be sold until a been a complete disaster, with recipes past. However, before the product licence is granted. poorer discounts, more The seminar dales are Septem service is starved of the vital However, some manufacturers paperwork and non-existent

ber 5 (Dundee), ( ictober 18 (Nor- new blood it needs to develop - and Pharma Notd in presentation. Every purchase wich) and Novembei 28 (South- its own 'New Age', perhaps particular - dispute this of a Glaxo product costs me

aiuplon ) Kurt her inloi mat i< m is Mr Morris and his like-minded classification and claim that, money, so I just hope that the available from the Juvela adv ice parliamentarians should be since melatonin is naturally rumour of a change in the

line on 0151 228 1992. reminded of pharmacy's present in many fresh foods, it agency scheme is true (C&D

( loeliac disease affects one per- parallels. Having enjoyed the is a food supplement. July 13, p62). son m every 2,500 in the UK. luxury of voting for their own Who is right in law may So far, Glaxo has fair pay rise, might they now eventually have to be decided disdainfully ignored all pleas pressurise the DoH into by the courts. What is clear is for fair play and has continued similarly granting community that many products, to actively discriminate CPPE workshop on pharmacy's reasonable melatonin included, are against the small

demands? presently marketed under the independents. If you are a patient counselling guise of 'food supplements' multiple chain of pharmacies, when their use is obviously many goodies will flow out of The ari of patient counselling medicinal. Brentford, but, for me, the collies under the microscope in Playing piggy Wild third party curative company remains an

the ('cnirc foi Pharmacy Post- claims are made, often in the expensive luxury for whom it graduate Education's autumn pages of the popular press, for is more important to persuade W ' irkshl )| i series in products which rarely live up local medical practices to The counselling skills series the middle to the expectations of their adopt new asthma delivery

will run from September lo The saga of melatonin has desperate purchasers. systems than it is to service with help December, the of local moved on since I last made However, they do achieve a the local pharmacy.

( TITO i utors and i< I presental >ns >y light of a situation that could very lucrative return for their I would prefer that the qualified counsellors now find retailers as piggy in producers without the agency scheme was scrapped Topics lo be explored iik hide the middle of a serious inconvenience of having to go altogether, but the rumoured

the need for counselling and the confrontation between the through the process of change is far more likely. If additional skills required, Medicines Control Agency and obtaining a product licence! that is true, then perhaps this

The ( !PPE's workshop pro healthfood manufacturers. I hope that this court case time my welfare will be gramme in spring will locus on The MCA considers that may clarify the medicinal protected by Glaxo - and not medicines management, which melatonin is a hormone which status of 'food supplements', penalised! will he selected on a local basis.

CHEMIST & DRUGGIST 20 JULY 1996 79 HIIPTsnecials

Salmeterol receives Sporanox now available Seroxat (paroxetine) has been IOC approval granted a licence for use in the prevention of relapse of panic Serevent (salmeterol) has be- disorder. The standard dose come the first long-acting bron- as an oral solution (40mg daily) for panic attacks chodilator to be approved by the should be used. Paroxetine is the International Olympic Commit- only antidepressant in the UK to tee, a decision that will be wel- Sporanox is now available as an Sporanox liquid is recom- be licensed for both treatment comed by asthmatic athletes oral solution containing lOmg mended to be taken without food and prevention of relapse of the c ompeting in this year's games in per ml of itraconazole. for maximum absorption. The disorder. Atlanta. The liquid has improved ab- liquid should be swished around SmithKline Beecham The drug was approved follow- sorption and enhanced bioavail- the mouth before swallowing. Pharmaceuticals. Tel: 01707 ing evidence that it did nol ability compared to the capsules The mouth must not be rinsed 325111. enhance sporting performance. It and is indicated for oral and/or after swallowing. is expected to benefit athletes on oesophageal candidosis in HIV Sporanox liquid (NHS price Glamin infusion solution short-acting bronchodilators who positive and other immunocom- £52.28) comes in 150ml bottles do not want the risk of break- promised patients. The dose is and is accompanied by a measur- Pharmacia & Upjohn has through symptoms and conse- 200mg ( 20ml) daily to be taken as ing cup. launched Glamin, an amino acid quent compromised performance. a single dose or divided into two Janssen-Cilag has also launch- infusion solution containing

The use of the drug is permitt- doses for one week. Treatment ed 60-capsule packs of Sporanox supplemental glutamine. It is ed by inhaler only and the ath- should be continued for another lOOmg (in addition to existing available in 500ml bottles at an letes must declare that they week if there is no initial packs of four and 15) for patients NHS basic price of £26.38. intend to take it by writing to the response. needing long-term maintenance Pharmacia & Upjohn Ltd. Tel: relevant medical authority prior For resistant cases, 200-400mg therapy, such as those with AIDS 01908 661101. to competition. should be given daily in one or or prolonged neutropenia. The two intakes for two weeks. If NHS price of the new packs is Wellcome interest there is no response after that £89.84 period, treatment should be Janssen-Cilag Ltd. Tel: 01494 Zovirax Cream 2g tube (POM) is Bayer launches new extended for another two weeks. 567567. now being distributed by Glaxo Wellcome UK, but the OTC packs versatile lancets of the tube and the pump will Videx given first-line indication for HIV continue to be available from Bayer has launched a new type of Warner-Lambert Consumer lancet designed to fit any finger- Videx (didanosine, DDI) has rently evaluating once daily Healthcare. Dermal cream 30g, on pricking device for which lancets received approval for use as a administration of Videx and new the other hand, will no longer be are prescribable. first-line adjuvant therapy in HIV formulations. distributed by Warner-Lambert Baylet lancets (200-pack, basic infection. Preliminary results of a US but by Glaxo Wellcome only. NHS price S6.08), which are 25 The close is 125mg eveiy 12 study presented at last week's Glaxo Wellcome UK Ltd. Tel: gauge for pain-free penetration, hours for an adult under (iOkg international conference on 01270 508030. can now be dispensed against any and 200mg eveiy 12 hours for AIDS in Vancouver found that prescription for blood glucose adults of 60kg and over. combination therapy of didano- Kefadini singles monitoring lancets. The approval was reached sine and stavudine (D4T) may The new lancets solve the prob- through a mutual recognition have potent antiviral effects and All Kefadim (ceftazidime) vials lem for the phar macist of trying procedure across 15 European that suppression of viral load is are now supplied in single units. to match the appropriate product countries and is now awaiting sustained for at least one year. The new NHS basic prices are with the finger-pricking device the final seal from the Medicines The combination was also found 500mg/10ml, £4.95; 1g/20ml, £9.90, the patient is using. Control Agency, which is ex- to be well tolerated. 2g/50ml and 2g/100ml, £19.80. Bayer Diagnostics UK Ltd. Tel: pected in the next few weeks. Bristol-Myers Squibb. Tel: 0181 Eli Lilly & Co Ltd. Tel: 01256 01256 29181. Bristol-Myers Squibb is cur- 572 7422. 315000.

MEDICAL MATTERS

ooster for MMR introduced Hairy chest - a sign of intelligence?

From October, all pre-school all children who were too young Hairy men should bare all and be neering students were found to children will be offered a booster to be immunised in the 1994 proud. After all, it is a sign of have more body hair than manual dose of the measles, mumps and measles/rubella campaign, but intelligence, according to a study labourers and to achieve better rubella (MMR) vaccine. who have already had their pre- presented at last week's Con- results in their degrees than The second dose will be avail- school boosters by the time the gress of the Association of Euro- 'smoother' colleagues. able to children just before they MMR second close conies in, will pean Psychiatrists in London. Menil.eisol MENSA also had a start, school, alongside boosters be offered it. The study, conducted by Dr tendency to thick body hair, of the diphtheria, tetanus and The catch-up programme will Aikarakudy Alias, of the Chester while some of the most intelli- polio vaccines. It is expected to usually be run by general practi- Mental Health Centre in Illinois, gent men appeared to have haiiy increase the protection of the tioners and call-up of children found a link between body hair, backs as well as chests. first MMR given at 12-15 months will be by health authority/Trust intelligence and academic ach- Dihydrotestosterone, a variant and prevent the build-up of a Child Health System computer ievement in men. of testosterone that is associated large number of children suscep- unless it is initiated by the GPs He found that 45 per cent of with male sexual characteristics tible to measles. themselves. medical students in America and mental faculties, is thought To ensure no child is over- The DoH will be supporting the were 'very hairy' compared to to be responsible for the link. looked, the Department of new campaign with publicity less than 10 per cent among the However, one famous excep- Health is also organising a catch- material for the public and general male population. In tion is Albert Einstein, who had up programme. This means that healthcare professionals. India, medical students and engi- no body hair at all.

80 CHEMIST & DRUGGIST 20 JULY 1996 THERE'S NO MORE EFFECTIVE COMBINATION THAN MYCIL AND CLOTRIMAZOLE.

Mycil Gold Clotrimazole contains 1%

clotrimazole, one of the most effective athletes

foot treatments available.

And with your customers' confidence in

the Mycil brand name, your recommendation

will be reassuring as well as effective.

So next time you're looking tor a

treatment that's effective in more ways than one,

remember Mycil Gold.

It'll soon show athlete's toot a clean

p. nr of heels.

i •

HHHj^HHHHjjSMUaHHfl Clotrimazole 1 %

There's no better recommendation for persistent athlete's foot

Product Information: Mycil Gold Clotrimazole pregnancy and lactation Dosage: Apply to the affected area think and evenly 2-3 times daily Topical antifungal cream containing l% clol azoic, Use: Broad-spectrum antifungal cream Side-effects: Karely, mild transient burning or irritation after applying the cream

I" 1 the treatment ol athlete's foot and other fungal infei tions mm h .is dhobic h. h, intertrigo, Packaging quantities: 20g tube. P (in box) RSP: £2.99. PL: 10622/000-1 Licence fungal nappy rash and ringworm. Contra-indications: hypersensitivity to any ol the Holder: Dominion Pharm.i lid Haslemere, Surrey GU27 l|l ^fl^CROOKES ingredients Precautions: I lo use eyes no! in or near Not recommended foi use in Manufactured by: I ileh.im I le.ilth. .in I id Alton Hants CiU.W XJR ^ftU0f H 15 A I ,T1 1( 'A K K 1 COUNTERDoints

Complete across the country. We believe Complete ad many soft contact with Forehead-C lens wearers still need to be told Foreheatl-C is a new about the benefits forehead-sized cooling of the one-bottle sheet, said to soothe knocks juggling system. As headaches and relieve Complete is fever in babies and young 'Are you still juggling Mail on Sunday's available only children. The active with a multi-bottle Night and Day, from opticians or ingredient is super- system?' is the catchline the Sunday Times pharmacies, hydrated aloe vera which for Allergan Complete's magazine, and the pharmacists has a cooling effect when £250,000 national Independent should take full placed on the forehead. A consumer campaign. magazine. The advantage of the packet of three sheets The month-long Even iny Sta ndard 's campaign by stocking up retails at £1.99. campaign includes full- ES magazine is also product manager now and ensuring According to Lina page, colour being included to give Amanda Byrne says: Complete is highly Trading, advantages of advertisements in extra emphasis in the "This high-impact visible to customers." the products are that it is national newspaper London area. consumer campaign will Allergan Ltd. Tel: 01494 easy to apply, it provides magazines, including the Allergan group increase the visibility of 444722. instant comfort; aloe vera is good for the skin; and the sheet contains very Colgate's value Plax packs Water for DIY filtering little menthol (its vapours added Gem can irritate the eyes). Colgate-Palm< ilive Aqua Cure, one of the inhibiting scale. Lina Trading is is running an UK's specialists in water Water Gem retails at supporting the launch added value purification, has around £49.95 with a 12- with a £60,000 television consumer offer on launched a unique DIY month supply of easy-fit advertising campaign Colgate Plax home water filter system replacement filters at within London and the mouthrinse. in response to £29.95 for two. The Home Counties area for a An eye-catching consumers' health replacement filters are one-month period during neck collar on concerns about domestic also compatible with September/October. 500ml slock will water quality and safety. most other makes of The television carry a money-off Water Gem is a ready to domestic filter systems. advertisement will coupon towards fit water filter kit, which The Water Gem comes feature a Freefone the purchase of a can be easily installed to with a three-year number which viewers Colgate Total the domestic sink to guarantee for all parts, can use to obtain toothbrush, provide clean, filtered excluding the information about the prompting consumers to The collar also features water at less than one replaceable filter and the nearest stockist. stock up across the the 'Plax Worx' message penny per litre. The filter, company also provides a Mothercare will be Colgate range, and at the from the high-profile approved by the Water free helpline number for stocking the product same time encouraging poster campaign, which Research Council, is said customers. Further during the campaign and them to change their will be back for a second to improve the taste and information on the Lina is currently toothbrush regularly. The burst during August. The smell of tap water by product can be obtained recruiting pharmacies offer runs for two months campaign is part of a S filtering out sediment, dirt by dialling Freefone 0800 within the area to do and returns on the 250ml million spend behind and rust, and reducing 627627 and asking for likewise. bottles from mid- Colgate Plax this year. levels of chlorine, Water Gem. Lina Trading Ltd. Tel: 0171 September for a further Colgate-Palmolive Ltd. chemicals, herbicides Aqua Cure pic. Tel: 01704 629 4144. two months. Tel: 01 483 302222. and pesticides, as well as 501616.

Blisteze and Blistex give lips the kiss of life

ii I >cniln Hi is suppi ling its screens from October to SPF 15 and Blistex cold sore brands - March next year, hitting Lip Tone SPF1 5- Blisteze and Blistex - over 50 per cent of the is also available to with a national target audience. retailers. promotional campaign Advert ising with a Aimed at 15-24- starting in September. similar theme will appear year-old females, Nearly ,S2 million is in teen magazines from the 30-second being invested in the September, backed by commercial will campaign, which is set to POS shelf wobblers. alternate run dining the winter Similar campaign fortnightly with months and feature on support for Blistex the Blisteze cinema screens, in the includes cinema and commercial from press and at point of press advertising based I ictobct until sale. on 'The Kiss of Life for March. Advertising The campaign for Lips' theme. will be targeted at Blisteze targets 15-24- A counter display unit the same magazines as publicity package with a midi hi-fi with 48 year-< >lds with its to hold all four products Blistex. A red 'X' will be pharmacy competition runners-up receiving £30

'Blisteze - it's the cream' -Blistex Lip Cream SPF used on the counter based on matching lips Marks & Spencer cinema commercial. The 6, Blistex Ultra display unit and to famous faces. The first vouchers. 30-second advert will be Protection Balm SPF 30, showcard. correct entry opened on Dendron Ltd. Tel: 01923 seen on 1,,S()I) cinema Blistex Lip Conditioner Dendron is hacking the October 1 1 will win a 229251.

(MUST & DRUGGIST 20 JULY 1991

• © « • 9 i ••••»•••« ••••••••••••••••••••••• Win a From Practice major prize

Is the professional service you offer from your

pharmacy moving with the times? If you can relate how you are forging links with other healthcare workers, the Glaxo ^JeWcome/ Chemist & Druggist Community Pharmacy Award offers you an opportunity to win a major

he way primary care is The closing date for entries is delivered is changing July 31, 1996. fast. The demarcation lines between the The judges

»sffe?o, healt h professions are Entries will be judged by a panel breaking down and community of five judges. Glaxo Wellcome's pharmacy practice is adapting to Dr Maureen Devlin and C&D's the changes local purchasing is editor, Patrick Grice, will be bringing. joined by: With this in mind, we want you @ Ian Carruthers, chief execut- to tell us how you are forging ive of Dorset Health Commission links with other health profes- • Georgina Craig, who is the sionals to the benefit of patients, head of professional devel- others in the primary care team opment at the National Phar- and your own business. maceutical Association You can enter the award if you @ Gill Hawksworth, a comm- practise as a community pharm- unity pharmacist and member of acist anywhere in the UK. You the Council of the Royal Pharm- should explain, in an essay of aceutical Society. The prizes 1 Entry is open to any pharmacist on the The opportunity to attend one of Register of the Royal Pharmaceutical the major conferences or man- Society of Great Britain or the Phar- agement courses listed below maceutical Society of Northern Ireland, will be offered to the three and who practises in the UK.

I 00(1 woids, how I he liaison you hospital pharmacists over med- winning entries. 2 The winning three entries as have forged was conceived, ication for patients when they • FIP 1997 determined by the judges will be offered how Course the opportunity to attend a major it operates and the benefits it are discharged • Career Management

conference or recognised business delivers. 9 you may operate clinics, eg for ( Raeburn & Keslake) management course with all expenses The following examples may diabetics, or offer services in • Managing Teams paid. alternative will offered. No cash be serve as a guide to pharmacists conjunction with other health ( Management Centre Europe) 3 The closing date for entries is July 31, wishing to enter: workers. • Managing People (Manage- 1996. The Award winners will be ® you may be liaising regularly You may include practice ment Centre Europe) announced in Chemist & Druggist on with your local GP practice to leaflets, other relevant literature • Strategic Decisions (Ashridge November 9. Individual winners will be provide prescribing advice or and photographs to support your Management Centre) notified by post by October 10. illustrate of Annual Meeting '96, 4 The entry form below must diagnostic services entry and an aspect • ASHP accompany an essay of up to 1,000 • you may be co-operating with the service you offer. San Diego, US. words setting out how and why the entrant considers the professional Please complet e the entry form below and attach it to the front of your entry. Send the complete liaison developed by her or his Professional, Miller pharmacy practice has improved entry to 'From Practice to People', Chem ist & Druggist, Miller Freeman healthcare provision to patients; Freeman House, Sovereign Way, Tonbridge, Kent TN9 1RW. benefited the business; and improved inter-professionallinks. Name.. literature, ; Practice leaflets, patient Registered Address photographs • and other supporting materialTnay be submitted with the entry. Address (if different from above).. 5 Entries should be typed or printed. Pharmacy

6, The entry, and supporting material may be used editorially within Chemist 6 Druggist, G&D cannot give an Postcode Telephone. absolute guarantee that entries will be returned in their entirety, although Prizes in order of preference: every effort will be made to do so. 7 Winning entrants should be prepared 1 tn write an article for publication ol up to .1,000, words on the eortference/- j:bu§iness course/study tour they attend.

8 The decision of the judges is final. No correspondence will be entered uiu>.

CHEMIST &DRIGGIST 20 JULY 1996 COUNTERPOINTS

Eve Taylor claims From A to Zinc with Arkopharma in

Arkopharma, the herbal folic acid and others. A pack of pharmacies medicine manufacturer, 30 capsules retails at S3. 65. has launched a new multi- The new product has multi- Eve Taylor is launching its vitamin and mineral coloured and white packaging aromatherapy retail product range to product - Azinc Complex to ensure on-shelf impact. over 14,000 pharmacies on August 1. capsules. Arkopharma says the Pure and blended essential oils The sugar-free product supplement is "particularly will be made available to the contains the recommended effective for tired, stressed, pharmacy sector under the label of daily allowance of a range of overworked people; those Face Care, Body Care, Specifics, vitamins and minerals from who are slimming and have an Bath Oil, Hydrogels and 'A to Zinc'. These include unbalanced diet; or those who Environmental Fragrance. Prices beta-carotene (a precursor of are regularly taking part in range from £4.50 for the facial vitamin A), vitamin C, sporting activities". cleansing brush to around £15 for the vitamin E, vitamin B6, iron, Arkopharma (UK) Ltd. Tel: 0181 environmental fragrancing kit. magnesium, zinc, copper, 763 1414. Face Care will incorporate five products, No1 to No5, designed to help dry, sensitive, spot-prone and mature skin. 3ody Care will consist of three products, No10 to No12, blended to stimulate and relax skin imperfections associated with fluid retention. The Specifics range includes three products (301 to 303) designed to assist the skin in its regenerative cycle. Specific 303 is recommended for scar tissue and stretch marks. Included in the Bath Oils range are 5 c six different oil-blends labelled °™ stimulating, relaxing, toning, * Caps balancing, revitalising and soothing.

Produced specifically for the retail removal market is the Moisturising Hydrogel - ,,ls range Corelle, Citrelle and Astrelle, 'an/ Reset a facial cleansing brush and an £ Environmental Fragrancing range. \ \ r\ 'fectri/e The range consists of four kits energising, soothing, revite and refreshing - designed to release the vapour of blended oils through a clay diffuser. On-going support for the launch includes package brochures with an ingredient listing and application/- usage chart/guide, a sampling promotion and free product training. Pharmacies will be able to contact a helpline to obtain information for guidance on product specification, t savers skin problems and ailments. Eve Taylor (London). Tel: 01733 321101. for Profit. Collection 2000 Summer Season Sales

Collection 2000 has created Shine History shows both you and your customer alike

Time 2000, a high-fashion look for can trust a product bearing the Carnation name. autumn '96, combining shades of With this proven heritage Carnation Footcare lilac, mauve, pearl, blue and silver. .'ill help to make your sales grow. Fashionable combinations includi the Eyeshadow Trio No 97 (SI. 29), • Profit on return which consists of Mauve Sheen, 33V3% Merlin and Flamingo Pink; or • Full consumer advertising ARNATION Quartet Eyeshadow No 7!). leal m ini: support throughout peak Seahaze, Diamond IJlue, Light Blue '96 and Snowflake. A suitable lipstick season beginning June Avail-able in packs ol 5 01 10 tram yon for look is ( the lollection 2000 Lip 75 years of proven pharmacy sales English Circuns representativi i daze in < )rchid < lem (No 7) (SI. 15). 4.'". ABRIDGED INFORMATION. I EGA1 CATEGI IRY; I iSI INI Ml ATI! INS: l-oi the ri'iiinvnl «l hard. ACTIVE INGREDIENTS: Sain ylu A, id BP ( lollection 2000 products are nol l I I I I ) PRODUC1 LICENCE HOLDER: uxson Icrrard & pany imiU'd, 125 IWtwi-ll R.»id, ' >l.ll.ury, Warley, VK-m Midland*, B6 4BI li-l 0121 544 7117 on tested animals. FURTHER INFORMATION FROM THt I ICENl I HOI DUR is AVAILABLE ON REQUEST. Collection 2000 Ltd. Tel: 01695 50078.

CHEMIST & DRUGGIST 20 JULY 1996 85 COUNTERPOINTS

Strong growth in Dazzling campaign for Colgate Platinum sun care sales

The growing number of Colgate-Palmolive is use a fashion theme to people taking sun adopting a dazzling convey the 'teeth have holidays, and the hot white theme for its never been so white' summers we have integrated PR and message. Models experienced in recent press campaign for dressed in expensive years here in Britain, have Colgate Platinum, its white designer clothes contributed to strong whitening toothpaste. wear an affordable white growth in the sun care All the activity is smile attributed to market, thought to be being targeted at women Colgate Platinum. worth £136 million. and includes To ensure the 'white' A new market report advertorials in high- message hits home, from Datamonitor reveals profile women's titles, smile and fresh cinema and video that increased growth is such as Vogue, Marie "whitening benefits breath". advertising will run coming from new product Claire, Cosmopol ita n which combine with the Supporting the through July and August. developments, particularly and Elle. The great taste to promise a advertorials, press ads in Colgate-Palmolive Ltd. in the high-protection area, advertorials focus on the pearly white, confident the same premium titles Tel: 01 483 302222. and that high sun protec- tion factor (SPF) items have increased their share New 2 in 1 available for Synergie Chocolate selection of the sun care market. Sun from Bourjois

protectors with an SPF of 7 Synergie is building on its by the skin to soften it. The autumn/winter colour beige, to Pastel Naturel and above now account for success in the cleansing Vitamin E is added for its collection from Bourjois Matt Eyeshadow in new 48 per cent of the sun market with the launch antioxidant properties, is a palette of chocolate- Chocolat (£3.95), a rich protection segment, while of a new combination which the company coloured shades for eyes, mocha brown. the share of SPF 0-3s has cleanser and toner. claims helps protect the cheeks, lips and nails. New shades in Pastel almost halved from 15.5 per Synergie Refreshing fatty membranes of the Available from Joues Blusher (£4.75) are

cent in 1991 to its presents Gentle Cleanser Milk + cells, delaying the September 4, the Bruns Chatagne Doree, a per cent. Toner offers the appearance of fine lines D'Automne collection shimmery bronze brown, L'Oreal's Ambre Solaire efficiency of a milk and and wrinkles. spans the spectrum from and Santal, a coco brown is the market leader with the benefits of a toner Synergie Refreshing Beige Rose Pastel with a hint of iridescence. a 5 per cent lead over in a one-step, Gentle Cleanser Milk + Lumiere Eyeshadow Bourjois Ltd. Tel: 0171 436 Boots' Soltan. hypoallergenic Toner is available (£3.95), a light iridescent 6110. UK Skincare' is formulation. nationwide from August, available at a price of The active ingredients retailing at S3. 19 for a £495 from: inc lude mango oil, rich in 200ml pack. ON TV NEXT WEEK Datamonitor Europe. Tel: essential fatty acids, Laboratoires Gamier. Tel: 0171 625 8548. which is easily absorbed 0171 937 5454. Alberto-Culver V05: STV, C, A, HTV, W, C4 + satellite

Alka-Seltzer: GMTV, C4 + satellite

Rapping with Ricola: going Alpine in Atlanta Andrews: All areas

Aquafresh toothpaste: All areas Ricola, the medicated August 4, and is expected group who solve their herbal confectionery to reach 1.2 million vocal problems with Centrum: All areas brand, is spending £5 adults every day. The ad, sugar-free Ricola, is a Colgate-Palmolive Soft & Gentle: All areas million on marketing featuring a futuristic rap departure from the support, which kicks traditional Alpine Colpermin: M off this summer with image. Gentle Touch: All areas a heavyweight tele- Ot her marketing vision campaign set support includes Dettol Antiseptic spray: All areas, except CTV, C4, TSW to run throughout public relations Gentle Touch: All areas Eurosport's satellite activity, point of sale coverage of the forth- material and space- Gillette Natrel Plus: All areas, except LWT and GMTV

coming Olympics. saving pre-packed Hedex Ibuprofen: All areas Valued at SI. 6m, counter display units, Macleans Bicarbonate of Soda toothpaste: All areas the initial Olympic available from

campaign will be leading wholesalers. Nicotinell gum (trial pack): STV, B, G, Y, HTV, LWT, TT, C4 televised daily bet- Cedar Health Ltd. Tel: Nurofen: All areas ween July 20 and 0161 483 1235.

Oil of Ulay: All areas

Pantene: All areas, except GMTV Braun improves comfort factor d !!kpi! system Radox Wheatgerm: All areas Next month, Braun is dragging of the Epilation Moisturising Rimmel: All areas, except U launching a further- surrounding hair and Cream. improved Silk-epil hair skin. The Silk-epil Comfort The Wrigley Company/Sugar Free Brands: All areas removal system, called Bigger feed-in combs Body System (£49.99), an Total: All areas Silk-epil Comfort, which smooth a larger area of extension of the leg combines two new the skin in preparation for system, is an epilator with Wella Experience: All areas, except CTV product features for the treatment, which also an interchangeable head. Wrigley's Orbit (Improved): All areas enhanced comfort. enhances comfort. The tweezers can be Smaller tweezers are Silk-epil Comfort EE110 replaced by a shaver for GTV Grampian, B Border, BSkyB British Sky Broadcasting, designed to provide for Legs (£49.99) offers a use on more sensitive C Central, CTV Channel Islands, LWT London Weekend, gentler epilation by only choice of four settings, areas, such as the bikini C4 Channel 4, U Ulster, G Granada, A Anglia, CAR Carlton, gripping the hair to be adjustable tweezer grip line or under the arms. GMTV Breakfast Television, STV Scotland (central), removed, avoiding the for normal or delicate Braun (UK) Ltd. Tel: 01932 Y Yorkshire, HTV Wales & West, M Meridian, TT Tyne Tees, unnecessary pulling and hairs and Silk-epil After 785611. W Westcountry

C'9 CHEMIST & DRUGGIST 20 JULY 1996

...In fact, a massive £1.7 million in only six months

in Blistex We're investing hugely the brands ceptional national cinema commercial with 'The Kiss of Life for Lips' theme throughout the 6 months from September citing heavyweight press campaign in the young female magazines with

'96 with a lipsmackin' campaign including... stunning full page, high-visibility ads.

tremely impactful point-of-sale including eye-catching window displays.

All this adds up to a major Xtra push for Blistex - giving a new

Kiss of Life to your profits!

Dlistex For moisture, protection and everyday lipcare PHARMACYupdate

Drugs in sport ^ Needle exchange ^ Research digest How some formulations can be Pharmacy-based needle exchange (IffS PredictingJicting incorrect inhaler techniquete to abused to enhance performance schemes come under scrutiny IV reduce morbidity and mortality VII

Remember the 1988 Olympics being overshadowed by the discovery that the THE COLLEGE OF world's fastest man, Ben PHARMACY PRACTICE Johnson, had anabolic This course (module in steroids to help him 22), association with multiple across the finishing line? choice questions being Well, in this Olympic published in c&d august year, Glasgow 10, provides 1 hour of community pharmacist continuing education Stephen Kayne takes a look at what is and isn't banned for athletes |]:*I3HIIW

To be aware of the problem The use of performance of drug abuse in sport enhancing drugs in sport is To recognise drugs on the not new. In 1865, canal banned or restricted list swimmers in Amsterdam To understand how drugs can were accused of taking a enhance performance in sport mixture of heroin and To be aware of OTC banned' cocaine, and in the ea r ly and allowed' drugs years of this century alcohol and strychnine were taken by boxers and a marathon applications, notably in the competitor. treatment of asthma, and Top athletes are often so together with some of their caught up with striving for derivatives (for example, that extra margin of success pseudoephedrine and that they may resort to any phenylpropanolamine, etc) method that seems to bring accredited drug testing hours before an event have are often present in the this goal nearer. In some service is provided for many been shown to improve formulas of OTC medicines, countries, drug abuse in sport national and international performance in three-quarters too - Aller-eze Plus, Lemsip may be routinely meetings'. of a sample of swimmers, Cold Relief and Day Nurse all

incorporated in elite training Of the many classes of runners and weight throwers . contain banned ingredients. programmes. drugs available only a relative The drug causes blood to Salbutamol and terbutaline At the British few have been implicated in flow from the skin and is are permitted, subject to Pharmaceutical Conference in enhancing performance or particularly dangerous during written notification by the London two years ago, the masking the use of banned intense exercise in hot team physician, but they may audience sat spellbound as an drugs, and consequently climates. There are numerous only be administered by East German doctor placed on a banned or reports of cyclists suffering aerosol. Sodium systematically catalogued the restricted list by the IOC. Here fatalities after taking cromoglycate, used mainly to programme of drug abuse are some of the more widely- amphetamines. treat allergic asthma, is also that had been promoted by abused drugs. Cocaine allowed. the authorities in his country Amphetamines have largely Caffeine before the fall of communism. Stimulants been replaced in sport by Caffeine produces a mild He explained the practice of Amphetamines cocaine, the regular use of central stimulation. Maximum 'drug holidays' where athletes Amphetamine sprays were which can lead to anxiety, urinary levels of 12mg/ml are ceased to take drugs at set originally prescribed for the agitation, insomnia and, set by the IOC. periods before competition so treatment of nasal congestion ultimately, coronary occlusion The drug is claimed to that the risk of detection was (through vasoconstriction). and death. counteract the reduction in minimised. They are powerful central Sympathomimetics performance caused by Much of the initial work on nervous system stimulants Adrenaline and the fatigue and is popular in drug testing in sport was and have been taken to sympathomimetics, rallying, particularly at night.

accomplished by a increase the heart rate and ephedrine and isoprenaline, It is thought to work by pharmacist-run laboratory at allay inhibition before are also considered to be enhancing fat utilisation, thus

King's College, London, competition. Amounts of 14- stimulants and are banned. sparing glycogen '. As few as where an International 21mg of amphetamine These compounds have Olympic Committee- administered two to three many therapeutic Continued on Pll

CHEMIST & DRliWilST 20 JULY 1996 I Continued from PI endurance events, they help and can be used as but the presence of both can allay anxiety and steady the antitussives. be tested. There are four cups of filter coffee or six nerves, and therefore may restrictions on the use of local cans of a famous cola drink help competitors in archery, Peptide hormones anaesthetics and may cause a positive dope darts, shooting, bowls and Human growth hormone corticosteroids. test. snooker. Side-effects include (hGH) is naturally produced cold extremities, fatigue and, by the body to invoke Pharmacy advice Anabolic steroids in extreme cases, heart maturation and physical Pharmacists must be vigilant

First used in 1954, anabolic failure. development. It is now when recommending OTC steroids are mainly produced synthetically and remedies. This is particularly chemically-derived Diuretics may be used to increase body important for elite and sub-elite alternatives to the natural Diuretics are sometimes used mass. Some male athletes athletes who may be subject to male hormone testosterone. where a specific weight is use hGH to stimulate drug testing during training, as They are designed to separate needed - for example, with testosterone production, well as competition. the anabolic and androgenic jockeys and boxers. Diuretics increasing aggression and Sports Councils in the UK features of the hormone and shed weight quickly by competitiveness. As yet it is produce handy cards listing to improve its availability. excessive water loss and by undetectable. the banned classes of drugs The drugs achieved acting as a blocking agent to A reverse approach is to with examples, and a supply spectacular notoriety at the dilute urine and therefore use brake drugs, which are is available for customers. Seoul Olympics in 1988 when prevent detection of drugs in generally hormonal and are There is also a compre- Ben Johnson's gold medal other sports. Compounds used to block physical and hensive guide available, was withdrawn after he tested such as acetazolamide, sexual maturation. They are entitled 'Drugs and Sport'. It positive for stanozolol. amiloride and triamterene are very popular with female details all the banned and Anabolic steroids constitute banned. gymnasts. permitted products. nearly half of all positive Other banned substances Another solution is to samples detected by IOC- Narcotic analgesics include human chorionic recommend complementary accredited laboratories. They Included in this class are a gonadotrophin 5 remedies. The Sports Council , are used to increase muscle number of drugs related to corticotrophin (ACTH) and warns that some herbal mass, especially in the morphine. They are used as erythropoietin (EPO). preparations may contain presence of high protein moderate to severe The latter, a genetically- banned substances from intake, as well as improving analgesics. engineered substance, naturally-occurring plants. For power and speed after The IOC Medical mimics the effects of training example, ginseng root does intense physical training. Commission believes there is at high altitude by regulating not contain banned

There is some discussion as evidence that these the synthesis of erythrocytes, substances, but it is known to whether they act directly compounds have been but in excess can cause fatal that marketed tablets (tablets, on muscle tissue or whether abused in sport and, as there blood clots. Five years ago, solutions, teas, etc) bearing they encourage muscle are many other non-narcotic the drug was blamed for the the name 'ginseng' may development indirectly by drugs available, they should death of 18 German cyclists contain other undeclared helping prolonged exercise. be banned. Over the counter from circulation problems. ingredients, such as Performance may be products containing codeine The drug disappears rapidly ephedrine. The Olympic enhanced by increased should not be offered to from the body and detection sprinter Linford Christie took erythrocyte formation athletes. has proved difficult in the ginseng some years ago and allowing an increased oxygen Most of these drugs have past, but recently a new test subsequently tested positive uptake. major side-effects, including has been announced. for a banned substance. Side-effects include hepatic respiratory depression and Other drugs are subject to There is no requirement for malfunction, coronary heart dependence. certain restrictions. For a comprehensive listing of disease, cancer, sterility and Dextromethorphan and example, alcohol and ingredients in nutritional uncontrolled aggressive pholcodine are not banned marijuana are not banned, supplements making it

4 behaviour . difficult to determine whether An increased incidence of Table 1: an example of a homoeopathic sports first aid kit doping regulations are liable tendon damage has also to be breached. Abrasions- superficial: Calendula ointment/cream been noticed among athletes No such risk is involved in taking anabolic steroids due Anxiety, excitement: Aconite (terror), Arrogant nit (anxiety) recommending homoeopathic in part to competitors remedies and they are not neglecting accepted or Gelsemium (worry) subject to any IOC controls. techniques within their There is a range of about 30 Bruising: Arnica ointment chosen sport. generic remedies known as Clenbuterol is a 'polychrests' that have a wide banned Colds and flu: Gelsemium, Nelson's Coldenza, compound related to the spectrum of activity and can anabolic steroids that was 'in Weleda's Infludo be administered to fashion' for a time. It has sportspersons safely and Cough: Bryonia cough linctus (Nelson's) been shown to stimulate the effectively, without affecting deposition of body protein in any concurrent or subsequent Diarrhoea: Argent nit (from anxiety), Arsen alb animals. treatment. Table 1 offers However, drug testing has tablets some suggestions for treating not proved to be foolproof. common problems. British athlete Diane Modhal, Insect bites: Apis (stings) or Ledum (bites) tablets Discussions are in progress who originally tested positive with the British Association of or pyrethrum spray for testosterone, was later Sports Medicine to identify cleared because of possible Mental and physical tiredness: Arnica how pharmacists' false results due to contribution to sports care degradation of sample. Motion sickness: Cocculus (or Nelson's travel sickness can be increased.

Beta-blockers remedy) References available on request. These drugs are used to Soft tissue injuries: Ruta tablets or ointment lower blood pressure and slow the heart rate. Although Sunburn: Cantharis tablets (or Nelson's Burn C&D is accredited by the they reduce the ability to College of Pharmacy Practice perform physical exercise ointment) as a provider of distance and are therefore not the learning material until Trauma: Arnica tablets subject of drug testing in December 31, 1997.

1996 II CHEMIST ft DRUGGIST 20 JULY ]! i

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Pharmacy needle exchange schemes are now widespread thanks to their role in reducing the transmission of HIV among injecting drug abusers. Dr Rod Tucker, a community pharmacist and director

of the Freelance Needle Exchange scheme in North East Lincolnshire, investigates how pharmacists can make the most of the scheme

N'eedle and syringe back used syringes for safe exchange is simply a disposal'. scheme enabling injecting The sale of syringes by drug users to obtain free pharmacists to known or sterile needles and syringes suspected drug misusers was in exchange for their used initially denounced by the ones. Royal Pharmaceutical Society Exchange schemes were which, in 1982, had issued a originally established in 1984 Council statement stipulating in Amsterdam, not in that sales of syringes should response to the emerging only be permitted for bona O To understand the principles AIDS epidemic, but to the fide customers for therapeutic of needle exchange schemes growing problem of hepatitis purposes. However, by 1986 THE COLLEGE OF To be aware of Government B among drug injectors. the Society had lifted this support for such schemes Although the HIV virus had restriction and issued PHARMACY PRACTICE C To recognise how schemes been isolated as early as guidelines for pharmacists can be put into practice 1981, little was known about wishing to become involved To recognise the aims of a 8 This course (module 23), in its mode of transmission. in exchange schemes . pharmacy-based scheme However, in 1983, blood association with multiple To appreciate the associated samples taken from drug Aims of the scheme choice questions being moral and ethical dilemmas injectors in Edinburgh were In response to the growing published in c&d august the first to show positive AIDS epidemic, the mid-1980s antibodies to the HIV virus' saw a wider acceptance of the 10, provides 1 hour of health matters and, provided and studies of drug injectors concept of harm continuing education they respond to drug injectors have since found that the minimisation. This in the same way as any other microtransfusion of blood represented a pragmatic customer, a degree of trust is which occurs when drug approach to drug misuse and Pharmacy-based exchange soon built up. injectors share syringes poses involved two basic tenets: schemes are designed to be a significant risk for the reduce the risk to the complementary to the Practicalities 234 transmission of the virus . individual who injects drugs services offered by drug Pharmacy needle exchange

Moreover, it is known that and minimise the harm agencies and should be schemes are now widespread injectors will share spoons, associated with the misuse of viewed as a means of making in the UK and the filters and bowls of water, and drugs. contact with a large number Pharmaceutical Services

communal use of such In the context of harm of clients and, if necessary, Negotiating Committee has paraphernalia is thought to minimisation, needle referring those clients to drug information about schemes in pose a risk in the exchange schemes are agencies where there is over 60 unitary health 5 transmission of the virus . considered to be more than access to advice and authorities", though in theory simply a means of supplying counselling about their drug every authority has funding Government policy clean injection equipment. use. available. The pharmacy The UK Government They are a strategic response There are several reasons schemes are often co- responded quickly to the to the potential rise in the why pharmacies should ordinated by a local drug issue of HIV prevention and, prevalence of AIDS and a provide needle exchange agency, but in some areas the in 1987, exchange schemes means of making contact with services. Accessibility and health authority will appoint a were officially launched. The as many drug injectors as anonymity are key needle exchange worker. This remit of these exchange sites possible in an effort to advantages of community is sometimes a pharmacist was to issue injecting drug change their AIDS-related risk pharmacies. Much of the who can visit pharmacies users with sterile syringes, on behaviour, such as sharing early needle exchange with training and advice. an exchange basis, so that syringes and filters, for research found that drug Alternatively, as used injecting equipment example. injectors would not travel any pharmacists are the providers

could be disposed of safely. To achieve this aim, great distance to obtain their of exchange services, it would Before this official launch, exchange schemes need to be syringes or 'works' and many seem logical for them to schemes to supply drug in a position to offer a wide clients still feel there are amalgamate and co-ordinate injectors with clean syringes range of drug paraphernalia, barriers to using agency- the needle exchange scheme had already been running such as medicated swabs, based exchange schemes. themselves. This latter option through various drug tourniquets, sterile water and Pharmacies also tend to is the model for the Freelance 6 in agencies . filters. During the past ten have longer opening hours needle exchange scheme In Liverpool, some years, exchange schemes and many are open on North East Lincolnshire. The pharmacists were distributing have become accepted as an Sundays. Moreover, scheme is managed by free needles, syringes and important harm reduction pharmacists are available to

9 ' condoms, and were accepting measure . offer advice about general Continued on PVI

IV CHEMIST &. DRUGGIST 20 JULY 1996 Excessive perspiration is deeply embarrassing and now we're telling everyone about it?9

What if you couldn't find an As many as 26% of all women asked

antiperspiranl that worked? What if were interested in buying a product

you went on sweating so much successfully used by doctors' - if it

that before the day was out you was available from their pharmacist,

needed a change of clothing? This is Clearly the market is there, and

the reality for a surprising number Driclor Solution is ihe brand to

of people, as a recent Gallup survey reach it especially once our

found. In fact, 11% of the women edia campaign begins this

they spoke to were frequenth forced summer. \s a c iperspirant

to change clothes or

Kcessive perspiration. (Ontmrc Aluminium Chloride Htunhydiolo perspiration, and even works

The level of dissatisfaction for problem sweaty feet. A major advance in with existing antiperspirants Every pharmacist should the treatment of excessive might also surprise yon. stock it. Now more than ever. perspiration

5 EFFECTIVE DRYING ACTION • ICING LASTING EFFECT • UNPERFIMT1

ROll OH APP1K ATOK

Pharmacy only clinical anli|>ci s|>ii ayS

Presentation: Solution \ctlvc ingredients: Aluminium Chloride Hexahydrate USP areas are completely «ir\ before application Do noi apply Driclor to broken,

20% w/w Uses: Driclor is Indicated for the treatment of hyperhldrosis (excessive Irritated, or recent l> shaven skin Dru inr may r.-msc irritation which maj be perspiration) Dosage and administration: Apply Driclor lasi thing al night after alleviated by the use ol a weak, corticosteroid cream \void contact with the eyes,

drying < the affected 1 1 ui areas carefully Wash oil in the morning. Do noi re-applj the There are no restrictions on - use Driclor during pregnancy or lactation. Avoid product during the day Initially the product may be applied each contact with clothing and polished metal surfaces. Product Licence Number: ^1 5TIEFEL rii^hl until sweating slops during the day. Frequency of 0174/004'! Pack si/e and Retail Selling Price: 30ml bottle. £4.75. Legal

\ application may then be reduced to twice a week or less category: P. Date ol preparation: March 1995 Stiefel Laboratories (I'M Ltd., fterarch in Dermatology Contra-indieations, warnings etc: Ensure that the affected llollspur Lane. Wooburn Green, High Wycombe, Bucks, 11P10 0AU.

I PRACTICE

J Continued from PIV public, then they prepared to allocate Table 1: range of possible equipment would be covered additional money for projects myself and another available through exchange by their insurance related to substance misuse, pharmacist and we were schemes (for example, NPA pharmacists should waste no successful in our bid for the insurance). time in taking the initiative to Various syringes (eg 1,2,5 and 10ml) needle exchange services Alternatively, if the define how best they can which were put out to tender Medi cated swabs pharmacist causes extend their role in the area of in 1993. Today, we have Condoms injury to another service provision. ultimate control over member of staff, Intercobra tubes (to return used syringes) providing needle exchange then they are References Spermicides services in the region, liaising covered by the Mulleady G. A review of closely with the local Tourniquets employer's drug abuse and HIV infection. substance misuse agency and Sterile water insurance. Psychology and Health providing training for Pharmacists are 1987,1.149-63 Citric acid pharmacists and information also strongly 2 Robertson J R, et al. Cotton wool/filters for exchange clients. advised to get Epidemic of AIDS-related The range of possible themselves and virus (HTLV lll/LAV) infection equipment that can be major route of transmission their staff vaccinated against among intravenous drug supplied through pharmacy of the virus is through sexual hepatitis B. abusers. BMJ 1986; 292: 527- exchange schemes is listed in intercourse and drug users Despite many of the 29. Table 1. Some pharmacies are known to be sexually reservations that pharmacists 3 Wodak A, et al. Antibodies supply syringes loose while, active and indulge in might have about needle to the immunodeficiency

1 in other areas, equipment is unprotected sex' . This clearly exchange schemes, the virus in needles and syringes supplied prepacked. has implications for the majority who are already used by intravenous drug

Few of the pharmacy spread of HIV into the wider involved find it is a satisfying abusers. The Medical schemes will supply filters, population and pharmacists part of the extended role and Journal of Australia, tourniquets, citric acid or should bear this in mind that it has not adversely 1987;147:275-76. sterile water since the supply before rejecting the idea of a affected their business. 4 Chitwood D D, et al. HIV of such paraphernalia (other needle exchange scheme. While the direct financial seropositivity of needles from than syringes and needles) is There are also several rewards can be low (though shooting galleries in South an offence under the Misuse practical issues to be up to £6,000 per year is not Florida. American Journal of of Drugs Act. In practice, it is addressed (see Table 2) and it inconsiderable), in the longer- Public Health 1990,80(2): 150- unlikely that the police, who is well worth doing some term many of the exchange 52. are generally supportive of research into the drug users will use their exchange 5 Koester S, Booth R, Wiebel exchange schemes, will bring problems in an area to assess pharmacy to collect their W. The risk of HIV about a prosecution. the need for a needle prescriptions, so generating transmission from sharing Furthermore, the Code of exchange service. Many of greater revenue. water, drug mixing containers Ethics cautions pharmacists these concerns can be Pharmacists who are and cotton filters among on the supply of substances alleviated by talking to other interested in becoming intravenous drug users. The "liable to misuse". The sale of pharmacists who are involved should contact their International Journal on Drug citric acid and supply of filters currently involved in LPC or the local drug agency Policy 1991;1(6):28-30. or tourniquets could exchange schemes. which will be able to advise 6 Lart R, Stimson G V. constitute a breach of the Shoplifting and physical them on the availability of National survey of syringe code. abuse are rarely a problem services in their particular exchange schemes in There is considerable (although they may occur) area. England. Br J Addiction variation throughout the and such actions are 1990;85:1433-43. country in both the allocation perpetrated by the minority of Future schemes 7 Anonymous. Liverpool of funding for exchange and clients as most exchange In the future it is conceivable pharmacists supply free how pharmacists are clients value the service and that pharmacists will become needles and condoms. Pharm remunerated. As a broad are unlikely to act in such a more involved in the J 1986; 237: 825. generalisation, pharmacists manner as to jeopardise it. provision of services to drug 8 Council Guidance. are paid a fee per issue, Another factor which poses misusers, including anabolic Guidelines for pharmacists whether that is a single a problem is the risk of steroid users. There are involved in schemes to syringe or a pack, and an needle-stick injuries. Existing already schemes in parts of supply clean syringes and annual retainer fee which is schemes will have a policy on the country which involve the needles to addicts. Pharm J paid for providing the service, the use of sharpsafe boxes. It supervision of methadone 1987;238: 481.

irrespective of the number of is sensible to store such and it is possible that S Advisory Council for the exchanges made. The fee is boxes where they can be pharmacists could play an Misuse of Drugs. AIDS and sometimes incremented on a easily accessed, but not even greater role in the Drug Misuse Part 1. HMSO, sliding scale and payments where they may cause clinical management of these London 1988. vary between a maximum of inconvenience (or risk) to patients. 10 Advisory Council for the £6,000 per annum and a other members of staff or The recently published Task Misuse of Drugs. AIDS and minimum of £50 per annum. public. Collection of the Force review on services to Drug Misuse Update. HMSO,

1 sharpsafe boxes is normally drug misusers ' foresees a London 1993. Morals and ethics arranged by the local greater role for pharmacists, 11 Horridge G, PSNC. There is a moral dimension to authority. and with the Government Personal communication, the concept of supplying If any pharmacist February, 1996. syringes to drug injectors does sustain an 12 Quirk A, Rhodes T, which often presents injury, provided that Table 2: possible reservations of Condom use by drug users: pharmacists with a dilemma. they have observed pharmacists before starting needle whether, why not and how? To supply syringes would the protocols Executive summary No41,

appear to condone drug already in place, it is CRDHB, London; 10995. misuse, whereas not to unlikely that they Increased shoplifting 13 Task force on the services supply syringes increases the would be held Adverse effect on business for drug misusers, HMSO, liable London, 1996. likelihood that drug injectors legally and Staff objections will share syringes and hence hence have to pay Risk of needle-stick injury expose themselves to the risk compensation. C&D is accredited by the of physical/verbal abuse of HIV infection. Furthermore, if a Threat College of Pharmacy Practice While this might be pharmacist causes Level of remuneration as a provider of distance perceived as the drug an injury to a learning material until More needles discarded in the community injector's just desserts, the member of the December 31, 1997.

Mi CHEMIST & DRUGGIST 20 JULY 1996 Predicting incorrect inhaler technique

Given that asthma and chronic obstructive airways disease cause significant morbidity and mortality, and that metered dose inhalers are the standard means of delivering bronchodilator therapy, we ought to know more than we do about the ability of individuals to use the devices correctly. A group of US Assessment of inhaler impairment, male gender and this appears not be so. pharmacists have, with Glaxo, technique was then correlated lesser hand strength. Nonetheless, many of the now addressed the problem. with variables which might Adjusting for hand strength, problems sometimes They studied 29 people influence performance. those with cognitive associated with old age and attending hospital clinics who Overall, 62 per cent of all impairment were 3.7 times drug treatment in the elderly were prescribed an inhaler for subjects could demonstrate more likely, and men were - cognitive impairment, weak the first time and 42 healthy the correct inhaler technique five times more likely than hands - are important. It is volunteers with little or no after instruction and 56 per women, to have incorrect surprising that men were less previous experience of cent could still do so one technique. Factors that did able to use inhalers correctly; inhalers. Their average age week later. There was no link not predict incorrect this may be due to poorer ranged from 50 to 87 (mean between the time taken to technique included manual dexterity compared 70). Each was given learn the technique and educational status and being with women. The factors standardised instruction on ability to use the inhaler a patient or volunteer: those identified in this study are inhaler technique using a correctly, with half the with incorrect technique easy to use clinically as placebo device. Correct successful users needing 10 tended to be older but this indications that some patients technique was defined as 20 minutes and one in eight was not significant. may need extra help with activating the device within needing 20 30 minutes to These results are their inhaler and they should the first half of inhalation; master the device. Variables informative: advanced age is be borne in mind when continuing to inhale slowly that were significantly usually assumed to be one counselling patients. and deeply; and holding the associated with incorrect explanation for not being able Archives of Internal Medicine breath at full inspiration. technique included cognitive to use an inhaler but, in itself, 1996;156:984-8

Insight into schizophrenia treatment

For many people with In particular, people with they interact with insight has and education about schizophrenia, if they are schizophrenia may not be now been investigated in 64 schizophrenia significantly

to live in the community aware that they are ill, that people with schizophrenia. increased insight. and carry on a near-normal their illness causes Their keyworkers (health Although it is difficult to life, it is important that they symptoms, or that they need professionals designated to define insight scientifically are encouraged to take their treatment. Whether this lack co-ordinate care for (one definition of lack of medication. Yet discontin- of insight is due to individuals) noted that nine insight is disagreeing with the

uation seems common, schizophrenia itself is actively requested psychiatrist!), it appears that

resulting not only in symptom uncertain but it has been medication, 40 passively initiatives that improve

recurrence but also disrupting linked with a belief that accepted it and 15 actively awareness and understanding social and economic support. treatment is unnecessary and refused treatment. Insight of schizophrenia should One reason why affected with a wish to stop was strongly correlated with improve continuation with people may stop taking medication. Conversely, illness severity and chronicity. medication. Although antipsychotic medication - patients with insight into their Those who had actively intellectual function (as apart from the adverse effects problems are more likely to refused medication within the denoted by IQ at least) does - is that they may not believe co-operate with treatment. previous two weeks had not appear to be relevant,

they need it. There is evidence Other factors which might significantly less insight than these initiatives must be

that only one-quarter of influence the decision to stop those who had accepted it. modified for people with people with a long history of treatment include knowledge Insight correlated with years poorer education. psychiatric illness believe they about schizophrenia and in education and educational British Journal of Psychiatry

are psychiatrically ill intellectual functioning. How attainment but not with IQ; 7996,168:7 18-22

CHEMIST & DRUGGIST 20 JULY 1996 VII Antibiotics "ash incentives for prescribers in hospitals

A cash incentive may or may were also important. Of these significantly more likely to be /^Vver-use of antibiotics is one

1 1 not encourage GPs to practices, however, two-thirds found in practices which |of the biggest problems

I .^prescribe more cheaply did not meet their target, achieved their targets was for \J pharmacists tackle. It but it is only one of several saying it was not achievable, the management of ischaemic wastes money; increases the determinants of prescribing, there was insufficient time or heart disease. Guidelines risk of antimicrobial say researchers in Newcastle. the reward did not justify the were more often followed resistance; and increases the They surveyed local effort. 'usually' than 'always'. risk of adverse reactions. practices after GPs were Medical and pharmaceutical Hospital practice is a However, a seven-year study offered an incentive scheme advisers helped 40 per cent of potentially important from a Utah hospital shows to cut prescribing costs which practices with advice about the influence on GP prescribing. that, with effective would have earned each GP incentive scheme. Most Schizophrenia, diabetes and intervention, substantial principal £1,000-£2,500 to practices decided to achieve ischaemic heart disease were improvements in antibiotic spend on approved their targets by increasing identified by more than 50 per use can be achieved. development projects. generic prescribing, but a third cent of practices as conditions Activity data is routinely In the former Northern reconsidered the duration of for which prescribing was recorded at the hospital, Regional Health Authority, treatment they prescribed and usually or always hospital- providing clinical and financial 323 non-fundholding a quarter increased recommen- led. Around 40-50 per cent of data which can be fed back to practices completed a dations for self-medication. practices considered the prescribers via a questionnaire on the factors Only 31 per cent said they treatment of asthma, peptic computerised information that affected their prescribing. had a formulary or ulceration and hypertension system. The computer Just over half reported that prescribing policy, though as predominately hospital- software supports an expert they had tried to achieve when one was in place led. Conditions least often system which provides target savings. The decision adherence to it was high. influenced by hospital computer-assisted decision to achieve this was usually Treatment guidelines were in practice were contraception, support and this was used to reached within the practice, place in over 50 per cent of constipation, osteoarthritis develop consensus guidelines though some said that practices for asthma, diabetes and acute infection. on antibiotic prescribing. professional opinion and the and hypertension. The only British Journal of General Prescribers used the computer size of the financial incentive guideline that was Practice 1996,46:287-90 model to rationalise their treatment decisions. Each received feedback on prescribing decisions and this was found to be critical to the system's success. Co-operation for a formulary Of the 162,000 patients discharged from hospital 64,000

PHARMACYupdate: distance learning for pharmacists

Pharmacists using Pharmacy inserted in the August 10 issue, A faxback service for these Update for continuing education which will cover this week's modules and associated MCQs are reminded of the need to test. modules, together with those in operates on 0891 444791 With the support of Johnson & the July 6 issue. In other words: (premium rates apply). A C&D in association with Johnson MSD, C&D's readers « Malaria (20) telephone marking service offers can self-test their progress by ® Headaches (21) independent verification of ° ^ o$wwn (Amen MSD using the multiple choice • Drugs in sport (22) results - details are given on the question (MCQ) paper to be ® Needle exchange (23) monthly MCQ papers. Consumer Pharmaceuticals

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Reference I Soft lens cold chemical Independent Market Research There is only one solution Optometrists, like patient or refers them for spe- GPs. Copies were distributed to obviously in the interests of both cialist or emergency help. The all optometrists contracted with purchasers and providers, and, pharmacists, are optometrists' NHS Terms of Ser - the health authority. most of all, the patients. The vice further reinforce these The guidelines list the main guidelines are such a stratagem m pallidal it lie if no lie ami responsibilities. It is, however, eye conditions likely to be seen and seek to give some consis- taking on the some years since these protocols in community practice and rate tency in referral policy, in line management of minor were established and the quality (hem according to how quickly with the Patients' Charter of optometiic education and they should be referred else- The scheme is now being c.-fr coiiiidittions. clinical ability have improved where or whether the opto- audited at the end of its first year. CfiristopSio Kerr, an considerably over the years. metrist could treat them. In gen- Opinions of both optometrists It is now more widely accepted eral we would take those listed and doctors (GPs and ophthal- optometrist in south that the optometrist is probably 'urgent' as needing a specialist mologists) are now being sought London and consultant best suited to treat a range of opinion that day; 'soon' as need- as to its effectiveness in improv- common ophthalmic conditions ing referral within a few days; ing inter-professional communi- ilo y,lie 1 yecaire that do not require urgent refer- and 'in turn' implying that a 'new cation and the more appropriate Information Service, ral to hospital. These conditions patient' waiting time would be use of ophthalmic resources. The demand a level of specialist appropriate. We arrived at the initiative has been enthusiasti- explains how guidelines knowledge and instruments that range of conditions and referral cally welcomed and supported are being seu imgii io help., most GPs do not - nor wish to - priorities after extensive discus- by many concerned for the ulti- possess. In the interests of con- sion and consensus. mate benefit of the professions " ''--Acs, aii trends venience to the patient and econ- Some examples are given on and our service to patients. in contact lens wear omy to the health service, many page 91, in the hope that they 'unofficial' arrangements have may help pharmacists decide on Changing contacts with pharmacists, the evolved locally over the years. the urgency with which patients Contact lens research has led to expertise of optomet- Many optometrists have been should be referred. an entirely new concept - the dis- Asrists has perhaps been safely and effectively treating a The document is for guidance posable lens. under used until re- range of relatively minor and only and does not in any way As modern lens materials have cently. Poor communi- often chronic conditions which remove the rights of practition- developed they have become cation between optometrists and do not require acute manage- ers to make individual decisions more and mor e like body tissues their medical colleagues has ment. They are now keen to on individual cases. GPs were or biocompatible, allowing the blighted the development of the advance their profession by fully briefed to ensure that the wearer's eye to breathe naturally Optometrie services in the t'K. expanding their range of practice introduction of the guidelines beneath the lens. These delicate But times are changing. in such areas. received a harmonious welcome. materials are so well accepted by In theory, the Opticians Act With this in mind, Lambeth, The cost of an ophthalmic out- the body that they eventually and subsequent legislation re- Southwark & Lewisham Health patient visit in the Lambeth, wear and become contaminated quires optometrists to refer all Authority drew up 'Referral Southwark and Lewisham area is by cell products and, like the tis- patients with abnormal condi- guidelines for abnormal ocular £70 a consultation. Any means by sues themselves, need regular tions to their GP, without diagno- conditions', after extensive con- which these expensive resources replacement. The contact lens sis. The OP then eithei treats the sultation with optometrists and can be more effectively used is industry thus faced a problem: as

10 CHEMIST k DRUGGIST 20 JULY 1996 EYE CARE

contact lenses became more and lens warranty or insurance, as higher cost of the lenses is bal- Some examples more perfect they lasted for well as aftercare at regular inter- anced by the reduced cost of of the guidelines shorter' and shorter periods! vals, typically every six months. solutions. However, the development of These aftercare visits are vital. Disposables also give specta- Urgent referral sophisticated moulding technol- Disposable contact lenses, if cle wearers a chance to try con- Acute glaucoma ogy has reduced the costs of con- properly maintained, have the tact lenses cheaply for the first Chemical injuries tact lenses and made disposable best safety record of any contact, time. No wonder eye care practi- Penetrating injuries or frequent replacement lenses a lenses yet developed Studies tioners are encouraging their Retinal breaks and tears practical proposition. By fre- have shown that they are about patients to throw away then- Retinal detachment quently changing their lenses, four times safer than conven- lenses! Sight-threatening keratitis wearers can avoid many of the tional lenses in terms of compli- Suspected temporal arteritis complications sometimes associ- cation rates. People who discard Uveitis ated with contact lens use such their lenses daily need no lens National Eye

as infections and allergic reac- care solutions at. all. Those who Soon tions. Disposable lenses are of change their lenses less often Week 1996 Scleritis varying types which are dis- should still clean them every This year's National Eye Week Diabetic retinopathy carded after one day, one week, night and store them in a disin- will be September 23-29. Once two weeks or one month. fecting solution. But there is no again the Eyecare Information In turn Success with all types of need for other time-consuming Service will create Ectropion (eversion of the eyelid lenses pr obably depends mostly cleaning routines such as protein opportunities for those who margins) on the choice of practitioner, and removal. wish to capitalise on the central Entropion (inversion of the price is rrot always the best The contact lens practitioner campaign. eyelid margins) guide. Anyone thinking of trying will recommend the most suit- The organisers say the week Hayfever conjunctivitis in contact lenses should ask friends able solutions for' the lens mater- will generate plenty of media children who wear lenses or their GP for ial prescribed. These will lie interest, so why not organise Persistent blepharitis or advice in selecting a competent products designed for soft rather your own in-store promotion, conjunctivitis and conscientious practitioner than gas permeable lenses. The providing customers with Severe dry eye who will give ongoing care. solutions must not be changed information on eye care and Fees are usually fairly low for without consulting the practi- optical products, or featuring Optometrist managed disposables; about £30 should tioner. As well as the widely-pub- Eye Week in a special window

Chronic blepharitis cover initial examination and fit- licised risks of using products for display? Many manufacturers Chronic dry eye ting, tuition, supply of die first gas permeable lenses with soft will be supporting the event and Contact lens problems not invol- lenses and follow-up checks. lenses, some soft lens materials may be offering promotions or

ving serious corneal infection When t he practitioner is satisfied must be used only with specified discounts. Hayfever and allergic that the lenses arc a success, the solutions. The EIS can supply leaflets on

conjunctivitis in adults client registers with the practice ( Irdinary soft lenses have an a range of subjects. Tel: 0171 Sub-conjunctival haemorrhage and receives further supplies of average lifespan of one to one 357 7730. with normal blood pressure lenses for the next three or six and a half year s and cost about This year the focus of Eye

Superficial foreign bodies and months. Monthly payments of £150. ( )vei this tune, frequent Week will be on image and ingrowing lashes around £15-20 ensure a constant replacement lenses usually work fashion. supply. This fee should include out less expensive because the

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CHEMIST & DRUGGIST 20 JULY 1 996 91 EYE CARE Keeping in contact

The increase in professional only' contact lews care products is likely to be of benefit to the pharmacist. Adrienne de Mont looks at changing trends and the products which have evolved to meet them

l is vital for pharmacies to products - Complete and Total I offer a full range of products Care - are available only through I if they wish to maximise their pharmacies and opticians. I contact lens care business, According to Allergan, the seg- I says Allergan. Customers can ments are as follows: then buy everything they need • soft lens disinfection 52 per from the same place. cent (oxidative led by Oxysept,

"It is also important that phar- soft lens cold chemical led by macies continue to make lens Complete) care products prominently visi- • surfactants 1 1 per cent (led by ble and accessible to customers," LC-65) says Amanda Byrne, senior prod- • general lens care 10 per cent uct manager. (led by Total ) The total contact lens care • salines 12 percent (led by Ciba market is worth about ii 118 mil- Vision) lion and is growing by 10 per cent • protein removers 7 per cent year on year. The optical sector is (led by Ultrazyme/Hydrocare) increasing its share, estimated at • wetting drops 1 per cent (led

57 per cent ( up from 53 per cent by Lensfresh). last year), while pharmacies are Peroxide systems dominate declining slightly with 33 per the pharmacy market, but there cent (from 37 per cent). Grocers is a growing demand for one-bot- account for about 10 per cent. A tle systems for soft lens wearers. a real need by lens wearers for market. Soft lenses are showing rapid initial growth in this sector These systems are by far the simple and convenient lens strong growth and disposables has stabilised at about 1 per cent fastest-growing segment, with a care," says Ms Byrne. "Our Com- have doubled their market share year on year. 70 per cent year on year growth. plete solution has seen rapid in the past 12 months. Hard and Allergan says that the increase They have had a big impact in growth in pharmacy and has rigid gas permeable lenses are in 'professional only' products is opticians but have yet to realise been instrumental in increasing declining in popularity. likely to help pharmacies. The their full potential in pharmacies. the Allergan leadership position, The latest Target Group Index company's latest disinfecting "One-bottle systems now meet which now stands at 51 per cent Data shows that contact lens of the market. By stocking these wearers are predominantly simpler to use systems, pharma- females aged 15-44 years. They

cies can help to expand their are most likely to be ABC 1 and in business opportunities." full-time employment. There is a The company is supporting the strong regional bias towards Lon- Association of Contact Lens Man- don and the South, although all ufacturers in its bid to swell the regions are expanding. ranks of lens wearers. Only about Consumer profiles have found 4 per cent of the UK population that contact lens wearers tend to (2.5 million people) wear lenses, be outgoing, experimental, ad- but the market is gr owing due to venturous and career-orientated. GOLDEN EYE' competitively-priced lenses, easy The average user fits into one of

BP) I I OINTMENT (0 1 5% w/w dibromopropamidine isethionate p to use care systems and two groups: urban venturers who l_E_l DROPS (0 1 % w/w propamidine isethionate) increased advertising. It is hoped are young adults with a high dis- the number of wearers could posable income living in major "A sight for sore eyes" reach similar levels to the IIS, cities, and affluent achievers which is around 15 per cent. who are high income families liv- New formulation as an ointment and new eye drops Trends in contact lens use ing in the suburbs and who own Treats conjunctivitis, blepharitis and minor eye infections obviously impact on the lens care two or more cars, eat out regu- 50% on cost profit plus w/s discount

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Telephone (01202)666626 Fax (0t202)666909 Easier to use systems have helped grow the contact lens care market

CHEMIST & DRUGGIST 20 JULY 1996 . EYE CARE

Lil ly, go to the theatre and follow investments closely. The former lend to lie (luiuilimi and Inde- pendent leaders, while the latter opt tor The Times, Financial Read the market Times and The Daily Telegraph. • Revive, Allergan's new comfort The OTC reading glasses market has changed since its introduction in 1989. But drops for soft lens wearers, is of in all the is to hem" supported by lull-colour rather than stocking large numbers designs the powers, advice advertisements m The Times, have a selection of good designs in a range of about six powers Evening Standard and the Daily Mail. The preservative-free for- weird styles and do specifically designed for the UK others make multiple purchases mula is based on carboxymethyl- Avoidnot be tempted to stock market. ( )ur search starts with an at an average price of So' a pair. cellulose. A recent Gallup survey too many strengths of analysis of optical sales arrd, with About 6 per cent of sales go reported that a thud o1 people reading glasses, com- t he help i if our panel i >f i >| it lcians, through non-optical outlets. who give up wearing lenses each ments Direct Percep- we plan the shape and colour Eyecare Products estimates year do so because of comfort tion's Peter Philips. very carefully on the basis of that the self-selection reading problems. Some frame designs will never these findings." glasses market is nearer S22m. Another new product from sell at any price, he says, as the The better the designs, the About one-third of sales are AUergan is Lens Plus Purite saline, over-50s are unlikely to be happy more facial types they fit. And the Boots own-label, one-third goes a rinsing solution for soft lenses. with anything too startling. smaller the stockholding, the through other pharmacies and The company says its telesales ini- "We are selling to a more greatei the profitability from the the remainder through supermar- tiatives have encouraged bettei mature inai kel and the designs capital involved. kets, department stores and merchandising and sell-selection. should be to their taste," he says "No one can display 50 differ- other independent outlets, in- This month's offer is a mixed case "Unfortunately, there are suppli- ent designs in all the powers. chiding opticians of Oxysepl and Complete, with ers with no optical background This only produces confusion There are about 24.5m people POS material. Complete is being who seem to import whatevei and irritation for stockist and in the UK with presbyopia, the supported by a S150,000 press they are offered providing the customer alike," continues Mr company says. ( )nce someone campaign in August price is right. That is why we see Philips. A range of six powers is has started using reading glasses,

Educational mater ial, including so many weird-shaped frames enough. Ranges with nine pow- he or she will change them for a the guide 'You and your contact that might suit the US oi the Far ers mean a 50 per cent larger stronger magnification every two lenses', is available to pharmacy East but not the I IK. stockholding for the same sales to three years. So the market is staff to help them understand the "Some designs sell better than "What you need is a selection growing rapidly with the ageing lens care products available others simply because they are from some good designs, well population. made frames and lenses, in a well In Japan and the US - the Rhone- thought-out range. You need lull world's most developed self-

Poulenc frames, half frames, metal and selection readers markets - it is Rorer has plastic, economy ones and not uncommon for consumers to produced an smarter designs. have six or more pairs in various eye care "Regularity of supply is also locations (home, office, car, etc), counselling important Do not get palmed ofl so they are never' far away from pack, which with inferior substitutes that hap- their glasses. includes pen to be left on your suppliers' Consumer buying patterns are consumer shelves." spin between considered pur-

( leaflets and The )T( ' reading glasses mai chases and emergency/impulse a poster kel has changed considerably buys which are needed when the

since il began in IMS!). Many opto- usual, often prescription, glasses metrists offer budget ranges of have been left behind. spectacles, after being motivated The latter often triggers further by NHS changes arrd the intro purchases as consumer satisfac- duction o1 readymades. This has tion w ith self-selection readers is shown up some of the expensive high, particularly as they start at ranges as overpriced and has prices well below the eye-test damaged then sales, says Mr fee. Philips "Independent phai mai ies are He calculates that the iead\ in a strong position to increase made market could be worth market share as consumers have about £53 million, based on an the reassurance that the product estimate of 22 million people is slocked in an ethical environ- aged 45 years and over. Although not everyone uses readymades, Continued on P95 1

J J - J J J

SAVE with Counterpart! 1 you have retained all your counterpart modules the cost to you will be only £20 (+ VAT) per assistant! JULY To re order all the modules at £15 (+VAT) and register one

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with the course. Once it is completed, you will receive If you have not already complied with the RPSGB requirements the results and documentation for CPP certification for a

payment of £8.81 including VAT. don't worry...there's still time. BUT YOU MUST HURRY!

2. If your assistants are following Counterpart, but are not yet registered for telephone marking... use the Register your staff now with the Chemist & Druggist Cambridge form below to register today! Counterpart Pharmacy Assistant Development Programme - the most cost-effective course available to Chemist & Druggist subscribers! When your assistants receive their personal identity

numbers (PINs), they should enter their multiple choice # Cambridge Counterpart has been accredited by the College of questionnaire responses up to date, then follow the course to the end. CPP certification will available Pharmacy Practice as satisfying the RPSGB's requirements. be as above for £23.50 including VAT. # Counterpart has been generously co-sponsored by Whitehall 3. If your assistants are not yet following

Laboratories for the benefit of Chemist & Druggist subscribers. Counterpart.. .use the form below now to register them

today. If you have retained the free modules, start your # Since the course began in July 1995, subscribers will have assistants on the course at once and mark the received a total of 13 Counterpart modules. questionnaires as soon as PINs are received.

# The training modules are packs designed to be shared by four If you do not still have the free modules available, use assistants, but include separate questionnaires and case studies the order form to obtain complete packs of the full

for each individual. An associated Pharmacist's Briefing comes course (training modules, questionnaires and with each module. Pharmacist's Briefings) for just £17.63, including VAT.

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course set out in the modules but also answer the questionnaires, PIN registration and CPP certification fees are still participate in the case studies and have their questionnaires payable as in section 2 above. Subscribers who have mislaid just one or two modules only should contact independently mar ked thr ough C&D's unique telephone marking Tracy Matthews on 0181 747 8797 system.

Remember: if your counter assistants have not already completed an approved course or are not currently following an accredited course, they may no longer serve medicines to the public!

Method of payment: I enclose a cheque Priority Order Form YES! I subscribe to C&D at the pharmacy address to Druggist of all payable Chemist & below but need ( ) complete sets YES! My counter assistants are following Counterpart modules to enable my assistants to Pharmacy Counterpart but are not registered to use the complete the course. (Remember to register each Pharmacist interactive telephone marking system. Please assistant). Address register them now @ £23.50 each including VAT. Please send me complete sets of modules Name ( ) 1 -1 3 at the special price of just £1 7.63 inc VAT Post code Name Tel Name If you do not already subscribe to C&D, or your subscription has lapsed, your cheque must include Fax Name an additional £115 for the full annual subscription. Post now in an envelope (no stamp required) with Name payment to Sue Cheeseman, Pharmacy Group Special Name Sub total £ Projects, Miller Freeman Professional Ltd, Chemist & Total @£23.50 = subtotal £ Total payable £ Druggist, FREEP0ST, Sovereign Way, Tonbridge, TN9 1YZ.

94 CHEMIST & DRUGGIST 20 JULY 1996 "

EYE CARE

< Continued from P93 ment and can seek assistance from the staff it necessary," says Eyecare Products, whose In the public eye 25 per cent market share includes the Readi Read, Foster Grant and Magnivision brands. looking for eye care products usually visit the pharmacy first. I lisplay is the key factor in good Customers sell-through. Research shows that as 86 per cent of products are sold here, good What to choose merchandising is essential as customers are more aware of their needs • Eyecare Products' 29 styles conform to British Standards Modern lifestyles are good for (European standards pending) the eye care market. Pollution, and carry a 12-month guarantee. air conditioning and staring at All lenses are aspheric, so they computer screens all put strain aie thinnei and flatlet than con- on i he eyes. ventional spherical lenses. A Research by < )rookes Health- range of Sun-readers pr< ivides 1 A' care shows that the number of protection. people suffering from minor eye The company's service in- complaints is on the increase,

cludes next day delivery on with the result that the < »T< ' eye repeat orders, low minimum care market is growing steadily repeal orders (three pans and is now worth .S 18 million. mixed), opening deals, free dis- About ten million people - over play stands to suit all si/.es of one-fifth of adults - use < iptrex outlet, and a lelesales service or and the brand accounts for 71 regular merchandising for largei per cent of the market. outlets All displays include an The introduction of < Iptrex ophthalmically-appn >ved sight- Dry Eye Therapy eye drops in

<•< tesl inn chart f< ir selecting I he >r- April was an attempt to expand recl strength. the market as a whole and to

Future plans for this year offer an < iptrex product in an include public relations, further area with no other promoted stand developments, promotional brands A survey in 1994 found

oilers to the retailei and con i hat ( ivei half i he 3.3 millii in dry sumer, and a constanl updating of eye sufferers were unaware that l-Doc: supported by consumer advertising this summer styles. remedies existed. Promotion will • Direct Perception's prices be targeted both at these people bought m pharmacies, so most common complaints range from £2.98 to £10.98, w hich and current users of dry eye Crookes Healthcare believes that allergic seasonal conjunctivitis,

Mr Philips believes should cover I real inents. g I merchandising is essential infective conjunctivitis, blephar- the needs of everyone, from the This year sees the highest-ever as customers become more itis and styes - to pass on to cus- person who wants a basic pan to promotional spend on the< >ptrex aware of their eye care needs and tomers, after consultation.

' the one who w ishes to enhance brand Explains product man- the role of >T< ' medicatii m An illustrated poster for use his appearance with a better ager Pisa Miller: "By educating ii h i eases in general. in the pharmacy helps identify design. Stockists can experiment the consumer and increasing New display units and shell' eye problems and gives guidance

with new mi idels, which I he c< >m- awareness of eye care through managers form pari of this year's on their treatment. Both are pany is quite happy to exchange if both educat ional >ublic relatii ms &3m support programme. A two- available tree from the com- i necessary. and high-profile advertising, we tiei countei unit provides space pany's representatives. "This way, a stockist of a bud- are Stimulating demand for eye for 12 packs of the dry eye drops, • Golden Eye drops and oint- get range may gradually test the care products and making the as well as a new customei infor- ment are being advertised market out with better models," category more accessible to the mation leaflet A flexible modu- nationally on radio, and says Mr Philips. Several promo- ci msumer lar shelf management system for Typharm is sponsoring pollen tions will i mi over the next few Research shows that 86 per use behind the counter can count bulletins. Advertising is mi ml lis. cent of eye care products are house all ( iptrex products, appealing in the Daily Mail including Hayfever Allergy. A health pages and women's maga- new shell manager for use in the zines, as well as some medical

< 1S1> atea houses the lotion and journals. A new range of POS eye masks, materials and leaflets is avail- Rhone-Poulenc Rorer com- able from the company. There ments that over the past year are special offers from whole- Brolene's share has lumped to 22 salers throughout the summer

per cent of the ,S7 (ini eye c are and a compel if ion for pharmacy

market through pharmacy staff, with prizes of the '( iolden- (excluding Boots) and accounts eye' James Bond video, runs

for 90 per cent of the anti-infec- until the end i if August.

I ive segment • A public relations campaign is OTC marketing manager in progress for new l-Doc preser- kevan (iill explains: "Consumers vative-free eye lotion. There are are very reluctant to self-diag- advertorials in the women's nose where eye problems are press and sampling through the concerned, and need the reassui national Sunday supplements ance and recommendation of ami women's interest piess. then local community pharma- Advertising is appearing in the cist who can offer them a per- .luly and August issues of

s< dial service." Options, Mm ir < 'laire and Zcsl. The c< impany has produced an Containing distilled witch hazel, eye care counselling pack for l-Doc is packaged in single dose pharmacists and their assistants. ampoules w hich contain enough

It contains leaflets OI1 the lour lotion lo bathe both eyes.

rHKMIST*l)RI(;(ilST?n.ll)LY19R6 BUSINESS NEWS

Astra fights Losec copies - Astra, the Swedish o RPM no pharmacy' pharmaceuticals group, has lodged a complaint with the European Commission against Ninety-one per cent of pharma- On another positive note, 65 48 per cent of the pharmacists Portugal for approving 13 pirate' cists believe their businesses per cent intend to expand their say the trend is a threat, 22 per copies of its anti-ulcer agent, would be threatened by the businesses by adopting new ser- cent see it as an opportunity. Losec, according to the Financial removal of Resale Price Mainte- vices, such as consultancies 'in Forty per cent believe patient Times. Astra estimates that it is nance, according to a Glaxo Well- situ'. pack dispensing is an opportu- losing S12 million annually to come survey. Eighty-eight per The increasing power of gen- nity for their business, as Losec imitations.

cent also feel threatened by eral practitioner fundholders opposed to 20 per cent who see it changes in Government remu- brought mixed reactions. While as a threat. Proteus reduces losses neration I lispensing The development of primary doctors, meanwhile, care teams is considered good by Revenues earned from licensing are regarded as pot- 60 per cent of the pharmacists, agreements and a cost-cutting entially harmful by while 48 per cent see the nurse programme helped Proteus 81 per cent of the prescribing pilot as an opportu- International, the Macclesfield- pharmacists. Slightly nity for their businesses. based biotechnology company, to lower down the Glaxo sent out more than 8,000 reduce its pre-tax losses by £2.5 scale of threats are questionnaires to community million to £5.4m for the year to wholesaler-owned pharmacists around the UK in March 31. outlets, which alarm April. The company says it will

75 per cent . use the information as a base to Alberto-Culver expands However, most of build a better relationship with the pharmacists are them. Hair care and toiletries

keen to fight on. Sixty The questions ranged from the manufacturer Alberto-Culver is per cent say they are Ian Millar, a community pharmacist at Seres respondent's purchasing respon- investing £3.15 million in a new 2 not seriously consid- Road Pharmacy in Glasgow, won a Toshiba sibility to general attitudes 50,000ft manufacturing site at its ering getting out of Pentium-powered laptop for taking part in Glaxo towards key issues. Glaxo says base on the Swansea Enterprise retail pharmacy, 24 Wellcome's questionnaire. He is flanked, from the response was excellent. Park in South Wales. The per cent appear to lie the left, by Doug McLean, account manager at Those who completed the ques- expansion will create 100 new giving the notion Glaxo; Rose-Marie Parr, director of the Scottish tionnaire were eligible to win a jobs. some thought, and 14 Centre For Pharmacy Postgraduate Education; laptop computer, software and per cent are seriously and Maureen Devlin, Glaxo's customer manager modem worth £3,000. Ian Millar, Sun worshippers considering quitting, (pharmacy) of Glasgow was the winner. Balmy weather in June brought very good sales of sun preparations in pharmacies and Co-op Health Care department stores, while demand fell for cough and cold products, according to the British Retail Consortium. The weather also acquires more stores lifted sales of hay fever remedies. Demand was mixed for

Co-op Health Care, the pharmacy The c hain has cosmetics. chain operated by United Nor- been strengthen- west Co-op, has acquired five ing its manage- Therapeutic flotation pharmacies in the North Mid- ment team over lands and north west of England. the past year to Therapeutic Antibodies, which The chain, which now has 49 cope with its produces polyclonal antibodies stores, plans to acquire at least expansion. New- to treat diseases, has fallen prey another six by the end of the year comers include to the rapid decline of and will again be looking in these a professional biotechnology shares. The

two regions. d e v e 1 o p m e n t company expects a placing price

A spokesman for Co-op Health manager to help with recruit- Geoff Flint, right, controller of Co- of 525p per share, valuing it at

Care says the latest acquisitions ment and to maintain profes- op Health Care, and Philip £112 million, when it is floated on are in line with its plans to sional standards, and an integra- Broadhurst seal the Co-op's the Stock Exchange next week. expand in the North West. More tion manager, whose brief is to acquisition of Mr Broadhurst's The company had originally been stores also improve the chain's aid new branches in assimilating pharmacy, Stoke-on-Trent-based hoping to price its shares at 700- buying power, he adds. into the organisation. JHMcEllin 800p.

Chiro founder reaps reward Bearish market bites into Alizyme flotation Chris Evans, founder of Chiro- science, the biotechnology com- Alizyme, a biopharmaceutical be 60p, valuing the company at through pre-c linical testing to the pany, has turned 816,000 share company based in Cambridge, about £10.4m, although it had end of Phase II trials. The prod- options into shares. expec ts a relatively poor recep- originally been hoped to place ucts are then licensed out to

Mr Evans, now a non-executive tion when it is floated this week shares at 150p. other companies for late stage director of the company, bought because of the current bear mar- Alizyme will issue 8.33 million trials, commercial manufacturer 600,000 shares at 25p and 216,000 ket for biotechnology shares. shares that represent 48 per cent and marketing. at 16.67p. Having paid £186,007 It expects to raise about £4.5 of the enlarged shar e capital. The company is collaborating for them all, Mr Evans would million net when it joins the It will use the money raised to with Oxford Molecular and the make a profit of more than S2.6 Alternative Investment Market. fund product development The Institute of Food Research to million if he sold them at their By contrast, three weeks ago, company is developing drugs to develop lipase inhibitors for use market price of 346p [share price Alizyme said it was expecting to combat obesity and gastro- in obesity and atherosclerosis, quoted on July 12). However, he is raise between £12- 13m through intestinal disorders. Such drugs and with BTG on drugs for said lo have no immediate plans the flotation. are developed from a late stage inflammatory bowel disease, to sell. This week's placing price will of their research and supervised diarrhoea and flatulence.

38 HHRMIST & DRITfifilST 20 JULY 19 Classified

Appointments £25P.S.C.C. + VAT minimum 3x1 Miller Freeman PLC, Sovereign Way, Tonbridge, Kent TN9 IRW General Classified 123 P.S.C.C. + VAT minimum 3x2 Tel: 01732 377222 Internet: http://www.dotpharmacy.com/ Box Numbers £ 1 2.00 extra. Available on request. ALL MAJOR CREDIT CARDS ACCEPTED Copy date 4pm Tuesday prior to Saturday publication.

Cancellation deadline 1 0am Friday; one week prior to insertion date

All cancellations must be in writing VISA Contact Lucy Reynolds Chemist and Druggist (Classified)

APPOINTMENTS

Nr Cross Keys, Gwent Superintendent Pharmacist LIVERPOOL Friendly family pharmacy Manager required for easily run group require a EnchusiasiK Pharmacist required to manage required immediately for high

pleasant village pharmacy \ xccllcnt branch pharmacy, good supporting street pharmacy. PHARMACIST/MANAGER supporting stafi Pleasant disposition and a staff, attractive salary with profit Please contact Mr O. Dede for village pharmacy near liking tor pjucm contact essential- Hours sharing incentive. Newly Eastbourne. Interested 9 and salary negotiable on 0181 692 5807 9am-7pm registered considered. Phone Paul Houston rdephone Alan Peterson on or Miss McCarthy on Apply P. Lappin 0151 236 0618, 01323 411047 or 647420 01495 244227 (daytime) or 0181 692 3725 9am-7pm 0149S 244226 (evenings). 0151 722 3926 (eve). (eves)

DISPENSING ASSISTANT Full & Part-time Burghfield Common, nr. Reading LOCUMS Experienced dispensing assistant Pharmacist/ required part time for a busy Managers community pharmacy Good rate of pay. Required Phone Mrs Thomas on 01734 RROVINCIA PHARMACY Bournemouth Area 831145 (daytime) or 01734 845740 (eves & w/ends) LOCUM SERVICES Competitive salary, holidays & excellent We have over 5,000 pharmacists Plena eM registered PLUS experience of team of staff, SUNDERLAND handling over 250,000 booking Bvmitqlum 0121-233 0233 /t/'/'/t/ Mrs Cough Pharmacist manager required for NATIONWIDE! NwcaitU 0191-2330506 Tel: 01202 749397 easily run branch of small friendly group. No paperwork. Very few 01202 523481 MmdutU 0161-766 4013 Saturdays. ' Provided by experienced staff.

1 bone-fides checked. SUffull 0114-2699 937 Apply to P. Henderson, 95 Park Locum View, Whitley Bay, TVne and ' A mobile & motivated locum Edbthwyk 0131-229 0900 Wear NK26 3RJ or telephone chain require Cardiff 01222 549174 Multi Pharmacy 0191 252 0253 • Pharmacist staff to deal with

evening locnms to work in t ho technical issues. London 01892 515963 following stores. LEAVE THE WORRY TO Rygate Surrey 01737 244132 Exit&t 01392422244 (4pm-10pm) LEWISHAM SEI3 Enthusiastic Pharmacist Hadleigh, Essex 01702 555321 Manager required fur an easily Felixstow, Suffolk 01394 276297 run pharmacy Recently (until Xpm) SELF-EMPLOYED qualified considered London SW4 Upper Norwood, S. London LOCUMS 01X1 7717639 Please contact: H.C. Patel Regular lotum pharmacist required + Are you familiar with 'self- to cover late night dispensing (until Hpm) 0171 476 0243 (daytimel assessment' rules starting from in Clapham, for Thursdays & Fridays 0181 464 4812 (evening) April 1996? b-9pm. knowing Mediphase is * Qualified Accountant provides desirable. Salary by negotiation. a full accountancy/tax service Telephone Dr. Gharib for reasonable rates. 0171 622 3147 DISPENSING TECHNICIAN LOCUMS Tel: 0181 908 5006 NORTH LONDON (ISLINGTON N1) LONDON N7 Seaton, Devon LOCUMS Dispensing/Medical Counter LOCUM REQUIRED Locum required on a Urgently required in Assistant required lull time (part South Waits & Bristoi area from 5th August for 6 regular basis. Also for time considered). Newly extended • Competitive rates oi pay and refitted pharmacy. weeks. another local pharmacy. • Olll) DAYS & LONG TERM AVAILABLE Kirit Contact References required Contact on Telephone W. Gaine on 0171 249 2441 (day) Capital Support Services Please phone The Manager (01297) 20414 or (01297) 0181 881 3977 (eve) Tel: 01222 540940 0171-226 3645 21739 Fax: 01222 54'M«5

CHEMIST ADRI'MilST 20 JULY 1996 57 ,

BUSINESS OPPORTUNITIES COMPUTER SYSTEMS

BUCKINGHAM Run your own business without any capital investment. Unique opportunity has arisen for a Pharmacist with business acumen to operate this branch on a profit share basis. For further details contact H. Modi, Jardines (UK) Ltd. Telephone 01908 506828. Increase Profitability Enhance Customer Care

Increase Staff Motivation j> - Improve Communication m rVOjCSSlOtlM improve Efficiency I BUSINESSES FOR DISPOSAL .j Dispensing Systemsfor Provide Profes^nTpractfce Image II Professional PhatWadStS Increase Flexibility II FOR DETAILS ALLIANCE VALUERS & AND/OR A FREE DEMONSTRATION: STOCKTAKERS Tel: 0161 9417011 (01423) 508172 PACE BETA COMPUTERS, FREEPOST ALM 1610, ALTRINCHAM, WA14 1AR S W WALES COLCHESTER

Retirement sale of unopposed pharmacy in Long established suburban pharmacy. T/O delightful coastal village. T/O FYE April 95 FYE April 95 £642,656. NHS items average £426,807. CP 27.4%. NHS items average 5,500 per month. Prominent corner premises IBM computers are amongst the most highly 3,460 per month Immaculately presented available on new lease at £5,000pa. An respected in the industry . They have unequalled premises available on new lease or freehold extremely profitable concern. Offers invited with attractive four bed living accom if around £400,000 for GW/Fix plus SAV reliabilty, are manufactured in the UK and have a required Offers invited around £225,000 for (approx £55.000) reputation second to none. It is only fitting they GW/Fix plusSAV. should run software of equal standing. That

lOOKING IX) BUY OR SHI A PHAKMAC Y> ( ON I AC I US NOW. software is JRC.

IBM & JRC, forward thinking , here for the future. COMPUTER SYSTEMS Call John Richardson Computers (a division of Taylor Nelson AGB pic) FREEPHONE: 0500 947116 % UNTIL THE END OF SEPTEMBER ON YOU CAN BUY 'Simply the besf LABELLING & EPoS SYSTEMS *91% of Community Pharmacists have read four PHONE TODAY FOR MORE DETAILS out of the last four issues

PARK SYSTEMS LTD. of Chemist & Druggist. 6 Vulcan St, Liverpool L3 7BG Fax: 0151-298 1689 ('source Martin Hamblin Pharmacist Readership Survey)

'Subject to Park's standard terms and conditions

01582 21760. tan pessaries (exp 1/97), 10x150

TRADE LESS 30%+VAT - Celance Atarax syrup (exp 5/00), 36x42 Para- 0.25mg x 0.05mg, Dalacin 150nig, max tabs (exp 11/98), 6x30 ManerLx Axid 300nig, Sandimmun 25mg, Lam- (.exp 9/99). Tel: 01274 593274. BUSIN ictal 50mg, Zydol SR, Cipramil 20mg, TRADE LESS 60% + VAT - 7 Oxygen Becodisk 150, Berstec 200, Aerobec stands, unused, 5.5 inch, new price A FREE Service for Chemist & Druggist Subscribers Forte. Tel: 01623 643801. S16.16+vat. Tel: 0181-684 1352.

- 35, Dansac unique 2-55 ref 502-55. Danol 200mg caps, Calcitare vials, TRADE LESS 30%+VAT 300 Lopid - 300mg (exp 10/96), 100ml Bactrim Trade less 20%+VAT+ Postage Duocal cans 2x400g, Desferal iiu 1 FOR SALE 2x56 Paroven caps 250mg, Loron 520 box. Tel: 0181 672 6116. Paed syrup (exp 9/96), DMC (exp 8/96), trade less 40%+vat, tabs, Cardura tabs 4mg. Tel: 01923 TRADE LESS 30%+VAT - 38 Dutonin 90mg QUALITY SHOPFITTINGS Less 825753. 200mg, 53 Cedocard Retard 400mg, 100 Kinidin duniles (exp 9/96). Tel: than three years old, four perfume 312228. TRADE LESS 25%+VAT+POSTAGE - 90 Hydergine 1.5mg, 3 Lentaron 01438 cabinets, two counters, gondola, + + 6 Pergonal 7587 inj+solvent (exp Depot 250mg, 5 Inj Kemadrin. Tel: TRADE LESS 20% VAT shelves, dispensary fittings, conti- - 6x30 Convatec Com- 10/97), 10 DepLxol inj 40mg/2ml (exp 0181 904 4197. POSTAGE nental drawers, light fittings, safe bihesive pouches 45mm S265, 4x10 Tel: 2/98), 4 Fortral 30mg/ml inj (exp TRADE LESS 30%+VAT - 1 1x30x3118 and Mediphase computer. Stomahesive flange 45mm S241 1 1/97), 1x5 5ml Suprefact S/C inj (exp Hollister, 2x30 Hollister 7164. Tel: 01494 520685. Tel: 01792 458883. 11/97), 3 Deca-Durabolin 50mg/ml 0171-730 1080. MARTINDALE 29TH EDITION As 30%+VAT - 15 Vagifem (exp 3/97), 2 Sustanon 250 1ml inj TRADE LESS 25%+VAT - 2x30 Neoral TRADE LESS new, hardly used £40. Tel: 0181-684 Lederfen 450 (exp (exp 12/97) and many others. Tel: 50mg (exp 7/97), 4x30 Neoral +vat (exp 2/97), 56 1352. 8/99), 50 Lodine 200mg exp 6/97), 56 0181422 2563. (exp 9/97), trade less 40% - Norplant ( PARK SYSTEM SOFTWARE Version Ludiomil 25mg, 100 Tegretol retard TRADE LESS 20% + VAT + (exp 9/96). Tel: 01793 495499. 7, Packard Bell 486 Multimedia 8MB 400mg (exp 6/97), 3x28 Climagest POSTAGE- Opsite 10cmxl2cm TRADE LESS 20%+ VAT - 33 Celectol RAM, Star colour printer, complete (exp 1 1/96), 3x28 Climagest lgm (exp 4630. Trade less 1 5%+VAT+ Postage 200mg, 28 Climesse 2mg, 100 Flur- system, ready to run £800. Tel: 01474 6/97), 30 Voltaren lOOmg (exp 3/97). - Coloplast Assura 2471, Comfeel biprofen 50mg, 84 Ketoprofen LOOmg, 352609. 16-283 iOcmxlOcm 3213, Mepore 9x10cm. 42 Foradil 12mcg, 28 Monocor lOmg, Tel: 01 2140. MINI LAB Oriental mini 2, complete 30%+VAT - 1x250 Hex- Tel: 0171 620 0429. 80 Volmax 4mg, plus others. Tel: TRADE LESS system which prints up to 8x12, 100 TRADE LESS 30%+VAT+POSTAGE 01827 262488. opal forte dispensing pack (exp 7/00). films a day, ideal for busy phar- Tel: 01667 462617. - 456 Loron 400mg caps, Farlutal TRADE LESS 40% - Suprefact spray, macy, one year old Tel: 01703 25%+VAT - 10x28 Nys- lOOmg tabs, Provera 400mg Tabs, Cyproterone 50mg £20/56 tablets. Tel: TRADE LESS 869820.

CHEMIST & DRUGGIST 20 JULY 1996 COMPUTER SYSTEMS PRODUCTS AND SERVICES

Alchemist 3000 PMR dispensary system + CAMRx + NEW VERSION !!!!!! FOCUSING ON THE FUTURE.

Prophet 2000 EPOS PERSONAL AND VALUABLE

Intelligent till system SERVICE AT ALL TIMES Transform your business JOIN THE GROWING BAND of PEOPLE who INCREASE their PROFITS by £££££'s

1. A vital invc ridable negotiati base will p All We use our We deliver & 2. Group o adds pounds to Net-Workable engineers install FREE 31 ^jMj)

3. Our negotiating skills, contacts and know Police Station how will bring you extra savings from 'i>l ffl I 77 7\ f,7 numerous companies.

COULD REVOLUTIONISE YOUR BUSINESS DISTRIBUTORS WANTED 54/62 Silver Street, Whitwick, Leicestershire LE67 3ET TEL: 01530 510520 FAX: 01530 811590

CLEARWAY INHALER is now established as the RING FOR DETAILS ON preferred way of inhaling steam and aromatics in the FREEPHONE 0800 526074 treatment of catarrh, sinusitis, coughs and colds. We now require distributors willing and able to promote and sell to community pharmacies. Please COPY DEADLINE FOR THE reply to Clearway Products Ltd., Kiln House, Station Road, Wisbech St. Mary, Cambs. PE13 27TH JULY IS TUESDAY 4RW or telephone 01945 410466 for further - information. 23/07/96 CALL 01732 377 222

dry sachet, Alrheunial caps, Cardene SR 45 x 56 (exp 10/96), Cor- Alphoditl) (team, Kersanial labs, win200mgx 186 (exp 11/97"), Retrovir 1000 Triludan OTC packs. Trade less 250mg x 37 (exp 7/97). Tel: 0191 528

20%+ VAT - Zofran 8mg. Tel: 0181 520 4444. BUSINESSlink 5820. TRADE LESS 40%+VAT+P&P - 80 TRADE LESS 50%+VAT - 2x10 Aspav (exp 12/96), 16 Coloplast Service for A FREE Chemist & Druggist Subscribers Normegon 150iu (exp 10/06) Tel a.ssuia uro bags 2550, 25 Voltarol 485 1251. 01227 457830. 50mg suppositories (exp 11/96), 32 EXCESS - STOCK TRADE+VAT - 190 Pentasa M/R 500mg TRADE LESS 50%+VAT Provera white Tenoretic (exp 2/97), 4x28 (long expiry) Tel: 0121 477 0123. 400mg, Nicotinic acid 50nig, Rocal- Sinequan 25mg (exp 8/98), 2 packs S25.00 + VAT + POSTAGE - 10 x TRADE LESS 25%+VAT+POSTAGE - tro!0.5mcg, Importal Danazol lOOmg, Napratec (exp 11/96), 25 Adizem SR Cusilyn eye drops 13.5m] (soil cro- 260 Megace tabs 40mg (exp 11/98), Targocid 400mg, Cesamet lmg, 90mg (exp 11/96) and many others moglycate 1/97. Tel: 2%) exp 01223 5x100 Hormonin tabs (exp 2/08), Litarex Minodiab 2.5mg, Loniten Tel: 01693 8:30261. 568190. - 1x120 Alu-cap caps (exp 3/07) Tel: 5mg. Tel: 0181 874 1405. TRADE LESS 30%+VAT 6 Lentaron TRADE LESS 50% + VAT + 0181 651 6062 TRADE LESS 30%+VAT+POSTAGE t.m depot 250mg (1 ampoule

- - POSTAGE Coloplast 1285 4x10, 1 120 TRADE LESS 50%+VAT - 4 boxes Predfoam, Anturan 200mg, 60 250mg/l ampoule of 2ml) in each 12705x50, 1200 2x30, 12507x5, Sur- Predfoam enemas (exp 8/96 & 12/06), Coracten lOmg, 80 Mexitil 50mg, 408 box. Tel: Blackpool 301522. gicare SI 00 2x5, S351 1x5, S240 Mexit.il 3x5Cytamen inj 1000mg(exp 11/96), 200mg,30 Provera 400mg, Tri- TRADE LESS 1x10, SI 1x4, Conveen S125 2x30, .84 - 3 Zofran inj 2mg/ml (exp 0/07), 60 nordiol, Gamanil. Tel: 01963 30%+VAT+POSTAGE Zinamide S120 1x10, S172 1x10, S236 1x10, 25025!). 2-55 Loron 520 tabs (exp 1/98), 12x4ml 500mg, Dansac unique ref 555- S272 2x10, S313 1x10, Dansac 226- TRADE LESS 25% + VAT+POSTAGE 35, Dansac unique light 35 ref 255- Uromitexan inj (exp 11/98), 1 I)e-Nol 60 4x30, 226-40 1x30, 226-45 2x30. labs (exp 11/98), 100 Parlodel lmg Tel: 01202 262486. (exp 1 1/96) plus others. Tel: 0161 480 EXCESS STOCK CAUTION TRADE LESS 50%+VAT - 63 Dol- 6422 matil 200mg (exp 10/96), 66 Neu- TRADE LESS 50%+VAT - 10 vials Pharmacists are responsible for the quality, safety and efficacy of rontin lOOmg (exp 8/97). Tel: 01269 Genotropin 16iu, Kabivial multidose 822217. medicines they supply. In purchasing from sources other than (exp 10/96) guaranteed fridge stored, TRADE - LESS 30%+VAT 2x42 Val- buyer to arrange colleciioti Tel manufacturers or licensed wholesalers, they must satisfy them- trex tabs (exp 10/96), 3 boxes Corn- 01382 611227. selves about product history, conditions of storage and so on. fell over dressing 20cm 2 Tel: 0171 TRADE LESS 25% + VAT - Duphalac

CHEMIST & DRUGGIST 20 JULY 1996 . .

PRODUCTS AND SERVICES

medieltte pic The Power

Tel 0181 841 4144 Fax: 0181 841 H i % of Multiples . . ...the Privilege BRflun if Independence

UK's fastest growing buying network of 800 independent INDEPENDENT 2000 ENERGY CELLS pharmacist

* join us now *

Wish to become a member? Nucare pic Please contact us Today. 447 Keruon Road Harrow Middlesex HA3 OXY BUY 50 mm CELLS GET 5 MINI CELLS FREE Tel: 0181-732 2772 MEDIELITE=PROFIT PLUS Fax: 0181-732 2774

^ers e mos com re^ens^ve selection products CHEMIST& ^ ^ P of TppTCT& services of in any Pharmaceutical Publication. VMmm. call Lucy on 01732 377222 To pit your Products & Services in front of our unique readership

Free entries in To: Business Link, CHEMIST & DRUGGIST, Miller Freeman House, "Business Link" Sovereign Way, Tonbridge, Kent TN9 1RW. (maximum 30 PLEASE COMPLETE IN BLOCK CAPITALS words) are restricted to

Surname . . . community

pharmacist First names subscribers to Chemist & Address Druggist. No trade advertisements will Postcode be permitted. Personal RPSGB Registration number Acceptance is at the discretion of the Telephone Number Publishers and depends upon space Proposed advertisement copy (maximum 30 words) being available. Send proposed wording to "Business Link" using the form printed alongside.

100 CHEMIST & DRUGGIST 20 JULY 1996 ^

SHOPFITTINGS SPECIALS 43?

Manufacturers of Special . Pharmaceutical Products

5f|opriTfiNc; Bespoked Tailors of Pharmaceuticals offering FROM LOW COST PERIMETER SHELVING TO A TRADITIONAL SPECIALS SERVICE UPMARKET PERFUMERY SHOWCASES TRADITIONAL for that "specials" patient cared for by that special OR CONTINENTAL DISPENSARIES professional

CONTACT MARTIN BAGG FOR A COMPLETE Where confidence in quality and price is a must and where the SHOPFITTING SERVICE FOR THE PHARMACIST minimum order value is ONE.

Contact Karol Pazik, Director, on 01296 394142. 01392-216606 Mandeville Medicines, The Specialists in Specials. For sterile, non-sterile and assembled specials, clinical trials supplies and a free help line WOODSTYLF Y Y SHOPFITTING AND DESIGN STOCK FOR SALE SPECIALISTS IN RETAIL PHARMACY AND DISPENSARY SHOPFITTING 5 x 60 MST lOOmg 50% off trade. APPROVED BY THE N.PA. 500 x 60 SELEGILINE 5mg 42% off trade. 60 x 28 ZESTRIL 5mg off trade. CALL DETAILS 48% NOW FOR 130 x 28 ISOSORBIDE MONONITRATE 60SR 35% off trade. Edison Road, St Ives Industrial Estate, St Ives 15 x 25 ZOVIRAX 400mg 40% off trade. Huntingdon, Cambs PE17 4LF 1000 x 24 exp own brand films 35mm 80 pence each. Telephone: 01480 494262 Fax: 01480 495826 Contact: Kasumba Chemist 261 Chesterfield Road, Sheffield, S. Yorks. S8 0RT Tel: 0114 255 4361

STOCK WANTED SPECIALISING IN THE DESIGN & SHOPFITTING FOR THE WANTED PHARMACY TRADE. Old chemist shop fittings, drug runs, bow FOR YOUR INDIVIDUAL NEEDS cabinets etc. TEL: 01392 491920 Complete shop interiors purchased. We try TEL: 01392 49HH22 hardest, travel furthest, pay more. Telephone 01327 349249 days.

the key to 01327 341192 Eves. Fax: 01327 349397

solve your pharmacy - - diofijjitiuuf. problems ^^r-^y— CHEMIST WANTED PHARMACY Surplus Coloured Glass Bottles and Jars Wanted. • comprehensive service • part or full refits " N^n-*^ Black Glass Jars. Drug Jars - Blue or Green.

• competitive quotations • free advice 'budgets Blue Castor Oils. Coloured Soda Syphons. "Admiralty" Square Blue Poisons. write/telephone: fredenck moore, 39 cooks meadow Spare Stoppers. Common Blue "Not to be taken" Poisons - All shapes. edlesborough, beds Iu6 2rp 01525 a 222526 Mixed Assortments of Surplus Bottles as above. name & address Contact: Eric Padfield, 18 Mulberry Gardens, Sherborne, Dorset. Tel: 01935 816073 Fax: 01935 814181

HEMEX SHOW PA LUCY OR DEBBI To? 377222

CHEMIST & DRUGGIST 19% 101 UTDeoDle

Dental aid delivery to Bihac

A pharmacist has been involved to make dentures and fillings, Food, clothing, bicycles and in a live-day trek across Europe was made to Bihac hospital. "It toys were also taken in the truck to deliver essential dental sup- should enable routine dentistry that was co-driven by Philip plies to Bihac in the north west of to be carried out for several Waters, a director of the stock- Bosnia. months," says Mr Beasley. "Imag- taking company Take-Stock. The Stephen Beasley, a pharmacy ine having your tooth filled with brewer, Bass, supplied funds to manager at R A Hopkins in a blunt drill and no anaesthetic." pay for the truck's fuel. Luton, Bedfordshire, made the journey last month to deliver 54,500 of dental supplies as part Stars in his eyes ... of the work of local charity A face that may become more Balkan Relief. Bihac, with a pop- familiar to you on television is ulation of 180,000, has not seen getting a second airing on this real dental care for over four page. years. Ortis Deley recently hosted his Mr Beasley has been involved own television programme, but with fund-raising for the charity he appeared on this page in Octo- and organised a sponsored swim ber 1994 when he was still a Sun- in April. Septodont UK donated derland pharmacy student. 2,000 local anaesthetic vials and Back then, he was taking part sterile needles, and gave sub- in 'Blind Date' on ITV. When he stantial discounts on other prod- sang for presenter Cilia Black, his ucts. Luton dentist Donald talent was spotted and he was Cousin helped arrange the dona- signed up by an agent. tion of other supplies. Stephen Beasley (centre) meets Adem Yusufagic, a dentist at the Bihac His new show, 'Passport to Pas- The delivery, which also in- hospital dental clinic, whose relatives are refugees in the Luton area. sion', was shown two weeks ago cluded new drills and materials Mr Beasley delivered news from them to Mr Yusufagic and his mother in the Friday night post -pub slot on ITV. The pilot programme had Ortis and co-presenter Sarah Matravers setting out "to discover Feeling a little bit under the weather? whether Copenhagen is really a The two main topics of interest to vide updated weather reports place to find tare romance".

the British are their health and the round the clock, it is also going to "I was over the moon when I weather. What was on television feature health tips presented by was asked to present 'Passport to

last night also ranks highly as a con- pharmacist Sharon Buckle. Passion' - and I really enjoyed

versation topic. Ms Buckle works as group pub- doing it," he says. Now the British public can have lic relations manager for Boots the Although he graduated, Ortis

their fill of all three with the launch Chemists, and was approached by has yet to qualify as a pharmacist.

of the 24-hour cable television the TV company to provide short, It seems the bright lights hold channel 'The Weather Network'. educational health promotion more attraction and he is now Not only will the station pro- inserts for broadcasting. poised to sign a record deal.

CPP exam success The College of Pharmacy Prac-

tice has announced that it has seven new full members. The candidates who have suc- cessfully completed the Col- lege's membership examination usmess news are Alison Archer, Barend Arrthon, Raymond Atkinson, There is another new face at Nickos Efthynriou, Elizabeth Chemist & Druggist. Hardman, Alisorr MacRobbie and The recent restructuring of the Lesley Webster. editorial team has seen Guy The closing date for registra- L'Aimable (above) appointed as tion to the College's Assessments business editor D, E and F examinations is The former president of the Royal Pharmaceutical Society has been Guy, who has ten years of August 9. Reports for Assess- presented with the College of Pharmacy Practice's Schering Award. reporting experience, joins C&D ments D and F should be submit- The presentation was made at the College's award dinner last month in from World Tobacco where he ted by August 23. Stratford-upon-Avon. Pictured are (standing, from left) Professor was assistant editor for four and a Further details can be ob- Graham Calder, speaker Clive Jackson, Brian Riley, Norman Morrow, half years. His previous experi- tained from Michelle Chaplin at Schering Health Care managing director Mike Wallace and College ence includes four years spent the College by telephoning 01203 chairman Dr David Anderson; (seated, from left) Mary Tompkins, Ann with Reed Business Publishing. 692400. Lewis, Joan Greenleaf and Elizabeth Roddick

All rights reserved. No part, of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including photocopying, recording or any information storage or retrieval system without the express prior written consent of the publisher. The contents of Chemist. & Druggist are subject to reproduction in information storage and retrieval systems. Miller

Freeman Professional Ltd may pass suitable reader addresses to other relevant suppliers. If you do not wish to receive sales information from oi lier companies please write to Ben Martin at Miller Freeman Professional Ltd. Origination by London Scanning, 24a Shore Rd, London. Printed by St Ives (Gillingham) Ltd, Gillingham, Kent. Registered at the Post Office as a Newspaper 22/19/24S m. CHEMIST & DRUGGIST 20 JULY 1996 .\

' - : H E M E X 9 6 COLY M PIaT) 1 2 SEPTEMBER 19

New look The New Visitors Voucher Book hemex... An exciting new concept. Every registered visitor to Chemex '96 will receive a voucher New home... book bursting with special offers and id a New era promotions. So you know where the best deals and the best incentives are before emex '96 is a bigger better drive you even enter the exhibition hall. dw. Two floors of Olympia No hard dedicated to pharmacy Stunning New Promotions ducts, to beauty and Early indications show that a number of althcare, to current topics . companies are supporting the biggest d to help you maximise Chemex. and most spectacular prizes ever seen at Chemex... so if you wish to increase ur business potential.. to your chances of winning... register now. 10 floors which will 3vide you with: The New Trade Show Every floor will be bustling with activity ie New NPA Village and this year's exhibition bookings i arena where existing and would indicate that the recession is tential members, may see and dead. Hundreds of exhibitors all eager ar what their trade association to keep you abreast of the latest devel- Joing. A place where you can opments... and gossip! Special offers, ve your say and to seek advice exclusive to Chemex '96, will be the current issues. common theme. ie New International New Venue ivilion Olympia 2 welcomes Chemex '96 to its ijor international companies will new improved facilities. Olympia 2 has showing you what is new and all the advantages you would expect lat will be arriving on the domes- from an international exhibition market in the near future. m centre, convenient to all mainline

railway stations as well as having its ie New Demonstration own tube station. Olympia 2 also and features parking for up to 2100 new concept to provide all could win cars, so you will be assured of itors with an opportunity to see you but easy and convenient access. citing new products and services New Registration action and a chance for you to drive at hard Competition - win a .t the best before you buy. a 2Gb Multimedia Pro 120 PC ;w Seminars and Workshops this year When you pre-register you will receive the rpose built theatres will be the Chemex opportunity to win, for your business, a state of the art Pentium 120 Multimedia PC com- itform for a series of provoking plete with 16mb EDO RAM, 2 Gb hard drive, d serious discussions which relate to Eight speed CD ROM, IS" SVGA colour monitor, boot. keyboard, sound card with speakers and jr business, your profits, ows 95, and how to RAM,./-gnt^ Wind "95, 1 15mb EDO peakers and Windows to boot Every pre-registered ca visitor will be entered inio our tree to enter nerate new growth without com- keyboard, sound draw The winner will be advised of their suc- 3mise. to do, it, What how to do and cess at Chemex '96 In addition all visitors w to monitor the results. Subjects on who pre-register will receive a compliment- ary free gift pack of TRU-ALO, with a retail s draft programme include; value of £23 25 Your gift pack will include Soothing Gel, Moisturiser, Moisturiser iecurity with Vitamin E, Antiseptic Cream and Liniment. Original Pack Dispensing Alternative Therapies

)avid and Goliath... how to work in larmony in the face of competition rom the multiples

7 Vill IT work .. Computing and its ole in the pharmacy

Vhat's new and will what's new nake profit WORTH OVER £1*00

Sponsored by CHEMIST& Supported t DRUGGIST

M;l r I •: i; 141 l- : . MEMEX '96 Miller Freeman Exhibitions Ltd. Marlowe House, 109 Station Road he UK for show pharmacists/ Sidcup, Kent DA15 7ET pharmacy buyers. Internet: www.mf-exhibitions.co UK i

A bullseye for Bazuka! For the treatment ^ Bazuka Gel has taken the verruca/wart ofverrucas, warts, market by storm, soaring to brand leadership V<**

within months of its launch. corns and calluses

Uniquely formulated, clinically proven treatment

With its clinically proven prescription Dries to form a water-resistant, protective barrier

heritage Bazuka offers simple, effective Designed to inhibit spread of the verruca/wart infection No plasters necessary treatment for verrucas, warts, corns and Simple, once-daily application

calluses. It dries to form a unique, water- resistant protective barrier designed to help inhibit the spread of the verruca/wart infection, without the need for plasters.

And wtfith continued heavyweight national press, radio and TV support, Bazuka sales will go from strength to strength. Be sure calluses warts, corns and lor the treatment of verrucas, to keep up with demand! 171

salicylic acid, lactic acid FORMS A WATER-RESISTANT BARRIER - NO NEED FOR PLASTERS

BAZUKA Trademark and Product Licence held by Diomed Developments Ltd Hitchin, SG4 7QR, UK Distributed by Ltd , 94 Rickmansworth Road. Wattord. Herts. 7JJ. UK Active Ingredients: , DDD WD1

Salicylic Acid BP 12 0% w/w, Lactic Acid BP 4 0% w/w Also contains Camphor BP, Pyroxylin BP, Ethanol (96%) BP, Ethyl Acetate Indications: For the treatment ot verrucas, warts, corns and calluses

Directions lor adults, including the elderly, and children: Apply one or two drops to the lesion and allow to dry to form a small white patch The following day. carefully peel or pick oft the dried patch, and apply fiesh gel Once every week, before applying Iresh gel, gently rub the treated surface with the emery board provided Continue treatment until the condition has resolved This may take up to 12 weeks for certain vemicas and warts Contra-indications: Not to be used on the face or anogenital regions, or by diabetics or individuals with poor blood circulation Not to be used on moles, birth marks, hairy warts, oi any othei lesion loi which the gel is not indicated Not to be used in cases of sensitivity to any ot the ingredients Precautions and Warnings: Keep away from the eyes, mucous membrane and from cuts and grazes Avoid spreading onto surrounding normal skin Do not use excessively Some mild, transient irritation may be expected, but in cases of more severe irritation, treatment should be discontinued Avoid inhaling vapour, and keep cap firmly closed when not in use Avoid contact with clothing, fabrics, plastics and other mat erials as it may cause damag e Keep all medicines out of the reach ill i hildren HIGHLY FLAMMABLE Keep away from flames Store at room temperature (not exceeding 25°C), with the cap replaced tightly jFOR EXTERNAL USE ONLY Legal Category: [T] (PL 0173/0161) [

Packs: 5g, RSP E4 35 (£3 70 exc VAT) 5/95