Journal 2013
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Journal of ENT masterclass ISSN 2047-959X Journal of ENT MASTERCLASS® Journal of Journal ENT MASTERCLASS ® www.entmasterclass.com VOL: 6 No: 1 Year Book 2013 Volume 6 Number 1 TriVantage | APS | NIM 3.0 Confidence Security Safety Also Available: AlsoGaviscon Available: Advance Peppermint GavisconSuspension Advance (sodium Peppermint alginate, potassium Suspensionhydrogen (sodiumcarbonate) alginate, and Gaviscon potassium hydrogenAdvance carbonate) Mint Chewable and GavisconTablets (sodium Advancealginate, Mintpotassium Chewable bicarbonate). Tablets (sodium alginate, potassium bicarbonate). ffoorr L LPPRR LPRadvice.co.uk LPSeeR howa it wdorkvs: LiPcRade.vice.cco.uok/d.emuo k See how it works: LPRadvice.co.uk/demo JOINT ESSENTIAL INFORMATION cases of congestive cardiac failure and renal impairment or when taking drugs which can increase JOINTGaviscon ESSENTIAL Advance INFORMATION Peppermint Flavour Oral Suspension, Gaviscon Advance Aniseed casesplasma of congestive potassium cardiaclevels. Eachfailure 10 and ml renalcontains impairment 200 mg (2.0or when mmol) taking of calcium drugs whichcarbonate. can increase This GavisconSuspension, Advance Gaviscon Peppermint Advance Flavour Mint Chewable Oral Suspension, Tablets. Gaviscon Advance Aniseed plasmamedicinal potassium product levels. contains Each Methyl 10 ml hydroxybenzoate contains 200 mg and (2.0 Propyl mmol) hydroxybenzoate, of calcium carbonate. which This may cause Suspension,Active substances Gaviscon Gaviscon Advance Advance Mint Chewable Peppermint Tablets. Flavour,Gaviscon Advance Aniseed Suspension: medicinalallergic reactionsproduct contains (possibly Methyl delayed). hydroxybenzoate Gaviscon Advance and Propyl Mint Chewable hydroxybenzoate, Tablets: which Each maytwo-tablet cause ActiveEach 5substances ml dose contains Gaviscon sodium Advance alginate Peppermint 500.0mg Flavour,Gaviscon and potassium hydrogenAdvance Aniseedcarbonate Suspension: 100.0mg allergicdose has reactions a sodium (possibly content delayed). of 103mg Gaviscon (4.5mmol) Advance and a Mint potassium Chewable content Tablets: of 78mg Each (2.0mmol). two-tablet This EachGaviscon 5 ml doseAdvance contains Mint sodiumChewable alginate Tablets: 500.0mg Sodium and alginate potassium 500 mg hydrogen and Potassium carbonate bicarbonate 100.0mg 100 doseshould has bea sodium taken into content account of 103mg when a(4.5mmol) highly restricted and a potassium salt diet is content recommended, of 78mg (2.0mmol).e.g. in some This cases Gavisconmg per tablet.Advance Indications: Mint Chewable Treatment Tablets: of symptomsSodium alginate resulting 500 from mg andthe refluxPotassium of acid, bicarbonate bile and pepsin100 shouldof congestive be taken cardiac into account failure when and renala highly impairment restricted or salt when diet taking is recommended, drugs which e.g.can inincrease some cases plasma mginto per the tablet. oesophagus Indications: such Treatmentas acid regurgitation, of symptoms heartburn, resulting indigestionfrom the reflux (occurring of acid, due bile to and the pepsinreflux of ofpotassium congestive levels. cardiac Each failure two-tablet and renal dose impairment contains 200or when mg (2.0taking mmol) drugs of whichcalcium can carbonate. increase plasma intostomach the oesophagus contents), suchfor instance, as acid regurgitation,after gastric surgery, heartburn, as aindigestion result of hiatus (occurring hernia, due during to the reflux of potassiumGaviscon levels.Advance Each Tablets two-tablet may cause dose containscentral nervous 200 mg system (2.0 mmol) depression of calcium in the carbonate. presence of renal stomachpregnancy, contents), accompanying for instance, reflux after oesophagitis, gastric surgery, including as a symptoms result of hiatus of laryngopharyngeal hernia, during reflux such Gavisconinsufficiency Advance and Tabletsshould maynot be cause used central in patients nervous with system renal failure. depression Due toin itsthe aspartame presence ofcontent renal this pregnancy,as hoarseness accompanying and other voicereflux disorders,oesophagitis, sore including throats and symptoms cough. Canof laryngopharyngeal also be used to treat reflux the such insufficiencyproduct should and notshould be givennot be to used patients in patients with phenylketonuria. with renal failure. Side-Effects: Due to its aspartameVery rarely content (<1/10,000) this assymptoms hoarseness of gastro-oesophagealand other voice disorders, reflux soreduring throats concomitant and cough. treatment Can also with be or used following to treat withdrawal the productpatients should may developnot be given allergic to patients manifestations with phenylketonuria. such as urticaria Side-Effects: or bronchospasm, Very rarely anaphylactic (<1/10,000) or symptomsof acid suppressing of gastro-oesophageal therapy. Dosage reflux Instructions:during concomitant Gaviscon treatment Advance with Peppermint or following Flavour withdrawal Oral patientsanaphylactoid may develop reactions. allergic manifestations such as urticaria or bronchospasm, anaphylactic or ofSuspension, acid suppressing Gaviscon therapy. Advance Dosage Aniseed Instructions: Suspension: Gaviscon Adults andAdvance children Peppermint 12 years Flavourand over: Oral 5-10 anaphylactoidNHS List Price: reactions. Gaviscon Advance Peppermint Flavour Oral Suspension: 250ml - £2.56, 500ml - Suspension,ml after meals Gaviscon and at Advance bedtime Aniseed (one to Suspension: two 5 ml measuring Adults and spoons). children Gaviscon 12 years Advance and over: Mint 5-10 NHS£5.12 List Gaviscon Price: Gaviscon Advance Advance Aniseed PeppermintSuspension: Flavour 250ml Oral- £2.56, Suspension: 500ml - 250ml£5.12 Gaviscon- £2.56, 500mlAdvance - mlChewable after meals Tablets: and atFor bedtime oral administration (one to two after5 ml measuringbeing thoroughly spoons). chewed. Gaviscon Adults Advance and children Mint 12 £5.12Mint GavisconChewable Advance Tablets: Aniseed 60 Tablets Suspension: - £3.07 Marketing250ml - £2.56, Authorisation: 500ml - £5.12 Gaviscon Gaviscon Advance Advance Chewableyears and Tablets: over: One For tooral two administration tablets after aftermeals being and thoroughly at bedtime. chewed. Children Adults under and 12 children years: 12Should MintPeppermint Chewable Flavour Tablets: Oral 60 Suspension- Tablets - £3.07 PL 00063/0612Marketing Authorisation: Gaviscon Advance Gaviscon Aniseed Advance Suspension - PL yearsbe given and over:only on One medical to two advice. tablets Elderly: after meals No dose and modification at bedtime. is Children required under for this 12 age years: group Should Peppermint00063/0108. Flavour Gaviscon Oral Suspension- Advance Mint PL Chewable 00063/0612 Tablets Gaviscon – PL 00063/613 Advance Aniseed Supply Suspension Classification - PL be given only on medical advice. Elderly: No dose modification is required for this age group 00063/0108. Gaviscon Advance Mint Chewable Tablets – PL 00063/613 Supply Classification Contraindications: Hypersensitivity to any of the ingredients, including the esters of Gaviscon Advance Peppermint Flavour Oral Suspension/ Gaviscon Advance Aniseed Suspension - P Contraindications:hydroxybenzoates (parabens).Hypersensitivity Precautions to any of andthe ingredients,Warnings: Care including needs the to estersbe taken of in treating GavisconGaviscon Advance Advance Peppermint Mint Chewable Flavour Tablets Oral Suspension/- GSL Marketimng Gaviscon authorisation Advance Aniseed Holder: Suspension Reckitt - P hydroxybenzoatespatients with hypercalcaemia, (parabens). Precautions nephrocalcinosis and Warnings: and recurrent Care calcium needs tocontaining be taken renalin treating calculi. GavisconBenckiser Advance Healthcare Mint (UK)Chewable Limited, Tablets Dansom - GSL Lane, Marketimng Hull, HU8 7DS.authorisation Holder: Reckitt patientsThere is with a possibility hypercalcaemia, of reduced nephrocalcinosis efficacy in patients and recurrent with very calcium low levels containing of gastric renal acid.Treatment calculi. of BenckiserGaviscon Healthcare and the sword (UK) andLimited, circle Dansom symbol Lane,are trade Hull, marks. HU8 7DS. Therechildren is a youngerpossibility than of reduced12 years efficacy of age is in not patients generally with recommended, very low levels exceptof gastric on medicalacid.Treatment advice.If of Gaviscon and the sword and circle symbol are trade marks. children younger than 12 years of age is not generally recommended, except on medical advice.If Adverse events should be reported. Reporting forms and information can be symptoms do not improve after seven days, the clinical situation should be reviewed. Gaviscon Adverse events should be reported. Reporting forms and information can be UC201403300EE symptoms do not improve after seven days, the clinical situation should be reviewed. Gaviscon found at www.yellowcard.gov.uk/yellowcard Adverse events should also be reported Innovating for life. Advance Peppermint Flavour Oral Suspension, Gaviscon Advance Aniseed Suspension: Each 10 ml found at www.yellowcard.gov.uk/yellowcard Adverse events should also be reported Advance Peppermint Flavour Oral Suspension, Gaviscon Advance Aniseed Suspension: Each 10 ml to Reckitt Benckiser on 0500 455 456. dose has a sodium content of 106 mg (4.6mmol) and a potassium content of 78 mg (2.0 mmol). to Reckitt Benckiser on 0500 455 456. doseThis has should a sodium be taken content into accountof 106 mg when (4.6mmol) a highly and restricted a potassium salt diet content is recommended, of 78 mg (2.0 e.g. mmol). in some Date