issue 1/2013 - jknmelaka.moh.gov.my pharmacy unit.pdf · 1 the total number of dengue cases...
TRANSCRIPT
1
The total number of dengue cases reported until 2/11/2013 was 1015 cases.
An increase of 619 cases or 156.31% compared to the same period in 2012 which was 396 cases.
Of the total cases for year 2013:
CHAIRMAN:
DR HJ JAMAL BIN ALI
JOHARI
ADVISER:
PN NUR ATIKAH YAAKUB
EDITOR:
JENNY SHUM
CONTRIBUTORS:
SIN QI, KAH YEE, PUI YEE,
IZATY, FAZRIN, AZMIR, IFZAD
High fever and at least two of the following:
Severe headache
Severe eye pain (behind eyes)
Joint pain
Muscle and/or bone pain
Rash
Mild bleeding manifestation (eg., nose or gum bleed, petechiae, or easy bruising)
Low white cell count
Dec 2013 Issue 1/2013
Issue 1/2013
1. Dengue
2. Dietary Supplement
Limits
3. Understand Lindane
Well
4. Family Day 2013
5. New & Old Staffs
6. Gout management
7. Stress in the Phar-
macy
8. Fun-Pharm Relax Zone
Issues
Pharmacy Unit PKD ALOR GAJAH
78000 ALOR GAJAH, MELAKA
EDITORIAL BOARD
Current Dengue Situation in Melaka
Contributed by Jenny Shum Reference: 1. 1.Laman Portal Rasmi Jabatan Kesihatan Negeri Melaka. 2.http://www.cdc.gov/Dengue/symptoms/ 3.http://www.cdc.gov/dengue/prevention/ 4.http://www.who.int/denguecontrol/control_strategies/en/
District Number of Cases
Melaka Tengah 859
Alor Gajah 91
Jasin 65
Symptoms of Dengue
Self-Prevention of Dengue Eliminate or clean frequently the places where the mosquito might lays her eggs:
Artificial containers that hold water in and around the home
Water containers like pet and animal watering containers
Flower planter dishes
Water storage barrels
Vases
Individual Protection:
Clothing that minimizes skin exposure
Repellents may be applied to exposed skin or to clothing
Mosquito nets
Household insecticide aerosol products, mosquito coils or other insecticide vaporizers
2
Dietary supplement is a product that: Is intended to supplement the diet
Contains one or more dietary ingredients (including vitamins; minerals;
herbs or other botanicals; amino acids; and other substances or their con-
stituents
Is intended to be taken by mouth as a pill, capsule, tablet, or liquid
Is labeled on the front panel as being a dietary supplement
Dietary Supplement Limits
Page 2
Issue 1/2013
NO. VITAMINS & MINERALS UPPER DAILY LIMIT
1 Vitamin A 5000 IU
2 Vitamin D 1000 IU
3 Vitamin E 800 IU
4 Vitamin B1 (Thiamine) 100 mg
5 Vitamin B2 (Riboflavine) 40 mg
6 Vitamin B5 (Panthothenic Acid) 200 mg
7 Vitamin B6 (Pyridoxine) 100 mg
8 Vitamin B12 (Cynocobalamin) 0.6 mg
9 Vitamin C (Ascorbic Acid) 1000 mg
10 Folic Acid 0.9 mg
11 Nicotinic Acid 15 mg
12 Niacinamide (Nicotinamide) 450 mg
13 Biotin 0.9 mg
14 Boron 6.4 mg
Beware health supplements with formulation that: Exceeds the new upper daily limit
Does not exceed the new upper daily limit but with recommended
dosage that exceeds the limit
The Updated Upper Daily Limits for Vitamins and Minerals (for Adults)
Contributed by Azmir Reference: Newsletter of the Drug Control Authority, Malaysia. (Volume 57, No. 35, ISSN 0128-0627)
3
Understand Lindane Well
Page 3
Issue 1/2013
Class: Scabicide & Pediculicide
Other name: Gamma Benzene Hexachloride
Dosing form and strength: Lotion/shampoo 1%
Introduction
INDICATIONS:
Topical application for treatment of Sarcoptes Scabiei (scabies),
Pediculosis Capitis (Head lice) & Phthirus Pubis (Crab lice).
Dosing & Uses:
Indication & Dosage
Scabies Apply (lotion) thin layer and massage on skin on entire body except
face, giving special attention to skin-folds and the finger/toe webs.
Bathe and remove drug 8-12 hours after application.
Pediculosis Capitis (Head
lice) or Pediculosis Pubis
(Crab lice)
Apply 30-60ml of shampoo (not exceed 60ml) into the scalp and
the hair, leave on 4 minutes, lather, rinse, remove nits with fine-
toothed comb. (One time application usually sufficient; may use
other pediculicide in 1 week if necessary).
Premature neonates (<28do) due to their skin
maybe more permeable and liver enzymes not
sufficiently developed
Uncontrolled seizure disorder
Norwegian (crusted) scabies
Hypersensitivity to the product or any of its com-
ponents
Skin conditions that may increase systemic ab-
sorption
Contraindication
Pregnancy Cate-
gory:
C
Lactation:
Distributed in breast milk, do not nurse for 24 hours post-application (express milk & discard)
Pregnancy & Lactation
Contributed by Pui Yee References: 1. Gamascab ® Lotion Product Leaflet
2. Micromedex Drug Information: Lindane
3. http://reference.medscape.com/drug/lindane-topical-343501
4
Page 4
Issue 1/2013
Changing of Drug Brand
Previous
Current
Contributed by Jenny Shum
Generic Name: Mist. Magnesium Trisilicate
Brand Name: Hovid
Generic Name: Mist. Magnesium Trisilicate
Brand Name: KCK
Generic Name: T. Amlodipine 5 mg
Brand Name: Ranbaxy
Generic Name: T. Amlodipine 5 mg
Brand Name: Hovid
Generic Name: T. Amlodipine 10 mg
Brand Name: Ranbaxy
Generic Name: T. Amlodipine 10 mg
Brand Name: Hovid
5
Page 5
Issue 1/2013
Contributed by Jenny Shum
Changing of Drug Brand (Con’t)
Previous
Current
Generic Name: Losartan 50 mg
Brand Name: Cozaar
Generic Name: Losartan 50 mg
Brand Name: Winthrop
Generic Name: Salbutamol 100µg/dose inhalation
Brand Name: Ventolin
Generic Name: Salbutamol 100µg/dose inhalation
Brand Name: Asthalin
Generic Name: Finasteride 5 mg
Brand Name: Proscar
Generic Name: Finasteride 5 mg
Brand Name: Finaintas
6
Page 6
Issue 1/2013
On 25 August 2013, a Family Day was held by pharmacy staffs in Akar Beach Resort, Teluk Kemang
Port Dickson. It is just one hour away from the town and we get a good chance to come across with the
sight of the beautiful blue ocean and white capped waves. Several activities and games were carried
out at the beach side and grand prizes were given to the winners. Everyone of us did enjoy very much
and looking forward for the next gathering.
Coconut Bowling
Blowing Balloons
Ping-Pong Game
Contributed by Izaty
7
Tug of War
Page 7
Issue 1/2013
Contributed by Izaty
Wet War
Sugar in the powder
Prize Giving
Prize Giving Prize Giving
8
Farewell Parties
Page 8
Issue 1/2013
Farewell parties were held as a token of appreciation to Ms.
Chin Yee Ling, Ms. Tan Aie Yen, and Pn. Anis Haswani Binti
Othaman for their commitment and contribution to the Phar-
macy Department of PKD Alor Gajah. Ms. Chin Yee Ling has
her new placement in KK Jinjang, Ms .Tan Aie Yen in KK
Taman Universiti and Pn. Anis Haswani Binti Othaman in
BPFK. Wishing three of them all the best and success in their
future undertaking.
Bye! Ms. Chin Yee Ling
Bye! Ms. Tan Ai e Yen Bye! Puan Anis
New Staffs
Meanwhile, we would also like to welcome new staffs Mr. Chew Chun Siang (KKMT)
and Fiona Benzamin (KKSE) for joining the pharmacy team PKD Alor Gajah..
Hi! Mr. Chew Chun Siang
Hi! Fiona Benzamin
Contributed by Sin Qi
9
Page 9
Issue 1/2013
Changing of Drug Category
DRUG OLD CATEGORY NEW CATEGORY
Bisoprolol Fumarate 2.5 mg
A B
Bisoprolol Fumarate 5 mg A B
Carvedilol 6.25 mg A* A/KK
Carvedilol 25 mg A* A/KK
Budesonide + Formeterol 160 mcg/4.5 mcg Turbu-
haler
A A/KK
Budesonide + Formeterol 320 mcg/9 mcg Turbu-
haler
A* A/KK
Contributed by Jenny Shum
10
Gout Management
Page 10
Issue 1/2013
Introduction
Acute Gout Chronic Gout
Severe joint redness, pain, and
swelling.
Often affects one joint in 90%
of patients.
Lower limbs’ joints are more
common affected than upper
limbs.
Last from few days to weeks
with inflammatory signs gradu-
ally resolved.
Characterized by polyarticular
arthritis and formation of to-
phi.
Tophi, deposit of monoso-
dium urate usually appear
painless, firm, nodular or fusi-
form swelling.
Digits of hands and feet are
the most common site for to-
phi.
Elderly are more prone to de-
velop polyarticular arthritis.
Treatment
Colchicine Allopurinol
Indication:
Acute attacks of gout or short-term prophylaxis of
gout.
Dosage:
Indication:
Chronic gouty arthritis.
Dosage:
Initial dose: 100-300 mg daily
Maintenance: 300-600 mg daily
Maximum: 900 mg daily Acute Attacks Short-term prophy-
laxis
1 mg initially then 0.5 mg every 2 to
3 hours until pain relief is obtained
or gastro-intestinal adverse effects
occur (diarrhea). Total daily dose
≤10 mg. At least 3 days should elapse before another course is
given.
0.5 or 0.6 mg one to
three times daily.
Contributed by Kah Yee Reference: 1. Oxford Handbook of Clinical Medicine 7th edition (page 534). 2. Product leaflet for T, Colchicine 0.5 mg. 3. Blue Book.
11
Page 11
Issue 1/2013
In the Pharmacy???
1. Listen to Music Take a break and listening to relaxing clas-
sical music. Playing calming music has a
positive effect on the brain and body, can
lower blood pressure, and reduce cortisol,
a hormone linked to stress.
2. Call a Friend Take a break to call a friend and talk about
your problems. Good relationships with
friends and loved ones are important to any
healthy lifestyle. A reassuring voice, even for
a minute, can put everything in perspective.
3. Talk Yourself Through It If calling a friend is not an option, talking calmly to yourself can be the next best thing.
Don’t worry about seeming crazy. Just tell
yourself why you’re stressed out, what you
have to do to complete the task at hand, and
most importantly, that everything will be OK.
4. Eat Right Stress levels and a proper diet are closely related. Fruits and vegetables are always
good, and fish with high levels of omega-3
fatty acids have been shown to reduce the
symptoms of stress. A tuna sandwich really
is brain food.
5. Breathe Easy For an easy 3 to 5 minute exercise, sit up in
your chair with your feet flat on the floor
and hands on top of your knees. Breathe in
and out slowly and deeply, concentrating
on your lungs as they expand fully in your
chest. Deep breathing oxygenates your
blood, helps center your body, and clears
your mind.
6. Laugh It Off Laughter releases endorphins that improve
mood and decrease levels of the stress-
causing hormones cortisol and adrenaline.
Laughing tricks your nervous system into
making you happy.
7. Try Tea A large dose of caffeine causes a short-
term spike in blood pressure and may
cause your hypothalamic-pituitary-
adrenal axis to go into overdrive. Instead
of coffee or energy drinks, try green tea.
It has less than half the caffeine of coffee
and contains healthy antioxidants, as well
as theanine, an amino acid that has a calming and soothing effect on the nerv-
ous system.
8. Be Mindful There are also many lifestyle changes that
can be more effective in the long run. From
yoga and tai chi to meditation and Pilates,
these systems of mindfulness incorporate
physical and mental exercises that prevent stress from becoming a problem in the first
place.
9. Exercise (Even for a Minute) Exercise doesn't necessarily mean power
lifting at the gym or training for a mara-
thon. A short walk around the office or
simply standing up to stretch during a break at work can offer immediate relief in
a stressful situation. Getting your blood
moving releases endorphins and can im-
prove your mood almost instantaneously.
10. Sleep Better Everyone knows stress can cause you to lose
sleep. Unfortunately, lack of sleep is also a
key cause of stress. Make it a point to get the doctor-recommended seven to eight hours of
sleep. Turn the TV off earlier, manage your
time, and do your best to get into bed.
Contributed by Ifzad References: http://www.healthline.com/health-slideshow/10-ways-to-relieve-stress#11
12
Page 12
Issue 1/2013
Fun-Pharm Relax Zone
Contributed by Fazrin Reference: http://www.offthemark.com/cartoons/pharmacy/pg/5