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RGH E-bulletin

THE NIGHT BEFORE CHRISTMAS – A DILEMMA AT RGH

Twas the night before Christmas, and it would seem
No drugs were dispensed by the pharmacy team?
The tablets did not make the usual run
And capsules, injections, of these there were none!

Untreated people were restive in beds
Delirious patients had quite muddled heads…
Cardiac failure without diuretics
The pain of arthritis was rather pathetic

When out in the car park there was such a clatter
We saw a solution for pharmacy matters
The news was quite welcomed by clinical teams
The doctors, the nurses, and others it seemed

The dilemma that looked that it might have no ending
Was now to be fixed by “physician attending”
Although he was bearded and wore no white coat
Doc Santa had tablets in a large, baggy tote

That jolly physician, so lively and quick,
Red-suited, and dapper, decidedly slick
He was somewhat rotund, with twinkling eye
But no-one begrudged him for his BMI

“Now Lasix! Now Zoton! Now Prozac and Valium!
On, Keflex! On, Plavix! On Astrix and Nexium!
To the top of the counter! And answer the call!
Now dash away! Dash away! Dash away all!”

Like subsidised treatments, the tablets did fly,
Ointments and eye-drops, all fit to apply
Out from the pharmacy, medicines flew,
They sat in the sleigh with the good doctor too.

Then on to the wards, where patients did wait,
Some were reduced to a terrible state
Who would have thought it would be such an issue?
Without medicines the treatment just could not continue

As he got the wards, Doc Santa surveyed
An absence of tablets so terribly grave
This can’t go on, he said with a grin
And reached into his sack to the capsules within

His eyes-how they twinkled! His dimples – how wry!
He got straight to work in the blink of an eye
And into the drug rooms the good Doc dispensed
Injections and lotions, from pharmacy sent

The nurses were happy, the doctors ecstatic
Rescued from problems that seemed quite traumatic
For now all the medicines were ready at hand
And the hospital’s prospects, decidedly grand

So in each bed patients quietly lay
Hoping for discharge before Christmas day
The good doc delivered the drugs that they needed
And all of their ailments could now be treated

And as he completed his medical run
His work was completed, deliveries done
He picked up his sack and returned to his sleigh
“Good bye and God Bless – I’m on my way”

He sprang to his sleigh, to his team gave a shout,
“We have more things to do, more drugs to get out”
As he left RGH, and the sleigh took to flight
He cried “Happy Xmas to all, & to all a good-night!”

Download the Christmas Edition 2011 RGH E-Bulletin

Acknowledgment – The E-Bulletin is made possible by the hard work and diligent contributions of the staff and the Patients Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. Their efforts are much appreciated.

FOR FURTHER INFORMATION – CONTACT THE PHARMACY DEPARTMENT ON 82751763 or email: chris.alderman@rgh.sa.gov.au
Information in this E-Bulletin is derived from critical analysis of available evidence – individual clinical circumstances should be considered when making treatment decisions. You are welcome to forward this e-bulletin by email to others you might feel would be interested, or to print the E-Bulletin for wider distribution. Reproduction of this material is permissible for purposes of individual study or research.

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Interaction

Drug use in clinical practice often varies from that seen in controlled clinical trials. Even though these trials are conducted in normal clinical settings, the type of patients enrolled and the approach to their management may not accurately reflect the varying and complex diversity of clinical practice.

While randomised controlled trials provide necessary high-quality information about the risks and benefits of medical interventions, many trials have limited application to clinical practice. Most randomised controlled trials are efficacy trials and involve homogeneous patient populations, blinded treatment assignments for both patients and investigators, and follow carefully defined treatment regimens that ensure a high degree of patient compliance.

Furthermore, many studies compare an active drug against a placebo to determine efficacy, but this offers no information to health-care decision makers, who may need to determine which of a range of treatments is best.

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A joint initiative of the Patient Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. The RGH Pharmacy E-Bulletin is distributed in electronic format on a weekly basis, and aims to present concise, factual information on issues of current interest in therapeutics, drug safety and cost-effective use of medications.
Editor: Assoc. Prof. Chris Alderman, University of South Australia – Director of Pharmacy, RGH © Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia 5041.

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Interaction

Zonisamide (Zonegran®) is an antiepileptic drug that has been used for many years around the world but has only recently become available in Australia. It is listed as an Authority benefits prescription on the Pharmaceutical Benefits Scheme, subsidised for the treatment of partial epileptic seizures not controlled satisfactorily by other anti-epileptic drugs.

Read the complete bulletin:

Download (PDF, 17.59KB)

A joint initiative of the Patient Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. The RGH Pharmacy E-Bulletin is distributed in electronic format on a weekly basis, and aims to present concise, factual information on issues of current interest in therapeutics, drug safety and cost-effective use of medications.
Editor: Assoc. Prof. Chris Alderman, University of South Australia – Director of Pharmacy, RGH © Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia 5041.

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Interaction

While alternative oral anticoagulant drugs such as dabigatran have recently been developed, warfarin is currently still the most commonly used and only PBS-listed oral anticoagulant in Australia for the prevention and treatment of thromboembolism in patients with mechanical heart valves, atrial fibrillation and deep vein thrombosis or pulmonary embolus. Warfarin exerts its therapeutic action as a vitamin K antagonist, lowering the amount of vitamin K available for the production of important clotting factors.

Download the bulletin:

Download (PDF, 18.48KB)

A joint initiative of the Patient Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. The RGH Pharmacy E-Bulletin is distributed in electronic format on a weekly basis, and aims to present concise, factual information on issues of current interest in therapeutics, drug safety and cost-effective use of medications.
Editor: Assoc. Prof. Chris Alderman, University of South Australia – Director of Pharmacy, RGH © Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia 5041.

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