Category Archives: Pharma

Introduction

 

The  SHA Council agreed to pull together some of the existing policies on prevention and public health, introduce new proposals that have been identified and put them into a policy framework to influence socialist thinking, Labour Party (LP) manifestoes and future policy commitments. The SHA is not funded by the industry, charitable foundations or by governments. We are a socialist society which is affiliated to the Labour Party (LP) and we participate in the LP policy process and promote policies which will help build a healthier and fairer society within the UK and globally. An SHA working group was established to draft papers for the Central Council to consider (Annex 1).

 

The group were asked to provide short statements on the rationale for specific policies (the Why?), reference the evidence base and prioritise specific policies (the What?). Prevention and Public Health are wide areas for cross government policy development so we have tried to selectively choose policies that would build a healthier population with greater equity between social groups especially by social class, ethnicity, gender and geographical localities. We have taken health and wellbeing to be a broad concept with acknowledgement that this must include mental wellbeing, reduce health inequalities as well as being in line with the principles of sustainable health for future generations locally and globally.

 

The sections

 

These documents are divided into five sections to allow focus on specific policy areas as follows:

 

  1. Planetary health, global inequalities and sustainable development
  2. Social and the wider determinants of health
  3. Promoting people’s health and wellbeing
  4. Protecting people’s health
  5. Prevention in health and social care

 

The working group have been succinct and not reiterated what is a given in public health policies and current LP policy. So for example we accept that smoking kills and what we will propose are specific policies that we should advocate to further tackle Big Tobacco globally, prevent the recruitment of children to become new young smokers, protect people from environmental smoke and enable smokers to quit. We look to a tobacco free society in the relatively near future. Whether tobacco, the food and drink industry, car manufacturers or the gambling sector we will emphasise the need to regulate advertising, protecting children and young people especially and make healthy choices easier and cheaper through regulations and taxation policies.

 

Wherever appropriate we take a lifecourse approach looking at planned parenthood, maternity and early years all the way through to ageing well. We recognise the importance of place such as the home environment, schools, communities and workplaces and include occupational health and spatial planning in our deliberations.

 

We discuss the NHS and social care sector and draw out specific priorities for prevention and public health delivery within these services. The vast number and repeated contact that people have with these servces provides opportunities to work with populations across the age groups, deliver specific prevention programmes and use the opportunities for contacts by users as well as carers and friends and relatives to cascade health messages and actions.

 

The priorities and next steps

 

In each section we have identified up to ten priorities in that policy area. In order to provide a holistic selection of the overall top ten priorities we have created  a summary box of ten priorities which identify the goals, the means of achieving them and some success measures.

 

This work takes a broad view of prevention and public health. It starts with considering Planetary Health and the climate emergency, global inequalities and the fact that we and future generations live in One World. A central concern for socialists is building a fairer world and societies with greater equity between different social classes, ethnic groups, gender and locality. We appreciate that the determnants of such inequalities lie principally in social conditions, cultural and economic influences. These so called ‘wider determinants and social influences’ need to be addressed if we are to make progress. The sections on the different domains of public health policy and practice sets out a holistic, ecological and socialist approach to promoting health, preventing disease and injury and providing evidence based quality health and social care services for the population.

 

The work focuses on the Why and What but we recognise the need for further work to support the implementation of these priorities once agreed by the SHA Council. Some will be relatively straightforward but others will be innovative and we need to test them for ease of implementation. A new Public Health Act, as has been established in Wales, but for UK wide policies would make future public health legislation and regulation easier.

 

The SHA now needs to advocate for the strategic approach set out here and the specific priorities identified by us within the LP policy process so they become part of the LP manifesto commitments.

 

Dr Tony Jewell (Convener/Editor)

Central Council

July 2019

The complete policy document is available below for downloading.

Public health and Prevention in Health and Social carefinaljuly2019

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Tell us your views

We are the regulator for pharmacists, pharmacy technicians and registered pharmacies in Great Britain. We set standards for pharmacy professionals.

We are consulting on guidance for pharmacist prescribers which sets out the key areas they should consider when prescribing to ensure they provide safe and effective care. Pharmacist prescribers can diagnose conditions and prescribe medicines to patients. They often work in GP practices as well as in other healthcare settings, and can also work as part of an online prescribing service.

 

Read our proposals and tell us your views now

 

We want to understand the impact of these proposals on patients and the public. Help us spread the word by encouraging your members to take part. To help, we have a toolkit of materials which you can download from our website.

We look forward to hearing your feedback.

Best wishes

Mark Voce
Director of Education and Standards

 

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The Pharmaceutical Journal reports that the Good Law Project threaten DHSC with legal challenge over “failure to consult properly”

From The Pharmaceutical Journal 21 FEB 2019 By Carolyn Wickware:

The Good Law Project has warned the Department of Health and Social Care that it will start judicial review proceedings if serious shortage protocol powers are not revoked on the grounds that the consultation was “insufficient and unlawful”.

A non-profit group has threatened the government with legal action unless it revokes new powers designed to allow pharmacists to switch patients’ medicines if there is a shortage.

The Good Law Project has said it will start judicial review proceedings over newly implemented “serious shortage protocol” powers if the Department of Health and Social Care (DHSC) fails to remove the amendments in legislation by 25 February 2019.

Amendments to the Human Medicines Regulation 2012, which came into force on 9 February 2019, mean the government can now issue protocols asking pharmacists to respond to a medicines shortage in one of four ways: to dispense a reduced quantity, a therapeutic equivalent, a generic equivalent or an alternative dosage form of the drug.

Under the protocol, the pharmacist would not have to consult the patient’s GP before making the switch.

The Good Law Project is now seeking to launch a judicial review of the amendments, partially on the grounds that the government’s initial consultation – which lasted one week on 5–12 December 2018 – was “insufficient and unlawful”.

In a legal document sent on 19 February 2019 from the group’s lawyers to the DHSC to inform them of their intent to start the review proceedings, the Good Law Project said it was “unclear exactly who the Secretary of State consulted with and how/on what basis”.

It added: “The failure to consult properly with organisations representing specific patient interests was unlawful.”

Ekklesia reports:

Jolyon Maugham QC, Director of the Good Law Project, said: “Both doctors and patients have proper concerns about their safety in the event of medicine shortages. We want the Government to withdraw the prospect of SSPs [Serious Shortage Protocols] until it has complied with its legal duties and consulted properly on their use. If the Government does not take this step, the Good Law Project will launch judicial review proceedings in the High Court.”

Professor Tamara Hervey, Specialist Adviser to Parliament’s Health and Social Care Committee, said: “In the event of a no-deal Brexit, there would be likely to be shortages of medicines. The absence of a legal framework for imports and exports drastically affects supply chains. Stockpiling plans cannot cope for more than a few weeks. This is a serious issue for people needing a regular supply of a particular type, strength and quality of medicine.”

Jane Hanna, Chief Executive of SUDEP Action, who is supporting the judicial review said “Patients, doctors and pharmacists are used to prescriptions and the processes surrounding them. For people with long-term conditions, like epilepsy, what is on the prescription may represent months and years of trying out the best medication schedule. Changes made to this delicate balance can for some, undo this in an instant. For epilepsy this could lead to less seizure control, impacting on quality of life (ie: losing a driving licence, affecting home and work) and significantly for some this can prove fatal.  At present if a supply of medication is made in error, lessons can be learnt because of the clarity of who signed and who supplied the prescription.

Deborah Gold, Chief Executive of NAT (National AIDS Trust) said: “We are deeply concerned that these changes were made without proper consultation. Prescribing HIV medication is a complex process which must take account of a multitude of factors. The only person qualified to safely alter the medication prescribed to a person living with HIV is that person’s HIV consultant.”

• The Pre Action Protocol Letter can be seen here

 

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Last year I told you about a group of 7,000 health professionals who had spent 7 years fighting for their trade union to be recognised by their employer. That campaign has now lasted 8 years. See: https://www.sochealth.co.uk/2018/05/05/solidarity-with-community-pharmacists/

The Boots pharmacists were the first workers in any sector to challenge an employer through the ballot process described in that earlier article (above).  The law requires not just a majority, but that 40% of those eligible to vote, known as the “bargaining unit”, must vote “Yes” to make a difference.  The result was 87% of those who voted (2,826 pharmacists) voted Yes and that constituted 41% of the bargaining unit in favour.  This passed all the legal tests and the blocking agreement with the “sweetheart” union that the company was using to keep independent trade unions out, was ended by order of the Central Arbitration Committee.

To emphasise what an achievement that is, if you measure the BREXIT referendum in similar percentages, of those eligible to vote it was just 37% vs 35%, so getting over 40% of eligible voters to support anything is no small achievement. Despite the clear result, the employer has continued to resist pharmacists’ efforts to secure an independent voice at work in the largest community pharmacy multiple chain.  However, in February 2019 the 7,000 pharmacists can vote again in a further postal ballot and this time it will force the employer to recognise the PDA Union

One of the big issues for pharmacists is the company’s approach to performance management and the union have been hearing from pharmacists about what it means to them.  These quotes from pharmacists illustrate what the PDA Union are trying to fix so that these health professionals can get on with caring for patients.

“In regards to its pay structure and market based pay it should be ashamed. It should be ashamed for its performance review where no person I have spoken to has any idea what it means to be above performing and where the pharmacy advisors, the people on the front lines get no bonus at all unless they are above performing.

Nobody knows what exactly they need to do to be “above performing”. Even if you hit all your targets and are green on the scorecard despite those targets being an increase you are performing.”

 

“I worked under this regime and it is a terrible way to work. The constant threat of a ‘non-performing’ rating is so demotivating and demoralising and it sometimes felt like a personality contest. I challenged it many times (probably another reason I would never win a corporate personality contest) and was told that even if all targets were met/exceeded you could still be classed as non performing so what’s the point!”

Ballot papers will be mailed to pharmacists on Monday 18 February and completed ballots must be returned by noon on Monday 11 March in order to be counted.

Boots directly employs well over 10% of all pharmacists in the country and has many more working occasionally as locums, so this is a significant story for pharmacy, but sadly under reported by the media.  Anyone interested in supporting the PDA Union and their members can help by spreading the word about this historic trade union campaign.

The PDA Union was established in 2008, it is the only independent trade union in the UK which is exclusively for pharmacists.  It received a certificate of independence in 2010.  PDA Union is a member of Unions 21 and affiliated to the Employed Community Pharmacists in Europe (EPhEU) organisation and a member of Health Campaigns Together.  You can follow the PDA on Twitter, Facebook, Instagram and LinkedIN

Written by Paul Day, National Officer at PDA Union.

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Did you know there are a group of 7,000 UK health professionals whose employer has spent 7 years, and who knows how much money, preventing them from gaining an independent voice at work?

What if I told you that part of this situation involves an entity, which is supposed to represent workers, that has signed an agreement with management committing to only “collective bargain” resources for their own officials and committing not to collective bargain for the employment terms of their members?

This is what happened at Boots when the company signed an agreement with the “Boots Pharmacists Association” (BPA) in 2012 and in law this is enough to block an independent trade union, the PDA Union, from following the statutory process for recognition at that employer.

The BPA is on the certification officer’s list of trade unions, but it is not independent. BPA was refused a certificate of independence in 2013. Part of the certification officer’s decision said: “looking at the picture as a whole that there emerges, in my judgement, a clear image of a union that has over the years been drawn into a situation in which it is indeed liable to interference by Boots… tending towards domination or control.”.

Boots is the largest and most well-known community pharmacy business in the UK. The multi-billion pound global enterprise is a vertically integrated business profiting from both wholesale and retail sales of medicines, with much of that coming from the taxpayer via the NHS. The company has tried “everything” to block their employed pharmacists from getting independent representation and that includes the blocking agreement signed in secret with BPA at a time the company was simultaneously talking to PDA Union about statutory recognition.

The good news is that the pharmacists have never given up and last summer six pharmacists, supported by PDA Union, applied to the Central Arbitration Committee to have the Boots-BPA agreement ended. Over 1,000 more employees pledged online to support the application, and after a further legal hearing at which the company and BPA’s joint attempt to give votes to senior managers (if they are a registered pharmacist) was overcome, a ballot is about to be held of almost 7,000 pharmacists working in Boots stores to end the blocking agreement.

The law under which this ballot is happening has never been used before in any sector and the union must achieve 40% of those eligible to vote, to vote in support, hence their #2780pharmacists campaign hashtag.

Ballot papers go out from 10 May and must be returned by 23 May in order to be counted. Anyone interested in supporting the PDA Union and their members can help by spreading the word about this historic trade union campaign.

  • Paul Day, National Officer, PDA Union @the_pda_union
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Advanced paramedics in England will be able to prescribe medicines to people who do not need hospital treatment, under new laws starting on Sunday.

 Who will be able to prescribe?

Advanced Paramedics  – those undertaking or having completed a Master’s-level (Level 7) qualification – will be allowed to complete a prescribing module, if their employed role has a need for it (i.e. you must be employed in a prescribing role, e.g. in a GP surgery. An AP cannot complete it if employed in a standard frontline paramedic role where prescribing is not a required qualification).

How does this fit with other professions?

Many other health professions can already prescribe. Nurses led the way, followed by various others including radiographers and chiropodists.

Will this mean frontline paramedics will prescribe?

No. To register, frontline paramedics have only completed a Bachelor’s-level qualification (Level 6) (from 2021), a Foundation level qualification (currently) or an in-work IHCD qualification (in the past), and therefore will not be able to apply for the prescribing module.

Why are paramedics being given the ability to prescribe?

Paramedics don’t just work in ambulances. We also work in GP surgeries, A&Es, walk-in centres, and Intensive Care Units across the country. Many of these roles are limited because the Advanced Paramedic, often employed alongside Advanced Nurses or other Advanded Allied Health Professionals, cannot prescribe, unlike their nurse & AHP counterparts. The change to the law will allow these to work equally to other professions, and will expand the number of range of jobs Paramedics can do (e.g. why employ an Advanced Paramedic who can’t prescribe, when you can employ an Advanced Nurse who can?).

Will there be any prescribing in the Ambulance setting?

Paramedic Prescribing is up to each Ambulance Service Trust to implement. There is certainly scope for benefiting the patient & the system if Advanced Paramedics are able to support frontline crews with prescribing skills. There are many cases where patients are taken to hospital or referred to the out-of-hours GP for a simple prescription that could, now, be handled by the ambulance service.

Is prescribing just for non-emergency cases?

No. Paramedic Prescribing will also widen the range of drugs paramedics are able to administer in an emergency when supported by an Advanced Paramedic. This too will be up to each Ambulance Service Trust to implement.

Won’t people just call for an ambulance for a prescription because its quicker than waiting to see a GP?

This question assumes that ambulances currently only go to emergency cases. This isn’t true, and we already attend many non-emergency cases that could/should be dealt with outside of the ambulance service. This has become the case through a combination of factors discussed in another article. Many of these patients, now they have entered an ambulance system ill-equipped and ill-trained to deal with their non-emergency health condition, are fed into the out of hours GP or hospital system.

Giving the ambulance service the ability to prescribe will not reduce the amount of non-emergency cases we attend, but it will reduce the onward burden of these cases to other health systems.

Furthermore, sometimes patients have multiple needs, some of which are urgent and some non-urgent, which may all contribute to an ambulance call-out. For example, a patient may have fallen and is unable to get up – a paramedic’s bread & butter – but the patient may also have an underlying chest infection or unmanaged chronic pain, which could have caused the fall.

Say you’re wrong. What happens if calls for non-urgent cases do increase?

The underlying issue here is that the Ambulance Services are already stretched between trying to provide quality care to both emergency and non-emergency groups. The concern highlighted in this question is that this tension may increase further if the patients begin to use the ambulance service in order to obtain a prescription quicker.

The solution is not to stop ambulance services from prescribing in order to manage the tension, but to look at the systems that bring about the tension in the first place.

Here I wrote how current ambulance services might overhaul the system by providing only emergency care, while another group of paramedics, either still employed by the ambulance service but with exclusive resources, or employed by new non-emergency ambulance services or by GP surgeries themselves, could handle non-emergency care.

Paramedic Prescribing increases the ambulance services ability to provide 24 hour care in the community, independent of other services, across a whole range of acuities.

This provides a potential solution to the increasing difficulty found by General Practitioners to be able to afford to conduct home visits and to provide out of hours care. Ambulance Services have held GP visits & OOH GP contracts in the past, and have delivered well. As long as we ensure that this doesn’t impact the emergency care delivery, ambulance services could reshape the landscape of care in the community.

Where can I find out more?

The College of Paramedics has led the campaign for paramedic prescribing, and has a lot of good information and documents on their website.

 

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In 1948 the leaflet distributed to every household about the forthcoming NHS said “Your doctor will give you a prescription for any medicines and drugs you need.”

In 2018 NHS England is conducting a consultation which proposes to restrict prescriptions of over-the-counter medicines for 33 minor, short-term health concerns. About £569 million is spent each year on these items and these proposals could save about £136 million.  That sounds a lot, but as a proportion of the £124.7 billion English NHS budget it isn’t a lot.

For most of us that is not a big problem.  Most of this stuff isn’t very expensive.    The recommended Chemists’ Own Head Lice Spray is £5.90, and that is one of the more expensive items involved.  We mostly don’t take headlice as seriously as we used to either.  But do we expect poor people to leave headlice untreated?  That seems a really good way of stigmatising them.  That is why we used to employ nurses specially to deal with headlice.

Nit nurses

But single people under 25  on Universal Credit are expected to live on £251.77 a month.  Once you reach 25 it goes up to the princely sum of £317.82  a month with £231.67  a month for a child. Some of the people to whom this applies are likely to have other problems. For example young pregnant women, who barely have enough money to eat properly.   It doesn’t seem sensible to put them in a position of choosing between food and medication.

There are also problems for people in residential and nursing homes.  Many of them will have difficulty in caring for themselves, won’t be able to buy items over any counter, and have no disposable income at all.   The consultation document says that all care homes should be encouraged to adopt a Homely Remedies Policy, which would enable them to administer these low risk treatments.  It also appears to imply that the home should pay for them.  Given the financial situation of many care homes – and the medical condition of many of their residents, who are very likely to be suffering from minor pain, constipation, diarrhoea and the like – this seems unreasonable.

The system of free prescriptions in England is a complete mess.  There is a list of illnesses which qualify you for free prescriptions. These are conditions for which there was life saving medication in 1968.   Cancer patients were added by Gordon Brown in 2009.   Everyone over 60 gets free prescription but younger people more than a couple of pounds over the means test limit (£57.90 for people under 25) have to pay £8.60 per item unless they can find £104 for a season ticket.

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In 2015, the government made a pledge to assist UK patients to access more online pharmacy services to help the NHS save money. It also made attempts to examine the payments of the sector to ensure the presence of efficiency, innovation and healthy competition. Today, the pharmacy is a major foundational pillar of modern medicine.

In the UK especially, competition has grown with intensity, revenues are now capped, and many expect the pharmacies to begin managing chronic conditions. For a long time, independent pharmacies have been the backbone of the country’s community, but are at risk of being rendered obsolete as more major players surface and capture the market’s value.

Intention to Purchase Online Increases

The industry has continued to consolidate gradually with the rise of supermarkets and out-of-town shopping that present intense competition in the pharmacy landscape. The pharmacy models are also changing with community dispensing dominating in commodity generics. In the modern world, mail-order and internet services are strongly taking over the distribution of pharmaceuticals, and this has seen the growth of online pharmacies in the UK. With the rise of internet savvy consumers, brick and mortar pharmacies will no longer be the only option for consumers to receive their medication.

Today, consumers want it all, from personal care products to prescription services, with their only worry being convenience, expertise and accessibility. This leaves the community pharmacy in a tricky position. As dispensing continues to be a commodity, online pharmacies have developed a sustainable revenue stream that focuses on monetising their role in healthcare.

Online Pharmacies Save Time and Money

In England especially, online pharmacies play a great role in helping patients save both time and money on their prescriptions. An experienced pharmacist provides quality healthcare and uses their clinical expertise and practical knowledge to advise consumers on common problems such as aches, coughs, colds and healthy eating. They can also advise patients to visit a health professional when need be. For patients with a long-term condition under new prescription, online pharmacists are always ready to explain and advice on how the medicine should be taken and the side effects associated with it.

Patients tend to gather more confidence when dealing with online pharmacists, whom they have been noted to talk about very personal and sensitive symptoms and matters, unlike is the case with community services. Typically, it is safe to say that the rise of online pharmacies has changed the norm of medicine in the UK. With the rise of the online market, what should consumers know?

Online Pharmacies Facts

First, consumers need to steer clear of unregulated websites as these are common causes of fake medicine distribution that could potentially harm their health. In the UK, only selected few online pharmacies are regulated to offer online prescriptions. The regulation is designed to assure patients that the pharmacy meets certain standards in terms of who can legally dispense medication. The General Pharmaceutical Council has the responsibility of regulating online pharmacies to ensure that only generic medication is being delivered to consumers.

Normally, UK online pharmacies offer their medication at relatively low prices and in greater quantities. Patients also benefit from the anonymity, giving them the chance to describe embarrassing health conditions.

The other positive side of online pharmacies is that they have the capacity to provide rationed medicines that are not often provided in National Health Services such as facial hair reduction creams. Patients also prefer online services as they can obtain non-prescribed medicines. With the high rise of online pharmaceutical services, it is necessary to find out if the provider is regulated to avoid falling into the hands of a quack.

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With nearly all industries moving toward a more digital presence, it is no surprise that healthcare has taken a similar turn. Patients are demanding greater access to care in the UK, and online service providers are making an effort to meet this growing need. Just like brick-and-mortar health facilities, like dentists, hospitals, care homes, and specialists have an obligation to abide by standards set by the Care Quality Commission – the regulator of all health and social care services in England – online healthcare services must do the same. Unfortunately, a recent report published by the CQC highlights the perils some patients face when trusting the digital trend sweeping healthcare providers.

Dangers in Unsuitable Prescriptions

Errors in prescription medications take place in traditional pharmacy settings and doctor’s office around the world, but the anonymity of online pharmacies creates a higher probability of errors taking place. The most recent CQC report focused on digital healthcare service providers highlights some of the most glaring examples of substandard care in prescribing medications to patients. First, a widely known online pharmacy was found prescribing a large number of opioid-based medications without having a foundational system in place to confirm patients’ medical history or prescription track record. The CQC issued a restriction on the company, forcing it to limit its prescriptions until a sustainable system was established.

Another online pharmacy was cited for prescribing a high number of asthma inhalers, not in line with best practices of traditional providers. The company failed to implement a review system for new prescriptions, putting patients’ lives at risk. In this case, the CQC issued a warning to the online pharmacy to update its practices immediately. Other online providers were cited for not adequately reviewing patient medical histories prior to approving a requested prescription, and accurately identifying GP assessments before prescribing medicine to certain patients. Although the published reports from the CQC are helpful in bringing to light the risk patients face in using online healthcare services, there is only so much the organization can do to stave off potentially fatal issues that arise due to nonexistent safeguards among companies operating online.

How Patients can Help

The risks of using pharmacies and other healthcare services through a digital platform are growing as more individuals seek out immediate care for health-related issues. A representative from a team of medical negligence solicitors dealing with cases of prescription claims and those where harm is caused due to medication mistakes explains the most significant issue online providers present to the public. In essence, the same standard of care should extend beyond traditional settings in which doctors, nurses, specialists, and pharmacists are providing care face-to-face to those who offer medical guidance online. Patients deserve the highest quality care available, and online companies along with the people who work for them have an obligation to protect those who seek their services. That can be done by abiding by the best practices laid out by the CQC, including understanding the medical history of the patient, other medications the patient may be taking, and the recommendations of the patient’s GP.

Patients using online healthcare providers have a responsibility to do their due diligence when working with a primary care, pharmacy, or specialist company. The best step to take is to ensure that the organization is registered with the Medicines and Healthcare products Regulatory Agency, or MHRA by searching the company name, number, or website online. Additionally, any website that sells medicine to the public is required to show the EU common logo for potential patients to see. As the Care Quality Commission continues its objective to maintain a safe and high-quality healthcare environment for patients in England, individuals can do their part by being knowledgeable of the risks they face when conducting medical business online.

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With the increasing rise in medical costs, more and more people are looking to the Internet for a cheaper solution. This is not to even mention the crisis that the health care system is in. If you are a working individual going to the doctor just isn’t worth it unless it a dire situation. With that being, the Internet can provide tons of low costing solutions, but there are things that you need to be aware of before just blindly purchasing medications online. Below, you will learn about the different risks that are involved with shopping for medications online.

Prices Can Change

The first thing that you need to be aware of is that sometimes the prices of online medication can change. Some pharmacy sites will post lowball prices just to pull you in, and when you are least expecting it they will raise the price. This is something that Canada Drugs pharmacies will definitely never do. All the prices listed on this site are up-to-date and accurate as possible.

Additional Fees

Along with the changing of the prices a lot of online pharmacies will charge you additional fees. For instance, there is probably going to be a shipping fee, which won’t be that substantial. However, there might also be a membership fee, which can cost a little more. This is a fee that sites charge just for setting up an account, so that you can order with them. Most sites are upfront about these types of fees, whereas there are some that are not, so this is something that you need to keep an eye on when shopping online.

Counterfeit Substances

Do you ever wonder why some online pharmacies are able offer such a lower price than legitimate pharmacies? A lot of times this is because they are selling you counterfeit medications. While the medication looks exactly the same it may not produce the same results. Both name brand and generic medications can be faked, which means that the medication may not contain all the ingredients that it normally would. It could also contain additional ingredients that could be harmful or even fatal to your health.

Don’t Safeguard Your Health

Online pharmacies do not know you medical history and there are a lot of them out there that don’t safeguard your health. If an online pharmacy is offering medications that require a prescription you probably want to stay away from this pharmacy. This is probably a good sign that they are selling counterfeit medications. Even if the medication isn’t counterfeit you should never buy prescription medication unless a licensed physician has prescribed it to you, because it could be harmful to you. Just because your neighbor took a certain type of antibiotic to clear up his illness it doesn’t necessarily means that the same medication will work wonders for you.

Protection Of Personal Information

Anytime you shop for anything online there is a chance that someone can get ahold of your credit card information. Websites are also not allowed to share your contact and billing information with other individuals or companies. This is why they post privacy policies guaranteeing that they won’t share your information. Most online transactions are usually secured through the use of some kind of encryption software, which prevents people from getting ahold of your personal and billing information. However, if a pharmacy is selling you fake or counterfeit medications then there is a good chance that they aren’t going to employ these kinds of tactics.

Be on the look out for any online pharmacy that does not offer privacy policies. This could be a good sign that they don’t care about protecting your information.  If you find your credit rating is not good you can get it repaired.

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Pharmaceutical compounding has been gaining popularity in the past several years as people are learning more about the benefits of it. It is basically a combination of art and science to create customized and individualized medications for patients. When a medicine is commercially unavailable, a licensed pharmacist can remake the medicine via compounding.

In compounding pharmacy, a specialized pharmacist analyzes the prescription and blends the individualized ingredients to create a medicine that suits the patient. The pharmacist works in close relationship with the patient and the physician to meet the medical needs.

Pharmaceutical compounding offers numerous benefits. Here are some of them listed:

Access to discontinued medications

Some medicines come and go. Manufacturers sometimes discontinue the production of several drugs on which many patients rely. Compounding pharmacy plays an important role in such scenario. This method provides continued access to discontinued medication by remaking pharmaceutical-based ingredients and makes sure that needs of the patients are met. There are many compounding pharmacies that have all the resources available to recreate medications using standardized techniques and latest research.

Easy use of medications

Medications are usually unpleasant to taste and makes it difficult to intake. Some people, especially children, and elderly patients face immense difficulty in consuming medicines as prescribed. Fortunately, compounding pharmacies work as a remedy here. Compounding pharmacist can create a medicine as per your chosen flavor. This will enable you to consume the medicine much more easily. You can order the medications in the form that seems convenient and easy to you.

Makes medicine allergy-free

Many patients are allergic to medications. When taking a certain medicine, patients can experience unwanted reactions due to the presence of certain chemicals like lactose or gluten. This is a pretty annoying situation. Commercially available medicines may also contain preservatives that cannot be endured by several patients who are intolerant to such substances. A compounding pharmacist can recreate the medication without the inclusion of such ingredients. This will make the medicine safer for the patient and easily consumable.

Allows alternative dosage forms

As time goes on, the dosage form may vary from a patient. Along with adding your chosen flavor to the medicine, compounding pharmacist can even recreate medications in the form of your choice. Many patients face difficulty in swallowing a pill. In such scenario, the pharmacist can recreate the medicine in liquid suspension or chewable tablet form. Some medicines can also be created as creams or gel that simply be applied to penetrate into the bloodstream through the skin. A compounding pharmacist will tailor your medications according to the dosage and strength the patient needs.

Offering exceptional services

Compounding pharmacies offer exceptional services that normal pharmacies do not. These pharmacies address the patients’ needs directly. Prioritizing their patients’ demands is their priority. They will analyze your symptoms and allergic conditions in detail. They will create a customized treatment plan after going through all the subtle details. Compounding pharmacies will serve the patients in a manner to address all they demand completely.

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Health is wealth. To maintain a healthy body, you need to consume a balanced diet, exercise on a regular basis along with taking sufficient amount of sleep. To avoid unwanted maladies, people consult medical experts. With globalisation at its peak, it is easy to access almost everything. Everything is turned online. With the inclusion of medication in the globalisation spectrum, you can know about your health from home without visiting physicians. Many patients today are seeking advice from online doctors. Online medical consultations are a norm today. Below are few pros and cons of online health consultancy:

Pros:

  • Online health adviser is not limited by actual boundaries. You can access to reputed doctors throughout the world that would otherwise not be available to you. For some reason, if you are not able to leave your home and access to the traditional treatment centres, services like these would provide you with an advantage.
  • Self-diagnosis is a dangerous option. You can look for the cures on Google relevant to your symptoms, but it can never substitute for consulting a doctor. Websites are providing online consultations and online pharmacies like Click Pharmacy.
  • It is cost effective. Visiting a doctor in person could cost you more than seeking for online medical advice.
  • Most online health service providers operate 24 hours.

Cons:

  • To reach a better decision, doctors take help of diagnostic reports. Online consultation acts like a barrier to fetch reports.
  • It opens a new door for selling prescription drugs. Scam operations are present that target on selling cheap medications.
  • There is no transparency in the sense that you cannot be sure about the qualification of the doctor.

However online medical consultancy is at its boom these days. People still use them because it does provide them sufficient level of comfort in all aspects. But how does it work? There are numerous websites available where you can seek medical advice. Doctors get paid for the answer they provide to the patients, so this can to some extent support the validity of their answers. Some websites allow you to contact doctors from best hospitals. Their blogs provide reliable solutions to everyday common health conditions such as stress issues. JustDoc, one of the websites, allows you to contact doctors through audio and video calls. You can even attach your medical reports if you have one assist the doctor working on you. Sometimes you may get an instant answer depending on the nature and severity of the disease. Lab tests can be performed and shipped directly to your doorstep, which further is convenient. Doctors can sign up on any of their desired website which will provide them with a platform to practice medicine online. They just have to create a profile entering required details such as qualifications and specialities. These websites enable the doctors to connect to their potential clients online and making them earn handsome amount of money.

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