Home' Australian Pharmacist : Australian Pharmacist April 2015 Contents Australian Pharmacist April 2015 I ©Pharmaceutical Society of Australia Ltd.
CAL use urged
A significant number of medicines
can pose a health and safety risk as a
result of unintended exposure when
people other than the patient -- such as
carers, family members or healthcare
professionals -- handle them.
To help protect people from such
exposure, the latest edition of the
Australian Pharmaceutical Formulary
and Handbook (APF23) contains a list of
hazardous medicines that are:
• designated as pregnancy category X
• reported to pose a risk to patients
or carers through inappropriate
APF23 recommends such medicines
be identified as hazardous though the
use of a Cautionary Advisory Label
(CAL) which reads Special handling
and disposal required -- ask your
Chair of the APF23 Editorial Board,
Emeritus Professor Lloyd Sansom, said
the unintended exposure to a hazardous
medicine during preparation and
administration could occur through
skin contact, ingestion or inhalation and
some people, such as pregnant women,
may be at greater risk from unintended
exposure than others.
'Some hazardous medicines may not pose
a significant risk if they are administered to
patients intact (that is via coated tablets,
capsules), but the risk can be increased
if these formulations are modified (e.g.
cutting, crushing, or opening capsules),'
Oral products of hazardous medicines
should be swallowed whole where
possible, and should not be removed
from their original packaging for
transfer into a dose administration
aid. Standard operating procedures
should be developed by institutions to
The Victorian Branch of the Pharmaceutical Society of Australia has
collaborated with the Australian Dental Association Victorian Branch
(ADAVB) and Dental Health Services Victoria (DHSV) to launch a joint
position statement on oral health.
Tooth decay is Australia's most prevalent
health problem, with more than half
of all children and almost all adults
affected. It is also the second most
costly diet-related disease in Australia.
In addition, many health conditions have
been linked to poor oral health including
cardiovascular disease, diabetes,
preterm birth, low birth weight and
nutritional deficiencies in children and
This oral health position statement
provides a foundation for pharmacists
and the dental sector to work
collaboratively to support better
oral health in the community and
consequently better general health.
The CEO of DHSV, Dr Deborah Cole,
said pharmacists were easily accessible
and trusted professionals, and so were
important partners in reducing the
burden of oral disease in the community.
'The Pharmaceutical Society of
Australia has shown great leadership in
recognising the role that pharmacists
can play and supporting their members
to develop the knowledge and skills to
include a focus on oral health in their
everyday practice,' she said.
'This commitment further emphasises
the fact that oral health is a very real
problem in our community, the position
statement is ground breaking and DHSV
is proud to be involved.'
ADAVB President Dr Bob Cvetkovic said
the association was proud to partner
with DHSV and the PSA on the oral
'Pharmacists play a key role in health
promotion in their everyday practice,'
Dr Cvetkovic said.
'The Pharmaceutical Society of Australia's
commitment to educate pharmacists
about delivery of high quality oral
health care will assist in identifying and
managing oral health conditions. This
joint initiative will create relationships
between dentists and pharmacists that
didn't previously exist, and support better
oral health for the community.'
PSA Victorian Branch President Michelle
Lynch said that pharmacists were in
an ideal position to screen, educate
and refer the public to appropriate
information and treatment in oral care.
She thanked ADAVB and DHSV for their
support in the initiative.
'A collaborative and multidisciplinary
approach is most effective in achieving
our goals. A series of continuing
professional development activities
on oral health has been scheduled
throughout the year,' she said.
'Pharmacists should make use of these
opportunities to ensure they and their
support staff are kept up to date and be
ready to advise and help the public in
Special handling and
disposal required ---
ask your pharmacist.
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