Home' Australian Pharmacist : Australian Pharmacist December 2015 Contents Australian Pharmacist December 2015 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
COUNSELLING IN PRACTICE
6. Communicable Disease Prevention and Control Unit,
Victorian Department of Health. Infectious diseases:
epidemiology and surveillance – herpes simplex infections.
Blue book guidelines for the control of infectious diseases.
2007. At: http://ideas.health.vic.gov.au/bluebook.asp
7. Better health channel: cold sores. 2014. At: www.
8. Blenkinsopp A, Paxton P, Blenkinsopp J. Symptoms in the
pharmacy : a guide to the management of common illness.
Pondicherry: Blackwell Publishing Ltd; 2005.
9. DermNet NZ: herpes simplex. 2015. At: www.dermnetnz.
10. Worrall, G. Herpes labialis. BMJ Clin Evid. 2009. At: www.
11. Rossi S, ed. Australian medicines handbook Adelaide:
Australian Medicines Handbook Pty Ltd; 2015.
12. MacFarlane, B. Treatment of cold sore: practice pointers
from mystery shopping. AJP 2014; 95(1131):68–72.
13. Therapeutic Goods Administration. Final decisions &
reasons for decisions by delegates of the secretary to the
department of Health and Ageing – February 2012. At:
14. Spruance SL, Bodsworth N, Resnick H, et al. Single-dose,
patient-initiated famciclovir: a randomized, double-blind,
placebo-controlled trial for episodic treatment of herpes
labialis. J Am Acad Dermatol 2006; 55(1): 47–53.
15. Product information: Famvir. eMIMS Sydney: MIMS
16. Chi CC, Wang SH, Delamere FM, et al. Interventions for
prevention of herpes simplex labialis (cold sores on the
lips). Cochrane Database of Systematic Reviews 2015, Issue
8. At: www.onlinelibrary.wiley.com/doi/10.1002/14651858.
17. Modi S, Van L, Gewirtzman A, et al. Single-day treatment
for orolabial and genital herpes: a brief review of
pathogenesis and pharmacology. Ther Clin Risk Manag
1. Which ONE of the following is
CORRECT? Herpes labialis can be
a) HSV1 only.
b) HSV2 only.
c) HSV1 generally but sometimes by HSV2.
d) None of the above.
2. Which of the following is CORRECT?
Common trigger factors for cold
b) UV light exposure.
c) Respiratory infections.
d) All of the above.
3. Which of the following is CORRECT?
a) Is available to treat cold sores
at a stat dose of 1,500 mg for
b) Is a prodrug.
c) Is proven to be more effective than
topical penciclovir or aciclovir.
4. Which ONE of the following is
CORRECT? Cold sores:
a) Are notifiable to schools if they occur in
b) Should always be covered with a
hydrocolloid patch to avoid spreading
c) Can be cured if treated promptly in the
d) Can recur frequently in some people.
5. Which of the following is CORRECT?
When counselling consumers who
have cold sores, a pharmacist should:
a) Provide additional hygiene tips.
b) Re-iterate that adherence to therapy
c) Advise consumers to avoid trigger
factors that can bring on cold sores.
d) All of the above.
Tim’s burning lip continued
Tim’s symptoms suggest he may be
getting an outbreak of cold sores as he
has experienced them before and has
been exposed to some trigger factors
such as the sun and stress. As Tim is a
busy university student, adherence is
an important issue so you consider oral
famciclovir for him. You check that he has
no contraindications to it, and as he is still
at the prodromal stage, oral famciclovir
should provide him with maximum
benefit by reducing healing time.
You advise him to take three 500 mg
tablets as a single dose. You also provide
Tim with Self Care Fact Cards on Cold
sores, and Sense in the Sun, which have
tips on preventing spread of infection
and how to avoid trigger factors,
especially the sun. You advise Tim to use a
high-SPF sunscreen when he’s out surfing
and to regularly re-apply it.
Cold sores can be treated with topical and oral agents and adherence is important
for efficacy. Single-dose oral treatments provide convenience and can help with
adherence in consumers.
Oral famciclovir is available as a single-dose treatment for the treatment of herpes
labialis in immunocompetent adults. PSA has produced a document for the
provision of famciclovir as a Pharmacist Only medicine which guides pharmacists
when deciding whether this agent is appropriate for a consumer.
In addition to medicines, pharmacists should provide consumers with advice on
self-care measures such as avoiding trigger factors and maintaining personal hygiene.
1. Pharmaceutical Society of Australia. Non-prescription
medicines in the pharmacy : a guide to advice and
treatment. Canberra: PSA; 2012.
2. Oral mucocutaneous herpes simplex. Therapeutic
Guidelines Dermatology (amended Feb 2012). In: eTG
complete. Melbourne: Therapeutic Guidelines.
3. Nathan A, ed. Non-prescription medicines. 4th edn.
London: Pharmaceutical Press; 2010.
4. Rutter P, Newby D. Community pharmacy: symptoms,
diagnosis and treatment. 2nd edn. Chatswood, NSW:
Elsevier Australia; 2012.
5. Sansom L, ed. Guidance for provision of a Pharmacist
Only medicine – famciclovir. In: Australian pharmaceutical
formulary and handbook. 23rd edn. Canberra:
Pharmaceutical Society of Australia; 2015.
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