Home' Australian Pharmacist : Australian Pharmacist May 2014 Contents Australian Pharmacist May 2014 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
COUNSELLING IN PRACTICE
1. An acute cough:
a) Typically occurs for greater than three
weeks in duration.
b) Is not usually caused by GORD.
c) Is usually caused by a bacterial
respiratory tract infection.
d) Is triggered by the stimulation of
sensory receptors in the airways.
2. Ben’s son Jayden (10 years) has had
a dry cough for three days. Today
he has complained of sudden onset
breathlessness. You refer Ben to a
doctor, as you are concerned about:
a) Jayden having a foreign body lodged in
b) Jayden may be suffering from pleurisy,
pneumothorax or pulmonary embolism.
c) Jayden may be suffering from Bordetella
d) Jayden may be suffering from
3. Several remedies can be
recommended for the treatment
of cough and cold in children aged
below six years. These DO NOT
a) Use of steam and vapour under
b) Demulcent syrups.
c) Intranasal saline drops.
d) Zinc supplements.
4. Benefits of intranasal saline drops
a) They have been proven to be extremely
effective in the treatment of the
b) Patient’s report a subjective
improvement in symptoms.
c) They provide a protective barrier over
the posterior pharynx.
d) They pose no choking risk (due to
aspiration) in young children.
5. In which of the following cases
would you refer the patient to a
doctor for review?
a) A child who suffers from an acute cough
for 5 days.
b) A child who has an absence of tears.
c) A child who reports spasms of
d) B and C are correct.
This is because of the new
recommendations from the government
body (the TGA) that advises there is
limited evidence that these medicines
actually work for the common cold
in children, and they may cause side
effects such as allergic reactions;
increased or uneven heart rate; slow
and shallow breathing; drowsiness
or sleeplessness; confusion and
hallucinations; convulsions; nausea and
constipation. Additionally, the treatment
of cough and cold symptoms in children
may delay the diagnosis of a more
serious health condition (such as asthma
You recommend some intranasal saline
drops to help clear the congestion in
Robert’s nose. You also suggest that
Robert is given some paracetamol or
ibuprofen to relieve his slight fever.
You advise Sandra that she could try a
demulcent, such as simple linctus, to
help soothe Robert’s dry cough. You
recommend that Robert stays home
from day care until he is feeling better,
and his symptoms have improved – this
will assist with his recovery. You provide
Sandra with PSA Self Care Fact Cards
(Cold and flu, Coughs and Children’s
pain and fever) that describe additional
self care measures (such as the use of
steam or vapour – under supervision
– and adequate hydration). You also
highlight to Sandra symptoms that
would require her to take Robert to
see a doctor (as detailed on the Fact
Cards). Lastly, you encourage Sandra
to teach Robert appropriate hygiene
techniques, to prevent the spread of
infection throughout the household.
You encourage her to visit the Better
Health Channel website, and the TGA
website for more information.
Children should not be given cough
and cold medicines due to the limited
evidence of their effectiveness and the
possible risk of side effects.
Use of cough and cold treatments may
delay medical advice being sought for
more serious illnesses such as asthma,
influenza, pneumonia, bronchitis or
middle ear infection.
1. Dicpinigaitis P, Colice G, Goolsby M, Rogg G, Spector S,
Winther B. Acute cough: a diagnostic and therapeutic
challenge. Cough 2009;5(11).
2. Kelley L, Allen P. Managing acute cough in children: evidence
based guidelines. Paediatr Nurs 2007;33(6):505–24.
3. Polverino M, Polverino F, Fasolino M et al. Anatomy
and neuro-pathophysiology of the cough reflex arc.
Multidiscip Respir Med 2012; 7(5).
4. Respiratory Expert Group. Therapeutic guidelines:
respiratory. Version 4. Melbourne: Therapeutic Guidelines;
5. Pharmaceutical Society of Australia. Fact sheet - Changes
to cough and cold medicines for children. Sep 2012. At:
6. Therapeutic Goods Administration. OTC cough and cold
medicines for children – Final outcomes of TGA review.
Aug 2012. At:www.tga.gov.au/industry/otc-notices-
7. Sansom LN ed. Australian pharmaceutical formulary and
handbook. 22nd edn. Canberra: Pharmaceutical Society
of Australia; 2012.
8. Rossi S, ed. Australian medicines handbook. Adelaide:
Australian medicines handbook, 2014. At: www.amh.net.
9. Department of child and adolescent health and
development. World Health Organization. Cough and cold
remedies for the treatment of acute respiratory infections
in children. Switzerland; 2001.
10. Kassel J, King D, Spurling G. Saline nasal irrigation for acute
upper respiratory tract infections (review). Cochrane
Database of Systematic Reviews 2010; Issue 3. Art. No.:
11. Rutter P, Newby D. Community pharmacy. Symptoms,
Diagnosis and Treatment. 2nd edn. Sydney: Churchill
12. 12. Sung V, Canswick N. Cough and cold remedies for
children. Aust Prescr 2009;32(5):122–4 .
13. Pharmaceutical Society of Australia. Non-prescription
medicines in the pharmacy – a guide to advice and
treatment. Canberra: The Pharmaceutical Society of
14. National Prescribing Service. Preventing the common
cold. Aug 2012. At: www.nps.org.au/conditions-and-
Copyright ©2014 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved. Level 1 – Building A, 26 Talavera Road, Macquarie Park NSW 2113. DID 5452 04/2014 Scius Solutions MS1181; WLL382958
Demazin 6 Hour Relief Tablets contains: chlorpheniramine maleate 4 mg and pseudoephedrine sulfate
60 mg. Indications: Relief from runny nose, blocked nose and sinus, sneezing, watery itchy eyes. Contraindications:
Hypersensitivity to actives or other drugs of similar chemical structure; concomitant use with monoamine oxidase
inhibitor (MAOI, and for 14 days after cessation), antihypertensive agent; severe hypertension; coronary artery
disease; children under 12 years of age. Precautions: Decreased alertness; hypertension;
hyperthyroidism; diabetes mellitus; prostatic hypertrophy; narrow angle glaucoma; stenotic peptic ulcer;
pyloroduodenal obstruction; urinary bladder obstruction; epilepsy; excitation in children; elderly; pregnancy; lactation.
Interactions: Refer to full PI. Side Effects: Drowsiness; sedation; dizziness; ataxia; nausea; headache; weakness;
tachycardia; palpitations; insomnia; mydriasis. Dosage and administration: Orally, adults and children 12 years
and over: 1 tablet every 6 hours, when necessary. Based on PI amended on 29th November 2013.
PBS Information: This product is not listed on the PBS.
Demazin 6 hour combines the tried and trusted relief of pseudoephedrine with
chlorpheniramine. As it is not available for patient self-selection, your recommendation
is required to ensure they receive the power of Demazin 6 hour. So when your patient
is wrestling with multiple cold or flu symptoms, recommend the power of Demazin
6 hour where appropriate, so they can get back to all the things they need to, fast.
Demazin® is also available in syrup
format for adults & children.
Help them fight back with
the power of Demazin 6 hour.
Please review the full Product Information before recommending. Product Information is available at www.msdinfo.com.au/demazin6hrpi
MSD_Phar ma_Aust Phar - 1 2014- 04- 14T17: 08: 19+10: 00
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