In my many Internet cruises, I re stumbled upon a site I am sure I had previously visited before. The Asthma and Allergy Foundation of America is a great resource, not just for asthma, but also for food allergy information and free downloads. http://www.aafa.org/index.cfm
Saturday, September 28, 2013
Asthma and Allergy Foundation of America - A Great Site With Free Stuff
In my many Internet cruises, I re stumbled upon a site I am sure I had previously visited before. The Asthma and Allergy Foundation of America is a great resource, not just for asthma, but also for food allergy information and free downloads. http://www.aafa.org/index.cfm
Buy one salbutamol, get another free
According to BBC news this morning, and apparently the Daily Express yesterday, as of Tuesday Asda will be selling salbutamol inhalers (the blue reliever medicines sometimes called Ventolin(R) ) for the relief of asthma.
It must be remembered that salbutamol is not a cure for asthma. Asthma is an inflammatory lung disease that frequently needs anti-inflammatory medicines, normally inhaled steroids, to control the disease. Salbutamol inhalers are used for the relief of the symptoms of asthma. If you mask the symptoms of the disease, there’s the risk of the disease worsening without the patient realising it. Consequently, current recommendations are that if a patient is using their salbutamol inhaler more than three times a week, it’s time to increase their preventative asthma medicines, while if a patient is needing it more than ten times a day that could be a sign of very severe or life-threatening asthma.
Now Asda pharmacy apparently believes there is a problem with the existing supply arrangements which could be solved by supplying salbutamol as a private sale. Of course, the business case will be protected due to commercial confidentiality and the only information available is limited to that available in the press release that generated the above news stories, so it is unclear what they believe that this problem is.
Normally asthma medicines would be managed through an asthma clinic at the patient’s GP surgery, with referral if necessary to specialist secondary care clinics if necessary. In what circumstances could this break down? Well there are many patients who struggle to attend GP clinics, so there is a convenience/accessibility issue to consider. Supermarket pharmacies are commonly open into the evenings and at weekends, so this makes getting an asthma inhaler easier in these circumstances.
However, the service on offer is not a comprehensive asthma service – it is only for the medicine used at the mildest stage of asthma treatment. There is also the risk of the GP record for patients not having an accurate pricture of how many salbutamol inhalers the patient has used, leading to a more fragmented system if there is not clear feedback to the patient’s primary care record every time a supply is made by an Asda pharmacy. One of the important elements of the current NHS set-up is the comprehensiveness of the record which the GP surgery holds on their patients. Most medicines purchased from community pharmacies are for short-term minor ailments, but as treatments for long-term conditions become available, then there needs to be clear two-way access to these (even if it’s a “Dear Doctor” letter/patient held list of repeat medicines).
If physically getting prescriptions from the GP is an issue, then there are alternative methods of receiving a supply. GPs can provide prescriptions through a repeat dispensing service that allows up to a year’s worth of prescriptions to be kept at a community pharmacy. If an inhaler is needed urgently, then any community pharmacist can provide an emergency supply
So as I am pontificating on limited information, and very possibly worrying about things which are already resolved or mitigated against, here are the questions I have for Asda Pharmacy:
- How does the community pharmacist confirm what asthma management the patient is already receiving?
- Will the community pharmacist be providing additional support, to demonstrate their other skills (i.e. providing inhaler counselling)
- Does the community pharmacist insist on a patient attending an asthma clinic if they are assessed as needing more than just occasional salbutamol relief?
- How does the community pharmacist inform other Asda pharmacies that a patient has been supplied with asthma inhalers or has been refused as having made an inappropriate request?
- How does the community pharmacist inform the patient’s GP of this supply, so that at next asthma review it is clear how many salbutamol inhalers were provided?
- What evaluation of this service is being done for public (rather than private in-house) consumption, to help build up the evidence base for the clinical role of community pharmacy?
- What measures are in place to prevent abuse of this service by patients who, for whatever reason, evade normal asthma checks at their GP surgery?
My concern is that by providing 2 salbutamol inhalers for 70pence less than a prescription charge, Asda may inadvertently be promoting the belief that asthma can be managed by symptomatic relief alone. It’s good to innovate in healthcare, for the benefit of patients and the wider community. However, it’s unclear at this time on a Saturday afternoon how this service provides a direct benefit.
Acknowledgement: Some of the ideas used in this post came up as part of the discussion of this matter with my fellow Pharmacists on Twitter, I hope they won’t mind me consolidating them in this post.
Monday, September 23, 2013
ALLERCA Cats Bring "Sneeze Free" Companionship to Allergy and Asthma Sufferers
Since delivering the first hypoallergenic kittens to customers in 2006, ALLERCA’s hypoallergenic cats have established a unique place in the pet world.
WILMINGTON, Calif., Oct. 24, 2007 – ALLERCA, the company that developed the first scientifically tested hypoallergenic cat, is celebrating the one year anniversary of the first kitten deliveries to eager customers. Since then, the company has delivered dozens of the ALLERCA ‘sneeze-free’ kittens that for the first time have allowed severely allergic and asthmatic cat lovers to enjoy the companionship of a furry friend. For Jill Skibba of Los Angeles, an ALLERCA cat was her only option to own anything but a pet fish: “I had been looking for a pet for over a year that wouldn’t make my eyes swell, my skin itch and make me sneeze endlessly. I was about to give up having tried just about every breed when I heard of ALLERCA. I now have Sela and couldn’t be happier. It’s a miracle every time she jumps up on my lap and I am totally fine. No sneezing, not itching! She is loving and just a joy to have in my life!”
Judy Smith of Connecticut was one of the first allergic cat lovers to sign up with ALLERCA, placing her order back as far as 2004. As a cat owning teenager, she found her allergies getting progressively worse as she moved into adulthood. “When near a cat, I usually begin having symptoms within the first 15 minutes; runny nose, sneezing, coughing, trouble breathing, and itchy watery eyes. I could usually tolerate it for a few hours and then I have to leave. It usually takes another hour or more for me to return to normal. I’d take multiple daily allergy medications, which helped, but only enough so I could suffer through these visits for a few hours.” Since taking delivery of her ALLERCA hypoallergenic cat, Judy says, “He’s just a great cat who doesn’t cause me allergies. I am so very delighted to finally be able to live with a cat again.”
For Dr. Erik Viiree from San Diego, an ALLERCA customer, the ALLERCA cat was the only option. “This summer we were given the pleasure of receiving Jet, our kitten from ALLERCA. Our home has long been devoid of pets because of my allergies, and although my family was desperate to get a cat, I was trepidatious about as I didn’t want a return of my allergy symptoms. For the last number of years, I’ve been free of allergies and definitely didn’t want them back. When I heard about ALLERCA, I immediately signed up for a kitten. I was nervous when Jet arrived, but I haven’t had a problem and Jet is now a permanent part of our family.”
Simon Brodie, the founder of ALLERCA and inventor of the ALLERCA GD hypoallergenic cat, says having hypoallergenic kittens in homes of allergic individuals is the fulfillment of a long entrepreneurial and technological journey. He first became interested in emerging genetic technologies after the first cat was cloned back in the late 90′s, and began exploring how new technology could be introduced to the pet industry. Brodie evaluated a number of projects before deciding on the development of a hypoallergenic cat. “For the millions of feline allergy sufferers, the idea of a hypoallergenic cat had always been a dream, which in turn meant there was a commercial demand.” So in 2004 Brodie began to seek out experts in the field of genetics who could help produce this unique cat. “I knew I faced a number of major obstacles and didn’t even know if it was possible. But I had so many potential customers committed to buy if I was successful, that I remain encouraged.”
The project was officially announced in October of 2004 and garnered worldwide attention. Says Brodie, “I was taken aback with the huge positive response and massive amount of interest. The press did make a thing about the then price of $ 4,000 (the kittens now sell for $ 8,000), but those cat-loving, allergy sufferers aware of the cost and inconvenience of allergy treatments required to live with a cat understood that this was a small price to pay.” And Brodie kept true to his promise to customers: deliveries began exactly 24 months later.
Although Brodie sold off his interest in the hypoallergenic cat long ago, he remains actively involved and is pleased with how the business is growing. “When a little girl tells me this (her hypoallergenic cat) is the best thing ever to happen to her, then I know we really have something unique and special.”
Based on the current waiting list and ever increasing demand, the company expects sales to grow rapidly through 2008. As for new “lifestyle pets”, Brodie has developed a large exotic domestic cat called the Ashera, now on sale and priced at $ 22,000, which already has a year waiting list. A new breed of small dog is in development and expected in 2009.
Labels: ALLERCA Hypoallergenic Cats, pet world
Wednesday, September 18, 2013
More Peanut Free Food Allergy Posters for School or Home
So, in my travels along the Internet superhighway, I have discovered a few more free Food Allergy Posters. Many of these are great for schools and classrooms, and in addition to peanut free posters, and nut free posters, there are also some for other allergies.
The Food Allergy Initiative Free Peanut and Nut Free Classroom Poster
http://www.foodallergyinitiative.org/uploaded_files/food%20allergy%20peanut%20flyer1.pdf
ABC Peanuts Peanut Free Classroom Poster
http://www.lensaunders.com/peanuts/downloads.html
Avoiding Milk Protein
Some really great allergy posters, including ones for no milk, no nuts, no food sharing, no latex, and reminders to wash hands.
http://www3.sympatico.ca/robertblue/posters.htm
and more here
http://www3.sympatico.ca/robertblue/moreposters2.htm
Peanut Allergy Info
Lots of great posters for the peanut and nut allergic.
http://www.angelfire.com/pa5/peanutallergy/posters.html



