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FOR PAPULOPUSTULAR
ROSACEA1
PBS information : This product is not listed on the PBS .
Please review full Product Information before prescribing . Product Information is available on request from Galderma Medical Information : ph 1800 800 765 .
SOOLANTRA ® Cream Ivermectin 10 mg / g . Indication : For the topical treatment of infl ammatory lesions of rosacea ( papulo‐pustular ) in adult patients 18 years and over . Contraindications : Hypersensitivity to the active substance or to any of the excipients . Precautions : Contains excipients which may cause skin reactions , irritations or allergic reactions . Discontinue use if severe irritation or contact allergy occurs . Caution in patients suffering rosacea conglobata , rosacea fulminans , isolated rhinophyma , isolated pustulosis of the chin or other facial dermatoses such as peri‐oral dermatitis , facial keratosis pilaris , seborrheic dermatitis , acne and renal or hepatic impairment . Avoid excessive UV sun exposure . Refer to full PI . Use in pregnancy ( Cat B3 ): use only if the potential benefi t to the mother justifi es the potential risk to the fetus . Paediatric Use : not recommended in children aged less than 18 years . Use in lactation : Excretion in human milk following topical application has not been evaluated . Risk to breast‐feeding child cannot be excluded . Interactions : Concomitant use with other topical or systemic medicinal products for treatment of rosacea has not been investigated . Adverse effects : Common adverse drug reactions ( ≤1 %): skin burning sensation , skin irritation , pruritus and dry skin . Other common AEs ( ≥1 %): nasopharyngitis , headache , upper respiratory tract infection , sinusitis , UTI , seasonal allergy , muscle strain , back pain . Post‐marketing experience : erythema . Dosage and administration : Apply once daily for up to 4 months , in fi ve pea‐sized amounts , totalling no more than 1g , as a thin layer to main areas of the face ( i . e . forehead , chin , nose , cheeks ). Treatment course may be repeated . Discontinue if no improvement after 3 months . Avoid application to eyes and lips . Apply a high SPF sunscreen to treated areas likely to be exposed to the sun , or other sun‐exposure reduction methods should be used ( e . g . hats , clothing ). Cosmetics may also be applied after SOOLANTRA has dried . Presentation : 60g , 45g , 30g , 15g and 2g tubes . Store below 30 ° C . S4 . Based on approved PI dated : 9 November 2016 .
REFERENCE : 1 . SOOLANTRA Cream Approved Product Information ( 9 November 2016 ).
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GP disrupts anti-vax film with mighty haka
GEIR O ’ ROURKE AND JOCELYN WRIGHT A MAORI GP is being hailed as a warrior for evidence-based medicine after he interrupted a screening of the antivaccination film Vaxxed with a fierce haka .
And now he ’ s urging his Australian colleagues to follow suit .
Dr Lance O ’ Sullivan , of Kaitaia , near New Zealand ’ s northern tip , burst onto the stage during a secret screening of the controversial documentary last week and gave a speech denouncing the organisers .
In video taken on the night , Dr O ’ Sullivan can be heard telling the crowd : “ I ’ ve come here to continue my battle . Your presence here will cause babies to die .”
The 2014 New Zealander of the Year spoke passionately for several minutes against the film , which was coscripted by Andrew Wakefield , author of a retracted 1998 study that falsely claimed to have found a link between vaccines and autism in children .
“ This idea of anti-immunisation has killed children around the world and actually will continue to kill children whose parents are put off immunisation because of misinformation ,” Dr O ’ Sullivan told the crowd .
“ This misinformation is based on lies , quite frankly , by fraudulent people who for their own reasons have decided to put forward false information that will cause harm to children .”
Dr O ’ Sullivan , famous in New Zealand for his work in disadvantaged communities , said he had personally seen people die who would have lived had they been vaccinated .
Speaking to Australian Doctor , he urged doctors everywhere to shine a light on the issue .
“ These people are actually causing people to die , and it ’ s time to man up .”
He also urged his Australian colleagues to follow his lead ahead of plans to screen the controversial documentary in Adelaide on 4 June .
“ I would say to you : Get out there and protest against this . This is your job both as a clinician and expert in healthcare .
“ Our message as doctors has to be : ‘ There is no debate about this , this works — immunise your child ’.”
GP apologises for Facebook post
GEIR O ’ ROURKE A SENIOR rural GP is in hot water after joking on social media that women in labour should use epidurals to “ save us all some pain ”.
Queensland generalist and obstetrician Dr Christopher Buck took to Facebook earlier this month asking pregnant women to avoid going into labour late at night .
But Dr Buck was forced to apologise last week when the post was noticed by the Maternity Consumer Network , which slammed it as “ disgraceful ”.
“ An absolutely disgraceful medical professional ,” the mothers ’ group wrote on its Facebook page .
“ The fact that this post is public speaks enough of his arrogance and the disrespect this man has for the birthing population .”
Dr Buck is the medical director of Queensland Health ’ s South West Hospital
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THE national vaccine surveillance program has declared the 2017 flu vaccine safe . AusVaxSafety says out of 40,000 responses to this year ’ s scheme , no patient has reported a significant or unexpected reaction to date .
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and Health Service , but the post was made while he was on secondment in Kalgoorlie , WA .
Dr Buck was reprimanded by
the first trial under the controversial partnership between a complementary medicine manufacturer and Australia ’ s peak research body . Swisse Wellness signed a multi-million dollar deal with the CSIRO in August last year .
Ezetimibe under scrutiny A REVISED draft PBAC report on the cholesterol-lowering drug ezetimibe says expenditure on the drug is high and , in contrast to statins , there are no long-term patient outcomes for
Protesting against the anti-vax movement is part of our job as clinicians , says Dr O ’ Sullivan .
The GP spoke for several minutes at the screening before striking a blow for science with a haka .
“ It ’ s the ultimate challenge in a cultural sense , so it was really appropriate to demonstrate how angry and defiant I was over the screening of the film and the whole movement .
“ It had the desired effect of scaring the shit out of them .”
After seeing the viral video of the speech , New Zealand Health Minister Dr Jonathan Coleman tweeted in support of the fearless GP : “ Good on Dr Lance O ’ Sullivan for taking a stand on the Vaxxed movie . I totally support Lance in what he ’ s saying . Vaccination is a good thing .”
See the video here : http :// bit . ly / 2qiupjf
Queensland Health , but RDAA president Dr Ewen McPhee described the generalist as a good doctor who probably meant well .
“ Chris is a nice guy and would feel terribly mortified and bad ,” he said .
Dr McPhee said doctors needed to be extra careful when posting to social media , especially when tired or angry .
“ The dark humour that we sometimes use to survive in what is sometimes a very difficult job can be completely misunderstood by people who don ’ t understand the culture or the context ,” he said .
“ I myself have regretted posting things on social media and while I hope I have learned my lesson , I ’ m sure I ’ ll make some stupid comments in the future .
“ It is a bit like those emails you wish you had never sent , especially when you are angry or tired .”
ezetimibe . PBS restrictions say that patients must be taking the maximumtolerated dose of statins before adding or switching to ezetimibe therapy . However , between 18 % and 53 % of patients prescribed ezetimibe fall outside of the restrictions . The drug can be prescribed to patients who are intolerant to statins .
Public submissions on the draft are welcomed . See : bit . ly / 2qprGQe
6 | Australian Doctor | 2 June 2017 www . australiandoctor . com . au