Insomnie

Mgr. Jan Pomykacz

Prakt. lékáren. 2012; 8(5): 203  

Asthma treatment - mistakes and errors in daily practice

doc.MUDr.Milan Teřl, Ph.D.

Prakt. lékáren. 2012; 8(5): 207-212  

The majority of patients with asthma can be relatively easily treatead thanks to availibility of highly effective medications. In the reality, however, more than 50 % of asthmatic patients remains with poorly controlled disease, 1/3 of them have severe troubles. The most common cause of asthma mediactions not working is that the patient is not adherent to prescribed therapy. Our challenges are to be sure that patient understand the principles of asthma management and use their inhalational drugs correctly. This article reviews and discusses the current available therapy and summarizes for clinical settings.

How to increase analgesic efficacy of paracetamol?

prof.MUDr.Miloslav Kršiak, DrSc.

Prakt. lékáren. 2012; 8(5): 214-216  

A usual single dose of paracetamol (500 mg per os) represents a subthreshold dose (< 10 mg/kg) in patiens with body weight over 50 kg (i. e. in most adults). A single dose of 1 g of paracetamol is therefore recommended in patients over 60 kg in weight. If paracetamol does not inhibit pain sufficiently even at this dose (1 g), then another analgesic is to be selected or combinations of paracetamol with other drugs can be used, e. g. those with opioids, NSAIDs (if possible), caffeine or others. Sometimes it may be helpful to speed up absorption of paracetamol by using effervescent or well soluble paracetamol preparations per os.

Prebiotics and probiotics in paediatrics

prof.MUDr.Jiří Nevoral, CSc.

Prakt. lékáren. 2012; 8(5): 217-224  

Probiotics have received increased attention in recent years. There are a large number of papers evaluating their effect in various diseases, but only relatively few studies are of a really high quality. Probiotics act by several mechanisms, such as intestinal pH reduction, decreased colonization by pathogenic microorganisms, and modulation of immune response. A positive effect of one probiotic in a certain situation may not necessarily be apparent with the use of another probiotic. Probiotics have been clearly shown to be effective in treating gastrointestinal diseases, such as acute viral gastroenteritis, antibiotic-associated diarrhoea,...

Pharmaceutical care in patients with the iron substitution

PharmDr.Marie Zajícová

Prakt. lékáren. 2012; 8(5): 225-226  

The patients coming to pharmacy with the prescription on the medications with the iron salts suffer probably by iron deficiency anemia. Pharmacist can’t know its reason at this concrete patient, but his primary task is the right pharmaceutical care. The main cause of the problem could be the excessive loss of the iron (excessive bleeding, mainly in GIT, gynecologic origin) or its impaired absorption or less often lack in the food (veganism, drug and food interaction). In the Czech Republic there are available these oraldrugs with the iron: Aktiferrin, Ferro-folgamma, Ferroglobin, Ferretab, Maltofer, Sorbifer, Tardyferon. Many of them...

On the project of "Interactive Dispensing Seminars"

PharmDr.Alena Linhartová, Mgr.Josef Malý

Prakt. lékáren. 2012; 8(5): 227-228  

No drug is administered without risks. Good knowledge of drugs and drug-related problems allows the pharmacist to identify a signal of a potential risk and to further interpret it. The main idea of the Interactive Dispensing Seminars (IDS) educational project is to continually practise this skill, i.e. to train pharmacists in the management of drug-related problems. The aim of the project is to improve the quality of pharmaceutical care.

Echinacea - therapeutic effects and possible interactions

doc.PharmDr.Lenka Tůmová, CSc.

Prakt. lékáren. 2012; 8(5): 246-248  

The article deals with therapeutic effects of Echinacea plants intended for treating and profylaxion of cold common disease. The reported side effects and possible interactions of this drug with other medications are discussed.

Pharmacy counselling in self-medication of cough

Mgr.Tereza Hendrychová, Mgr.Josef Malý

Prakt. lékáren. 2012; 8(5): 229-235  

The paper brings an overview of causes of cough, conditions when doctor visit is required and substances contained in the over the counter drugs which can be used for self-medication of cough. There are expectorants, antitussives and herbal products for the treatment of cough. Furthermore it underlines the basic principles of maximization of the effect and minimization of the risks within self-medication of cough and supporting patient´s compliance.

Ways to prevent and treat decubitus ulcers as seen by a pharmacist

Mgr.Irena Slaninová, Mgr.Milan Vegerbauer, Mgr.Josef Malý

Prakt. lékáren. 2012; 8(5): 236-240  

Decubitus ulcers, also known as pressure ulcers, pressure sores or bedsores, are wounds caused by prolonged pressure and they pose a major health problem in selected groups of patients (such as the elderly or immobilized). In addition to pressure, the extent of skin tissue damage is related to a number of other factors. Besides the key risk factors and clinical presentation, major attention will be paid to recommended and necessary preventive measures and current therapeutic options for decubitus ulcers. Emphasis will be placed on medicinal and other products available in pharmaceutical service establishments as part of both reimbursed and...

Diet and arterial hypertension - part II. Daily sodium in take expressed as GDA values

MUDr.Jiří Bednář, Ph.D., PharmDr.MVDr.Vilma Vranová

Prakt. lékáren. 2012; 8(5): 242-245  

The article deals with the content of sodium in meals throughout the day using the „Guideline Daily Amounts“ value (the Recommended Daily Amount), commonly abbreviated as GDA. Close attention is paid to less obvious sources of sodium, such as side dishes, and dietary regimen analysis related to the amount of received sodium. The goal is to provide patients with information that can help them reduce the amount of sodium received in different foodstuffs and dietary programs.

Autodidaktický test 5/2012

Prakt. lékáren. 2012; 8(5): 249-250