Praktické lékárenství, 2013, issue 2

Editorial

Energetický přístup (nejen) v lékárenství

Mgr. Martin Ronge

Prakt. lékáren. 2013; 9(2): 51

Current pharmacotherapy

Farmacotherapy of headache, mainly migraine

Irena Novotná

Prakt. lékáren. 2013; 9(2): 53-56

Headache is one of the most common disorders encountered by nearly everyone. It is primarily divided into primary, where the most typical variety is migraine and its forms, and secondary, where headache is a symptom of another illness and it accompanies this illness. After the illness is cured, headache most often disappears. Headaches are distinguished in detail according to International Headache Society classification. In a daily practice of a doctor or farmacist, the most important classification is to primary and secondary headache. According to anamnesis, after excluding possible secondary reasons and with normal results of common support...

Local therapy of psoriasis

Zuzana Nevoralová

Prakt. lékáren. 2013; 9(2): 59-63

Psoriasis is a chronic, inflammatory hyperproliferative disease of the skin, scalp, nails and joints. It belongs to a group of papulosquamosus skin disorders and is presented by a variety of clinical presentations. Basic treatment is a local therapy, another treatment options are phototherapy and systemic therapy. In this article, local therapy is described. It is a ground option for mild and moderate psoriasis, a complementary one for a severy psoriasis. A first line local therapy includes topical corticosteroids and D3 derivates; tars, ichtamol, cignolin, baths and local imunomodulators are also useful. Many completely new therapeutics are...

Allergic rhinitis - symptom or disease?

Václav Špičák

Prakt. lékáren. 2013; 9(2): 63-66

Allergic rhinitis(AR) is a complex systemic disease with the local nasal and often eyes symptoms.The background of the AR is an eosinophilic inflammation. Prevalence of AR is worldwide increasing.Prevalence in the czech population is 19 %.New classification of AR was declared by global ARIA initiative 2001 (updated 2010): Intermittent(mild, severe) and persistent(mild, severe). Strategy of the management includes patient education, allergen avoidance, pharmacotherapy and specific allergen immunotherapy. Message for praxis: “Allergic rhinitis – early treatment, do not underestimate“.

Treatment of functional dyspepsia

Michal Konečný, Jiří Ehrmann

Prakt. lékáren. 2013; 9(2): 68-70

The article deals with the classification, diagnosis, and, in particular, treatment of functional dyspepsia. Both classification by the Czech school of functional gastrointestinal disorders and the recent Rome III classification are presented. The diagnostic recommendations presented are based on the current Rome criteria mentioned above. In treating functional dyspepsia, emphasis is placed on the comprehensiveness of pharmacological and nonpharmacological approach, including psychological and psychiatric evaluation. In medication therapy for upper dyspepsia, a very good effect of spasmolytic drugs, gastric secretion inhibitors, and prokinetic...

Sildenafil in treating erectile dysfunction

MUDr.Ondřej Trojan

Prakt. lékáren. 2013; 9(2): 71-77

The article initially describes the history of the discovery of the first PDE5 inhibitor designed to treat erectile dysfunction. It explains the mechanism of erection and the conditions for its proper functioning. It elucidates the mechanism of action of PDE5 inhibitors in treating erectile dysfunction, summarizes the experience with sildenafil during its 15 years of existence, its indications as well as contraindications, and highlights some mistakes physicians make in the management. Erectile dysfunction often serves as an initial sign of a somatic, particularly cardiovascular, disease; therefore, it is important that this sensitive issue...

Clinical pharmacy

Farmaceutical care of patients with depression

Martina Maříková

Prakt. lékáren. 2013; 9(2): 78-82

Depression is one of most commonly occuring mental illnesses in adults and it´s the most common psychiatric illness which couses significant morbidity and mortality. Antidepressants therapy is the cornerstone of treatment depressive disorders. Safe and effective use of antidepressants is in uderstanding of pharmacology antidepressants, in monitoring of adverse drug reactions these drugs, in understanding drug interactions of antidepressive drugs. Pharmacist are the people, who can play significant role in screening, recognition and treatment of this disorder. Pharmacists can improve patients adherency to pharmacotherapy through patients ducation.

Phytotherapy

Medicial plants with immunostimulatory effect

Anna Vildová, Jan Kubeš, Lenka Tůmová

Prakt. lékáren. 2013; 9(2): 90-95

Article summarizes results from the reseach focused on medicinal plants with immunostimulatory and adaptogenic effects. New important results are presented. Mainly the issues of less known medicinal plants used in traditional chinese and oriental medicine is discussed.

Pharmaceutical technology

Dyes used in medicinal products

Jana Kučerová, Hana Kotolová

Prakt. lékáren. 2013; 9(2): 83-89

Nowadays, every medicinal product is a complex system of active substances and excipients. Dyes are excipients used to improve the aesthetic appearance of a drug, help identify the product in the production and distribution stages, serve as a signalling tool in the case of dispensing error, or help patients tell their medications apart. The permission to use dyes in the pharmaceutical industry is subject to a number of health tests and legislative measures. The article deals with toxicological assessment of synthetic dyes used in medicinal products permitted by a guideline of the State Institute for Drug Control. Given the multitude of available...

Social pharmacy

Cross-border healthcare - Recognition of medical prescriptions issued in another Member State

Jozef Kolář

Prakt. lékáren. 2013; 9(2): 95-100

Cross-border healthcare is also related to the recognition of medical prescriptions issued in another member State. The attention is paid to the basic actual legal regulations and to the PGEU statements.