Sono un grande sostenitore del cambiamento per consentire ai farmacisti di prescrivere farmaci per condizioni comuni (ovvero il Servizio condizioni comuni)
Ecco la pagina ufficiale che illustra le condizioni servite:
https://www2.hse.ie/services/common-conditions-service/
Il servizio sanitario nazionale nel Regno Unito lo fa in un ambito di condizioni molto più ampio e profondo.
Adesso mi aspetto che ritorni al medico di base per ripetere i miei SSRI. È una ripetizione che in realtà non ha bisogno di ulteriori analisi, e da ragazzo posso giudicare se ho bisogno di discutere ulteriormente la questione da solo. Ma no, devo portare il culo e fissare un appuntamento al GP di Chockablock in città. L’inconveniente solo per me è una dose. Per gli altri che necessitano dell’attenzione del medico di famiglia è una dose maggiore.
In ogni caso, solo un altro aneddoto a sostegno della possibilità che i farmacisti prescrivano una gamma più ampia e profonda di trattamenti. Soprattutto se si tratta di una medicina che è stata ripetuta comunque.
La melatonina è un altro farmaco su cui ridurrei assolutamente la burocrazia. È più difficile procurarselo dell’hashish in questo paese.
Anche farmaci per smettere di fumare come Champix.
Le interviste radiofoniche con le aziende farmaceutiche lo scorso anno sembravano sostenere in modo schiacciante questo uso più ampio delle qualifiche e delle competenze dei farmacisti. Vincere vincere vincere?
GP clogging: Should we quickly expand the new Common Conditions Service at pharmacies?
byu/AgentSufficient1047 inireland
di AgentSufficient1047
8 commenti
The first thing I’d want is a significant increase in what medications are OTC, and what OTC medications become General Sales in return for that.
It wasn’t too long ago that Asda in NI was selling stuff that was prescription here; and they still sell shelves worth of pharmacy OTC stuff – proton pump inhibitors, IBS meds, painkillers, antihistamines
A pharmacist can do one 6 month repeat of a 6 month script at their discretion now, but I don’t know how effective that is in the real world
My sabutomol please.
so how do people get hash in this country?
Joking aside, great news
Pharmacists have no training in medical assessment or diagnosis. They do not have access to the full medical history of a patient. The pharmacy first model has been rolled out in the UK already and there are issues with people being misdiagnosed or being given the incorrect medications. This is going to put people at risk while giving them the false assurance they are getting seen quicker. My experience of getting a BP checked in the pharmacy was incredibly poor and they did not follow most of the best practice in taking the blood pressure reading.
The solution is to change the OTC status of some meds, increase the length of prescription for other medications, increase the number of GPs, make sure you get continuous care from your GP, and change the admin side of GP so they can see more patients without getting burned out.
For what it’s worth, my GP is happy enough to prescribe repeat medication over the phone or even email. No need to actually make an appointment with the GP for it. It’s still kinda inefficient I suppose.
But for other smaller ailments, I definitely agree that we shouldn’t need to see GP in the first place.
Pharmacist here. It’s a great new service and only the beginning, hopefully in time to come more conditions will come on the common conditions scheme and we will be able to treat a lot more straightforward conditions.
I still agree however your GP is the preferred route for diagnosis of all diseases. However realistically we are in an aging population, and there just physically isn’t the capacity for everyone to now see a GP. And no matter what they seem to do, they just cannot incentivize people to become GPs.
I also noticed quite a few posters asking about melatonin. There is very (and I really do have to stress this) very very little evidence out there that it has any benefit other than placebo.
Many SSRIs cause various adverse side effects, some very serious such as suicidal ideation, stomach issues, dry mouth, genital numbing. Not everyone experiences all of these symptoms. But, doctors have a duty of care.
Psyhotropic, mind altering medication ought to be prescribed by a GP.
OP, ask the GP if they are comfortable sending a 3 morn month or a 6 month script to the chemist.
Yes, but if there is a 1 in 100 million chance someone might abuse this, we can’t let it happen. We’ve become very much a nanny-state, you only realise it when you go abroad and see how leeway is given to adults to do stupid stuff. Maybe it’s our claims culture?