Should we be so quick to dispense Tamiflu?


As the Swine Flu progresses to Level 5 on the 6 point WHO Pandemic scale, in New Zealand they have decided to sell Tamiflu from Pharmacies to anyone that goes in and shows symptoms, without having to see a doctor. I’m not sure if that is a good thing or not, because it is likely that the majority of people who buy and use it won’t have the virus.

The biggest concern being expressed about this is that mass use of vaccines can encourage viruses to mutate and evolve into strains which resist vaccines and antibiotics. It seems to me that as it travels around the world it will evolve anyway, but why give it a helping hand. I just hope that there isn’t a rush on it so that people who do need it can’t get it. Tonight’s TV News did say that there was only a small increase in demand for Tamiflu. 

It’s funny watching the news on CNN and other international (read American) TV channels, who seem to almost forget about New Zealand, because early on we were one of the countries that had early exposure in fairly large numbers. Even in the last couple of days, more people have gone into quarantine, now around 500, and we are now in a situation where we actually know people who are in quarantine. It’s no longer 6 points removed.

Mexico is obviously the place that is mostly in the news, and lets hope that their plans for a 5 day national shut down will help contain things until people are no longer contagious.

According to the Google Swine Flu map, the density of infection in the countries where they have confirmed cases, is growing fast. Spain is one of the biggest outside of the US and Mexico for obvious reasons. Switzerland and The Netherlands are the latest countries to get hit.

I was watching the news last night and they were saying that they were lucky that it is spring because viruses don’t spread as much when it is warm, but of course down here in New Zealand it is cooling down and we are heading into the flu season, so it could be potentially worse here. 

Please participate in my poll. Do you know anyone who has been quarantined? It would be really interesting to see how this progresses. The feeling of it won’t happen to me may dissapear as we get to a point where we either know someone or are only 1 place removed. 

While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course https://luigicappel.wordpress.com.

Thanks so much for your support:)

Pharmac funds flavoured condoms


A couple of nights ago I was in an urgent chemist with my daughter to fill a prescription who was suffering an allergic reaction to something. We were discussing generic drugs.

In New Zealand, many drugs are subsidised by Pharmac who are a government agency. we were talking about Zyrtec which is an antihystamine which works very well for sinusitis and related allergies. This drug used to be subsidised but has been replaced with a cheaper generic drug, which according to Pharmac is identical.

The chemist said that he himself suffers from the condition and has tried the generic, which didn’t work for him and Zyrtec which does. he further went on to say that he spoke to people who work for the generic drug manufacturer at an international coference and they told him that the majority of the factory staff will not use the generic drugs they manufacture themselves, and favour the original manufacturers product.

It’s all about money and I understand that many asthma sufferers in New Zealand also had major problems when their Ventolin inhalers were replaced with another generic. I wonder how much it costs the taxpayer when people get prescribed cheaper drugs which are ineffective or less effective and end up in hospital.

So to the story today, I just received a tweet from the NZ Herald to say that Pharmac is now funding flavored, ribbed and otherwise enhanced condoms. I am all for free condoms to reduce unwanted pregnancies, STD’s and any other consequences of unprotected sex, but if they can cough up for fancy prophylactics, surely they could also fund effective drugs and help patients access what their doctors want them to take?

While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course https://luigicappel.wordpress.com.

Thanks so much for your support:)