Home Office consults on medicinal use of cannabis

Home Office consults on medicinal use of cannabis

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Measles outbreaks prompt reminder about MMR vaccination ahead of summer holidays

Measles outbreaks prompt reminder about MMR vaccination ahead of summer holidays

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Smoking levels remain unchanged in Wales at 19%

Smoking levels remain unchanged in Wales at 19%

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GP services get 86% satisfaction rating in Wales

GP services get 86% satisfaction rating in Wales

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NICE guideline says people with dementia should be involved in discussions about their care

NICE guideline says people with dementia should be involved in discussions about their care

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  • Home Office consults on medicinal use of cannabis

    Home Office consults on medicinal use of cannabis

    Friday, 22 June 2018 16:15
  • Measles outbreaks prompt reminder about MMR vaccination ahead of summer holidays

    Measles outbreaks prompt reminder about MMR vaccination ahead of summer holidays

    Friday, 22 June 2018 15:46
  • Smoking levels remain unchanged in Wales at 19%

    Smoking levels remain unchanged in Wales at 19%

    Friday, 22 June 2018 15:40
  • GP services get 86% satisfaction rating in Wales

    GP services get 86% satisfaction rating in Wales

    Wednesday, 20 June 2018 18:50
  • NICE guideline says people with dementia should be involved in discussions about their care

    NICE guideline says people with dementia should be involved in discussions about their care

    Wednesday, 20 June 2018 18:47

a alert imageMay 31 2018

Health professionals are being asked to ensure patients using Braltus (tiotropium) know how to put the capsule in a Zonda inhaler.

An MHRA alert says there is a risk of the capsule being inhaled if it is placed in the incorrect chamber. This follows two reports of patients having inhaled a Braltus capsule from the mouthpiece into the back of the throat, “resulting in coughing and risking aspiration or airway obstruction.”

The MHRA is advising health professionals should: 

  • train patients in the correct use of their inhaler – a placebo device is available for training purposes from Teva Medical Information (on This email address is being protected from spambots. You need JavaScript enabled to view it. or 0207 540 7117), and instructions for patients are provided in the patient information leaflet and on the carton;
  • tell patients to store capsules in the screw-cap bottle provided (never in the inhaler) and to always check the mouthpiece is clear before inhaling;
  • continue to report adverse incidents during use of the inhaler as well as suspected adverse reactions to the medicine on a Yellow Card.

“It is essential that patients know never to place a capsule directly into the mouthpiece (see diagram in package leaflet),” said the MHRA.

Link:
MHRA alert       

Professional News

June 22 2018 A review into the scheduling of cannabis for medicinal purposes will look for “significant medical and therapeutic benefits” before a decision is made.
June 6 2018 The Royal College of General Practitioners has called for visa regulations to be reviewed to allow more doctors to work as GPs in the NHS. Home Secretary Sajit Javid announced on Sunday...