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Vol 277 No 7411 p124
29 July 2006

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Pharmacists need to advise public about allergies

Epipens

Treatments such as Epipens are often needed in stressful circumstances so patients have to know how to use them

Pharmacists can play a crucial role in providing the public with high-quality information about allergies, a Department of Health review of allergy services has concluded (PDF 540K).

The review highlights the role community pharmacists can play in providing advice on allergy symptoms, especially for respiratory problems, skin conditions, eye and ear problems and childhood conditions, such as nappy rash and viral rash. It also considers expanded roles for pharmacists with special interests in allergy, although it makes no specific recommendations about this.

The National Allergy Advisory Group, which conducted the study, concludes that national, rather than local, levers will change allergy services in the future. “In the light of local priorities, local health commissioners will need to consider … how to include: patient choice in allergy; high quality information about allergy for the public; increased investment in the expert patient programme as it relates to allergy; and practice-based commissioning for services for allergy,” the report says.

Ursula Collignon, senior pharmacist, emergency medicine at Guy’s and St Thomas’ NHS Foundation Trust, and UKCPA representative on the review team, commented: “Pharmacists are often the first point of contact for patients with allergies. They are accessible and well placed to help patients manage common allergy symptoms.”

She pointed out that pharmacists can identify more severe symptoms and ensure patients are referred appropriately. In addition, recording allergy status within patient medication records ensures pharmacists clarify a patient’s allergy to medicines and medically related products before dispensing.

Pharmacists can also provide patients with advice and support on how and when to use medicines, such as Epipens, she added. “Pharmacists should ensure that patients, carers and other health care staff are familiar with these products especially as they are likely to be used in stressful circumstances,” she said.

Ms Collingnon also said that, because allergic reactions to medicines or medical products are often under-recognised, pharmacists need to be alert to these, for instance by ensuring that latex-free vials are available and that patients with nut allergies are not given products which contain arachis oil.

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