For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
The difficult traveller – paediatric, pregnant and immunocompromised travellers
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Travel Medicine
The difficult traveller – paediatric, pregnant and immunocompromised travellers
Wednesday 19 June 2019, 03:00 AM

Travel carries risks to the mother and foetus/infant
Adult travellers who are pregnant, breastfeeding or immunocompromised frequently challenge our skills, as do child travellers. But with good resources and a systematic approach, most can still be dealt with in primary care, while the very challenging should be referred to a practitioner with more expertise
Ideally, doctors would see the more challenging traveler sooner rather than later – when travel is being planned.
Key points
The traveller wh
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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