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
Distinguishing normal from abnormal: Is it a genital ulcer, chancre or something else?
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PRACTICE
Distinguishing normal from abnormal: Is it a genital ulcer, chancre or something else?
Wednesday 8 April 2020, 12:30 AM

Syphilis infection in heterosexual males and females is becoming more common
SEXUAL HEALTH
Infectious disease and sexual health specialist Massimo Giola highlights the importance of preparation and practice for performing genital examinations, particularly since there is a syphilis epidemic here in New Zealand
Key points, It may be appropriate to presumptively treat a genital ulcer as a chancre before a serologic diagnosis of syphilis is made – use intramuscular benzath
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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