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
Dentists disappointed in sugary drink decision
Dentists disappointed in sugary drink decision

The New Zealand Dental Association (NZDA) is disappointed that Manawatu and Rangitikei councils have voted against a sugar-sweetened beverages policy.
The Local Government New Zealand remit asked for councils to consider the development of a sugar-sweetened beverages policy for council run workplaces and facilities.
“We expect councils to lead the way in becoming good examples to their communities,” said NZDA spokesperson Dr Rob Beaglehole.
“Local government has a key role in creating healthy environments. This is not about becoming the “sugar police”, it’s really about making change in the community by saying there are better options,” says Dr Beaglehole.
The remit was designed to encourage councils to model good behaviour in their communities and provide an example to other organisations. It is also designed to reduce sugar consumption of users of council facilities.
A consortium of public health groups is backing a NZDA-led 7-point Consensus Statement on Sugary Drinks, including ‘development of policies by local government to introduce ‘water-only’ policies at council venues, events and limit the sale of sugary drinks in and around schools.’