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
Fumigant methyl bromide is under a moratorium; how safe is a replacement?
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Fumigant methyl bromide is under a moratorium; how safe is a replacement?
Tuesday 5 June 2018, 01:16 PM

Alternative agents to fumigate logs come with their own hazards
OCCUPATIONAL HEALTH
One option for replacing methyl bromide as a log fumigant is ethanedinitrile, but being an organic cyanide, it comes with its own cautions
Quarantine and pre-shipment procedures in ports involve the fumigation of imported goods prior to quarantine and of export goods prior to shipment.
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
1. Hall A, Isom G, Rockwood G. Toxicology of Cyanides and Cyanogens. Oxford: Wiley-Blackwell; 2015.
2. Gidlow D. Hydrogen cyanide-an update. Occup Med (Lond) 2017;67(9):662-63. doi:10.1093/occmed/kqx121