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PEMBATALAN PENDAFTARAN PRODUK SEMULAJADI (TRADISIONAL) ATAS ISU CAMPURPALSU

Para pengguna  dinasihatkan untuk mengelak  daripada membeli dan menggunakan produk semulajadi (tradisional) seperti tersenarai di bawah. Produk-produk tersebut didapati mengandungi bahan kimia, termasuk racun berjadual yang tidak dibenarkan dalam produk semulajadi (tradisional). Penggunaan produk semulajadi (tradisional) yang dicampurpalsu dengan bahan kimia seperti yang telah dikesan boleh menyebabkan kesan advers serius.



Produk seperti tersenarai di bawah tidak lagi dibenarkan diimport/ dikilang/ diedar/ dijual di negara ini dan Pihak Berkuasa telah mengarahkan supaya semua stok produk berkenaan di keluarkan dari pasaran.



Tahun 2009

Bil	Nama produk	No. pendaftaran (MAL)	Bahan kimia yang dikesan
1	Phyto-Hape	MAL05101774T	Sibutramine
2	Phyto Shape	MAL20051399TE	Sibutramine
3	Etumax Eurycoma Active Plus	MAL05101707T	Sildenafil analogue
4	Loong Choo Brand Reh Bih Ho Herbal Tea	MAL20001175T	Paracetamol
5	Jinglida	MAL07031203T	Aminotadalafil
6	Bodybeaus	MAL06030982TCS	Sibutramine
7	Eng Luan Codyceps, Chuanbei Plus Cough Pill 3.5gm	MAL19992654TC	Diphenhydramine
8	Senna Plus Capsule 400mg	MAL06100615TC	Sibutramine

Tahun 2008

Bil	Nama produk	No. pendaftaran (MAL)	Bahan kimia yang dikesan
1	Ju Purt Jen Chin Yen (Cap Fuu Cheng)	MAL19971673T	Ephedrine
2	Bionex	MAL20041038TC	Sibutramine
3	Edoly Kapsul	MAL07090970T	Chlorpheniramine
4	Pronoton	MAL20033871T	Sildenafil & analogue
5	Venergy capsule 300mg	MAL04125617T	Sildenafil analogue
6	ML Spring Returns	MAL06121139T	Sildenafil analogue
7	ML Viraken capsule	MAL05041920T	Sildenafil analogue
8	Tribulus Plus capsule 400mg	MAL06081348TC	Sildenafil analogue
9	Epimedi Plus capsule 400mg	MAL06100617T	Sildenafil analogue
10	Primalex	MAL06121124T	Sildenafil analogue
11	Spartan	MAL06121203TC	Sildenafil analogue
12	Xiao Tang Ling	MAL20031850T	Glibenclamide
13	Xanthium plus	MAL06100693TC	Ibuprofen & Budesonide
14	Slimway Herbs	MAL19992643T	Sibutramine

Senarai ini dikemaskini pada Oktober 2009



Apakah Sildenafil? Ubat/racun terkawal yg digunakan utk rawatan mati pucuk/ED

Apakah Glibenclamide? Ubat/racun terkawal utk pengawalan gula darah bagi pesakit diabetes Type-II

Apaka Sibutramine? Ubat/racun terkawal utk pengurusan berat badan

Apakah Ibuprofen? Ubat sbg pain-killer (NSAID)

Apakah Chlorpheniramine? Ubat/racun terkawal yg digunakan utk merawat simptom alergi

Apakah diphenydramine? Ubat/racun terkawal yg digunakan utk merawat simptom alergiApakah Ephedrine? Ubat/racun terkawal utk merawat simptom alergi, sesak nafas, hidung tersumbat etc.

It's not uncommon for folks to be prescribed online pharmacy to take when it's needed, rather than regularly at the same time each day.

Such medicine is prescribed with the accepted abbreviation PRN (pro re nata), i.e. when required.

Doesn't this get you thinking?

If I prescribe a drug PRN for one of my in-patients, it's not there to be used regularly (or I'd write it up regularly, at specified times). It's then wholly up to the nurse to decide if or when it's given.

Usually if I want a nurse to decide if the patient has a particular problem, then formulate presentations to conclude that pharmacological treatment is indicated, then determine that a drug I've suggested is the right drug for that patient with that problem at that time, then ensure my patient gets that drug, the nurse is a Supplementary Prescriber. She's done courses on therapeutics, pharacokinetics and dynamics and (critically) has ongoing teaching and ongoing individual supervision with me and mandatory attendance at our ongoing training programme and attendance at our non-medical prescribing forum.

Thus, for an experienced band 7 community to think, yes, this psychotic patient who is believing that "they are out to get me" and is 'phoning police a dozen times a day and daren't leave the house really could use some additional medication (that a Consultant has written in a Clinical Management Plan with the nurse) to de-escalate their distress and help them cope, they have a rigorous training and ongoing development programme.

For a less experienced band 5 ward nurse to think, yes, this psychotic patient is agitated and I'll settle them down with some additional medication (that a Consultant has written on a drug card with a nurse at the MDT), they have no scrutiny or guidance or support or supervision or review of their practice.

This seems odd.

Is it just in my corner that life's like this?

Primeiro vamos ler a notícia que se apresenta como alvissareira para uma tonelada de amigos:

"Uma empresa britânica anunciou um lançamento que mistura dois prazeres: a cerveja que já vem com cheap viagra.

Segundo o "The Sun", beber três garrafas da nova cerveja equivale a uma dose do pequeno remédio azul.

A "bebida-remédio" foi batizada Royal Virility Performance - em tradução livre, algo como "performance régia de virilidade".

Como se não bastasse a dose de cialis, a bebida ainda tem, para garantir, outras pequenas doses de afrodisíacos - como chocolate.

Ainda segundo o "The Sun", a cerveja foi criada especialmente em homenagem ao casamento real britânico, e serão produzidas apenas 40 garrafas."

A notícia acima extraí do portal da Uol.

Quando lembro do amigo Pascoally que se bateu com a peteca azul que escapuliu de sua mão trêmula de emoção porque uma jovem morena resolveu fazer uma caridade pra ele... A pílula de viagra caiu na pia do motel e ficou na cruzeta, Pascoally tentou em vão resgatar a azulzinha, não conseguiu, pensou em aspirar com a boca, não teve coragem... Afinal era uma pia de motel.

Pronto Pascoally, não precisas mais pedi para o Locobueres umazinha azul.

Basta beber três cervejas dessa que está aí no post, felicidade total, né mano?!

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Journal of Voice (Feb 2010) Chapman DB, Rees CJ, Lippert D, Sataloff RT, Wright SC;



OBJECTIVE: Proton pump inhibitors (PPIs) are the mainstay of current medical management for laryngopharyngeal reflux, and treatment often involves long-term use of this class of medications. The long-term adverse effects of PPI use have not been studied extensively, but several analyses have demonstrated epidemiological links between PPI use and adverse outcomes. These include altered mineral and vitamin absorption, orthopedic injury, acute coronary syndromes (ACS), and infectious risks.



STUDY DESIGN: A PubMed search was performed for subject headings, including PPIs and adverse outcomes. Relevant studies were included in this review. Studies were compiled, reviewed, and compared in a narrative form.



RESULTS: Several epidemiological links between PPI use and metabolic, infectious, cardiac, and orthopedic adverse outcomes were found. No definite causal effects were identified.



CONCLUSION: Given these epidemiological patterns, we recommend that the clinician be aware of these possible unintended consequences. In addition, we recommend consideration of dual-energy X-ray absorptiometry (DEXA) bone density scans in at-risk patients who have not been previously tested. We recommend consideration of vitamin B(12) and iron levels in selected patients who are at high risk. We also recommend close communication with our cardiology colleagues, as we attempt to ascertain the relationship between clopidogrel and PPI use. We recommend caution in the use of omeprazole in patients undergoing active treatment for ACS. Finally, we recommend consideration of Helicobacter pylori or serum gastrin level testing in patients with known risk factors for gastric carcinoma.