These monitor how your brain waves respond to what you see and hear. It is painless and can show whether it takes your brain longer than normal to receive messages. It may also not be possible to confirm a diagnosis if you have had only one ‘attack’ of MS-like symptoms. A diagnosis can usually only be made with confidence once there is evidence of at least two separate attacks.

He said that what had become apparent to doctors was that this was quite wrong and that significant amounts of particularly potent inhaled steroids can be absorbed into the systemic circulation through absorption in the lung. Dr Cochran also gave as an explanation for not pro-actively seeking to reduce the dose prescribed to Emma the fact that he was aware that the use of higher doses of inhaled steroid was a practice that some clinicians used. However, as previously stated, this was not his own practice, he considered as a general principle that one should always reduce the dose to the least possible amount and he was not aware of any research which showed that there was more benefit to be gained from doses of over 500 micrograms daily.

It is important to recognise that many BSL users rely on BSL resources as written literacy in this group can be lower. This year NHSEI is running an integrated Health and Social Care Workers Winter Vaccinations campaign to communicate the importance of both the influenza vaccine and the COVID-19 booster. Communications play a critical role in maximising and encouraging uptake of both vaccines amongst eligible groups, ahead of winter.

  • If your migraines are severe or you have tried avoiding possible triggers and you are still experiencing symptoms, your GP may prescribe medication to help prevent further attacks.
  • Dr Shapiro said that the recommendations in Current Problems in Pharmacovigilance were important but did not effect his prescribing pattern for inhaled steroids in view of the other reinforcement he had that this was appropriate prescribing.
  • Both men and women with MS may find they are less interested in sex than they were before.
  • As to whether it was chemically inert when absorbed, he said that that was a matter for a pharmacologist or pharmacist.

If you are having chemotherapy, you may be offered a drug called erythropoietin, to help increase the number of red blood cells in the body. About one in five men with prostate cancer have fast-growing cancer. Men whose cancer is more likely to spread may decide to have surgery or radiotherapy, which aims to cure the cancer. The PSA test can find aggressive prostate cancer that needs treatment, but it can also find slow-growing cancer that may never cause symptoms or shorten life.

Dr Thornton said that he did not read the 1998 bulletin that way and did not think that a merely theoretical risk was implied. He said that a GP would be expected to read this bulletin and that, even if it contradicted advice from other sources, it should give cause to consider a change in practice. Mr Lindsay for MHRA said that the advertisements were read in medical journals and publications by medical professionals and that while it might be considered that a lay person might be influenced by slogans and pictures of teddy bears, this would not influence medical practitioners. This begs the question as to why adverts would be placed by the manufacturers in the medical journals and publications, if they did not intend that such advertising would be a means of disseminating throughout the medical profession positive information about their product.

Flu vaccination programme resources

He also said that he wondered whether, if the children reported on in the reports by Patel and Todd and others had had CT scans as quickly as Calum, they might have been found to have cerebral oedema as well as hypoglycaemia. Dr Donaldson referred to one case report describing cerebral swelling in Addison’s disease, which is a condition where the adrenal glands fail. Dr Howatson said that Emma probably had bacterial stress and that because her adrenal glands were suppressed, she succumbed. The nature of the stress suffered by Emma, resulting in her requiring to produce cortisol, was probably due to infective tonsillitis, as indicated also by a high white cell blood count.

Guidance and resources for preschool children

‘Over 1200 people died from asthma in Scotland between 1990 and 1999 of which 43 % were under the age of 65’. My guess is that the scientists at GlaxoWellcome (sponsor of the trials in the meta-analysis) and at the Medicines Control Agency and the clinicians and academics working on asthma had not appreciated the need for and value of systematic reviews and appropriate meta-analysis.” This article was published in the Lancet in July 1996 by Dr Geoffrey Todd and colleagues. Glaxo submitted a safety report to the MCA on 25th April 2002, in accordance with the requirement that a serious unexpected adverse event be submitted to the regulatory authority within 14 days.

It was produced by Glaxo Wellcome, the predecessor of GlaxoSmithKline. Glaxo monitors the safety of drugs through its pharmacovigilance department. That department performs a safety review every six months for the first two years after a drug has been licensed, then every year for the next two years, then every five years thereafter.

After Calum’s discharge from Yorkhill, a member of staff at the hospital noticed that the results of the blood tests taken when Calum was in hospital showed that he had a lower level of cortisol than would have been expected. It was arranged that Calum be recalled for synacthen tests to check this. At Wishaw General Hospital, tests were carried out on Calum and two doctors from Yorkhill attended and examined him but the cause of his illness was not established.

On 14 September 2000, Dr Shapiro saw Emma using the inhaler devices and noted that she seemed to be able to use a turbohaler. He therefore changed her steroid prescription to budesonide as Flixotide is not available with a turbohaler device. Dr Shapiro did not see Emma until 26 June 2000 when he noted that she had been well for two months. On 3 December 1999, Dr Shapiro noted that Emma had fever and was shaky, her drinking had increased and that she was otherwise alert and well.