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New NI-built pharmacy app can save NHS £1.7bn, claim founders

New NI-built pharmacy app can save NHS £1.7bn, claim founders

Neil Sharpe and Stephen Toland have launched ConsultTed following a six-figure investment and said it gives community pharmacies the ability to manage minor illnesses like sore throats, coughs and stomach bugs "directly and safely'.
The app encourages patients to use pharmacies as a first port of call, therefore easing pressures on GPs and hospitals.
It's already used in some pharmacies here, with a full roll-out planned across the island of Ireland by August.
The co-founders said the platform could boost the UK economy by £350m a year by cutting workplace absences and providing pharmacies with up to £30,000 in annual added income but without increasing their workload.
Mr Toland said: 'Community pharmacies have untapped potential to ease pressure on our healthcare system.
'With ConsultTed, we're giving them the digital tools to deliver safe, same-day treatment for minor illnesses without the need to see a GP.'
The pair said that over 30 million GP and hospital appointments in the UK last year 'could have been handled by pharmacies without a prescription'.
ConsulTed is in beta testing and launching pilot sites across the Republic in the coming weeks, while it's been showcased in London, Dublin and New York.
The co-founders are part of the AMP Growth Incubator at Derry's Ebrington complex, and have secured a place on Invest NI's Founder Labs Programme.
Mr Sharpe, who works in a pharmacist in Donaghcloney in Co Down, said: 'Our goal is to make ConsultTed the go-to minor illness platform across the UK and Ireland.
'We're actively seeking partnerships with healthcare providers, policymakers and pharmacy groups to help make pharmacy-first care the new normal.'
Mr Toland, a pharmacist in Derry, was named Pharmacist of the Year at the Pharmacy in Focus NI Awards in March.
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Tryngolza side effects and how to manage them
Tryngolza side effects and how to manage them

Medical News Today

time12 hours ago

  • Medical News Today

Tryngolza side effects and how to manage them

As with other drugs, Tryngolza (olezarsen) can cause side effects, such as injection site reactions and joint pain. If side effects of Tryngolza become difficult to tolerate, talk with your doctor or (olezarsen) is a brand-name injection that's prescribed to help lower triglyceride levels in adults with familial chylomicronemia syndrome. It's prescribed along with a low fat you have problems with side effects from Tryngolza, talk with your doctor or pharmacist. They can suggest ways to manage side effects or other available treatment options. Do not stop Tryngolza without consulting your doctor first.»Learn more about Tryngolza, including details about its common side effects of TryngolzaTryngolza can cause certain side effects, some of which are more common than others. These side effects may be temporary, lasting a few days to weeks. However, if the side effects persist, bother you, or become severe, be sure to talk with your doctor or pharmacist. These are just a few of the more common side effects reported by people who injected Tryngolza in clinical trials:injection site reactions, such as pain or changes in skin colorlow platelet countjoint painFor more information about some of these side effects, see the 'Managing side effects' side effects of TryngolzaMild side effects can occur with Tryngolza use. This list may not include all possible mild side effects of the drug. To find out more, you can refer to Tryngolza's prescribing side effects that have been reported with Tryngolza include:injection site reactions, such as pain or changes in skin colorlow platelet countjoint painThese side effects may be temporary, lasting a few days to weeks. However, if the side effects continue, worsen, or become too difficult to tolerate, be sure to talk with your doctor or After the Food and Drug Administration (FDA) approves a drug, it tracks and reviews side effects of the medication. Sharing your experience helps make medications safer for everyone by giving doctors and researchers more information about how the drug works in real life. If you develop a side effect during treatment with Tryngolza and want to tell the FDA about it, visit MedWatch or call more information about some of these side effects, see the 'Managing side effects' side effects of TryngolzaSerious side effects from Tryngolza weren't reported in the drug's clinical trials. However, they can still occur. If you develop serious side effects during treatment with Tryngolza, call your doctor right away. If the side effects seem life threatening or you think you're having a medical emergency, immediately call 911 or your local emergency reactionFor some people, Tryngolza can cause an allergic general, symptoms of allergic reaction can be mild or to manageFor mild allergic reaction symptoms, such as a mild rash, call your doctor right away. They may recommend treatments to help manage your symptoms. They'll also let you know whether you should continue treatment with the severe allergic reaction symptoms, such as swelling or trouble breathing, call 911 or your local emergency number right away. These symptoms require immediate medical care because they can become life threatening. If you've had a serious allergic reaction to Tryngolza, your doctor may recommend taking a different medication side effectsDuring treatment with Tryngolza, you may be able to take steps to make side effects easier to manage. If you have problems with side effects that do not go away or they become worse, talk with your doctor or pharmacist. They can discuss options for managing side effects or other available treatment site reactionsInjection site reactions, such as pain or changes in skin color, were common side effects reported in studies of Tryngolza. Steps you can take to help manage symptoms associated with this side effect include:taking over-the-counter (OTC) pain medicationsapplying a cold compress to the area, such as an ice packtaking OTC antihistaminesJoint painJoint pain was a common side effect reported in studies of Tryngolza. Steps you can take to help manage symptoms associated with this side effect include:taking OTC nonsteroidal anti-inflammatory drugs, such as ibuprofen, or using topical capsaicinusing the RICE methodPrecautions for TryngolzaBefore starting Tryngolza, discuss your health history with your doctor. Tryngolza may not be right for you if you have certain medical conditions or other factors affecting your health. Be sure to talk with your doctor if any of the following apply to you:previous allergic reaction to this or a similar drugpregnancybreastfeedingDisclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

The 7 supplements to avoid in hot weather – or risk life-threatening heatstroke, second-degree burns and overdose
The 7 supplements to avoid in hot weather – or risk life-threatening heatstroke, second-degree burns and overdose

The Sun

time4 days ago

  • The Sun

The 7 supplements to avoid in hot weather – or risk life-threatening heatstroke, second-degree burns and overdose

WHILE supplements can support our health year-round, some should be taken with caution during the summer. Increased sun exposure, heat, and even certain food and drink combinations can cause serious issues, and in severe cases, be fatal. There are several common pills, powders, oils and gummies that carry risks. These are the ones to be wary of this summer... 1. Diuretics People take diuretics, also known as water pills, primarily to reduce excess fluid in the body. They're commonly used to treat high blood pressure, heart failure, and oedema (swelling). But pharmacist Abbas Kanani, from Chemist Click, warns: "Diuretics help your body remove excess sodium and water, but this can lead to dehydration, especially with hot weather." Dehydration can cause a range of problems, from mild discomfort to severe, life-threatening complications. Mild symptoms include headaches, dizziness, and fatigue. More seriously, it can cause low blood pressure, kidney problems, heat injuries, seizures, and even death in extreme cases. 2. St John's wort St John's wort has been used for a variety of conditions, but it is most widely promoted for symptoms of depression. However, anyone taking it should be aware that it can cause increased sensitivity to sunlight, a condition known as photosensitivity. This occurs because St John's wort (which comes in tablet, capsule, gummy, oil and powder form) contains hypericin, a substance that absorbs light in the UV and visible ranges. Mr Kanani says: "This can put people at increased risk of sunburn." Other skin reactions may include rashes and blistering, so it's especially important for individuals with fair skin or those taking large doses of the supplement to be cautious about sun exposure. Wear at least SPF30 with a UVA rating of at least four stars, reapply it every two hours, and seek shade between 11am and 3pm when the sun is hottest. 3. Vitamin D People obtain vitamin D from sunlight when ultraviolet B (UVB) rays from the sun interact with a chemical in the skin. But in the UK, the general advice is for everyone to consider taking a daily 10 microgram (400 IU) vitamin D supplement during the autumn and winter months (October to March) - when the sun's UVB rays aren't strong enough. Some people, including those who aren't often outdoors, have dark skin, are pregnant or breastfeeding, or infants and young children, may need to take a vitamin D supplement (in pill, gummy, powder or liquid form) year-round. But Mr Kanani warns: "This could put you at increased risk of vitamin D overdose. "Vitamin D overdose can happen if you're using supplements in high doses, as well as getting extended periods of sun exposure." The NHS warns adults and children aged 11 to 17 not to take more than 100 micrograms (4,000 IU) of vitamin a day as it "could be harmful". Kids one to 10 should not have more than 50 micrograms (2,000 IU) daily. The signs of heat exhaustion - and when it becomes heatstroke HEAT exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. The signs include: Tiredness Dizziness Headache Feeling sick or being sick Excessive sweating and skin becoming pale and clammy or getting a heat rash, but a change in skin colour can be harder to see on brown and black skin Cramps in the arms, legs and stomach Fast breathing or heartbeat A high temperature Being very thirsty Weakness Diarrhoea HEATSTROKE is a medical emergency, so get inside and call 999 for an ambulance. Stay with the person, who may not be able to help themselves. Try to remove clothes if possible and lie the person down. Use a cool flannel and sponge them down and use a fan to try and help them lose heat by evaporation. If they are conscious and able, try to encourage them to drink. If they lose consciousness, put them into the recovery position while you wait for an ambulance. The NHS says to call 999 for signs of heatstroke that include: Still being unwell after 30 minutes of resting in a cool place, being cooled and drinking fluids A very high temperature Hot skin that's not sweating and might look red (this can be harder to see on brown and black skin) A fast heartbeat Fast breathing or shortness of breath Confusion and lack of coordination A seizure or fit Loss of consciousness 4. Thermogenic fat burners Thermogenic fat burners are dietary supplements marketed to promote weight loss by increasing the body's metabolic rate and fat burning process (thermogenesis). They aim to help users burn more calories, potentially leading to a calorie deficit and subsequent weight loss, especially when combined with a healthy diet and exercise. But in their efforts to boost metabolism, these fat burners (which usually come as pills or powders) can lead to a rise in heat production and core body temperature. Also, similarly, by stimulating the nervous system they can increase heart rate. Mr Kanani says: "Caution should be taken to avoid serious issues such as heat stroke or heat exhaustion." Heat exhaustion, which causes tiredness, dizziness, headaches, sweating and cramps, does not usually need emergency medical help if you can cool down within 30 minutes. If it turns into heatstroke, of which symptoms include a very high temperature, hot skin that's not sweating, a fast heartbeat, confusion, seizures, or not being well after 30 minutes of resting in a cool place with fluids, it needs to be treated as an emergency. 5. Vitamin A 5 People take vitamin A supplements for several reasons, primarily to support vision, boost the immune system, and maintain healthy skin and mucous membranes. Vitamin A is crucial for vision, particularly in dim light, and is essential for cell growth and development, including bone growth and reproduction. It also plays a vital role in maintaining the health of the skin and the lining of various body parts, like the nose. But you should be careful if you're exceeding 10,000 IU per day, warns Ian Budd, prescribing pharmacist expert at Chemist4U. He says: "High-dose vitamin A can increase skin sensitivity to sunlight, potentially leading to sunburn. "Sun sensitivity reactions can cause burning, blistering, and dark patches on the skin (called hyperpigmentation). "These reactions sometimes happen even if you're wearing clothes or sitting behind glass, like in a car." 6. Essential oils (used topically) Essential oils offer a diverse array of potential benefits, including mood enhancement, stress relief, and connection to nature. They're often used in aromatherapy to create a calming atmosphere and can be incorporated into daily routines for both physical and mental wellbeing. But Mr Budd cautions: "Certain essential oils, such as bergamot, lime, lemon, and other citrus oils, contain furocoumarins, which can cause phototoxic reactions when the skin is exposed to sunlight." He adds that you may experience worse sunburn than usual, even with very little sun exposure. "These can look like regular or even second-degree burns and may take a day or two to appear," he says. 7. Niacin (vitamin B3) 5 Niacin is a B vitamin the body makes and uses to turn food into energy and keep the nervous system, digestive system, and skin healthy. Also known as vitamin B3, many people take it as part of a daily multivitamin tablet or gummy. However, Mr Budd says: "In high doses, this supplement can cause flushing and increased heat sensitivity, which may be more problematic in hot weather." Men need about 16.5mg a day, while women need 13.2mg. The NHS warns: "Taking high doses of nicotinic acid supplements can cause skin flushes, and doing so for a long time could lead to liver damage." Food interactions Some supplements may also interact with certain foods and drinks and make side effects worse in the heat. For example, excess salt can affect or stop diuretics working. Mr Kanani adds: "Avoid foods that contain tyramine when taking St John's wort, like aged cheese and wine. "They can raise your blood pressure to potentially dangerous levels so should be avoided. "Vitamin D is actually best taken with a meal that contains dietary fat, such as whole milk. "Thermogenic fat burners can generally be taken with food and this is something preferable to reduce the risk of a stomach upset." If you're using one of these supplements, sometimes simply changing the timing can reduce the risks Ian BuddPrescribing pharmacist Mr Budd says: "Caffeine or energy drinks can make you feel hotter and more dehydrated, especially if you're mixing them with certain supplements, such as niacin and St John's wort. "Drinking alcohol can also make flushing caused by niacin supplements worse and increase then chance of dehydration, since alcohol impacts how your body handles heat. "And citrus foods and drinks can make you more sensitive to the sun, especially if any citrus oils touch your skin while taking a supplement that causes your skin to react negatively to sunlight or UV rays." Some alternatives... If you need to take these supplements during the summer months, you should talk to your GP or pharmacist first. But there are plenty of options you can ask them about. Diet and lifestyle changes are recommended when looking for alternatives to these supplements. Mr Kanani advises: "For diuretics, that means reducing your salt intake and increasing the amount of water you drink. "Omega-3 fatty acids found in oily fish and nuts can be a natural alternative to St John's wort to help with depression, as they're thought to help regulate mood through neuroinflammation and supporting normal brain function. "You can also try thermogenic foods such as chicken, chilli peppers, caffeine drinks, turkey or fish. "They require more energy to digest than carbohydrates or fats, which increases thermogenesis and calorie burning." Instead of high-dose vitamin A, Mr Budd says beta-carotene, mixed carotenoids from food sources, like carrots or sweet potatoes, and lower-dose vitamin A (under 5,000 IU a day) can be considered. He says: "Instead of high-dose niacin, alternatives include niacinamide (a form of vitamin B3 that doesn't cause flushing), lower doses of niacin taken with food, slow-release versions, or there are other options for managing cholesterol. "And instead of citrus essential oils that can cause sun reactions, you could try oils like lavender or tea tree that have properly been diluted, using citrus oils only in the evening, or giving synthetic fragrance alternatives a go. 'Even if you're using one of these supplements, sometimes simply changing the timing can reduce the risks. "But always check with a GP or pharmacist before starting or switching supplements, especially if you're on medication or have health conditions." The nasty ingredients hiding in supplements Supplements can help us reach vitamin and mineral recommendations. But Dr Carol Granger, a registered nutrition practitioner with a degree in biochemistry and a masters in microbiology, warns of many additions to supplements, medications and foods that could cause side effects, and suggests doing your research before buying commercial pills. She tells Sun Health: 'Ingredients like talc, E numbers, and gelatin are all used as bulking agents or as colourings and they can have serious long-term health impacts like heartburn, dizziness, fainting and severe allergic reactions." Here are the worst culprits: Magnesium stearate Unlike the name suggests, this ingredient contains no magnesium (which may help with sleep, anxiety and bone health). Dr Granger says: 'This is used as a lubricant - it prevents ingredients sticking together and means the machines that make the tablets don't block.' But she warns that 'high amounts can cause a laxative effect and it can cause inflammation too, especially in those who are sensitive to allergies'. It's unlikely the small amount found in supplements is enough to do harm, but it may be worth reconsidering if you have been taking it for a long time. Ascorbyl Palmitate Ascorbyl palmitate is a form of vitamin C made by combining ascorbic and palmitic acids. It's considered safe in the amounts that are used when added to skincare. Dr Granger says: 'This is used as an antioxidant food additive and preservative meaning things with it in can have a longer use by date.' But she claims 'excess amounts can cause nausea, diarrhoea, and vomiting'. Aspartame You'll may be familiar with aspartame, which is a sugar-alternative often used in things like soft drinks, sweetened diet products or other 'low/no sugar' foods. Dr Granger says: 'This is a sweetener a lot of people have heard of. 'It's a flavour enhancer but because it's an artificial sweetener, it has been linked to weight gain.' Studies have found both that sweeteners like aspartame help people lose weight, but also gain weight by potentially increasing appetite. Several studies have linked high intakes to more serious health problems such as cardiovascular disease, cancer, and dementia but there has been much debate about the results. But Dr Granger claims: 'It can affect metabolism so if you see it on any ingredient list, my advice would be to give it a wide berth.' Carrageenans Carrageenan is an ingredient that has long had concern surrounding it. Products with it may be labelled as 'natural' because it is derived from seaweed, therefore it is also found in some plant-based/vegan foods. But Dr Granger says: 'The processing used to make some types of carrageenan makes it into something you definitely don't want to consume. 'They're widely used as gelling agent and thickener. They can be used to prevent powder clumping so may be in powder supplements you add to smoothies. 'But some cause inflammation, are really bad for digestive health and have been linked to ulcers too. 'Some can also destabilise blood sugar and cause problems with blood sugar balance.' Calcium Phosphate Calcium phosphate is a mineral (calcium and phosphate) which are essential for bone, muscle, blood and nerve health. Some may benefit from additional calcium, such as menopausal women with weakening bones. But calcium phosphate is also used as an additive to products, from supplements to toothpaste and fertilizers. Dr Granger says: 'This is used to bulk out and buffer ingredients like vitamin C. 'Side effects can include kidney problems, loss of appetite and weakness.'

Morning glory or night-time no show? What your erections (or lack of) reveal about your health
Morning glory or night-time no show? What your erections (or lack of) reveal about your health

The Sun

time06-08-2025

  • The Sun

Morning glory or night-time no show? What your erections (or lack of) reveal about your health

Plus, the treatments available if you're suffering with erectile dysfunction HARD TRUTH Morning glory or night-time no show? What your erections (or lack of) reveal about your health MOST men occasionally fail to get or keep an erection and it can be hard to tell whether this is due to a physical or psychological cause. But there may be a way in which men can find out - by monitoring what happens down below at a certain time of the day. Advertisement 3 While 'morning wood' might be a good sign, erectile dysfunction could indicate an underlying health problem Credit: Getty Men who keep an eye on their erections after waking up in the morning may be more attuned to what's going on with their health. For example, Abbas Kanani, pharmacist at online pharmacy Chemist Click, said, if you've experienced erectile dysfunction, but continue to get morning wood, your body is likely to be healthy enough to produce erections. He continued: "The problem isn't likely to be a physical one, but a psychological one." Morning wood is an erection that men have as they wake up and is a good indicator of a healthy blood and nerve supply to your penis. Advertisement Abbas added: "It means that your body is physiologically capable of achieving an erection and that you probably aren't affected by physical ED, caused by high blood pressure, diabetes, or low testosterone." While men aren't always going to wake up to a rock-hard erection, they should be getting them every so often, he urged. Abbas added: There are no set guidelines or indicators which state how many days a week a man should be waking up with an erection, but if you're not waking up with the morning glory you once knew, it can be a sign that you have an underlying health condition." Sexual arousal in men is a process which involves the brain, hormones, nerves, emotions, and blood vessels. Advertisement As such, erectile problems can arise when there's a problem with any of these processes. "Problems can be both physical and psychological," said Abbas. What is Erectile Dysfunction? Erectile dysfunction (ED) is a very common condition. It's estimated to affect half of all men between the ages of 40 and 70, according to NHS reports. Advertisement Physical ED can be due to: Medical conditions such as high blood pressure, diabetes, kidney disease, stroke, epilepsy, obesity, Parkinson's or low testosterone levels. Nerve damage Smoking Excess alcohol consumption Anatomical problems with your penis such as Peyronie's or penile fracture Certain medication Psychogenic erectile dysfunction occurs when a man has the inability to achieve or maintain an erection during sex due to psychological factors. These can include the following... Stress 3 Stress can affect arousal as well as testosterone levels Credit: Getty Stress can be linked to erection problems in men. Advertisement Abbas explained: "During times of stress, activity in the less essential sections of the brain, including the receptors responsible for managing arousal, start to decrease. "When you are preoccupied, often with the pressures that life has to present, it's difficult to focus. "It may even be the case that sex is the last thing on your mind which can affect performance". He added: "Stress can also affect testosterone levels, and the quality of sleep, which can have a knock-on effect on sexual activity". Advertisement Performance anxiety Sexual performance anxiety is generally believed to be amongst the most common psychological causes of ED. The desire to please a new partner during sexual intercourse can cause performance anxiety in men of any age, said Abbas. He continued: "Erection difficulties on occasion can also have a negative effect the next time you try, and this can have a negative impact on your confidence. "In most cases, anxiety induced ED is temporary, but may require therapy." Advertisement Depression 3 Depression can also impact the body's ability to trigger sexual arousal Credit: GETTY Whether exacerbated by loss of self-esteem or over fatigue, a depressed mental state can significantly impact the body's ability to trigger sexual arousal. Abbas said: "ED itself can exacerbate the symptoms of depression, and vice versa". Loss of interest A reduction in libido may be responsible for ED. Advertisement "Symptoms stemming from a lack of interest in sex may have as much to do with partner familiarity as they do a lack of testosterone, and relationship issues can trigger an onset of ED symptoms," cautioned Abbas. "When it comes to the onset of ED, there are often underlying issues that require addressing prior to tackling any secondary aggravators. "Once the primary source of the erection issue has been identified and addressed, it is possible to reverse and treat the condition permanently." Advertisement But in some primary cases – for example if a man has never been able to achieve or maintain a rigid erection – treating ED permanently is more of a challenge, depending on the cause.

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