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Promoting Covid antivirals over-the-counter might compromise affected person security, Australian docs say | Well being


Medical doctors have warned {that a} push for Covid antiviral remedies to be bought over-the-counter at pharmacies could compromise affected person security because of their complicated prescription course of.

As GP wait occasions proceed to develop considerably throughout the nation and with some GPs ditching bulk billing, the Pharmacy Guild has known as on the federal government to permit antiviral medicine to be bought at pharmacies with no prescription.

The Pharmacy Guild president, Prof Trent Twomey, stated present wait occasions for GPs had been “unacceptable” and had been making it troublesome for sufferers to entry this medicine in a well timed method.

New South Wales residents have to attend a median of 4.17 days to see their GP. In Victoria, the wait time has risen from a median 1.98 days in 2019 to a median 3.33 days now.

“Given the therapy program of those life-saving antiviral medicines must start inside 5 days of the preliminary onset of Covid-19 signs, it’s very important that sufferers … obtain therapy with out lengthy delays as a result of lack of GP appointments,” Twomey stated.

“Neighborhood pharmacists in Australia have the talents, experience and information to help sufferers so there is no such thing as a motive for delaying therapy to eligible sufferers.”

However the vice-president of the Royal Australian School of Basic Practitioners (RACGP), Dr Bruce Willett, stated whereas he can “perceive” the push, prescribing antivirals is a fancy course of greatest suited to GPs.

“If medicines are sophisticated they do must know all of the medicines {that a} affected person is taking and likewise their blood outcomes, liver perform and kidney perform,” Willett stated.

“It will be compromising security to go to a pharmacy over-the-counter mannequin.”

There are two types of antiviral Covid remedies authorized to be used in Australia, Lagevrio and Paxlovid, that are taken as capsules or tablets to assist forestall Covid infections from turning into extreme.

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Final month the Pharmaceutical Advantages Advisory Committee up to date the eligibility standards for the medicine to incorporate Covid-positive people who find themselves:

  • 70 years and older, no matter danger elements and with or with out signs;

  • 50 years or older with two extra danger elements; or

  • Aboriginal or Torres Strait Islander, 30 years or older with two extra danger elements.

The Pharmacy Guild has put its proposal to the well being minister, Mark Butler.

Willett stated there are three fundamental limitations for sufferers when accessing antiviral Covid medicine early: realizing that the medicine exists, accessing a GP to get the script, and getting the script stuffed.

As an alternative of pivoting to a pharmacy over-the-counter mannequin, Willett would as a substitute wish to see the antiviral medicine offered on to GPs who can present them on to sufferers after hours.

He stated the aged care sector is in dire want of a stockpile of the medicine, and that addressing this needs to be a precedence.

New Zealand was the newest nation to make antiviral medicine out there over-the-counter at pharmacies, following related choices in Canada and the UK.

The RACGP president, Dr Karen Worth, warned in opposition to comparisons between Australia and different international locations, saying this doesn’t account for variations in main care fashions, pharmaceutical coaching and security classification of medicines.

“These remedies could make the distinction between somebody struggling comparatively minor results or ending up in hospital,” Worth stated. “Nevertheless, we should proceed with warning as a result of the very last thing we need to do is doubtlessly endanger sufferers.”



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