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  • New Zealand may be first to open up access to Tamiflu

    New Zealand may be first to open up access to Tamiflu



    New Zealanders may be the first people in the world to buy antiviral drug, Tamiflu, without a doctor's prescription.

    Tamiflu (oseltamivir) is being stockpiled by governments worldwide for use in a global influenza pandemic, with New Zealand storing more than 1.5 million doses.

    To date, Japan has been the only nation to use it extensively to treat annual winter flu, prescribing about 10 million courses a year.

    However, from this month New Zealanders will be able to buy the medicine over-the-counter from pharmacists to treat winter flu. Drug company Roche believes this to be a world first.

    Medicine safety authority, Medsafe, has approved the sale of Tamiflu without a GP's prescription between May and September to make it easier for flu sufferers to take it within the required 48 hours of symptoms developing.

    This is despite concerns that widespread use of Tamiflu could see resistance developing, thereby limiting its effectiveness during a pandemic. Doctors worry that patients suffering serious illnesses such as meningitis, which can have symptoms similar to the flu, may go undiagnosed.

    Roche spokesman Stuart Knight said new evidence showed only limited resistance had developed to Tamiflu in Japan ? about 0.3 per cent over three winters. Other concerns about young people showing abnormal, sometimes dangerous behaviour after taking Tamiflu had also prompted Roche to advise in its data sheet that users be closely monitored.

    Christchurch influenza expert Dr Lance Jennings said he supported making Tamiflu more readily available as winter flu was a "devastating disease" causing about 340 deaths a year.

    However, he said it was crucial that the pharmacist saw someone rather than diagnose them through a third party or over the phone.

    "Many people confuse the influenza virus with a bad cold which is why they need professional advice. Tamiflu isn't effective against the common cold, or throat or chest infections caused by other viruses."

    Jennings said selling the drug over the counter would help more people learn how to use it appropriately.

    Stage two of Exercise Cruickshank ? the Government's largest trial of its plans for coping with a flu pandemic ? is on today.

  • #2
    Re: New Zealand may be first to open up access to Tamiflu

    this is "to treat winter flu" and not for prepandemic stockpiling !

    Apparantly normal is more in the news now again than panflu.
    No mention of pandemic stockpiling in the article,
    what do other NZ-newspapers say about that ?

    Does that mean, we can buy Tamiflu freely from NZ
    now online without prescription ?
    Might be interesting i.e. for Australians, while US-people
    can buy in Canada.
    How are the regulations and controls in NZ ? Is it safer to buy in NZ wrt.
    to fake Tamiflu ?
    I'm interested in expert panflu damage estimates
    my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

    Comment


    • #3
      Re: New Zealand may be first to open up access to Tamiflu

      Originally posted by gsgs
      No mention of pandemic stockpiling in the article
      Tamiflu (oseltamivir) is being stockpiled by governments worldwide for use in a global influenza pandemic, with New Zealand storing more than 1.5 million doses.

      Originally posted by gsgs
      Does that mean, we can buy Tamiflu freely from NZ
      now online without prescription ?
      New Zealanders will be able to buy the medicine over-the-counter from pharmacists to treat winter flu

      Originally posted by gsgs
      How are the regulations and controls in NZ ? Is it safer to buy in NZ wrt.
      to fake Tamiflu ?
      Medicine safety authority, Medsafe

      New Zealand Ministry of Health/Pharmac
      Last edited by Sally Furniss; May 18, 2007, 10:25 PM. Reason: add info

      Comment


      • #4
        Re: New Zealand may be first to open up access to Tamiflu

        ahh, I meant private pandemic stockpiling, of course.

        Will New Zealanders be allowed to buy Tamiflu without prescription
        over the counter for pandemic stockpiling ?

        Will NZ-companies be allowed to sell (export) Tamiflu to foreigners
        without prescription ?
        I'm interested in expert panflu damage estimates
        my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

        Comment


        • #5
          Tamiflu in NZ

          30th March 2007



          Dear Health Professional

          Re: Tamiflu? (oseltamivir) Position Statement

          Further to recent reports in the media associating Tamiflu with neuropsychiatric events and in particular, abnormal behaviour in children, Roche would like to make the following comment.

          Despite the fact that there has been no causal link establishing the use of Tamiflu with abnormal behaviour in children, Roche has as a precautionary measure added the following advice to our Data Sheet.

          Psychiatric disorders/nervous system disorders: neuropsychiatric events such as convulsions and those associated with delirium have been reported during Tamiflu administration in patients with influenza. In rare cases, the delirium resulted in accidental injury. The contribution of Tamiflu to those events is unknown. Neuropsychiatric events have also been reported in patients with influenza who were not taking Tamiflu.

          Patients with influenza should be closely monitored for signs of abnormal behaviour throughout the treatment period.


          Roche New Zealand have proactively been in communication with and provided MEDSAFE all available information pertaining to this situation and will continue to advise as any further developments arise. To date there have been no neuropsychiatric adverse reactions following the use of Tamiflu in New Zealand. Tamiflu remains indicated for use in adults and children ≥ 1 year of age. Roche continues to monitor the situation globally.

          The European Medicines Agency has stated that it will not follow the recent Japanese decision to limit the use of Tamiflu in children aged 10 to 19 years and does not believe that the use of Tamiflu should be restricted. So far, there have been no reports of suicides or attempted suicides in Europe following the use of Tamiflu.

          Roche would like to confirm that the reported events in Japan are extremely low in frequency considering the widespread Tamiflu usage and that influenza itself is known to be associated with such events. No causality has been established between Tamiflu and neuropsychiatric events.

          The well-being of patients and effective use of our medicines is a priority for the company. Roche continues to monitor the safety of Tamiflu through established reporting mechanisms and notifies regulatory authorities of adverse events in line with regulatory requirements.

          Tamiflu? (oseltamivir 75mg capsules and 12mg/ml oral suspension) is a Prescription Medicine for the treatment and prevention of influenza in adults and children ≥1 year of age. Tamiflu is an unfunded medicine. A prescription charge will apply. Between May to September Tamiflu can be counter-prescribed and sold by a pharmacist without a prescription for the treatment of influenza in patients ≥12 years old. Precautions: Renal impairment, Hereditary Fructose Intolerance. Undesirable effects: Common; nausea, vomiting, diarrhoea, abdominal pain, headache. In children, also otitis media, epistaxis, ear disorder, conjunctivitis. Rare; hypersensitivity and anaphylactic reactions. Further information is available on request. For detailed prescribing information consult the Tamiflu Data Sheet available at www.medsafe.govt.nz.

          Comment


          • #6
            Re: Tamiflu in NZ

            Medicine safety authority, Medsafe, has approved the sale of Tamiflu without a GP's prescription between May and September to make it easier for flu sufferers to take it within the required 48 hours of symptoms developing.

            Comment

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