Marys Medicine

Your pharmacist can also put you in touch with organisations offering further support and information, including: Cancer Research UK's
The Muslim Council of Britain
Keeping you healthy
Sun Smart campaign
For worldwide vaccination
Heart of England
information, visit
Medical Advisory Services
for Travellers Abroad
Meningococcal vaccine, anti-malaria treatments and healthcare advice Visit us at:
for you and your family I can also help with.
Specialist Health
Ask our pharmacist The Co-operative Pharmacy is part of the Co-operative Group and is the trading name for National Co-operative Chemist Ltd, (Registered No. 12714R) and Co-operative Group Healthcare Ltd (Registered No. 30856R) whose registered office address is The Co-operative Pharmacy, 1 Angel Square, Manchester M60 0AG.

Minor ailmentsPlan and prepare yourself for minor ailments which are common Keeping you healthy when you're away on holiday or out and about this summer, with our top tips and advice for you and your family.
Plan and prepare yourself for when you are travelling with our advice and Travel sickness or motion sickness is caused Many people are affected by tummy problems abroad. services for you and your family.
by repeated unusual movement experienced Symptoms can include diarrhoea, sickness and tummy We offer expert advice and services including:
whilst travelling by car, plane, boat or train. cramps and can last anywhere between two and four The brain receives mixed messages where days. The best way to avoid problems is to use only • Minor ailments • Sexual health your eyes tell the brain your surroundings are bottled water for drinking and cleaning your teeth and • Malaria protection stationary, but your ears tell your brain that to avoid ice in drinks. you're moving. Symptoms include nausea, • Meningococcal (Menveo) vaccine Be careful not to consume unpasteurised milk or dairy dizziness and headaches. products and don't eat raw seafood or undercooked meat. However, some people are just more prone to Treating travel sickness
an upset tummy owing to the change in your diet.
There are over the counter remedies as well as prescribed medicines available Treating an upset tummy
to help treat travel sickness. For example, If you do get an upset tummy, drink plenty of Ask our pharmacist Kwells Kids or Joy Rides are suitable water. Rehydration sachets, such as Dioralyte for children.
Relief Sachets, provide the correct balance of Alternatively, try peppermint oil product, water, salt and sugar. Diarrhoea can be treated which contains a mild anaesthetic effect with any product that contains loperamide, on the stomach.
such as Imodium, or kaolin, such as Diocalm, which will also help to ease symptoms.
Insect repellents are effective and non-chemical repellents containing citronella oil are recommended. Treating bites and stings
If you're travelling to countries with a risk of malaria, you need a product containing DEET but this can Apply topical antihistamines for relief from only be used for certain ages, so ask our pharmacist redness and itching, or use hydrocortisone for advice. Avoid the use of perfumed products, as they cream 1% which has a longer-lasting effect. attract insects, and cover up before sunset.
Alternatively use a spray or cream containing a local anaesthetic to ease pain.
Ask our pharmacist

Your travel health checklist Enjoying the sun safely Make sure you're prepared whether you're out and about, It's important to protect skin from the sun whilst on holiday. at home or abroad, with our travel health essentials: A good sunscreen is vital but it won't protect you The table below can help give you an idea of
completely, so follow these simple rules.
which SPF is best for you and your family.
Sunscreen and aftersun
Anti-diarrhoea tablets and rehydration sachets
• Use a sunscreen with an SPF of 15 or more for Protect yourself from the sun's rays Travel to different places, food not properly cooked adults, and 30 or more for children Moderate Hot
with a sun protection factor of at or stored in the heat, and contact with different people • Use around two tablespoons for your entire body least 15 – the higher the better! can all increase the risk of stomach bugs. Anti-diarrhoea (or an ice cream scoop!) Suncream should be used within tablets will help to give you quick relief if you are out a year of opening the pack and and about. Rehydration sachets replace electrolytes • Apply your sunscreen 15-30 minutes before you reapplied frequently. lost when you have diarrhoea, helping rehydration and go out, and re-apply it frequently – The British Skin making you feel better. Foundation recommends every two hours, or after Fair skin
you've been in the water Medium skin SPF 15
Malaria tablets are essential if you travel to some Hand gel or baby wipes
• UV rays can penetrate the clouds, so remember to countries. The recommendations do change over To keep you clean and fresh use sunscreen even if it's overcast Dark skin
time so ask our pharmacist whether you need when outdoors.
malaria protection.
Pain relief
These may include paracetamol Antihistamines can be helpful to have close to hand for and ibuprofen tablets for headache insect bites, hayfever or prickly heat. Some can cause and antacids for indigestion. Remember to have liquid drowsiness – ask our pharmacy team for advice. painkillers for the younger members of the family.
It is common whilst under the influence of alcohol for many Sunglasses help to protect your eyes from UV rays. people on holiday to end up doing things they may not necessarily have done so if they were at home.
Your lips need protecting in the sun too. Choose a Travel sickness tablets
lip salve with a sunscreen in it because your lips are Sometimes that can include sex, and if condoms are not accessible then this can lead to a risk of Let the holiday start as soon as you set off on your sensitive and can burn easily. pregnancy or of sexually transmitted diseases such as Chlamydia, Gonorrhoea or genital warts. journey. Travel sickness tablets are a great way to ease nausea and make those long journeys more enjoyable.
Having fun responsibly – use a condom
For removing splinters and thorns whilst spending Insect repellent and bite cream
With the help of a condom you can greatly reduce time in the garden and out of doors.
the risk of pregnancy and protect yourself from sexually Insect bites can be a real pain. Although transmitted diseases. Buy a pack of condoms before • Condoms can be damaged by oil-based prevention is better than cure, bite cream First aid kit
you go, and make sure they have the CE mark on the products such as moisturiser, lotion can be a great relief if you do get caught. We'd recommend you pack a packet. Condoms without this won't meet high safety (including sunscreen), baby oil and lipstick You should protect yourself with a first aid kit when you travel. First standards that are required in Europe. product containing DEET if you travel to a aid travel kits are available from • Store condoms in a cool dry place as country where insects carry disease, and if The Co-operative Pharmacy and heat can damage them you get a bite, use bite treatment as soon include all the must-have buys in If you have had unprotected sex it is important to have a handy size.
a health screen on your return from holiday.
Ask our pharmacist Travelling to Hajj or Umrah? Malaria is widespread in many tropical and subtropical A meningococcal (ACWY) vaccination and certificate is a visa countries, and is a serious and sometimes fatal disease. requirement for entry into Saudi Arabia for Hajj or Umrah, so make sure you have the vaccination before you travel.
You cannot be vaccinated against malaria, but you can protect yourself in a number of ways.
Take anti-malaria tablets
Pilgrim travellers and seasonal workers must have a This step was taken to ensure that travellers keep safe. 1 Start before travel – with some tablets you
certificate showing that they have been vaccinated Previously, epidemics of meningococcal disease Protect against mosquito bites
should start three weeks before entering at least 10 days before travel but no more than three (A, C, W135 and Y) have been linked to the Hajj Mosquitoes cause much inconvenience because of the at risk area. Where you are going will years before arrival. pilgrimage and transmitted world-wide after pilgrims skin reactions to the bites themselves, and from the determine what medication you need and return to their own countries.
infections they transmit. Mosquitoes spread disease how you can obtain it.
such as malaria, yellow fever, dengue fever and 2 Take the tablets regularly, preferably with or
after a meal.
Mosquitoes bite at any time of day but most bites 3 It is extremely important to continue to take
occur in the evening.
them for the specified time after you have Menveo, a meningococcal left the at risk area to cover the incubation vaccine, helps provide The Menveo vaccination is available from How should I take care?
period of the disease. Atovaquone / proguanil The Co-operative Pharmacy*. Check with (Malarone®) requires only 7 days post-travel.
important protection against your local branch to see whether they offer 1 Avoid mosquito bites, especially after sunset.
the service.
If you are out at night wear long-sleeved clothing Which type of anti-malaria
and long trousers.
We can provide a voucher that entitles you to tablets are available?
Once administered, you will receive a certificate the vaccine for £35. This cost includes the cost 2 Mosquitoes may bite through thin clothing, so spray
accepted as proof for vaccination for visa requirements.
of the vaccine, administration and the certificate. an insecticide or repellent on your clothes too. Insect Chloroquine and proguanil can be purchased
Alternatively, vouchers can be obtained from repellents should also be used on exposed skin.
in our pharmacies without a prescription. However all other medicines require a doctor's Is it safe?
your local mosque or Islamic Community Centre. 3 Spraying insecticides in the room, burning pyrethroid
For further information, visit the Muslim Council Yes. Menveo has been shown to be safe and effective coils and heating insecticide impregnated tablets all of Britain website
in preventing meningitis and only one dose is required help to control mosquitoes.
The type of medication you need is determined by the place you are travelling to. at time of vaccination1,2 You can also get vaccinated at community 4 If sleeping in an unscreened
The recommendations on which medication vaccination clinics held in mosques, Islamic room, or out of doors, a mosquito Is it Halal?
should be used change regularly, so even if you community centres and at participating net impregnated with insecticide Yes. The Menveo® vaccine has been certified as Halal have been to the same place before, it is best GP practices.
is a sensible precaution. Portable, by the Indonesian Council of Ulama and the US Islamic to check with your pharmacist what you need lightweight nets are widely available.
for your trip.
5 Garlic, Vitamin B and ultrasound
It's important to remember to get
devices do not prevent bites.
vaccinated at least 10 days before travel
but no more than three years before
arrival in Saudi Arabia.

1. Meningococcal meningitis. World Health Organization Web site – – accessed March 3, 20102. Menveo [prescribing information]. Cambridge, MA: Novartis Vaccines and Diagnostics Inc; 2010* At participating Co-operative Pharmacies. The service is offered in partnership with Novartis Vaccines and The Muslim Council of Britain. The cost includes the conjugated meningococcal (ACWY) vaccination, administration and certificate Ask our pharmacist


Case Study : The WHASA Wheel THE WHASA WHEEL – Integrating multiple specialities in patient management with wound healing as the common basis Widgerow AD, MBBCh, MMed(Surg), FCS(Plast), FACS Private plastic surgeon, Linksfield Hospital, Johannesburg Correspondence to: Prof Alan Widgerow, e-mail: [email protected]

Adhd - a philosophical approach to assessment and management

ADHD There are few topics that engender more polarization of views than ADHD. This is not only within the general public but also amongst medical professionals. It is estimated from research that many medical professionals as well as the public generally get 90% of their information from the media. In addition, some of the medical papers published give information which is difficult to interpret or is presented in a way which gives a significant bias of view without considering alternative views based on the same information. Such has been the case with the MTA study.1,2,3