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Boots Anaesthetic and Antibiotic Throat Lozenges

mrloz
98 posts
Jun 26, 2009
6:02 AM
Having just had a tooth out this week (ouch!) I'm left with a sore and swollen gum. I popped into Boots ( an English Chemist chain) and bought some of their own brand "Anaesthetic and Antibiotic Throat Lozenges" and popped the first one in before I left the shop. About an hour later as the pain returned I decided to check the instructions (yes I'm a man!) to see how frequently they can be taken, only to see a large exclamation mark warning me to talk to my pharmacist before taking them if I have myasthenia gravis!
I went back to Boots but of course the pharmacist knew nothing about MG at all and suggested that I should not worry about it.

They contain Benzocaine and Tyrothricin - exceptionally difficult to read as it is printed in white on a yellow box.

Has anyone had any problems with these tablets? Should I throw the rest away?

Laurence in London

sally1louiselouise
770 posts
Jun 26, 2009
7:01 AM
Laurence, I haven't got a clue what you should do with those tablets, but if you are uncertain then don't take any more. I always find that yogurt is very soothing for any sorness in the mouth, the only other bit of advice is to read the instructions before you buy(the tablets not the yogurt).

I don't think much of that Boots pharmacist telling you not to worry about it, especially as he knows nothing about MG......a very irresponsible attitude.

SALLY
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Margaret
South Wales
UK

Last Edited on 26-Jun-2009 10:46 AM

chairman
MGA Chairman
1129 posts
Jun 26, 2009
7:55 AM
You could do a public service by finding out who is in charge of the pharmacy at that branch of Boots and making a complaint. There is not a lot of point the manufacturer putting a warning on the box, if the pharmacist then tells you not to worry - particularly if they then tell you they are ingnorant!

I don't think much of that Boots pharmacist telling you not to worry about it, especially as he knows nothing about MG.

This a product made by Boots - and the Boots website specifically has a warning abut MG in conjunction with these lozenges!

The drug information leaflet (inside the box) has:

Talk to your pharmacist or doctor:

* If you suffer from myasthenia gravis – a disease of the immune system which causes muscle weakness and tiredness
* If you have low levels of an enzyme called cholinesterase in your blood
* If you take other medicines – sulphonamide antibiotics (e.g. sulphadiazine), anticholinesterases (e.g. neostigmine).


A Google search reveals lots of stuff about this family of antibiotics and MG. Any pharmacist worth his/her pay should know about it!


Being MALE does not excuse us from the responsibilty for reading the information before taking the medicine!
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Peter Finney

MGA Chairman

Last Edited on 26-Jun-2009 8:10 AM

alice
383 posts
Jun 26, 2009
8:00 PM
unfortunately, I have encountered this too many times.

false reassurance given by those ingnorant to your condition.

I think it was william ossler that said-the more the ingorance the more the arrogance.

and plato, who talked about two types of (in that case physicians, but it could just as well apply to any health care peron)-those that come to the patient with a self confidence of a dictator, and know better then him about the illness and how best to manage it, and those that constantly learn from the patient and those around him about his particular illness, and together reach the best management decission.

and nitse who said that the most dangerous physicians are those that like born actors, imitate with much grace, born physicians.


pharmacists have the exact same responsibility as physicians do, to have a good understanding of their "merchandise", and they have to realize that even over the counter medications, or certain food supplements can be of harm to certain patients.

possibly, it would not be a reasonable request to ask every person that buys OTCs if they have a certain rare condition or not, but telling someone not to worry about a warning sign on a certain medication, is total lack of responsibility.

hope you feel better, and it may be a good idea to check out beforehand what types of pain medications you can take, so next time you don't have to worry about that.

and I think it is advisable not to take any OTC without checking this out first, as some would not even have such a clear warning sign.

alice

TinaM
124 posts
Jun 27, 2009
5:30 AM
Hi Loz

I found soluble asprin great when I had my wisdom teeth out some years ago. It's great if you swill it around your mouth before swallowing, it gives relief for a few hours. They also gave me that on the ward before I went home.

The problem you had shows how very little pharmacists must come across MG, it gives no excuse for ignorance though. I'm an auditor and am often sent to audit a system I know very little about so my first task is to document everything about the system and in many cases my initial work involves me doing some research to gain background knowledge. The very least the pharmacist should have done is admit they knew little but shown some willingness to find out. It's a disgrace telling you not to worry when they knew nothing. It's negligent & unprofessional.

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Tina
Gloucestershire UK

nessierh
29 posts
Jun 29, 2009
12:32 PM
tina did you know that swirling aspirin around your mouth can actually cause a chemical burn or ulcer? i see many people doing this when they have tooth ache and actually end up with a big red patch on their gum to add to the tooth ache. the best thing for tooth ache is ibuprofen if you can take it but so many people cant these days or paracetamol but it isnt as good.
TinaM
125 posts
Jun 30, 2009
5:12 AM
Hi Nessierh

No I didn't realise that this could happen, I know you're a dental student so I don't doubt you are correct, but could this be because people have done something in excess, or maybe have an allergy?

I was actually on the ward of a Manchester Hospital after having my wisdon teeth removed, when I was given soluble asprin and actually told that swilling it around my mouth would relieve the soreness. It wasn't really for toothache as such but for the soreness of the gums after having teeth removed. This was 10 years ago and I know things change, but it definitely worked and I did the same for a good week or so and never got any type of blistering etc.. I assumed Loz was after something to relieve the soreness from having a tooth removed.

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Tina
Gloucestershire UK

Last Edited on 30-Jun-2009 5:13 AM

mrloz
99 posts
Jun 30, 2009
12:13 PM
Many thanks to all for your advice. I have written to Boots and will be interested in their reply...
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Laurence in London