FHD Winter 2015 Magazine

YOUR FREE GUIDE

familyhealthdiary.co.nz WINTER 2015

WINTER 101 BACK TO BASICS TO STAY HEALTHY

Voltaren Emulgel

Help to keep you moving

Seretide

Breathe easy in the colder months

Palmers Skincare

SOS for skin

WIN

OUR WINTER PRIZE

GIVEAWAY

A Nikon camera bundle worth

999

S

See back page for details

*

RRP

Well Jack Frost has reached our house and told us it is indeed winter. It’s funny though, one day I’m reaching for the merino cardi, and the next I’m wearing short sleeves and sandals!

I can always tell winter is here not so much because of the weather, rather the fact half the household starts sniffing and coughing and complaining about the tissue box running out of tissues. This month we’ve got some great tips to try beat those winter ills and chills – turn to page 16 for more information.

Coughs and colds are the bleak side of winter…but I have to say, putting on the heating and closing the curtains in the living room for the first time in months was cosy, and I quite liked it. It even prompted me to put a lamb roast in the oven! I quite like winter cooking – slow and easy as a cold old afternoon turns into darkness…and there’s always something left over for a good sammie the next day.

The giveaway this month is a DSLR camera.

There’s nothing like having the ‘real thing’ and looking like a pro behind the lens. Turn to the back cover for more information and how to be in to win.

Hibernate indoors and catch you soon!

IN THIS ISSUE 4 Palmers – New face range for beautiful skin 6 Voltaren Emulgel – Relieve pain, treat inflammation 8 Ester-C – Help to build a strong immunity 10 Seretide – Leave asthma symptoms behind 12 Ventolin – Breathe easy 14 Mucinex – 1 tablet for 12-hour relief 16 Editorial – Basic tips to beat winter blues 20 Bupa Medical Alarms – Supporting independent living 22 Joint Care Advanced – Don't wait for joint support 24 Fucithalmic – Open your eyes to convenience 26 Ultraproct – Don't sit on symptoms 28 Daivobet – When you think you've tried it all 30 Zostavax – Help prevent shingles 32 Winter prize giveaway – Win a camera bundle

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Family Health Diary Winter 2015

What's happening at familyhealthdiary.co.nz

THE FACTS ABOUT ASTHMA New Zealand has one of the highest rates of asthma in the world ranking second only to the UK. It’s still not clear why the prevalence is so high but possible factors include; diet, climate, immunisation rates and economic conditions.

What is known is that it hits New Zealand hard, with one in nine adults, and one in seven children taking medication for asthma.

We turned to the Asthma Foundation for some facts and figures about asthma.

DID YOU KNOW: • Over 500,000 New Zealanders take asthma medication • Prevalence of asthma was higher for the most deprived in New Zealand • In New Zealand it costs about $1,200 per day to treat a child in hospital for asthma • In 2013 asthma was responsible for 7,400 hospitalisations • People still die from asthma, with 69 deaths in 2011

THE BURDEN OF ASTHMA CAN BE REDUCED Many people do not have optimal control of their asthma – often because they don’t know that better control is possible, or because of barriers to accessing primary health care, the Asthma Foundation says.

For good asthma control it is important to keep using your medication as prescribed; to visit your health team regularly and to get an asthma management plan. Asthma management plans should be filled out with a health professional, they are designed to help manage asthma and recognise when it is deteriorating before it gets to an emergency situation.

For more information, visit www.familyhealthdiary.co.nz Editor: Rhonwyn Newson Design: Raydar For editorial enquiries write to: editor@familyhealthdiary.co.nz For Family Health Diary advertising enquiries: Please phone sales manager Harinda Singh DDI: 09 306 2344 Email: harinda@brandworld.co.nz

Family Health Diary is published by BrandWorld Limited, Auckland. Phone 09 306 2340 Every effort has been made to ensure the contents of this magazine reflect current accepted medical opinion and that it is as up-to-date as possible, but it does not claim to be the last word on any medical matter featured. No medical or health information, however detailed, can ever be considered a substitute for consultation with, or the advice of, a qualified doctor. Though this publication contains information that may be of the greatest importance to your health and well-being, it is not intended to replace your doctor or discourage you from seeking his or her advice. If anything in Family Health Diary leads you to suppose you may be suffering from any of the serious conditions described, you are urged to see your doctor without delay. ©2015 Copyright. No part of this publication may be reproduced without the express permission of the publisher. Family Health Diary® is a registered trademark of BrandWorld Limited. familyhealthdiary.co.nz

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Something exciting from Palmers Cocoa Butter If you love having healthy, smooth skin you’ll know how good Palmers Cocoa Butter is.

Palmer’s Cocoa Butter is one of these enduring beauty secrets, with a loyal following in over 80 countries.

The key ingredient – cocoa butter – is key to its success, trusted by many as the answer to smooth, youngerlooking skin.

Well, it just got better. Now Palmers has an amazing new Facial Skincare Range, including the Perfecting Facial Oil. This little gem can help reduce the appearance of fine lines and wrinkles thanks to its unique blend of nine pure oils plus Reservatrol, Retinal, Vitamin C and of course light weight cocoa butter – nature’s most powerful antioxidant.

WHY IS COCOA BUTTER SO GREAT FOR FACIAL SKIN? Palmer’s Cocoa Butter face care range uses 100% natural, ethically sourced cocoa butter which is gentle on the skin, easily absorbed, non-greasy and won’t block pores. Cocoa butter is so good for your face as it creates

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Family Health Diary Winter 2015

a barrier that protects skin from the aging effects of sun, wind and environmental pollutants, whilst sealing in moisture and vitamins that promote cell regeneration. The result is younger, healthier looking skin.

THE PALMER’S COCOA BUTTER DIFFERENCE Cocoa Butter is nature’s super ingredient for beautiful, youthful skin. It works with your skin in a unique and amazing way. It melts at skin’s temperature and matches skin’s natural oil balance, so that it can penetrate and deliver its high concentration of the powerful antioxidants that your skin uses to help prevent premature ageing.

Pe rf ecti ng Fa ci al a w in ni ng fo rm ul aOil – Did you kn ow Pa er’s Pe rfe ctin g Fa ci al Oil ha s ju st lm be A ustra lia ’s Best N ewen voted Prod uct of th e Y ea r in th e anti-agin g skin ca re cate go ry? *

DISCOVER PALMER’S FOR YOURSELF Palmer’s Face Care range is packed full of amazing ingredients for beautiful healthy skin and cuts out many of the nasties. All Palmer’s Facial products are 100% free of Parabens, Phthalate and Dyes.

*Nielsen Austra

lia survey of mo

re than 15,000 Au

stralians.

REVEALED: Moisturisers harnessing the power of cocoa butter for beautiful skin form the basis of this range. Four favourites are: • Purifying enzyme mask for a special skin cleansing treatment

• Moisturising Day and Night Cream to hydrate and protect skin

• Exfoliating Facial Scrub with 100% natural exfoliators

• Cleanser and Make Up Remover to gently remove impurities and oil

In supermarkets and pharmacies

familyhealthdiary.co.nz

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When you need to keep up,

you don’t want muscle or neck pain Whether you’re an All Black or a supermum, when you need to keep up with the team, the last thing you want is muscle or neck pain. When it strikes, try Voltaren® Emulgel®.

It is an anti-inflammatory rub for muscle and joint pain associated with acute soft tissue injuries. Unlike heat rubs that mask pain, Voltaren® Emulgel® penetrates the skin to the underlying tissues and treats the cause of inflammation.

It’s proven to deliver a triple benefit. It relieves pain, treats inflammation, and helps get you moving sooner*.

The unique formulation also has a cooling effect with no strong odours and is easy to rub in.

That’s how it can help keep the All Blacks moving, as well as you.

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Family Health Diary Winter 2015

WHAT TO DO IF YOU DO GET INJURED • In the first 48-72 hours following an injury, rest and apply ice packs to the affected area.

• After this initial period, it’s important to get moving again, because inactivity can cause stiffness, limit mobility and actually prolong the pain.

• If appropriate, compression bandages and elevating the affected limb can also limit bruising and swelling.

• Gentle exercise and physical manipulation such as physiotherapy may help you feel better. Using an anti-inflammatory gel such as Voltaren® Emulgel® can also help you keep moving.

VOLTAR EN S U P P L IER OF PA I N R ELIEF TO THE

ASK YOUR PHARMACIST IF VOLTAREN® EMULGEL® IS RIGHT FOR YOU *in comparison to using placebo. Always read the label. Use only as directed. If symptoms persist, see your healthcare professional. Novartis Consumer Health Auckland, New Zealand. TAPS NA7797 familyhealthdiary.co.nz

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Build a strong immunity this winter Having a strong immune system is actually a science, especially when it comes to Vitamin C. The longer it’s in your system, the more your immune defences will be supported over winter

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Family Health Diary Winter 2015

THE BETTER VITAMIN C We all need Vitamin C – it supports our immunity, eyes, skin, teeth and bones. As a powerful antioxidant, it supports the fight against ills and chills.

You can get Vitamin C from fruits and vegetables or a vitamin supplement, but hanging on to all that goodness is the hard part. Ordinary Vitamin C supplements break down quickly in the body and are flushed out fast, so often after just two hours, all that Vitamin C is gone.

ESTER-C® BENEFITS • Faster absorption • 24-hour immune support • Gentle on the stomach, non-acidic.

That’s why Ester-C® from Nutra-Life® is the better Vitamin C. Unlike ordinary Vitamin C, which only lasts a few hours in your system, Ester-C® lasts 24. And, while Ester-C® 1500mg is one of the most potent* Vitamin Cs on the shelf, the non-acidic formula makes it gentle on the stomach. It’s all in the science. Thanks to the unique way it is made, Ester-C® is rapidly absorbed by your white blood cells and helps with around-the-clock immune support.

Only in pharmacies and health food stores *in tablet format Always read the label and use only as directed. If symptoms persist, consult a healthcare professional.

People on prescription medicine should check with their doctor first. Supplementary to and not a replacement for a balanced diet. Vitaco Health (NZ) Ltd. Auckland. Ester-C® is a registered trademark of the Ester C Company. TAPS NA7765

Got asthma?

Rather be symptom free?

If you have asthma you might already be using an orange preventer. However, if you find you are reaching for your blue reliever to ease symptoms most days, ask your doctor about the purple Seretide Accuhaler. It’s easy to use – a dose counter tells you how much is left – and, importantly, Seretide is so good at treating asthma, you might not get symptoms in the first place.1,2 With Seretide you can have five symptom-free days per week, allowing you to get on with the activities you enjoy.1,2

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Family Health Diary Winter 2015

IS SERETIDE RIGHT FOR YOU? Your doctor is the best person to talk to about your asthma control.

The most important thing is to let them know what symptoms you’re experiencing and how often you’re having them. You could also visit www.seretide.co.nz where you’ll find FAQs, as well as tips around nutrition, exercise and daily living with asthma.

ASK YOUR DOCTOR ABOUT FULLY FUNDED6 SERETIDE – THE PURPLE INHALER

LEAVING SYMPTOMS BEHIND In a major New Zealand asthma study, 81% of people thought their asthma was well controlled, yet three-quarters were using their blue reliever at least once daily and the remainder were taking at least 3-4 puffs a day.3 In short, most people overestimated their level of asthma control. The fact is, if you’re using your reliever more than twice a week, chances are your asthma is not as good as it could be.4

HOW SERETIDE WORKS Seretide's dual action formula is so good at treating asthma, it can actually help prevent symptoms in the first place. As a result you could have symptom-free days for most of the year.5

Th e Seretid e Accuh ale r® The Seretid e Accuh ale r is a conven ient alte rnative to a2 traditional inh ale r becaus e: n, • It is eas y to use – justt ope shu and ale inh k, clic • You don ’t need to use a spa cer • It can be used by chil dre n ove r the age of fou r yea rs • It com es wit h a ’ ll always dos e cou nte r so you kno w exa ctly how ma ny dos es a re lef t.

1. Bateman ED et al. Am J Respir Crit Care Med. 2004;170 (8): 836-844.

2. Seretide Data Sheet, GSK New Zealand. 3. Holt S. NZ INSPIRE Study Overview. Research Review. 2008:113.

4. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Updated 2014. Available at http://www.ginasthma.org/ Accessed 23 March 2015. 5. Woodcock A et al. Prim Care Resp J. 2007;16(3):155-161.

6. Pharmaceutical Schedule March 2015, PHARMAC. Seretide® (fluticasone propionate/salmeterol xinafoate; available as a 50/25, 125/25 or 250/25 micrograms per actuation inhaler, or as a 100/50 or 250/50 micrograms per actuation Accuhaler®) is a Prescription Medicine for the treatment of reversible obstructive airway disease (ROAD) including asthma, and for the treatment of chronic obstructive pulmonary disease (COPD). Seretide is a fully funded medicine. Seretide 250/25 microgram inhaler is a private purchase medicine that you will need to pay for. Use strictly as directed. Seretide is not for relief of acute symptoms. Always carry your reliever inhaler. Do not discontinue Seretide abruptly. Tell your doctor: If you are taking any other medicines or herbal remedies, you have pulmonary tuberculosis (TB), a thyroid problem or a heart problem, or you are having treatment for high blood pressure. Side Effects may include: Headache, 'shaky' feeling, fast heart rate, irritation in the nose and throat. If symptoms continue or you have side effects, see your doctor, pharmacist or health professional. For more information, see Seretide Consumer Medicine Information at www.medsafe.govt.nz. Normal doctor's office visit fees apply. Ask your doctor if Seretide is right for you. Seretide and Accuhaler are registered trade marks of the GlaxoSmithKline group of companies.

Marketed by GlaxoSmithKline NZ Limited, Auckland. Adverse events involving GlaxoSmithKline products should be reported to GSK Medical Information on 0800 808 500. TAPSNA77444/15AP/SFC/0011/15b familyhealthdiary.co.nz

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Breathe easy and ask for Ventolin – The Alcohol-Free Inhaler

1

Providing effective relief to New Zealanders with asthma symptoms for more than 40 years.

If you have asthma, you’ll know that symptoms can come on quickly, and when they do, reassurance can be found in Ventolin’s blue reliever inhaler – your key to catching a breath again.1

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Family Health Diary Winter 2015

VENTOLIN (SALBUTAMOL) – TRUSTED ASTHMA RELIEF Your blue inhaler is often your first step in relieving asthma symptoms when they occur.

Ventolin has been used by New Zealanders for more than 40 years.

It’s a brand you can trust to give fast relief from asthma symptoms, helping you breathe easy within minutes.2,3 Ventolin is also alcohol-free so you don’t get any unpleasant alcohol after-taste, which might be noticed by children.2

WHEN TO USE IT1 Ventolin should be used for symptom relief only or, in the case of exerciseinduced asthma, your doctor may tell you to take one or two puffs before you exercise.

Com mon asth ma trigg ers Cert ain condition s can trigg er sym ptoms. The se inclu de: • Colds and chest infections • Alle rgen s, such as hous e dust-mit es and polle n • Ciga rette smo ke • Air pollution • Exe rcise • Cold air • Stress.

VENTOLIN BENEFITS1,2 • Helps you breath easy • Alcohol-free, no unpleasant after-taste

• CFC-free Frequent use of your blue • Suitable for all ages inhaler (more than 2 to 3 times a • Used by New Zealanders week) means that your asthma for over 40 years. management is not as good as it could be, and may be a reason for asking your doctor about preventative asthma treatment. A preventative Ask your doctor inhaler can help keep asthma and pharmacist for under control so that symptoms Ventolin by name don’t disturb your day-to-day life.

1. Ventolin Data Sheet, GSK New Zealand. 2. Gillies J et al. NZ Med J. 2005:118 (1220):79-83. 3. Price A, Clissold S. Drugs. 1989;38(1):77-122.

Ventolin® (salbutamol) is available as an alcohol-free and CFC-free Inhaler, 100 micrograms per actuation. Ventolin is a partially funded Prescription Medicine. You will need to pay a part charge for this medicine. It is a short-acting bronchodilator used for the relief of asthma symptoms. Use strictly as directed. Do not use Ventolin: If you are sensitive to any of the ingredients in the preparation. Tell your doctor: If you feel that the medicine has become less effective or you are using more than usual, have hyperthyroidism, high blood pressure, cardiovascular disease, diabetes, are taking any other medicine or herbal remedy including those you buy from a supermarket, pharmacy or health food shop. Side Effects may include: Headache, nausea, shaky or tense feeling, fast or irregular heart beat, ‘warm’ feeling (caused by blood vessels expanding under the skin), mouth or throat irritation, shortness of breath or wheezing. If symptoms continue or you have side effects, see your doctor, pharmacist or health professional. Additional Consumer Medicine Information for Ventolin is available at www.medsafe.govt.nz. Prices for Ventolin may vary across pharmacies. Normal doctor’s office visit fees apply. Ask your doctor if Ventolin is right for you.

Ventolin is a registered trade mark of the GlaxoSmithKline group of companies. Marketed by GlaxoSmithKline NZ Ltd, Auckland. Adverse events involving GlaxoSmithKline products should be reported to GSK Medical Information on 0800 808 500. TAPS NA7761/15/MY/SAL/0005

familyhealthdiary.co.nz

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Chesty cough...

Is cough liquid the only answer?

The most common way to relieve a chesty cough and congestion is with a liquid. But it might not be the most convenient.

Winter colds and flu bring a range of uncomfortable symptoms, but none can be as lingering as a phlegmy or chesty cough.

WHY DOES A CHESTY COUGH LINGER? When you get a cold or flu, mucus can increase. Excess mucus becomes congealed, thicker, and harder to move through your respiratory system.

It can result in a wet cough, wheezing and shortness of breath.

Treatment should both thin and loosen mucus in the chest to help clear the airways and relieve symptoms.

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Family Health Diary Winter 2015

ARE COUGH LIQUIDS THE ANSWER? If you’ve tried to clear chest congestion with a liquid, you’ll know the routine. You often have to take liquid formulations multiple times during the day especially when symptoms persist.

But when life is busy and you’re on the move, re-dosing can be a hassle. Liquids are not easily portable and it can be difficult to measure the correct dose every time.

Well there is an easier way: One Mucinex Maximum Strength tablet will give fast, effective and long-lasting relief for 12 hours. That means uninterrupted relief through the day.

CONVENIENT 12-HOUR RELIEF IN A TABLET Mucinex treats chest congestion and chesty coughs by thinning and loosening mucus.

Be ne fit s of M u cin ex M ax im u m St ren gt h – Fa st actin g – 1 2- hours un int erru pt ed relief – M ore co nven ient th an coug h liquid s.

It’s a unique bi-layer tablet with an immediate-release layer that gets to work fast, and an extended-release layer that works for 12 hours.

Multiple doses a day

OR

1 tablet for 12-hour relief

Available at pharmacies

Available only at pharmacies

Always read the label. Use only as directed. If symptoms persist contact your healthcare professional. Available in Pharmacy. Reckitt Benckiser, Auckland. 0508 731 234. TAPS 1540DB

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WINTER 101

Simple steps to help keep you smiling through the colder months Gone are the long, hot days of summer. As we head into the colder months, the risk of getting sick may be on your mind, with good reason.

Each year young children get around six to eight colds and adults pick up between two and four. More worryingly, GPs had around 116,000 flu-related consultations last year, and 1500 people were treated in hospital. Up to 500 people die of flu-related illnesses each year. That’s why, if you haven’t already had your flu jab, it’s important to talk to your doctor or pharmacist about it.

It’s not always easy to determine if you have a cold or the flu, but know the difference may help bring a quicker end to your symptoms. The common cold is a respiratory infection and the leading cause of doctor’s office visits. This ailment usually resolves quickly but symptoms can last for weeks. Unlike the flu, these symptoms are mild and probably won’t lead to any serious health complications. Influenza is also an upper respiratory infection but can develop into a more serious condition such as pneumonia. Seasonal flu is caused by the influenza A, B and C viruses and active strains vary from year to year.

Here are our tips to stay in top form this winter and keep those ills and chills at bay.

1. DO I REALLY NEED A FLU JAB? Yes, influenza can affect anyone, no matter how fit, and people die from it. Contact with the flu virus is almost unavoidable and can be dangerous particularly if you suffer from asthma, diabetes or have another ongoing medical condition. To maintain the most effective protection against influenza, annual immunisation is required. The flu jab is free for qualifying patients. Talk to your doctor or pharmacist.

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Family Health Diary Winter 2015

2. HYDRATE We know drinking plenty of water is important for us and this is one of the reasons why. Nose mucous is a key barrier to keep germs at bay. But dry, crusty mucous is not as effective as a well-lubricated nose. So keep up the H2O this winter.

3. WRAP UP When the body has to concentrate on shivering and raising the temperature, it can’t focus on warding off germs. Keeping warm, with attention to gloves, a hat and shoes is important. Of course, in New Zealand we can have fourseasons in one day, so layer up.

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4. HAND-WASHING – ARE YOU DOING IT RIGHT? Germs can spread easily, so hand washing is one of the best ways to keep the numbers down during winter. The World Health Organization says washing hands properly takes time, about as long as it takes to sing Happy Birthday!

Because germs love damp surfaces, drying hands properly may be just as important as washing them. Hand sanitisers are convenient if you are out and about

5. SHAKE IT OFF We’ve heard it a million times – exercise is important for our health.

The sad reality is many of us find it hard to fit in time to go to the gym or run around the field. This is when incidental exercise can be helpful.

Jump off at an earlier bus-stop so you have to walk a wee bit further, take the stairs, dance with your kids, all of this counts to your overall daily exercise.

6. ME TIME Stress is a major factor for depressing your immune system, so it’s important to unwind. Great ways to de-stress include yoga and meditation.

If this doesn’t sound like you, simply try taking 10 minutes each day to focus on slowing your breathing and relaxing each muscle.

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Family Health Diary Winter 2015

7. SERVE UP THE CARBS (IN MODERATION): A balanced diet rich in fresh, seasonal fruit and veges will help improve overall health. And, while there may be a temptation to fill up on comfort food during the cold, try to remember to keep things in moderation.

Serotonin, the body’s mood booster, can decrease as it gets dark, but complex carbohydrates such as whole grains and Omega-3 fatty acids can help bring levels up.

Dark chocolate has also been shown to be a mood enhancer – look for kinds made up of at least 70% cacao.

8. FLICK THE SWITCH Dark days can play a part in dark moods, but research suggests light therapy as a way to boost mood.

A light box can be used or, if it’s easier, try take a 30-minute walk in the morning even if it’s cloudy.

9. BATTLING DRY WINTER SKIN Colder weather, heaters and drier air can make dry skin worse. According to the American Academy of Dermatology, here are the top ways to keep skin moisturised: • Close the bathroom door • Limit your time in the shower or bath to 5 or 10 minutes • Use warm rather than hot water • Wash with a gentle, fragrance-free cleanser • Apply enough cleanser to remove dirt and oil, but avoid using so much that you see a thick lather • Blot your skin gently dry with a towel • Slather on the moisturizer immediately after drying your skin.

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Understanding the desire for independence For some of NZ's elderly, staying at home is a deep desire. Bupa understands this and offers a way to remain independent, but with peace of mind that help is at hand should it be necessary.

Did you know falls are the single largest cause of injury for New Zealanders? What’s more, falls are the second most common reason people dial 111 for an ambulance. A simple way to ensure there is a safety net for people aged 65 years and older living in their own home is to install a Bupa Medical Alarm.

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Family Health Diary Winter 2015

John never thought of installing a medical alarm, but did so to please his daughter. “I’ve always done things my way, I’m not the type to make a fuss,” John says. However, he soon discovered the importance of help at hand when the alarm ended up saving his life.

“I am so grateful for the help from Bupa. They stayed on the phone with me and kept me calm until help arrived. I hate to think what could’ve happened if I hadn’t have my alarm,” John says.

CHOOSE WHAT WORKS FOR YOU Bupa Medical Alarms are different.

Clients have the freedom to choose the kind of help they require – whether it be from a neighbour, friend, family member, police, fire service or ambulance.

YOU WILL GET THE HELP YOU NEED It’s comforting to know that, with a Bupa medical alarm, the right assistance will be arranged for a client.

BUPA’S SERVICES • Bupa provides assistance 24 hours a day, 7 days a week, nationwide.

• Solutions are tailored to suit personal needs.

• Bupa medical alarms work throughout the home – in the bathroom (they are showerproof), and even outside in the garden or garage.

• Any emergency ambulance fees are covered when you press a Bupa button.

Bupa has been in the business for 15 years and understands that everyone has unique and specific needs, so services are tailored to suit each person.

Mention you saw the ad in the Family Health Diary and for every personal medical alarm sold, Bupa will make a donation to St Johns to help towards purchasing 12 new ambulances.

Simply phone 0800 60 80 99 to speak to a friendly field officer.

For more information visit: familyhealthdiary.co.nz familyhealthdiary.co.nz

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Keep going – naturally Former All Black Ian Jones has pushed himself hard over the years. And he still does. That’s why he knows the importance of taking a joint formula to help keep him going.

JOINT CARE ADVANCED – DON’T WAIT FOR JOINT SUPPORT. Some joint formulas can take weeks or even months to start working to help support joints. But that’s all changed. With Nutra-Life’s new Joint Care Advanced, joint support starts from just 10 days*.

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Family Health Diary Winter 2015

HOW DOES JOINT CARE ADVANCED WORK? It’s the only joint formula with NEM®, which contains a unique combination of naturally-occurring nutrients, proteins and amino acids that research shows support joint flexibility.

All in one small capsule, once a day.

The key innovation is in the scientifically-researched ingredient NEM® Eggshell Membrane. This powerful, new ingredient has been shown to help provide joint mobility (suppleness) support from 10 days of taking it*.

KEY BENEFITS • Joint support starts from 10 days* • Contains NEM® - a unique combination of naturallyoccurring joint support nutrients • Small, single daily dose.

The natural combination of ingredients present in eggshell membrane provide the key to this joint support. These include, glycosaminoglycans, chondroitin sulphate, hyaluronic acid and collagen.

NEM® is a registered trademark of ESM Technologies, LLC

Single ingredient NEM® Eggshell membrane uses a special patented process which extracts a unique combination of naturally-occurring joint-supporting ingredients, including glycosaminoglycans, chondroitin sulphate, hyaluronic acid and collagen.

Available in pharmacies and health stores *Individual results may vary. Read the label. Use only as directed. If symptoms persist see your healthcare professional. For further information please contact our Naturopathic Advice Line Freephone 0800 268 872 or visit nutralife.co.nz DERIVED FROM EGGSHELL MEMBRANE. THIS PRODUCT IS NOT RECOMMENDED FOR PEOPLE WHO HAVE AN ALLERGY TO EGGS. TAPS NA7764 familyhealthdiary.co.nz

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Conjunctivitis – stop the spread, easily Applying eye treatments up to five times a day can be tricky. But it’s important to keep on top of treatment as conjunctivitis is contagious.

Over-the-counter conjunctivitis treatments need applying up to five times a day. Applying eye drops can be fiddly at any age so the fewer times a day you need to do it, the better.

Fortunately one uniquely formulated product, available on prescription from your doctor, only needs to be used twice a day. It’s called Fucithalmic® and now it’s fully funded.

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Family Health Diary Winter 2015

Designed for both adults and children, its ease of use will be welcome relief for both parents and little ones.

CONVENIENT FOR ALL THE FAMILY Its convenience means Fucithalmic® fits better around family commitments, such as work, school, preschool and daycare. For busy parents, being able to apply eye drops in just the morning and evening means it’s easier to follow through with treatment.

CONJUNCTIVITIS – A COMMON PROBLEM You may know conjunctivitis as ‘pink eye’ or ‘red eye’. Common symptoms include redness, itching, swelling of the eyelids and a discharge that may cause the lids and lashes to be matted together in the mornings.

There can be a scratchy feeling, pain with bright light, or tearing.

Conjunctivitis affects approximately 12% of New Zealand’s population and peaks from winter through to springtime.

The three most common ways you can get it is through an allergic reaction, from bacteria, or a virus.

Ea sy to cat ch M ost ba cte ria that cau se conju nct ivit is are spread throug h direct ha nd-to -ey e contac t fro m conta mi nated ha nd e dis eas e ca n be cau ght juss.t Th by tou chi ng som eth ing that wa s ha nd led by a n inf ect ed per son.

For thi s rea son, peo ple wh o are dia gn ose d wit h conju nct ivit particula rly children, sho uldis, sta y hom e u ntil tre atm ent ha s sta rte d, to avo id inf ect ing oth ers.

USE TWICE

FEATURES AND BENEFITS • Easier than multiple-application products • Opaque drop turns into clear gel, for clear vision after use • Effective and well-tolerated

A D AY, N O T F I V E

T I M E S

Ask your doctor if FUCITHALMIC® is right for you.

• Used by New Zealanders for over 13 years • Now fully funded (ie. you will not pay for the medicine – only doctor’s and pharmacy fees apply).

Now fully funded conjunctivitis treatment.

Fucithalmic® is a Prescription Medicine for the treatment of bacterial infections of the eye like conjunctivitis. Medicines have risks and benefits. Do not use if you wear contact lenses. Do not drive or operate machinery if vision is blurred after application.

Possible side effects: mild stinging and burning in the eye, tearing & blurring of the eyes. Use only as directed. If symptoms persist see your doctor. Fusidic Acid 1%. For further details refer to CMI on www.medsafe.govt.nz, bioCSL (NZ) Ltd, Auckland. Fucithalmic® is a registered trademark of Leo Pharmaceutical Products Ltd A/S. TAPS NA6382 familyhealthdiary.co.nz

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Haemorrhoids…

Half of us will get them at some point It may be a tricky subject, but haemorrhoids are so common, half of us will get them at some point.

And both men and women are affected.

SO WHAT EXACTLY ARE THEY? Despite the notoriety, there’s often a lack of understanding about haemorrhoids.

Also known as piles, they are inflamed veins in the region of the anus, caused by pressure.

They can be internal or external, and lead to the following: • Pain and itching • Blood on toilet paper, in stools and the toilet bowl • Painful swelling or hard lumps.

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Family Health Diary Winter 2015

They can be painful, stubborn, and in many cases they can keep coming back.

But if you think there’s not much more you can do other than ‘put up’ with them, then think again.

What can really make the difference is seeing your doctor: the expert who can also prescribe an expert treatment.

Ti ps on preventio n Mod ern lifestyle s invo pe riods of sittin g an lvi ng lon g ha ve cont ribut ed to d in activity in crea sin g nu m be r an Ot he r fa ctors in cl ud of sufferers. e: • Poor eatin g ha bits drin ki ng en ou gh wa/ not te r • Co nstipat ion / di arrh oea • Pre gn an cy • St ra in in g on th e toilet • Obes ity • H ea vy liftin g.

As you ag e your skin weak en s an d st ret ch tissu e so th os e ag ed 40 anes m ore ea sily, m ore lik ely to get ha d olde r are em orrh oids.

Even better, it works fast and is long-lasting too.

Ultraproct is also fully funded, so you’ll only have to pay your usual doctor’s and prescription charges. In return, you’ll get targeted treatment that gives long-lasting relief.

DON’T GRIN AND BEAR IT Just putting up with haemorrhoids and not seeking help can mean you suffer unnecessarily. Don’t sit on symptoms – get along to your doctor instead.

SEE YOUR DOCTOR AND ASK ABOUT ULTRAPROCT®

YOUR DOCTOR – KEY TO RELIEF Not everyone wants to talk about haemorrhoids, but unless you see your doctor you might be relying on a bit of guesswork when it comes to treating them. So seeing your doctor is a really important step.

They’ll give you a proper diagnosis, so you can be sure it’s haemorrhoids and not something else.

Your doctor can also prescribe a treatment called Ultraproct®.

ULTRAPROCT® CAN HELP Ultraproct is a unique formulation of active ingredients proven to treat the most troublesome symptoms, including the pain, itch and inflammation.

ULTRAPROCT® Ointment and Suppositories (Ointment contains 0.92 mg fluocortolone pivalate, 0.95 mg fluocortolone hexanoate and 5 mg cinchocaine hydrochloride per gram) (Suppositories contain 0.61 mg fluocortolone pivalate, 0.63 mg fluocortolone hexanoate and 1 mg cinchocaine hydrochloride per suppository). ULTRAPROCT is a fully funded prescription medicine. Normal doctor’s fees and pharmacy charges will apply.

Do not use ULTRAPROCT in the first trimester of pregnancy. Only use in second and third trimester of pregnancy and breastfeeding when prescribed by your doctor; do not use if you suffer from virus diseases, tuberculosis or syphilitic processes in the area to be treated. Prolonged use (longer than 4 weeks) should be avoided. Care must be taken to ensure ULTRAPROCT does not come into contact with the eyes. Careful hand washing after use is recommended. Tell your doctor if you notice any unwanted effect, or if there is a change in your health that you think might be caused by ULTRAPROCT. Always use ULTRAPROCT strictly as directed by your doctor. Additional consumer medicine information can be obtained from the Medsafe website www.medsafe.govt.nz or from bioCSL (NZ) Ltd, PO Box 62 590 Greenlane, Auckland 1546. Freephone 0800 502 757 or www.biocsl.co.nz ULTRAPROCT® is a registered trademark of Bayer Schering Pharma AG. TAPS CH3932

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Psoriasis – A treatment to make life easier Anyone dealing with psoriasis knows how difficult it is to live with, and you may think you’ve tried everything. But there is a once-a-day treatment that may make life easier Psoriasis can be frustrating to manage.

Creams and lotions must be applied repeatedly – many of which are heavy and take time to dry. Even in between flare-ups, maintenance treatment is usually needed to keep the red, inflamed skin from coming back. But in most cases it does come back – angry, itchy and difficult to cover up. So the endless cycle of treatment continues.

If you’re familiar with this routine, don’t give up hope. There is now a fully funded treatment that may be different to anything you have tried before.

ASK YOUR DOCTOR ABOUT DAIVOBET® Daivobet® is a once-a-day treatment that works fast.

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Family Health Diary Winter 2015

It’s an easier way to treat psoriasis, without the need for multiple applications and multiple treatments.

When a flare-up happens, you only need to apply it once a day. And most people see improvement within seven days.

AVAILABLE AS A GEL Daivobet® is also available as a gel to make life even easier. It's easy to spread on the body and scalp without going clumpy. Daivobet® Gel is also easily absorbed, so there's no greasy feeling.

CHECK YOUR SCALP TOO If you’re seeing your doctor about psoriasis, ask them to check your scalp as well.

Scalp psoriasis usually affects the back of the head, but other parts

DAIVOBET® GEL BENEFITS • Only one application a day • Easy to apply on body and scalp • Works fast – most see improvements within seven days • Rapidly absorbed and provides alternative to ointment when you need fast drying treatment of the scalp can be affected. It's characterised by red thickened skin covered with thick silvery-white scales.

Scalp psoriasis can occur with any other form or psoriasis, but also in isolation.

Daivobet® Gel is especially useful on scalps, as lotions and creams can be messy to apply on hair. The almost clear gel is alcohol-free, odourless and rapidly absorbed.

• Fully funded.

D id y ou k n A rou n d 70%owof? pe op le wit h p so ri a si s a ls obody sca lp p so ri a si h a ve s.

Ask your doctor whether Daivobet® Ointment or Gel is right for you.

DAIVOBET® is a fully funded prescription medicine. Normal doctor’s fees and pharmacy charges will apply. For the topical treatment of plaque type psoriasis and scalp psoriasis.

Tell your doctor if you are taking Calcium or Vitamin D supplements or any medicines. If you have other types of psoriasis, liver or kidney problems, any skin infections, TB, or skin rashes, acne, rosacea, ulcers or broken skin, are pregnant or breastfeeding, or have calcium metabolism disorder. Do not use on face, mucous membranes, or skin folds. Protect treated skin areas from sunlight and UV rays. Side effects may include: skin irritation; rash; worsening of psoriasis; change

in skin colour; headache; sore throat; back pain; sensitivity to light or change in control of diabetes. Tell your doctor or pharmacist if you experience any of these or if you have any other unpleasant side effects. Always use DAIVOBET® strictly as directed by your doctor. Contains 50 mcg/g calcipotriol and 500 mcg/g betamethasone (as dipropionate). Additional consumer medicine information can be obtained from bioCSL (NZ) Ltd, PO Box 62 590 Greenlane, Auckland 1546.

Freephone 0800 502 757 or www.bioCSL.co.nz. DAIVOBET® is a registered trademark of Leo Pharmaceutical Products Ltd. TAPS NA7178

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Getting a flu shot?

Ask about getting the Shingles vaccine at the same time.

If you’ve ever had chickenpox, the Shingles virus is already inside you. About one in three people will get Shingles in their lifetime.

If you want to help prevent Shingles ask your doctor or vaccinating pharmacist about ZOSTAVAX, the Shingles vaccine.

And ask about getting ZOSTAVAX at the same time you get your flu shot.

Shingles is unpredictable; it can strike at any time but we cannot predict who will get it, how painful it will be or how long the pain will last. But we do know that about one in three people will get Shingles in their lifetime, and those over 50 are more at risk.

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Family Health Diary Winter 2015

W ha t is Sh ing les ?

Shi ng les is cau sed by the sa me that cau ses chicke npox. After viru s chicke npox blisters hea l, the viruyou r that cau sed the m sta ys in you s lyin g do rm ant in nerve cells. Thr body, ma y be the re for ma ny yea rs, e viru s cau sin g an y pro ble ms. But wit wit hout wa rnin g, it can becom e act ive hout ag ain, res ult ing in Shi ng les.

But, there is a way to help prevent Shingles. ZOSTAVAX, the Shingles vaccine, is a single dose vaccine that can help reduce your risk of Shingles, and its associated pain. So when you visit your GP or vaccinating pharmacist to get your flu vaccine, ask about getting ZOSTAVAX.

SYMPTOMS OF SHINGLES Shingles can appear as a painful, blistering rash, that can last weeks.

The rash forms where the nerves from the spinal cord connect with the skin. This area is called a dermatome.

Usually the rash will appear along a dermatome located on one side of the body. Because the nerves along the path become inflamed, Shingles can be very painful. Pain that lasts after the rash has healed is called post herpetic neuralgia (PHN). As you get older the risk of developing PHN increases. Patients have described PHN as burning, throbbing, stabbing or shooting pain. This pain can last months, even years.

ZOSTAVAX – THE SHINGLES VACCINE ZOSTAVAX is a vaccine to help protect you against Shingles and its associated acute and chronic pain.

You must be 50 years or older to be vaccinated with ZOSTAVAX.

HOW TO GET ZOSTAVAX ZOSTAVAX is available from your doctor, and some pharmacists. And yes, you can get it at the same time as the flu vaccine.

ZOSTAVAX is not funded, so charges will apply.

Ask your doctor or vaccinating pharmacist about the Shingles vaccine THINGS TO KNOW BEFORE USING ZOSTAVAX (zoster virus vaccine, live) 19,400 PFU as 0.65 mL vial for injection: ZOSTAVAX is used in adults 50 years of age and over to help prevent shingles and associated pain. ZOSTAVAX should not be used in people who have a weakened immune system. Common side effects are: headache, localised injection site reactions and pain in the arm or leg. All medicines have risks and benefits and the protective effect of vaccines can vary from person to person. Consult your health professional to see if ZOSTAVAX is right for you. If you have side effects, see your health professional. For additional product information, consult the Consumer Medicine Information, available on request from 0800 500 673, or refer to the Medsafe website www.medsafe.govt.nz. ZOSTAVAX is an unfunded prescription medicine. Ask your health professional the cost of the vaccine and any other medical fees that may apply. Based on data sheet prepared 18/06/2014 . Supplied by: Merck Sharp & Dohme (NZ) Limited, Newmarket, Auckland. VACC-1140235-0014. First issued April 2015. TAPS NA 7737

Zoster Vaccine Live (Oka/Merck)

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