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    Archived pages: 26 . Archive date: 2012-07.

  • Title: Hickey's Pharmacies Ireland | Blood Pressure | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: BLOOD PRESSURE.. Click for details of your nearest Hickey's Pharmacy!.. CLICK HERE.. If you have any queries - don't hesitate to give us a call!.. NOW AT HICKEY'S.. Talk to our pharmacist today about our new.. FREE EXPRESS PRESCRIPTION SERVICE.. Are You?.. On a regular prescription?.. Stuck for time and would like us to have your prescription waiting for you?.. Simply leave your prescription with your Hickey's Pharmacist and ask in-store for details!.. USEFUL LINKS.. (Click the Image Below).. National Smokers Helpline:.. 1850 201 203.. Health Promotion.. E:info@irishheart.. ie.. Helpline:1890 432 787.. Stroke Action.. What is Blood Pressure?.. Everyone has blood pressure.. It shows the amount of work that your heart has to do to pump blood around the body.. Two numbers measure the level of blood pressure.. One number records blood pressure when the pressure is at its highest as the heart muscle squeezes out the blood from the heart - this is called systolic pressure.. Then the heart relaxes, which allows the blood to flow back into the heart - this is called diastolic pressure.. The normal level of blood pressure is usually about 120 (systolic) over 80 (diastolic).. If you are told that your blood  ...   pressure is to have it measured.. Hickeys Pharmacists can provide advice and check your Blood Pressure (Just ask a member of Staff for details).. Blood pressure varies with age and depends on how active you are before it is measured.. If you are nervous or anxious, the measurement can be higher than usual.. One high reading does not necessarily mean that you have seriously high blood pressure.. Your doctor will usually want to check your blood pressure several times, before deciding whether or not you have high blood pressure.. Go Red for Women.. in Ireland is part of an international awareness campaign dedicated to the prevention, diagnosis and control of cardiovascular disease in women led by the.. Irish Heart Foundation.. The campaign is aimed at encouraging women to reduce their risk of heart disease and stroke and gives tips and information on healthy eating, physical activity, menopause and diabetes.. USEFUL DOWNLOADS.. (Click on the Image to Download PDF Document).. A Man's Guide to Heart Health (from the Irish Heart Foundation).. Listen To Your Heart.. (from the Irish Heart Foundation).. What is.. Blood.. Pressure?.. Record your.. BLOOD.. pressure reading !!.. Know your Blood Pressure Keep it DOWN.. Hickey's Pharmacy Limited..

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  • Title: Emergency Contraception | Hickey's Pharmacies Ireland | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: Norlevo -.. Frequenty Asked Questions.. Myths of Emergency Contraception.. HSE -.. Guide to Contraception.. HSE.. - Booklet about STIs.. Anyone can make a mistake with contraception.. No matter how careful you are, things can still go wrong.. If you think you need emergency contraception, it s important to act quickly.. Emergency contraception (sometimes described as the morning after pill) can be effective up to 72 hours after unprotected sex but is more effective the sooner you use it.. Our Emergency Contraception Service:.. Our pharmacists have been trained to treat requests for emergency contraception professionally and confidentially.. He or she will need to ask a few simple questions before you are given Norlevo 1.. 5mg.. This will help the pharmacist ensure that Emergency Contraceptive pill is suitable for you to use.. If for any reason it is not suitable, our pharmacist will direct you another source of help and support.. Some of the reasons it.. may.. not be suitable to supply.. Norlevo.. 1.. include:.. too much time has passed for the medicine to be effective.. you are taking other medicines that interact with.. you have an existing medical condition that means it is not safe to take.. your last period was irregular in some way.. You will be supplied  ...   section.. and our.. Myths about Emergency Contraception section.. Emergency Contraception is not as effective as other forms of contraception such as the pill or condoms used appropriately.. Emergency contraception does not protect you against sexually transmitted infections.. Ask one of our pharmacists or see.. www.. thinkcontraception.. ie.. for further information.. Click.. here.. to find the Hickey s Pharmacy closest to you and to identify our Sunday and late-opening stores.. This HSE booklet will help you choose a form of contraceptive which works for you.. This HSE booklet is a guide to STIs - which are infections that are passed on from an infected partner(s) during unprotected sex.. Norlevo 1.. 5mg should not replace regular, long-term contraception.. Always read the label.. Contains levonorgestrel.. Not 100% effective.. 5mg can be used for up to 72 hours after unprotected sex, but it's more effective the sooner you take it.. For further information please click.. for the patient information leaflet, which contains information about Norlevo 1.. 5mg, how to take it and any possible side effects you may experience.. Talk to your pharmacist for further information.. IMPORTANT NOTICE: The information on www.. hickeyspharmacies.. ie is not a substitute for examination, diagnosis or treatment by a qualified healthcare professional.. Copyright Hickey's Pharmacies © 2007..

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  • Title: Flu Vaccine | Hickey's Pharmacies Ireland | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: Flu Pregnancy Leaflet.. HSE.. - Healthcare Workers Flu Leaflet.. Flu Leaflet.. available now at Selected Hickey's Pharmacies.. - Are you over 40?.. - Do you have angina or heart disease?.. - Has it been a while since you last had your cholesterol checked?.. - Do you smoke or did in the past?.. - Are you diabetic?.. - Do you often have infections or a bad chesty cough?.. If you answered.. yes.. to any of these questions would like to avail of a free health check - just ask a member of Hickey's staff.. Health Protection Surveillance Centre (HPSC).. hpsc.. Department of Health Children s.. dohc.. Department of Foreign Affairs.. dfa.. HSE Swine Flu information.. hse.. ie/eng/swineflu.. HSE Patient Information.. ie/eng/swineflu/faq.. HSE Patient Leaflet.. English.. |.. Polish.. Chinese.. Information medical advice about Pandemic (H1N1)2009 Influenza for people with specific medical conditions (PDF).. Information medical advice about influenza A(H1N1) for pregnant women and women who are breastfeeding.. Information and medical advice about Pandemic (H1N1).. 2009 for people with HIV/AIDS.. NHS (UK) FAQs (Detailed).. nhs.. uk/Conditions/Pandemic-flu/Pages/QA.. aspx.. European approval of the use of Tamiflu in pregnancy and in children under one year old.. Tamiflu 75mg Capsules Patient Information Leaflet.. All Branches of Hickey s Pharmacies are currently offering a full Flu Vaccination Service.. Who is eligible for free vaccination?.. Administration of the flu vaccine is completely free to all patients over 65 years of age who hold a Medical Card, Doctor Visit Card or a HAA Card.. Some patient groups e.. g.. patients over 65 who aren t eligible for completely free vaccination, will have some of the cost of their flu vaccine subsidised.. Ask in-store for further details.. Influenza is a highly infectious acute respiratory illness caused by the influenza virus.. Influenza affects people of all ages.. Outbreaks of influenza occur almost every year, usually in winter.. This is why it is also known as seasonal flu.. Flu is often self limiting with most people recovering in 2-7 days.. However, flu can be severe and can cause serious illness and death, especially in the very young and in the elderly.. Serious respiratory complications can develop, including pneumonia and bronchitis, to which older people and those with certain chronic medical conditions are particularly susceptible.. Pregnant women have also been found to be at increased risk of the complications of flu.. Some people may need hospital treatment and a number of mainly older people die from influenza each winter.. Flu is a highly infectious illness.. A person carrying the virus can spread the illness by coughing or sneezing.. A person can spread the virus from 1-2 days before they develop symptoms and for up to a week after symptoms develop.. Flu symptoms hit you suddenly and severely.. Symptoms of flu include.. sudden fever,.. chills,.. headache,.. myalgia (muscle pain),.. sore throat.. non-productive dry cough.. It can be difficult at times to tell between the common cold and flu.. A cold is a much less severe illness than flu.. The flu symptoms come on suddenly with fevers and muscle aches.. A cold usually starts gradually with symptoms of a sore throat and a blocked or runny nose.. The following table provides information on how to distinguish between seasonal flu and cold symptoms.. Symptoms.. Seasonal flu.. Cold.. Fever.. High fever lasts 3-4 days.. Rare.. Headache.. Prominent.. General Aches, Pains.. Usual; often severe.. Slight.. Fatigue, Weakness.. Can last up to 2-3 weeks.. Quite mild.. Extreme Exhaustion.. Early and prominent.. Never.. Stuffy Nose.. Sometimes.. Common.. Sneezing.. Usual.. Sore Throat.. Chest Discomfort, Cough.. Common; can become severe.. Mild to moderate; hacking cough.. Anyone can get the flu but it is more severe in people aged 65 years  ...   neuromuscular disorder) that can compromise respiratory function especially those attending special schools/ day centres.. children* and teenagers* on long-term aspirin therapy (because of the risk of Reyes syndrome).. (*only adults over 18 will be vaccinated as part of Hickey s Flu Vaccination campaign Children should receive the vaccine from their GP).. How does seasonal flu vaccine work?.. Seasonal flu vaccine helps the person s immune system to produce antibodies to the flu virus.. When someone who has been vaccinated comes into contact with the virus these antibodies attack the virus.. Swine Flu is a new flu virus that first emerged in April 2009.. As most people did not have any immunity against this virus it spread rapidly worldwide and infected a large number of people.. It is also known as Pandemic H1N1 (2009).. Swine Flu infected in particular young children, pregnant women, women up to 6 weeks after giving birth and those under 65 years with long term medical conditions.. It is likely that the Swine Flu strain will be the predominant strain circulating this season.. However we cannot be 100% certain of this and the WHO makes its recommendations based on expert advice and this is why the seasonal flu vaccine offers protection against three strains.. There are no safety concerns of administering the seasonal flu vaccine to those who have previously received Swine Flu vaccine.. Seasonal flu vaccines have been given for more than 60 years to millions of people across the world.. Reactions are generally mild and serious side effects are very rare.. The seasonal flu vaccines cannot give you the flu.. No, flu vaccine will not give you the flu.. Flu vaccine contains killed or inactivated viruses and therefore cannot cause flu.. It does, however, take 10 14 days for the vaccine to start protecting against flu.. The vaccine should be given in late September/October each year.. The most common side effects will be mild and will include soreness, redness or swelling where the injection was given.. Headache, fever, aches and tiredness may occur.. Some people may experience mild sweating and shivering as their immune system responds to the vaccine but this is not flu and will pass in a day or so.. The vaccine starts to work within two weeks.. The vaccine should not be given to those with a history of severe allergic (anaphylaxis) reaction to a previous dose of the vaccine or any of its constituents.. People with egg allergy can get seasonal flu vaccine.. This may be given by your GP or you may need referral to a hospital specialist.. There are very few reasons why vaccination should be postponed.. Vaccination should be re-scheduled if you have an acute illness with a temperature greater than 38 C.. This is an infectious viral infection of birds and less commonly pigs.. Avian or bird flu due to the H5N1 virus has spread rapidly throughout poultry flocks in Asia and more recently to Eastern Europe.. It is proving difficult to eradicate in birds.. Humans are rarely affected with avian/bird flu and this has mainly happened through close contact with live infected birds or their faeces.. Seasonal flu vaccine doesn't protect against avian influenza and there is no vaccine currently licensed against avian influenza.. REMEMBER!.. If you are over 65 or have a long term medical condition you should also ask your doctor about the pneumococcal vaccine which protects against pneumonia, if you have not previously received it.. Keep well this winter.. Eat well: eat at least one hot meal a day.. Keep warm: wear several layers when outside and keep at least one room heated during the day.. Keep active.. Get vaccinated..

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  • Title: Hickey's Pharmacies Ireland | Diabetes | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: » What is Diabetes?.. » Symptoms.. » Risk Factors.. » Diet.. » Recipies.. » Exercise.. » Glucose Testing.. » Hypos.. » Complications.. » Smoking.. » Medication.. » LTI Scheme.. » Sick Days.. » Chidrens Teens.. » Pregnancy.. » Travel.. » Driving.. » Useful Links.. Click to images to download (PDF Docs).. Understanding Type 1 Diabetes.. Understanding Type 2 Diabetes.. The Inside Story on Diabetes.. Self Care Guide for People With Diabetes.. Use the menu on the right to navigate to each section or scroll down to read through our Diabetes guide ».. Click Here for Hickey's Healthy Eating For People with Type 2 Diabetes.. Diabetes affects people from all walks of life from the very old to the very young.. It is now considered as a growing epidemic by the World Health Organisation (WHO) with present numbers of people with diabetes set to double over the next 10 years to 240 million worldwide.. In Ireland, it is estimated that there are 200,000 people with diabetes and a further 200,000 who have diabetes but are unaware that they have the condition.. The majority of these people will only be diagnosed through an acute medical event of the complications of long term untreated hyperglyceamia (high blood glucose).. A further 250,000 people have impaired glucose tolerance or pre-diabetes of which 50% will develop diabetes in the next 5 years if lifestyle changes are not made.. Diabetes Mellitus, or just diabetes as it is more commonly known, occurs when the glucose (sugar) level in the blood is too high.. This happens when the body is not burning up carbohydrates properly due to a defect in the pancreas, the gland that produces insulin.. Insulin is the hormone which keeps blood glucose levels within the normal healthy range.. Diabetes may be present either when no insulin is made or when insulin is made but not working properly.. There are two types of diabetes Type 1 , or Insulin Dependent Diabetes , which usually occurs before the age of 35.. A person with type 1 diabetes makes no insulin and therefore needs to inject insulin to regulate blood sugar levels and remain healthy.. Type 2, or non-Insulin Dependent Diabetes usually occurs in adults after the age of 40 and is extremely common in old age.. In this case, the person with diabetes makes some insulin, but this does not function properly.. Usually associated with being overweight, this condition responds well to weight loss through dietary regulation.. Sometimes weight loss is not enough and tablets are required to help the person's own insulin to work.. This type of diabetes is also known as Adult-Onset or Maturity-Onset diabetes.. Pre-diabetes Before developing type 2 diabetes, many people develop a condition termed pre-diabetes.. This occurs when glucose regulation is impaired but blood glucose levels are not high enough for diabetes to be diagnosed officially.. Modest weight loss, dietary modifications and increased levels of exercise can often reverse pre-diabetes and prevent the onset of type 2 diabetes in up to 60% of cases.. With an average of seven years between onset and diagnosis, the earlier the condition is detected the easier it will be to manage.. Early detection gives the ability to protect against heart attack or stroke.. Symptoms of diabetes vary in intensity but may include:.. Lack of energy.. Tiredness.. Excessive thirst.. Frequent passing of urine.. Blurring of vision.. Recurrent infection.. Diabetes is detected by a simple blood test that detects how much glucose is in the blood.. The onset of type 2 diabetes is gradual and therefore hard to detect.. Some people have few early symptoms and are only diagnosed several years (3 - 7 years) after the onset of the condition and in half of these cases various complications are already present.. Some people are more at risk of developing diabetes than others.. The known risk factors include:.. A family history of diabetes.. Being overweight (80% of people with diabetes are overweight).. Age (the likelihood of developing diabetes increases with age).. Lack of physical exercise.. Having had diabetes during pregnancy or having had a large baby.. Waist Circumference*:.. Waist circumference is a practical way of assessing abdominal fat and may be a better marker of Type 2 diabetes risk than either weight or BMI alone.. * Waist Circumference is not the same as your waist size for trousers.. Waist circumference is a measurement taken which includes your belly.. See below for details of how to take this measurement.. Increased Risk*.. Substantial Risk*.. Women.. waist 32 inches (80cm).. waist 35inches (88cm).. Men.. waist 37inches (94cm).. waist 40inches (102cm).. *IDF guidelines (Asian men are at an increased risk when waist 35inches (90cm)).. Some additional statistics on the very strong link between obesity and type-2 diabetes:.. Women with a waist circumference* of 35inches are 7 times more likely to develop diabetes than women with a waist circumference of 32inches (Lancet 1998, 351:853-6).. Compared to the risk of a man with a waist circumference of 34inches developing diabetes, the risk increases as follows:.. for men with a waist measuring 34-36 inches the risk is doubled.. for men with a waist measuring 36-38 inches the risk is trebled.. for men with a waist measuring 38-40inches the risk is five times greater.. for men with a waist measuring 40inches the risk is 12 times greater.. (Amer.. J.. Clin.. Nut.. March 2005).. For every 2inch increase in waist circumference the risk of premature death increases by 17%in men and 13% in women (Diab.. Metab.. 2008).. Measuring your Waist Circumference:.. Remove or raise any outer clothing.. Stand straight, abdominal muscles relaxed, arms at side, feet together.. Locate the level of the top of the hip-bone.. Using a measuring tape measure around the abdomen at the level of the top of this bone keeping the tape horizontal.. The measurement should be taken at the end of a normal expiration.. Living with diabetes starts with learning how to make the right food choices, increase your physical activity in an appropriate way and monitor your blood glucose level.. Here, you will find more information on how to do exactly that and so improve your health.. Eat 3 meals a day:.. Try to include starchy carbohydrate foods at each meal e.. pasta, rice, potatoes, bread.. Cut down on the fat you eat, particularly saturated fats:.. Choose lower fat dairy foods such as skimmed or semi-skimmed milk, low fat or diet yogurts, reduced fat cheese.. Grill, steam or oven bake instead of frying or cooking with oil or other fats.. Choose chicken, turkey, lean meat and fish as low fat alternatives to fatty meats.. Aim for five portions of fruit and vegetables per day - Try picking from the rainbow of colours available to maximize variety.. Include more beans and lentils - e.. kidney beans, chickpeas or red and green lentils.. These may help to control your blood fats.. You can add them to your salad or soup.. Reduce salt intake - Too much salt can increase the risk of high blood pressure.. Taste your food before seasoning and try flavouring food with herbs and spices instead of salt.. Aim for at least 2 portions of oily fish per week - mackerel, trout, salmon and sardines.. They are rich in omega 3 fats which help protect against heart disease.. Limit sugar and sugary foods e.. desserts, cakes, sweet tea and sugar-sweetened drinks.. Drink alcohol in moderation only - That s a maximum of 2 units of alcohol per day for a woman and 3 units per day for a man.. You don t need to buy/use diabetic foods - These foods often contain just as much fat and calories and can raise blood sugar levels.. And remember- Enjoy your food and make healthy food choices!.. For more detailed dietary advice click on the links on the right ».. Healthy eating for people with diabetes with type 2 diabetes (.. diabetes.. ).. Tips for exotic Eating.. Mini greek chicken kebabs.. Serves: 8 Serving size: 2 kebabs.. Ingredients:.. Marinade.. 1½ Tbsp oil.. ½ tsp lemon zest.. 1-2 Tbsp fresh lemon juice.. 1½ tsp Worcestershire sauce.. 1½ -2 tsp dried oregano leaves.. ½ tsp dried dill.. 1 medium garlic clove, minced.. 1/8 tsp dried pepper flakes.. ¼ tsp salt.. Kebabs.. Canola oil cooking spray.. 4 chicken tenders (8 oz total), rinsed and patted dry, each cut in fourths crosswise.. ½ small green bell pepper, cut into 16 cubes.. 16 grape cherry tomatoes.. 1 small yellow squash, quartered lengthwise and cut into 16 pieces.. 16 bamboo skewers (6-in each).. Preparation.. Combine marinade ingredients in a quart-sized re-sealable plastic bag, seal tightly, and toss back and forth until well blended.. Remove 2 tablespoons mixture, place in a small bowl, and set aside.. Add the chicken pieces to the bag with the remaining marinade, seal tightly, and toss back and forth to coat completely.. Refrigerate for 1 hour, turning occasionally.. 2.. Coat the grill rack with cooking spray and preheat the grill to medium-high heat.. 3.. Remove the chicken from the marinade and discard the marinade.. Thread pieces of the chicken and each vegetable per skewer in this order: pepper, chicken, tomato, and squash.. Repeat with remaining skewers.. 4.. Place the skewers on a grill rack and cook for 5 minutes or until chicken is no longer pink in center and juices run clear, turning frequently and being careful not to overcook.. Remove from the grill, place on a serving platter, and brush the reserved 2 tablespoons of marinade evenly over all.. Serve warm.. Nutritional Information.. Calories: 60.. Calories from Fat: 25.. Total Fat: 3 g.. Cholesterol: 15 mg.. Sodium: 80 mg.. Total Carbohydrate 2 g.. Protein: 6 g.. Roasted vegetable and feta cheese tart (vegetarian).. Serves 8.. Ingredients.. For the pastry:.. 125g (4½oz) self-raising flour.. 50g (1 ¾ oz) oatmeal.. 75g (2¾oz) butter.. For the Filling:.. 1 red pepper, deseeded and chopped.. 1 yellow pepper, deseeded and chopped.. 1 courgette, sliced.. 1 aubergine, chopped.. 1 red onion, cut into wedges.. 1 tablespoon olive oil.. 1 clove garlic, crushed.. 2 tablespoons fresh oregano, chopped.. 75g/2¾oz feta cheese, crumbled.. 25g/1oz pine nuts.. Salt and freshly ground black pepper.. Preparation:.. Preheat the oven to 200°C/400°F/gas mark 6.. Sift the flour into a large bowl.. Stir in the oatmeal, then rub in the butter, until the mixture resembles fine breadcrumbs.. Stir in enough water to combine the mixture.. Roll out on a lightly floured surface do that pastry is 20cm round, place on a baking sheet lined with baking parchment, chill for 15 minutes, then bake blind for 15 minutes, or until a light golden colour.. Meanwhile, place all the vegetables into a roasting tin, drizzle over the oil and toss through the garlic.. Place in the oven and roast for 25-30 minutes until tender and slightly charred on the edges.. 5.. Toss through the oregano and season well, spoon over the pastry base.. Sprinkle over the feta and pine nuts and return to the oven for 10 minutes until the cheese is melted.. Serve warm or cold.. Nutritional information.. Each serving contains:.. 231 calories.. 5 g protein.. 22g carbohydrates.. 14 g fat.. Cod with herby cheese topping.. Serves 2.. 15g ( ½ oz) polyunsaturated margarine.. 15g ( ½ oz) plain flour.. 100ml (3 ½ fl oz) milk.. 25g (1oz) strong cheddar or other hard cheese such as Wensleydale, grated.. 1 teaspoon English mustard.. 2 tablespoons chopped mixed herbs.. Freshly ground black pepper.. 2 thick chunks of cod fillet or any other chunky white fish each weighing about 150g (5oz).. Preheat the oven to 200C/400F/gas mark 6.. Melt the margarine in a small pan, whisk in the flour and cook for 1 minute.. Gradually add the milk, whisking continuously, and simmer for a minute until you have a thick sauce.. Stir through the cheese, mustard and herbs, and season with the black pepper.. Place the cod pieces onto a baking sheet and spoon over the sauce.. Place in the oven and cook for about 15 minutes until the fish is cooked.. 6.. Serve with rice and your choice of vegetables.. 206 calories.. 19 g protein.. 8g carbohydrates.. 11 g fat.. For lots more easy to make recipes go to.. diabetes.. For a person with diabetes it is important to keep active.. Exercise will help:.. Insulin to work better, which will improve your diabetes management.. Control your weight.. Lower your blood pressure.. Reduce your risk of heart disease.. Reduce stress.. It is generally recommended that you should exercise for thirty minutes five times a week.. You can spread those thirty minutes out over the course of a day:.. Start slowly with just five minutes at a time if you need to, and build up gradually to thirty minutes a day.. Plan with your diabetes nurse physical activities specific for you.. Choose an activity that best meets your goals and is safe for you to do.. If you have heart, eye or blood pressure problems, you must seek medical advice before starting a new exercise program.. To prevent injury, make sure you warm up with gentle stretching before you exercise and repeat those gentle stretches afterwards.. Take good care of your feet - Always wear socks and make sure that your footwear fits well.. Be very aware of any developing blisters and take care of them properly.. Be careful if you have diabetic foot problems.. Running and treadmill work are not recommended exercises for you.. Swimming or cycling are much kinder to the feet.. Be careful if you want to lift heavy weights.. Sudden lifting can increase your blood pressure.. In general, when you have diabetes, physical activity is likely to lower your blood sugar levels.. This is not just true for people using insulin - some tablets can have this effect too.. To avoid your levels falling too low:.. Always take a small snack before you start exercising.. Before you begin, test to make sure your blood sugar levels are not too low.. Have glucose tablets, a sugary drink or a snack to hand while you exercise, in case you feel a hypo coming on.. Test again after you exercise.. Watch out for delayed hypos- If you have undertaken vigorous exercise, keep an eye on your levels over the next 36 hours as you may need to make some longer-term adjustments to your diet to avoid suffering a hypo later.. Click on the links to the right for further Information ».. Looking after yourself.. Be in control your blood glucose monitoring explained.. Not everyone with diabetes has to test their blood sugar regularly, but it can play an important role in your diabetes care.. For people on tablets it can be helpful to clarify certain situations, and for those on insulin it provides essential information on a daily or even hourly basis.. Keeping a log of your results is very important.. When you bring this record to your doctor or nurse, you have a good picture of your body's response to your diabetes care plan.. Experts feel that anyone with diabetes can benefit from checking their blood glucose.. It is currently recommended to check your glucose levels if you have diabetes and are:.. taking insulin or diabetes pills.. on intensive insulin therapy.. pregnant.. having a hard time controlling your blood glucose levels.. having severe low blood glucose levels or ketones from high blood glucose levels.. having low blood glucose levels without the usual warning signs.. Your diabetes is specific to you, and how often you test varies according to the type of diabetes you have, the treatment you are on and your individual circumstances.. Fasting and pre-meal blood sugar levels should be between 4 and 7mmol/l.. Levels which drop below 3.. 5mmol/l are too low, causing hypoglycaemia (hypos) which can result in sweating, trembling, confusion and eventually loss of consciousness.. Fasting and pre-meal levels which are consistently higher than 7.. 0mmol/l require alteration in treatment.. A person with Type 1 diabetes should carry sugary foods and identification with them at all times.. (Please note that these blood glucose targets are general.. Your doctor may set more individual targets for you).. Glucose levels are usually recorded one to four times a day depending on the stability of a patient s condition.. If carried out four times daily, glucose levels are usually measured before meals and at bedtime.. The following levels are commonly recommended:.. Before breakfast (fasting level): 5.. 5 6.. 0mmol/L (with no nocturnal hypoglycaemia).. Before lunch and before evening meal: 4.. 0 6.. 0mmol/L.. Before bed: 6.. 0 8.. If postprandial (after eating) insulin levels are being monitored, they should be taken two hours after each meal and aim to be less than 8.. 0mmol/L.. Some patients may be set different targets (e.. , those elderly patients who are prone to hypoglycemia).. Blood glucose meters.. There are many meters to choose from.. They are very simple to use, accurate, light weight and small.. Some meters are made for those with poor eyesight.. Others come with memory so you can store your results in the meter itself, or even download results to your computer.. Although meters may look different the basic technique is the same.. A drop of blood is placed on a strip which is read by the meter and the blood glucose result is displayed electronically.. Technology is changing quickly and meters are becoming easier to use all the time.. Lancets:.. Every meter comes with its own finger-pricking (or lancing) device.. You will get a supply of lancets from the pharmacy.. These are the sharp needles which actually pierce the skin.. A new lancet should be used each time you are measuring your blood glucose.. This is important to prevent infection.. Some newer meters like the Accuchek Aviva meters come with lancets pre-loaded in a barrel ( Multiclix lancets).. This reduces the amount of handling involved and makes it impossible for yourself or anyone else to accidentally prick your finger when changing lancets.. Glucose Test Strips:.. Each type of meter uses a different brand of strips.. These strips are available from your pharmacy.. (They are available free-of-charge on either the Medical Card Scheme or the Long Term Illness Scheme).. Some meters require you to chip or code the meter each time you open a new box of strips..  ...   smoke are more at risk of aggravating their health problems.. If you are a smoker with diabetes here are 10 good reasons to quit.. Heart attack or stroke:.. Diabetics who smoke are at a higher risk (three times) to die of heart attack and stroke than diabetics who do not smoke.. Blood glucose:.. Blood glucose shoots up further among diabetics when they smoke.. Blood pressure:.. Blood pressure elevates when a person suffering from diabetes smokes.. Cholesterol:.. The cholesterol level increases among diabetic patients who smoke.. Infections:.. Smoking damages the blood vessels of the diabetics which makes harder for their body to heal.. So, the risk of getting infected increases which can finally end up in amputations.. Kidney and nerve disease:.. Diabetics who already suffer from kidney and nerve disease can damage the same when they smoke.. Joint mobility:.. Diabetics, who experience problems in the mobility of their joints, are at higher risk of losing joint mobility due to smoking.. Cancer:.. Diabetics who smoke are prone to develop life-threatening cancers in mouth, throat, lung and bladder.. Erectile dysfunction:.. People who have diabetes and smoke have greater risk of being impotent.. Respiratory diseases:.. Diabetics who smoke face difficulty in fighting against cold and other respiratory diseases.. Smoking with diabetes can greatly reduce your life expectancy and quality of life.. Benefits to your body when you quit smoking:.. After 20 minutes.. your blood pressure and pulse rate return to normal.. Circulation improves in hands and feet.. After 8 hours.. oxygen levels in the blood return to normal and your chance of heart attack starts to fall.. After 24 hours.. poisonous carbon monoxide gas is eliminated from the body.. The lungs start to clear out mucous and other debris.. After 48 hours.. nicotine is no longer detectable in the body.. Taste and smell improve.. After 72 hours.. breathing becomes easier and as the bronchial tubes relax and energy levels increase.. After 2 weeks.. circulation improves making walking and exercise easier.. In 3-9 months your cough, shortness of breath and wheezing improve dramatically.. After 5 years.. the risk of heart attack falls to that of a non-smoker.. After 10 years.. the risk of lung cancer falls to about half that of a smoker.. (Based on information from the US Surgeon General's Report).. For more information on quitting, talk to your Hickey s Pharmacist today.. National Smokers Quitline:.. CallSave: 1850 201 203.. Useful Links:.. - Irish Cancer Society (benefits of quitting smoking) -.. Click here.. - Nicorette Website -.. People with type 1 diabetes will need to take regular injections of insulin or may use an insulin pump.. People with type 2 diabetes can usually be treated by exercise and diet.. There are many different types of tablets available for the treatment of type 2 diabetes.. Your doctor will prescribe a treatment which is best suited to you.. Your medications will help to control your blood sugar levels in combination with a healthy diet and regular activity.. Oral Tablets.. Many of these tablets work differently from each other and often more than one type of tablet is used.. These are:.. Biguanides e.. Glucophage stop the liver making new glucose and help insulin carry glucose into muscles and fat cells more effectively.. Sulphonylureas e.. Diamicron - help the pancreas make more insulin and help your body use insulin better.. Can cause Hypos.. Glucose regulators e.. Starlix help the pancreas make more insulin.. Alpha glucosidase inhibitors e.. Glucobay- slow the digestion of food and absorption of glucose.. Thiazolidinediones e.. Avandia- help the body use its own insulin more effectively.. DPP-4 inhibitors e.. Januvia- these are newer drugs that work by increasing the amount of insulin released from the pancreas when required and reduce the amount of glucose produced by liver.. In addition to glucose lowering tablets, you may also have to take tablets to control blood pressure, to reduce cholesterol and a blood-thinner e.. aspirin.. Make sure you have your blood pressure checked regularly.. Tablets are not always sufficient to control glucose levels and some people may need to take an injection.. This may be in the form of insulin, or newer emerging anti-diabetes medications e.. Byetta, Victoza.. Insulin.. Here is a short description of a variety of Insulin products.. Rapid-Acting Insulin e.. Novorapid, Apidra, Humalog.. These insulins are also known as rapid-acting insulin analogues , which are clear solutions containing a modified form of human insulin.. The modification results in a faster absorption of the insulin from the injection site, and consequently in a rapid onset and shorter duration of action than the traditional short-acting insulin (see below).. Because of this feature, rapid-acting insulins can be injected immediately before a meal and are considered to better mimic the normal state of insulin release after meals.. Short-Acting Insulin e.. g Actrapid,.. This insulin comes also in a clear solution, and like rapid-acting insulin is also intended to be given at meals.. An injection should be followed by a meal or snack containing carbohydrates within 30 minutes.. Short-acting insulin can be of animal origin (mainly pigs) or human, which is manufactured using recombinant DNA technology.. Intermediate-Acting Insulin e.. Insulatard, Humulin I.. This is an insulin formulation that contains a substance which delays or retards the absorption of insulin.. The combination of insulin and a retarding substance usually results in the formation of crystals which give the liquid a cloudy look.. The insulin crystals must be homogenised (mixed) evenly before each injection.. Intermediate-acting insulin takes approximately 1 ½ hours before it begins to have an effect.. The largest effect occurs between 4 and 12 hours after the injection, and after approximately 24 hours, the complete dose has been absorbed.. Long-Acting Insulin e.. Lantus, Levemir.. These are long-acting insulins which have a slow onset and duration of more than 24 hours.. Premixed Insulin e.. Humalog Mix 25, Novomix 30.. These insulins contain a combination of a short-acting and an intermediate-acting insulin in standard proportions.. These products eliminate the difficulty some individuals encounter while mixing insulin.. The products come in several different premixed combinations containing 10-50% short-acting insulin and 50-90% intermediate-acting insulin.. Insulin pumps.. An insulin pump is a small computerised device that delivers insulin continuously throughout the day.. It attempts to mimic the normal pancreas's release of insulin, but you must tell the pump how much insulin to inject.. It delivers insulin in two ways: a basal rate which is a continuous, small trickle of insulin that keeps blood glucose stable between meals and overnight; and a bolus rate, which is a much higher rate of insulin taken before eating to cover the food you plan to eat.. Effective, safe use of the pump requires:.. Commitment to checking blood glucose at least 4 times a day, every day.. Using carbohydrate counting.. Adjusting insulin doses based on blood glucose levels, carbohydrate intake, and physical activity.. Examples of insulin pumps include:.. Minimed Paradigm (Medtronic).. Roche Accuchek Pumps.. Diabetes is covered under the LTI scheme for people resident in the Republic of Ireland.. This means that all medication for diabetes and related conditions is available to you free of charge under this scheme.. This includes medication for high blood pressure and high cholesterol and glucose testing strips.. How to apply for the LTI scheme.. If you want to register for the LTI scheme:.. Ask your doctor to complete the LTI application form.. Submit this form to the local Health Service Executive office.. Your doctor/pharmacist should be able to tell you where the local office is located.. When you are registered under the LTI scheme, you will receive an LTI book in the post.. It shows your registration number.. Registered patients will get any prescribed diabetic medication free-of-charge from their pharmacy.. Ask in any Hickeys Pharmacy for more details.. Remember, the Long Term Illness Scheme does not depend on your income or other circumstances and is separate from the Medical Card Scheme and the GP Visit Card Scheme.. If you have a medical card you will get your diabetes medication under the medical card scheme instead of the LTI scheme.. - HSE LTI Scheme -.. (of particular importance to insulin dependent diabetics).. When you are sick, your blood glucose levels go up, so you need to be extra careful with your diabetes management.. It can put you at risk of developing diabetic ketoacidosis.. Remember:.. Always take your diabetes medication.. If you are having trouble keeping the medicine down (vomiting), call your doctor.. Do NOT stop taking insulin, even if you are not eating.. Check your blood glucose every 2-4 hours.. Check your urine or blood ketone levels every 2-4 hours.. If blood glucose remains high and ketone levels are positive, you will need extra insulin.. Drink at least 100 mls of water or sugar free drink every hour to prevent dehydration.. Stick to your normal meal plan, if possible.. If you are not able to eat normally, have foods that are easily tolerated e.. milky drinks or soup.. Monitor for hypoglycaemia and treat if required.. Call your doctor or diabetes specialist team if:.. Blood glucose and ketone levels continue to rise despite extra supplements of insulin.. You are vomiting and unable to take fluids for more than 4 hours.. You have fever greater than 38ºC lasting for longer than 24 hours.. You are unsure or unable to follow the above instructions.. Advice for Parents:.. Depending on personality and age, your involvement in your child's diabetes care will vary.. If your child is young you may play a bigger role in diabetes care.. As your child gets older, it's important to help him/her learn self-management skills and start to own their diabetes care.. Parents need to work with a health care team that is knowledgeable about paediatric diabetes.. It is also important to:.. See the health care team regularly at least four times a year and be honest - do not be afraid to tell them what is difficult for you and your child.. Stay positive with your child.. Tell him or her all of the things they are doing well, rather than focusing on what they need to work on.. Be mindful of your facial expressions and what you say, especially when you see an out of range blood glucose.. Stress to your child that there is no bad blood glucose, because you want him or her to be honest about their blood glucose levels.. Find time to check in with your child about diabetes management.. Make sure that you talk about non-diabetes issues as well, like you do with your other children.. Make sure your child does everything that he or she would have done if your child was not diagnosed with diabetes (sports, sleepovers, parties, etc.. ).. Prepare healthy foods for the entire family.. A healthy meal plan for someone with diabetes is the same for someone without diabetes.. For a wide range of booklets for both parents and children and some useful websites click on the links to the right ».. Specialised Websites:.. - For Children and Teenagers.. -.. Caring for Others:.. Click Here.. Pete the Pancreas, educational guide for children.. Diabetes Made Simple - a kids guide to diabetes.. Your Student With Diabetes.. Teenagers Know the Score.. Managing your diabetes.. (a booklet for children and their families).. Diabetes Information for Friends and Relatives of children with Diabetes.. Managing diabetes during pregnancy.. Changing hormones in the body during pregnancy cause blood glucose levels to rise, and high blood glucose levels in early pregnancy (within the first four to six weeks) can cause complications later in pregnancy.. Controlling your diabetes before and during pregnancy can improve your chances of a safe and successful outcome for both you and your baby.. If you suspect you are pregnant you should contact your doctor, midwife or diabetes care team for urgent referral to a specialist antenatal clinic for women who have diabetes.. Your diabetes care team will help you achieve near-normal blood glucose levels by encouraging you to test your blood glucose before each meal and at bedtime and helping you reach these important targets.. Remember - regular testing will help you to achieve good blood glucose control.. Gestational diabetes.. Gestational diabetes is a form of diabetes that occurs only during pregnancy.. Gestational diabetes mellitus (GDM) affects 2 to 4% of pregnancies.. It usually strikes between the 24th and 28th week of pregnancy, and typically ends after pregnancy.. The good news is that gestational diabetes can be managed you can have a healthy pregnancy and a healthy baby.. After you have successfully managed gestational diabetes, it is important to be vigilant about eating right and staying active.. This is because women who have had gestational diabetes have a 50% risk of developing type 2 diabetes in 10 to 20 years after the birth of the child.. Benefits of Breast Feeding in Diabetes.. Apart from the obvious bonding and nutritional benefits of breast-feeding, there are a number of additional benefits in diabetes:.. Breast-feeding is associated with a lower incidence of childhood and adolescent obesity.. Non-lactating women have a higher risk of developing type 2 diabetes in the future.. Breast-fed babies have a lower risk of developing type 1 diabetes in the future.. Breast-feeding also appears to enhance psychomotor development.. Breast-feeding lowers maternal glucose levels and insulin requirements drop by 25%.. Click on the link to the right for further Information ».. Planning a pregnancy.. Travelling with Diabetes.. Travelling and holidays should be planned in advance and advice sought from the diabetes team when necessary.. Insulin and traveling.. Patients should find out what types and strengths of insulin are available in the area in which they will be travelling (refer to Diabetes UK or Pharmaceutical Company).. Insulin s used in Ireland and many other countries are of the strength U-100.. In some countries, insulin may come as U-40 or U-80 strengths.. These insulin s are not interchangeable.. If they are to be used, the appropriate syringes are required.. Insulin should be kept out of direct sunlight and kept cool.. Insulin should never be allowed to freeze; therefore, when travelling by air, insulin should always be carried in the cabin luggage.. Insulin might be absorbed faster in warmer climates, so regular monitoring is important.. Preparing for travel.. Whether you travel by car, plane, train or boat, you'll want to keep a carry-on bag with you at all times.. Pack this bag with:.. Twice as much insulin, syringes or pens, needles, tablets and testing equipment and strips as necessary (include extra batteries for your glucose meter).. A diabetes identity card or jewellery.. Carbohydrate- quick-acting (e.. Lucozade, glucose sweets) and slow acting carbohydrate snacks eg.. (biscuits, fruit) in the hand luggage to cover any travelling delays.. A letter, from either your GP or Diabetes Centre, with a contact telephone number and address confirming the need to carry needles and syringes.. Glucagon injection.. Ketone strips.. Storage of Insulin.. Do not put luggage into the hold of the plane.. (Insulin could freeze here and therefore be rendered ineffective for use).. Carry all equipment (Insulin, meters, snacks) as hand luggage.. Keep out of direct sunlight.. Use containers available e.. Frio bags, cool-bags, flasks.. Climate Control.. Insulin may be absorbed faster in warmer climates so regular blood glucose monitoring is important.. Insulin requirements may need to be reduced.. Some blood glucose test strips may over read in very hot weather.. Some blood glucose test strips may under read in very cold weather.. Vaccinations.. Patients should be advised to find out what vaccinations are required for the proposed destination.. Occasionally these can cause sickness or flu-like symptoms and it is best to have them performed one month in advance of travelling.. Advice: Coping with Illness.. If sickness or diarrhoea develops, insulin or tablets should never be stopped even if solid foods cannot be tolerated.. Carbohydrate intake should be maintained in the form of regular sugary drinks.. Monitor blood glucose levels frequently.. Urine should be tested for ketonuria as an early sign of decompensation.. If sickness or diarrhoea persists medical advice should be sought.. Specific rules for Sick-Day Management can be provided by your G.. P or Hospital Diabetes Care Team.. Insurance for traveling.. Free or reduced cost, emergency treatment is available in other EU countries.. The European Health Insurance Card has now replaced the E111.. The EHIC application form is available from your local Community Care Office, local Health Office, Health Centre, or online at www.. EHIC.. Travel insurance is vital.. Patients should inform the insurance company of the presence of diabetes and ensure that the insurance package provides adequate cover.. Long-haul flights.. If crossing time zones or travelling for many hours, specific advice regarding adjustments to insulin regimes can be obtained from the hospital team.. Patients should bring along a flight schedule and information on time zone changes to help plan the timing of injection.. Identification and Customs.. Require identification as a diabetic letter available from your G.. P.. or Diabetes Care Team.. Have a great trip!.. It is the legal responsibility of the patient to inform the the Driving Licence Authority as soon as possible after a diagnosis of diabetes that is being treated with either insulin or oral hypoglycaemic agents.. For people with type 1 diabetes, and some with type 2, driving requires extra care.. Unexpected hypoglycemia (low blood sugar) can cause you to feel dizzy, shaky, or disoriented.. In order to avoid hypoglycaemia you need to make sure to:.. Always carry fast acting carbohydrate food in the car e.. glucose tablets.. Not to drive for more than two hours without eating a snack.. Check blood sugars before and during the journey.. Carry identification.. If symptoms of hypoglycaemia do occur, you need to:.. Stop driving as soon as it is safe to do so.. Immediately take a glucose drink/tablet.. Remove the ignition key and move into the passenger seat to avoid any suggestion that the patient is in charge of the car.. If you have an accident attributable to hypoglycaemia you are liable to the charge of driving under the influence of drugs.. Getting Behind the wheel (UK Booklet).. For more information contact your Hickey s pharmacist, GP or visit some of the following websites:.. Diabetes Federation of Ireland:.. Diabetes dictionary on Diabetes.. ie:.. Roche Accucheck Website:.. Foreign language booklets:..

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    Descriptive info: Hickeys Inhaler Technique Study 2010.. Only 35% of Patients Use Prescribed Inhalers Correctly For more details of this study please click here.. Use the menu on the right to navigate to each section or scroll down to read through our Asthma guide ».. Asthma is the most common chronic disease affecting all age groups from young children to adults.. Between 24,000 and 26,000 people attend A E every year in Ireland due to an exacerbation of their condition, creating an additional burden on an expensive and already overstretched resource.. What is.. ASTHMA?.. Asthma is a condition that affects the airways the small tubes that carry air in and out of the lungs.. When a person with asthma comes into contact with something that irritates their airways (an asthma trigger), the muscles around the walls of the airways tighten so that the airways become narrower and the lining of the airways become inflamed and start to swell.. Sometimes sticky mucus or phlegm builds up which can further narrow the airways.. All these reactions cause the airways to become narrower and irritated - making it difficult to breath and leading to symptoms of asthma.. ·.. In Ireland over 470,000 adults and children have asthma.. It can start at any time in life but most commonly in childhood.. Sometimes it can affect several family members in one household.. The key issues to bear in mind for asthmatics are:.. The airways obstruction is reversible and appropriate treatment with inhaled steroids can help control airway inflammation.. Once appropriate treatment is started, asthmatics can live a near-normal life.. There is plenty of excellent information for asthmatics on the.. Asthma Society of Ireland s.. website.. What Causes.. Asthma can occur at any age but is much more likely in childhood.. However, it can be difficult to diagnose in children and this has lead to an increase in the diagnosis of milder asthma (and possibly over-treatment).. Anyone can develop asthma, and it can affect several family members in one household.. Conditions like hay-fever, eczema and hives, which are usually the result of allergies, may occur along with asthma.. Asthma symptoms may change over a period of years.. Children who have asthma also tend to have asthma as adults, even though symptoms resolve during puberty in one-third to one-half of children.. Asthma can improve, worsen or stay the same during pregnancy.. Modern lifestyles such as changes in housing, diet and living in a more sterile environment are thought to have contributed to the increase in asthma over the years.. The actual cause of asthma is not known, however individuals with asthma may notice their condition deteriorates on exposure to certain trigger factors.. » What is ASTHMA?.. » Trigger Factors.. » Asthma Hayfever.. » Asthma In Childrens.. » Adult Onset Asthma.. » Asthma Treatment.. » Inhaler Technique.. » Spacer Devices.. » Other Asthma Treatments.. » Nebulizers.. » Monitoring your Asthma.. » When Asthma Attack.. » Asthma Women.. » Asthma Excercise.. » Travelling with Asthma.. Take Control Of Your Asthma.. What is Asthma and What Triggers It.. Useful Links (Click the image below).. TRIGGER FACTORS.. A trigger is anything that irritates the airways and causes the symptoms of asthma.. Everyone s asthma is different and you may have several triggers.. An important aspect of controlling your asthma is avoiding your triggers.. It may be impossible to avoid all of your triggers but once you have identified them, there are things you can do to help you reduce unnecessary symptoms and better control your asthma.. Sometimes it may be easy to identify what triggers your asthma, i.. , your symptoms may start within minutes of coming into contact with a cat or dog.. However for others there can be a delayed reaction so it can be harder to figure out what the triggers are.. ANIMALS.. Furry and feathery animals are a common trigger of asthma symptoms.. The allergens.. (the substances that causes the allergic reaction).. are found in their saliva, flakes of skin (pet dander), fur and urine.. If you have a pet at home and find that your symptoms are worse in their presence, you may need to find your pet a new home.. Speak to your vet for further information.. AIR POLLUTANTS.. The air we breathe contains lots of different particles that can trigger asthma symptoms.. Air pollutants like cigarette smoke and car exhaust fumes release gases and particles into the atmosphere which can irritate your airways.. If you find pollution triggers your asthma, keep well informed about air quality.. Ozone can be a problem for some people.. Levels are likely to be higher on hot, summer days.. If you think this might be a trigger for you, avoid exercising outdoors, especially in the afternoon.. To.. check air quality in your area visit:.. http://www.. epa.. ie/environment/air/.. COLDS AND VIRAL INFECTIONS.. Colds and viral infections are very common triggers of asthma.. Unfortunately these can be difficult to avoid.. At your asthma review you should talk to your doctor or asthma nurse about having the flu vaccination.. This is normally available every autumn.. People who are regularly taking steroid tablets should also talk to their doctor about having the pneumococcal vaccination.. Unlike the flu vaccination, which should be repeated every year, the pneumococcal vaccination is usually only given once.. Flu and pneumococcal injections are also recommended for everyone over the age of 65.. EXERCISE.. Some people with asthma find that exercise triggers their asthma symptoms.. However, exercise is good for everyone, including people with asthma.. If your asthma is well controlled, you should be able to join in, have fun and keep fit.. For more information see.. Asthma and Exercise.. HOUSE DUST-MITES.. Many asthmatics are sensitive to the droppings of house-dust mites.. These are tiny creatures that live in the dust that builds up around the house, in carpets, bedding, soft furnishings and soft toys.. If house-dust mites trigger your asthma, your symptoms could be reduced by following the recommendations below.. Use complete barrier covering systems on your mattress, duvet and pillow.. Remove all carpets and replace with hard flooring.. Vacuum all areas frequently.. Use a vacuum cleaner that has good suction and a filtered exhaust that does not scatter dust.. Remove all soft toys from beds.. Put them into a bag in the freezer for a minimum of six hours every one to two weeks to kill house-dust mites.. Hot wash (at 60 degrees C) sheets, duvet covers and pillowcases once a week.. Although some people are allergic to feathers, there is no conclusive evidence to show that synthetic, 'hypo-allergenic' pillows are any better.. Clean your soft furnishings with anti-house-dust mite chemicals.. Use a dehumidifier to dry the air, as this makes it more difficult for the house-dust mites to survive.. MEDICATION THAT CAN TRIGGER ASTHMA.. Some medicines that are used to treat a range of conditions can lead to asthma attacks in a small number of people.. These medicines include aspirin and non-steroidal anti-inflammatory tablets, such as; ibuprofen, diclofenac and naproxen (e.. Nurofen®, Difene® and Naprosyn®).. Other medicines that can sometimes lead to asthma attacks include beta-blockers, used to treat heart disease and glaucoma.. If you have any concerns over your medication and asthma, speak to your pharmacist who will be happy to discuss these issues further.. SMOKING.. Smoking is dangerous for everyone, but particularly for people with asthma.. It can irritate the lungs and bring on asthma symptoms.. If you smoke (or breathe in other people's smoke) you increase the risk of an asthma attack and may permanently damage your airways.. You are increasing the risk of your asthma persisting if you smoke as a teenager.. You are putting children at risk of asthma if you smoke around them or during pregnancy.. Many public places are now smoke-free areas but do not be afraid to ask other people to stop smoking around you.. Smoking Quitline.. If you would like advice or support on quitting, you can call the National Smokers' Quitline.. If you would like further personal support locally call the Quitline and they will put you in touch with the Smoking Cessation Officer in your area.. The National Smokers' Quitline is an initiative of the Health Services Executive, in partnership with the Irish Cancer Society.. The Quitline can be contacted at CallSave 1850 201 203 - Monday to Sunday 8am to 10pm.. Start your quit plan now.. Link:.. giveupsmoking.. POLLEN.. I.. s an allergy affecting your asthma?.. allergyandasthma.. ie/allergyandasthma/self_test.. htm.. Pollen is a powder like substance produced by flowers, trees and grass.. If your asthma is triggered by pollen, try the following to reduce your asthma in the pollen season:.. Review your treatment with your doctor or asthma nurse in advance of the hay fever season.. Look out for pollen forecasts on the television, in newspapers or on the internet.. If high counts are forecast in your region, try to reduce the time you spend outside.. To help avoid pollen as a trigger for children's asthma do not stop your child from playing outside, but be aware that a high pollen count could cause problems.. Very few children under five have asthma that is triggered by pollen unless they have other allergies or a family history of allergy.. Check today s pollen count.. (Please note this service is only available from June to August).. met.. ie/forecasts/pollen.. asp.. Asthma Symptoms Triggers.. Garden with Asthma.. giveup.. smoking.. Pollen.. Forecast.. allergyandasthma.. ASTHMA HAYFEVER.. Every year thousands of people in Ireland experience the discomfort of hay fever.. Some people only have symptoms during the summer.. Others have hay fever-like symptoms all year round called 'perennial allergic rhinitis'.. Hay fever is a seasonal condition.. It is sometimes called 'seasonal allergic rhinitis'.. People with hay fever are allergic to pollen and spores.. Pollen is the tiny, dust-like particles given off by certain types of trees, grasses, weeds and flowers.. Spores are given off by fungi and moulds.. In some people, hay fever-like symptoms occur all year round.. This condition is called 'perennial allergic rhinitis' (or perennial rhinitis).. This is usually caused by an allergy to allergens present in everyday life, such as house-dust mites, furry or feathery animals, certain chemicals or some foods.. If you have an allergy, your body reacts when you come into contact with certain allergens.. As soon as you inhale them, or if they get into your eyes, they irritate the sensitive linings of your nose, throat and eyes.. This causes the symptoms of hay fever or perennial rhinitis to appear.. WHAT ARE THE SYMPTOMS?.. Typical symptoms of hay fever and perennial rhinitis are:.. sneezing.. itchy, blocked or runny nose.. red, itchy or watery eyes.. itchy throat, inner ear or mouth.. headaches.. a loss of concentration and generally feeling unwell.. Different people will experience different symptoms.. Some people might experience all the symptoms.. Others might experience only a couple.. The common cold can often be confused with hay fever and perennial rhinitis because they all cause similar symptoms.. However, a cold normally lasts for around a week.. Sneezing, a streaming nose and itchy eyes which persist for a few weeks may well be due to either hay fever or perennial rhinitis.. Allergens can also trigger asthma symptoms: tight chest, shortness of breath, coughing and wheezing.. If this happens to you, speak to your doctor or pharmacist as soon as possible.. They will give you medicines to help you control these symptoms.. Helpful Hints - Asthma Society of Ireland.. HOW TO CONTROL HAYFEVER AND RHINITIS.. You can try to avoid those allergens that affect you, or you can take effective medication.. (as allergens are impossible to avoid completely).. A combination of the two is often the most successful method of controlling symptoms.. AVOIDING POLLEN SPORES.. Pollen and spores are a problem in towns and cities as well as in the countryside.. This is because they are small and light enough to be carried in the air over great distances during the course of the day.. Most pollen is released in the morning and rises skywards with the heat of the day.. It then gets whisked overland by winds and breezes.. The pollen then sinks back to earth late afternoon/early evening as the temperature starts to drop.. Although it's difficult to avoid pollens and spores completely, there are several sensible and worthwhile precautions you can take.. Indoors.. Keep doors and windows closed, especially mid-morning and late afternoon/early evening.. These are the times when the pollen count is usually at its highest.. Vacuum regularly and dust with a damp cloth.. Avoid drying your clothes outside.. But if you do, give them a good shake before bringing them back into the house.. That way you'll get rid of any pollen and spores that might have blown onto them.. If you've been out walking or gardening, shower, wash your hair and change your clothes when you get back in.. That way you won't be carrying spores and pollen around the house.. Splash your eyes with cold water regularly.. This will help flush out any pollen.. It will also soothe and cool your eyes.. Keep furry pets out of the house during the hay fever season.. If your pet does come indoors, wash or bathe them regularly to remove any lingering pollen from their fur.. Keep fresh flowers out of the house.. Outdoors.. Check the pollen forecast on the television or in the newspaper before venturing outside.. This will give you the chance to stay indoors if there's a high pollen count.. Check today s pollen count:.. (Please note this is only available from June to August).. Wear wraparound sunglasses.. These will help stop pollen blowing into your eyes.. Smear Vaseline inside your nose.. It might sound horrible, but it can help to stop pollen and spores from settling on the lining of your nose.. Keep your car windows closed.. Some cars can be fitted with pollen filters.. Ask at your local garage for further details.. Try to stay out of places with lots of grass, like parks or fields.. Try to avoid mowing the lawn or weeding.. These activities can create clouds of pollen and spores.. If you enjoy gardening, consider creating a hay fever-friendly environment for yourself.. AVOIDING OTHER ALLERGENS.. If you have perennial rhinitis and are allergic to the house-dust mite:.. Use barrier covers for your bedding.. Hot wash (at 60°C) all bedding at least once a week.. Vacuum frequently using a high-efficiency vacuum cleaner.. Dust regularly with a damp cloth.. If you don't already own a pet, think carefully before getting one.. If you already have a family pet, keep it out of lounge and bedroom areas and bathe it regularly.. HAYFEVER AT EXAM TIME.. If you're sitting an exam, it's important that you get your hay fever symptoms under control as early as possible.. Once your hay fever is under control you'll find yourself sleeping better at night.. This means you'll feel much fresher during the day, and will be able to concentrate much harder on your revision.. Of course you will obviously feel a lot better in yourself if you're not sneezing or sniffing or rubbing your eyes all the time.. Before your exam.. See your doctor or pharmacist well in advance of the hay fever season (and certainly no later than the Easter holidays) to make sure you've got the right treatment.. You don t want to be taking medication that may cause drowsiness!.. Tell your teacher you have hay fever.. Your teacher might want to write to the exam board on your behalf.. The exam board might take your hay fever into account when your paper is marked - especially if your symptoms are really bad during the exam.. On exam day.. Take your regular medication.. Tell the adjudicator if your hay fever is bothering you.. Splash your eyes with cold water before going into the exam room.. Try not to sit near an open window.. Keep a supply of tissues and an effective, quick-acting hay fever treatment close at hand just in case.. (And good luck!).. HAYFEVER TREATMENTS.. There is no cure for either hay fever or perennial rhinitis.. However, in most cases symptoms can be controlled effectively.. Below are some of the most widely used treatments for hay fever and perennial rhinitis.. For some you need a prescription from your doctor.. Others can be bought over the counter without a prescription.. Talk to your doctor, nurse or pharmacist about the most suitable treatment.. Antihistamines.. Antihistamines provide quick relief for symptoms such as sneezing, runny nose, itchy, watery eyes and itchy throat.. They work by stopping many of the effects of histamine one of the chemicals the body releases during an allergic reaction.. They come in tablets, capsules or as liquids.. Examples include Clarityn® (loratadine), Zirtek® (cetirizine) and Piriton® (chlorphenamine).. Side effects.. Newer antihistamines cause little if any sleepiness, but older types such as Piriton® (chlorpheniramine) can make you drowsy.. Don't take these older types if you are going to drive, operate machinery or sit an exam.. Decongestant sprays:.. Otrivine®, Sudafed®.. Decongestant sprays may be used occasionally to relieve stuffy or blocked noses.. Although side effects are rare, they must only be used for 7 days at a time.. If overused, they can lose their effect.. This can lead to a need for bigger and bigger doses.. Preventer treatments.. Preventer treatments are used to prevent nose and eye symptoms developing in the first place.. They do this by reducing inflammation in the nose and eyes.. They are very effective at controlling hay fever and perennial rhinitis symptoms if used regularly each day.. If you have hay fever, you should start using them a couple of weeks before the hay fever season starts.. Nasal sprays and nose drops are available.. Some contain a corticosteroid - for example, Flixonase® (fluticasone) and Beconase® (beclomethasone).. Others contain sodium cromoglycate (for example, Haycrom® and Opticrom® Ask your doctor, nurse or pharmacist as there are many others available.. How to take nasal sprays and drops.. If you use a nasal spray, bend your head forwards to look at your feet before spraying one or two sprays into each nostril and breathing in slowly.. If you use nasal drops, you need to bend right over so that your head is upside down.. If in doubt, read the patient information leaflet that comes with the medicine.. Ask your doctor, nurse or pharmacist to check that you are taking your medicine correctly.. Some preventer treatments contain a small amount of corticosteroid.. They do not generally cause side effects.. Some patients report irritation and occasionally nose bleeds.. If you need to take corticosteroids long-term, discuss this with your doctor, nurse or pharmacist.. Remember always read the label and do not exceed the stated dose.. Eye Drops.. Drops such as Haycrom® and Opticrom® are very effective at alleviating watery, itchy eyes.. Care should be taken for those who wear contact lenses.. Ask your pharmacist which drops are suitable.. Side- effects with eye drops are unusual, however some patients say they can sting a little on administration.. WHICH TREATMENTS ARE THE BEST TO TAKE?.. If you have hay fever, early preventative treatment is the most effective.. Visit your doctor or pharmacist well before the hay fever season starts.. If your symptoms are mild, you may only need to take an antihistamine tablet when you have symptoms.. If this is not enough to control the problem, you may need to use a preventer treatment also.. An example might be one of the steroid nasal sprays listed above.. Often the best way to control symptoms is to take a preventer nasal spray or drops together with an antihistamine tablet.. Anti-allergy eye drops can be added and should be used regularly if you have symptoms affecting your eyes.. Talk to your doctor, nurse or pharmacist.. They will be able to advise you on which treatments are the best for you.. Asthma and Allergic Rhinitis.. Hayfever.. ASTHMA IN CHILDREN.. Asthma is very difficult to diagnose in young children, as at least one in seven children will have wheezing at some point during their first five years.. Many of these children will not go on to have asthma in later childhood, so your doctor may not want to use the term asthma at this stage.. The diagnosis will be based on a wide range of questions, including whether your child has wheezing, a dry cough, breathlessness or noisy breathing.. As a parent you will be asked about any family history of asthma or eczema, the pattern of your child's illness, its severity and incidence, as well as possible triggers - such as allergies, colds or exercise.. Your child may be asked to take a skin prick test, blood test, a chest X-ray or simple lung function tests.. The following factors will help your doctor decide whether your child has asthma:.. A family history, particularly in the mother, of asthma and/or rhinitis.. Signs of allergies, e.. to pollen, dust, animals or exercise.. Gender - Before puberty boys are more at risk than girls.. Boys are more likely to 'grow out' of it, while girls are  ...   change with you.. STEROID TABLETS.. If your asthma symptoms become severe, your doctor or asthma nurse may give you a short course (3-14 days) of steroid tablets.. Steroid tablets work quickly and powerfully to help to calm your inflamed airways.. Short courses of steroid tablets are also used to treat acute asthma attacks and are used for essential emergency treatment of asthma attacks.. If you finish a short course of steroids but are not back to normal, you should visit your doctor.. You may need to continue the course for more days to get your asthma back under control.. Will the steroids I take for my asthma make me put on weight?.. Steroid treatment is an essential part of asthma management.. For most people, a regular dose of a steroid inhaler is all that is needed to keep their asthma under control.. This contains a very low dose of steroid and it won't make you put on weight.. Steroid tablets themselves won't make you put on weight.. However, they can make you feel hungry and, of course, if you eat more than usual you'll start to put on the pounds.. Stick to your usual eating habits, take regular exercise, and you should be fine.. A small number of people with severe asthma find that their preventer medicine and short courses of steroid tablets are not enough to control their asthma.. They need to take steroid tablets for a longer period.. You should continue to take you preventer inhaler while on steroids so that the dose used can be as low as possible.. WARNING WHEN STOPPING LONG TERM STEROIDS.. When you are taking regular tablet steroids your adrenal gland becomes lazy, and makes less of its own natural steroids.. This means you have less ability to cope with infections or deal with physical stress.. Long courses of steroid tablets (three weeks or more) can be stopped only by gradual reduction and under the guidance of your doctor or asthma nurse.. If they are stopped suddenly you will be very vulnerable to infection and less able to cope with any crisis such as an operation.. For this reason the doses should be reduced slowly over weeks or months.. NEBULIZERS.. A nebule is the small plastic container that is filled with liquid medication used in a nebuliser.. A compressor is used to blow air through this solution to make a fine mist of medicine.. This mist is then breathed into the lungs through a mouthpiece or mask.. Most people with asthma will find they do not have to use a nebuliser at home.. However some people with severe asthma symptoms or other lung diseases may find that normal inhalers do not work for them.. The nebuliser helps to open up airways faster, so that these patients can deal with an attack quicker.. It is important that you check with your pharmacist how to use the equipment properly.. There are several different types of nebuliser on the market including portable devices that can plug into car cigarette lighters, as well as compact desktop models.. All of these, as well as replacement parts can be ordered in your local Hickey s pharmacy.. MONITORING YOUR ASTHMA.. Monitoring your asthma is extremely important so that you are aware your asthma is under control.. There are several ways by which you can monitor your condition; the best way is to measure your peak flow and keep a record in your asthma diary.. PEAK FLOW READINGS.. A peak flow is a measurement of how much air you can blow out of your lungs in a set amount of time.. Keeping a record of your scores will help you see if your asthma is getting better or worse.. To measure your peak flow you need a peak flow meter which is available from your pharmacist.. To conduct a reading, follow the steps listed with the meter.. Your peak flow should be taken first thing in the morning, before using any asthma medication, and last thing at night.. Readings will generally be lowest in the morning.. These values can be recorded in your asthma diary.. You should also keep a record of your personal best peak flow measurement.. This is your highest reading.. To determine this you should take your peak flow readings over 2-3 weeks when your asthma is under control and you have no symptoms.. Your personal best will be the reading you obtain during this time.. This reading should be checked once in a while to see if it has changed much.. If the reading falls to below 80% of your personal best, your asthma may not be as well controlled as it could be.. You should consult your doctor as your medication may need to be reviewed.. The following signs may also indicate that your asthma medication needs to be reviewed.. If you have one or more of them you should speak to your doctor or pharmacist for advice.. Waking at night with coughing, wheezing, shortness of breath or tightness in the chest.. Having to take time off work because of your asthma.. Finding it difficult to breath and taking short shallow breaths.. Finding you need to use your reliever more often than normal.. As a general rule, if you are using your reliever inhaler more than three times weekly, your asthma is not as well controlled as it should be.. Feeling that you are not able to keep up with your normal level of physical activity.. Using an asthma diary will help you have a better understanding of how well controlled your asthma is.. If you need any help understanding it, do not hesitate to ask your pharmacist for assistance.. Ongoing monitoring of your asthma is essential to achieve control and to establish the lowest dose of medication needed to maintain this.. Discuss an Asthma Action Plan with your GP.. An action plan describes a pre-determined course of action you should follow depending on how well controlled your breathing is.. Download a blank action plan Asthma Society of Ireland.. ie/resources/ASI-Action-Plan.. pdf.. Asthma Self Monitoring Asthma Diary.. ASI Action Plan.. WHAT TO DO IN AN ASTHMA ATTACK.. Sometimes, no matter how careful you are about taking your asthma medicines and avoiding your triggers, you may find that you have an asthma attack.. RECOMMENDED STEPS.. The following guidelines are suitable for both children and adults and are the recommended steps to follow in an asthma attack:.. The Five Minute Rule.. Ensure the reliever inhaler is taken immediately.. This is usually blue and opens up.. narrowed air passages.. Sit down and loosen tight clothing.. Stay calm.. Attacks may be frightening and it is important to stay calm.. If there is no immediate improvement continue to take the reliever inhaler every minute for five minutes or until symptoms improve: two puffs if MDI/evohaler® or one puff if turbohaler®.. If symptoms do not improve in five minutes, or if you are in doubt, call 999 or a doctor urgently.. Continue to give reliever inhaler until help arrives or symptoms improve.. Do not be afraid of causing a fuss, even at night.. You are having an asthma attack if any of the following happen:.. Your reliever does not help symptoms.. Your symptoms are getting worse (cough, breathlessness, wheeze or tight chest).. You are too breathless to speak, eat or sleep.. If you are admitted to hospital or an accident and emergency department because of your asthma, take details of your medicines with you.. After an emergency asthma attack:.. Make an appointment with your doctor or asthma nurse for an asthma review, within 48 hours of your attack.. You will also need another review within one or two weeks after your asthma attack to make sure your symptoms are better controlled.. Do not ignore worsening symptoms.. Most people find that asthma attacks are the result of gradual worsening of symptoms over a few days.. If your asthma symptoms are getting worse do not ignore them! Follow your personal asthma action plan.. If symptoms continue to get worse make an urgent appointment to see your doctor or asthma nurse.. Quite often, using your reliever is all that is needed to relieve your asthma symptoms when you start to have an asthma attack.. At other times, symptoms are more severe and more urgent action is needed.. ASTHMA WOMEN.. As a woman your body will go through changes that can affect your asthma.. PUBERTY.. Hormonal changes can affect asthma in adolescent girls.. Some girls find their asthma is worse around the time their period starts for the first time.. However, other factors such as the pressures of starting a new school and emotional stress need to be taken into account as well.. Their symptoms usually settle down once their menstrual cycle becomes established.. However, some women continue to find that their asthma gets worse before their period.. MENSTRUAL CYCLE.. If you have noticed that your asthma is harder to control at certain times of the month, you are not alone.. Studies have shown that around one third of women think their symptoms are worse just before or during menstruation.. This link seems to be stronger in women with severe asthma.. If you find that your asthma gets worse during your period, keep an asthma diary.. If you notice that over a few months your asthma gets consistently worse at that time your doctor may advise you to use extra preventer medicine during the week before your period.. Some women who experience very severe asthma attacks before their period may benefit from progesterone hormone therapy either given as a tablet or by injection.. Your doctor will be able to advise if this is appropriate for you.. Aspirin and other non-steroidal anti-inflammatory tablets, e.. ibuprofen (Nurofen®), and mefenamic acid (Ponstan®) used for period pain may induce an asthma attack in a small number of people.. Paracetamol is usually safe.. THE CONTRACEPTIVE PILL ASTHMA.. Your asthma treatment is just as effective when you are taking the pill.. As with all women taking the pill, it is best if you do not smoke and have your blood pressure checked regularly.. MENOPAUSE.. Menopause is a natural process.. It marks the point at which the balance of hormones in a woman's body changes.. You may find that, as at other times of hormonal fluctuation, your asthma becomes troublesome.. It is important to keep an eye on your asthma at such times and discuss any problems you have with your doctor or asthma nurse specialis.. PREGNANCY.. Like pregnancy itself, asthma varies enormously from woman to woman.. With so many hormonal changes taking place during pregnancy lot of women notice changes in their asthma too.. Medical experts believe that about one-third of pregnant women with asthma will experience increased symptoms during the pregnancy; another third will remain the same; and yet another third will experience a lessening of symptoms.. Most pregnant asthmatic women whose symptoms change in one way or another will return to their pre-pregnancy condition within three months after giving birth.. Those whose asthma does get a little worse can be helped with good asthma management it is important to consult with your doctor regularly.. If your asthma is well controlled, asthma problems during your pregnancy are unlikely.. DIET.. During pregnancy it is important to have a healthy, balanced diet with plenty of fruit and vegetables.. This will help make sure that your baby gets all the nutrition they need.. There is no convincing evidence that avoiding any foods during pregnancy will help prevent your baby from developing asthma.. However, there is some research that suggests that allergy to peanuts may develop in the womb.. Current government advice is that if anyone in the immediate family has an allergic condition such as asthma, hay fever and eczema, the mother should avoid eating peanuts and food containing peanut products during pregnancy and while breast-feeding.. EXERCISE.. Regular exercise is important to health, and your doctor is your best advisor about exercising during your pregnancy.. Swimming is known to be a particularly good exercise for people with asthma.. Using an inhaled bronchodilator ten minutes before you exercise may help you better tolerate your recommended exercise during pregnancy.. SMOKING.. Cigarette smoking should be avoided during your pregnancy.. Women who smoke during pregnancy:.. Are more likely to have babies who have breathing problems, including asthma.. Are more likely to have a miscarriage.. Are more likely to go into premature labour.. Are more likely to have babies who are under weight.. Ask your doctor or pharmacist to help you give up or reduce your smoking, or the smoking of those around you.. SYMPTOMS.. It is common to experience some breathlessness near the end of your pregnancy - this is related to the size of the baby and the pressure it puts on your diaphragm.. If there is a strong history of allergic illness in your family, you should discuss this with your doctor.. Extra care may be needed to avoid triggering asthma attacks.. For example, if you have a possible food allergy, you may have to watch what foods you eat.. You may need to deal with suspected allergens in your home, such as indoor pets, house dust mites in soft furnishings and carpets, or particular plants in the garden.. They can influence the probability of your baby developing persistent wheezing.. MEDICATION MONITORING.. Medications for asthma have been shown to be extremely safe for both the mother and the developing baby.. It is more dangerous to have untreated asthma during pregnancy than to continue with your prescribed asthma medications.. Asthma symptoms may reduce the amount of oxygen available to the baby.. If your asthma gets worse, you may need to increase your asthma medicines.. You need to monitor your peak flow and visit your doctor regularly.. Your doctor will make sure your asthma is being well managed.. LABOUR.. A normal delivery is usual.. When you are in labour your body produces extra natural steroid hormones (cortisone and adrenaline), which help to prevent asthma attacks.. Significant asthma symptoms including asthma attacks almost never occur during labour and delivery in women who have properly cared for their asthma during their pregnancies.. f you do find yourself getting asthma symptoms during labour, use your reliever inhaler as normal.. It will not harm the baby in any way.. Talk to your doctor or midwife beforehand about drawing up a birth plan.. This will take your asthma into account and can help to reduce any fears you may have about giving birth.. There are a number of different ways to control pain during labour, including epidurals, all of which are safe for women with asthma.. Breastfeeding.. Breastfeeding has many advantages for babies, their mothers, for society and for the environment.. Based on current evidence, it is recommended to b.. reastfeed exclusively for the first 6 months of life.. When possible, breastfeeding is always best for your baby.. Some studies have shown that breastfeeding in the first few months of life may reduce the chance of your baby developing allergic conditions, including asthma.. Breastfeeding also reduces the risk of babies developing intestinal illnesses and other infections.. Your inhaled asthma medicines will not affect your baby when you breastfeed.. Usual doses of inhaled medicines do not enter the bloodstream, so they won't be found in breast milk.. The medicine in steroid tablets can sometimes be present in very small quantities in breast milk.. However, there is too little to have any harmful effect on your baby.. For more information on breastfeeding and support visit:.. breastfeeding.. thebreastway.. Asthma and Pregnancy.. Asthma in Pregnancy.. ASTHMA EXERCISE.. Asthma should be no obstacle to exercise, playing sport and keeping fit.. If your asthma symptoms get worse during or after exercise it could be a sign that your asthma is poorly controlled and you may need to visit your doctor or asthma nurse for an asthma review.. Symptoms of exercise-induced asthma include coughing, wheezing, chest tightness and difficulty in breathing.. Symptoms usually begin after exercise begins and worsen after about 15 minutes.. Research shows that if exercise is attempted again within three hours the symptoms are less severe.. Tips on exercising with asthma.. Make sure the people you are exercising with know you have asthma.. Increase your fitness levels gradually.. Always have your reliever inhaler (usually blue) with you when you exercise.. If exercise triggers your asthma use your reliever inhaler immediately before you warm up.. Ensure that you always warm up and down thoroughly.. Try not to come into contact with things that trigger your asthma.. If you have symptoms when you exercise, stop, take your reliever inhaler and wait 5 minutes or until you feel better before starting again.. If you use preventer medicine, take it as prescribed by your doctor or asthma nurse.. Remember.. !.. Asthma should not stop you doing any type of exercise as long as you:.. consult your doctor regularly.. keep your asthma well controlled.. take the correct medicine.. work up to your sport gradually.. At school:.. Full participation in PE and sport at school should be encouraged for all but children most severely affected by asthma where a doctor advises against it.. Make sure that your child s teacher knows they have asthma.. Teachers can help children to remember to warm up, warm down and bring their reliever inhalers with them when they play sport.. Sports.. Certain types of sport are more likely to trigger asthma:.. Long-distance or cross-country running are particularly strong triggers because they are undertaken outside in cold air without short breaks.. Team sports such as football or hockey are less likely to cause asthma symptoms as they are played in brief bursts with short breaks in between.. Swimming is an excellent form of exercise for people with asthma.. The warm humid air in the swimming pool is less likely to trigger symptoms of asthma.. However, swimming in cold water or heavily chlorinated pools may trigger asthma.. Yoga is a good type of exercise for people with asthma as it relaxes the body and may help with breathing.. Some sports and activities, for example, scuba-diving, climbing, hiking or skiing at high altitudes or in cold weather, can cause problems for some people with asthma.. People with asthma may need to take special care when doing adventure sports.. For more information on specific adventure sports download this leaflet:.. Link: (Asthma Exercise).. asthma.. org.. uk/document.. rm?id=14.. Competitive sport.. Asthma and its clinical variants are among the most frequently encountered medical conditions in the Athlete population.. The substances used for the treatment of such conditions include inhaled Beta-2 Agonists (inhaled salbutamol, formoterol, salmeterol, terbutaline) which are prohibited in and out-of competition.. Due to the widespread use and potential for misuse of inhaled Beta-2 Agonists by Athletes, WADA (World Anti-Doping Agency) introduced more stringent requirements for the verification of clinical justification to use this class of drugs in sport.. National and International Level Athletes with Asthma need to complete either a Therapeutic Use Exemption (TUE) Application form or a Declaration of Use (DOU) form for any substances they take or methods they use which are on the World Anti-Doping Agency (WADA) Prohibited List.. For comprehensive information, application forms and rules regulations please go to the Irish Sports Council Anti-doping page:.. irishsportscouncil.. ie/Anti-Doping/TUEs_and_Medicines/.. Also.. wada-ama.. org/en/.. For information on adventure sports:.. Exercising with Asthma - Asthma Society of Ireland.. ie/PDF/Asthma_Day_A6_Card.. Asthma and Exercise.. Asthma Society of Ireland.. TRAVELLING WITH ASTHMA.. Link: Holidays Factsheet.. Having asthma should not restrict you from travelling and enjoying holidays.. If you make the right preparations you should be able to minimise any potential problems and have an enjoyable and safe trip.. The following information should help you prepare for and enjoy your holiday.. Planning for your holidays.. Planning ahead is the key to enjoying your holiday and overcoming the problems of asthma.. Use this checklist to make sure you are prepared for a pleasant trip:.. Draw up a written personal asthma action plan with your doctor or asthma nurse before your holiday.. Make sure you take enough inhalers and tablets with you to last the holiday plus a few extra days.. Take all your asthma medicines with you as hand luggage.. Before you leave, find out how you can get medical help (local ambulance or doctor) at your holiday destination.. Speak to your doctor, practice nurse or travel health clinic about vaccinations for travelling abroad at least two months before you travel.. Take out travel insurance to cover the costs of unexpected treatments while you are away.. Check to ensure that your policy will cover asthma.. If you are travelling in Europe, make sure you have a European Health Insurance Card (EHIC).. This replaces the old E111 form which is no longer valid.. The EHIC entitles you to reduced cost, sometimes free, medical treatment in most European countries.. However you should still always take out private health insurance, as an EHIC will not necessarily cover all the costs or your treatment.. For more information visit:.. ie/eng/services/Find_a_Service/entitlements/EHIC/.. Travelling with Asthma.. Entitlements.. Asthma Society Of Ireland :.. Asthma For Childrens:.. Asthma UK:.. uk..

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  • Title: Hickey's Pharmacies Ireland | Men's Health Care | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: Mens Health Awareness.. Useful Links.. Ulster Cancer Foundation.. Get Ireland Active.. Mens Health Network.. Mens Health Forum.. Useful Downloads.. Exercise and Eating for Health.. Facts Sheets for Adults.. Get Active Yourway (Promoting Physical Activity).. GET IT CHECKED.. (A schedule of Checkups and Age-appropriate Screening for Men and Women).. THE MANUAL (For men on Cancer Prevention and Early Detections).. National Mens Health Week..

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  • Title: Hickey's Pharmacies Ireland | Easy Med Explained | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: Eczema Explained..

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  • Title: Hickey's Pharmacies Ireland | Men's Health Care | Leading Irish Pharmacy Group | Late Night Opening | Feel Good Value
    Descriptive info: Hay Fever.. If you have any queries - don't hesitate to give us a.. call!.. Gardening with Asthma and Alergies.. HAY FEVER.. Typical symptoms of hay fever and perennial rhinitis are:.. Clarityn® is the OTC anti-histamine least likely to cause drowsiness and so is a drug of first choice.. It works quickly to give effective symptom relief which lasts up to 24 hours.. Some contain a corticosteroid - for example,  ...   fever symptoms in the nose and eyes and is safe to use in pregnancy and breastfeeding.. It works by lining the inside of the nose and defusing pollen before patients develop full-blown symptoms.. It is non-medicated and preservative free and has no known side-effects.. Because of the way it works patients should use Prevalin before or as soon as they feel the first symptoms, to prevent an allergic reaction occurring..

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