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WORLD DIABETES DAY: ALL YOU NEED TO KNOW ABOUT DIABETES. LIVE WHATSAPP ENLIGHTENMENT TO THE PUBLIC. On World Diabetes Day. Every 14th Nov.

Post By: Samson Omattah 15 November, 2019 1 Comment diabetes, Insulin, metformin, world diabetes day

For Audios Parts of this lecture
Click on this TELEGRAM LINK

https://t.me/joinchat/GOR8E1e2nzyfmUIdwuoitQ

Rx Online Pharmacy:
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: I’ll start by Introducing Myself.

I am Chioma.
A pharmacist by profession.
I practice at WELNEX PHARMACY here in Lagos.
It is a community/Retail Pharmacy.
I am passionate about creating awareness on living healthy. I am also passionate about helping people understand their ailments while providing solution(s) and top notch Pharmacare to them.
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: *Outline*
Definition
Types
Symptoms
Diagnosis/tests
Pre disposing/Risk Factors
Treatment
Complication
Myths and realities
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: In type 2(unlike in 1),insulin is produced but its effect is not optimal hence leaving lots of glucose moving freely in the blood instead of being absorbed by the cells
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: Of these four types, the most common is *type 2*
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: *Type 1*
This is also known as Insulin dependent or Juvenile diabetes.

In this type, the body does not produce insulin at all.
An individual with type 1 will have to be on exogenous insulin for the rest of His/Her lifetime.
He/She will not be able to eat without getting a shot of insulin.

Type 1 occurs mostly at Juvenile age but can also occur at any age.
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: An individual with type 1 is highly prone to having keto acidosis (ketoacidosis will be explained later.)
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: We will take them one at a time
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: *Definition*
Diabetes is simple defined as a group of metabolic diseases/disorders in which the blood sugar remains *persistently* elevated
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: It has to be confirmed that the blood sugar has remained persistently elevated despite non drug approaches to lowering it
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: In essence,tests especially the FBS(fasting blood sugar) needs to have been carried out at least thrice within a given time interval and baring all non drug interventions,before a sure diagnosis can be made
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: *Type 2*
This is the most common type of Diabetes Melitus.
It occurs as a result
1) insufficient insulin production by the body

2)decreased sensitivity to the insulin produced by the body.
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: Treatment in type 2 may or may not require external injection of insulin but will require oral medications.
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: So what this implies is that you can not make a diagnosis of diabetes by a single test.
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: *Types*
There are 4 types of diabetes;
-Type 1(insulin dependent) diabetes

-Type 2(Non Insulin diabetes)

-Gestational Diabetes

-Prediabetes
[14/11, 7:52 pm] Rx Online Pharmacy-Welnex: Remember,it is a metabolic disorder not a contagious illness.

[14/11, 8:04 pm] Rx Online Pharmacy-Welnex: Treatment in type 2 may or may not require external injection of insulin but will require oral medications.
[14/11, 8:13 pm] Rx Online Pharmacy-Welnex: I hope we now have a better understanding of diabetes and the different types.
[14/11, 8:13 pm] Rx Online Pharmacy-Welnex: *Prediabetes*
This is a condition in which the blood glucose is elevated but not high enough to be classified as Type 2 diabetes.

Most people are in this category and may eventually progress to type 2 diabetes if not well managed.
[14/11, 8:13 pm] Rx Online Pharmacy-Welnex: *Gestational Diabetes*
Gestation refers to the process of being pregnant.

Therefore Gestational Diabetes(GD) is simply the elevated blood glucose levels in pregnacy.
This is majorly due to hormonal changes. In GD,the placenta produces hormones which cause build up of glucose in the blood. In most cases,the body can handle it. If the body fails to,the blood glucose level rises,leading to GD.

Other factors that can predispose a woman to having GD include Obesity (excess body weight), sedentry(inactive)lifestyle , poor eating habits,amongst others.

[14/11, 8:13 pm] Rx Online Pharmacy-Welnex: I hope we now have a better understanding of diabetes and the different types.
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: *Diagnosis/Testing*

Diagnosis is usually by blood glucose Test.

This should be confirmed after carrying out FBS (Fasting Blood Sugar) Test on more than one occasion,within a short specified period of time.

For those already living with this condition, you should not only be concerned with your Fasting Blood Sugar (FBS) levels, but also your 2HPP (2 hours Post Prandial (meal))levels,HbA1c levels (shows your body’s glucose control over a 3month period).
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: Average peeing time for individuals is between 6-8times a day.
It could be less.
Some medications( e.g diuretics),excessive intake of water,body temperature can also increase urine output.

Just as being on some medications e.g steroids like prednisolone and dexamethasone can cause elevated blood glucose levels

Pls take note
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: I just saw my notes..i forgot to add that the urine colour can also be used to differentiate between diabetes insipudus(D.I) and Diabetes Melitus(DM)

The urine colour in DM is usually yellow,pale and can also be cloudy.

In D.I,It is usually clear and transparent.
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: *You can Send in your Questions if its getting late for you to be still be awake,i am halfway done and will attend to them afterwards.*
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: So in essence,Testing is multi dimensional and not just relying on only FBS.
Ok?
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: As i said earlier 2HPP is also Very Important.

The Values in mg/dl are;

90-126 (excellent)
126-180(good)
181-234(acceptable)
Above 235(High)

So if you test 2hrs Post Prandial(2 hrs after meal),you can determine how well controlled the glucose level is.

You just dont want to have a good FBS level and then upward spikes Post prandial levels.

The aim should be to maintain a relatively steady blood glucose level across the day.
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: Do you know that checking your blood glucose level at bedtime is also very important,especially if you are diabetic.
This is one of the reason why some people go to bed but dont wake up the next day.
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: *Blood Glucose Values*
There are two units of blood glucose measurement.
Mg/dl abd mMol/l.
Glucose monitors are in either of these two units,the common one being mMol/l

They are usually in a range of numbers.

For Fasting Blood Sugar

*30-70mg/dl OR 1.7-3.9mMol/L is Loe blood sugar*

*70-100mg/dl OR 3.9-5.5mMol/l is normal blood sugar*

*101-125mg/dl OR 5.6-6.9mMol/L is Pre diabetes*

*126-600mg/dl OR 7.0-33 3mMol/L is Diabetes*
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: 2HPP is important because your FBS may be good but your glucose levels 2hrs after meals might be high.If the 2HPP levels remain high they can lead to damage of the body’s organs.

[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: I just saw my notes..i forgot to add that the urine colour can also be used to differentiate between diabetes insipudus(D.I) and Diabetes Melitus(DM)

The urine colour in DM is usually yellow,pale and can also be cloudy.

In D.I,It is usually clear and transparent.
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: So in essence,Testing is multi dimensional and not just relying on only FBS.
Ok?
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: As i said earlier 2HPP is also Very Important.

The Values in mg/dl are;

90-126 (excellent)
126-180(good)
181-234(acceptable)
Above 235(High)

So if you test 2hrs Post Prandial(2 hrs after meal),you can determine how well controlled the glucose level is.

You just dont want to have a good FBS level and then upward spikes Post prandial levels.

The aim should be to maintain a relatively steady blood glucose level across the day.
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: Average peeing time for individuals is between 6-8times a day.
It could be less.
Some medications( e.g diuretics),excessive intake of water,body temperature can also increase urine output.

Just as being on some medications e.g steroids like prednisolone and dexamethasone can cause elevated blood glucose levels

Pls take note
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: *Blood Glucose Values*
There are two units of blood glucose measurement.
Mg/dl abd mMol/l.
Glucose monitors are in either of these two units,the common one being mMol/l

They are usually in a range of numbers.

For Fasting Blood Sugar

*30-70mg/dl OR 1.7-3.9mMol/L is Loe blood sugar*

*70-100mg/dl OR 3.9-5.5mMol/l is normal blood sugar*

*101-125mg/dl OR 5.6-6.9mMol/L is Pre diabetes*

*126-600mg/dl OR 7.0-33 3mMol/L is Diabetes*
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: *You can Send in your Questions if its getting late for you to be still be awake,i am halfway done and will attend to them afterwards.*
[14/11, 9:27 pm] Rx Online Pharmacy-Welnex: Do you know that checking your blood glucose level at bedtime is also very important,especially if you are diabetic.
This is one of the reason why some people go to bed but dont wake up the next day.
[14/11, 10:12 pm] Rx Online Pharmacy-Welnex: *complications of Diabetes Melitus*

Most people living with diabetes do not understand the complications that can arise from uncontrolled and persistently elevated blood glucose level. Some of them include;
-Irreversible kidney damage
-Retinopathy and blindness
-Peripheral Neuropathy (nerve Damage)
-Heart Attack
-Sleep apnea
– cerebrovascular disease
-Diabetic foot infections
-Diabeyic KetoAcidocis
[14/11, 10:12 pm] Rx Online Pharmacy-Welnex: I didnt want to bore you with the names since this ckess is not strictly for health professionals.
😁
[14/11, 10:12 pm] Rx Online Pharmacy-Welnex: *Treatment Of Diabetes Melitus*

Type 1 diabetes is primarily managed with Insulin Injections

Type 2 diabetes Melitus is managed with both insulin and Oral medications.
Both can be used together OR individually.

There are a lot of medication available for management of type 2 diabetes. Both the conventional ones we all know, newer molecules already in circulation and some still undergoing clinical trials.

Your Doctor or Pharmacist will discuss an appropriate individualised treatment protocol with you.

Do not recommend your medications to someone else.
[14/11, 10:12 pm] Rx Online Pharmacy-Welnex: *Diabetic ketoAcidosis (especially in type 1)
[14/11, 10:12 pm] Rx Online Pharmacy-Welnex: *class
[14/11, 10:14 pm] Rx Online Pharmacy-Welnex: These complications occur mostly due to the persistently elevated blood glucose levels causing injuries to the blood vessels in these organs (as in the case of the kidney) or damage to the walls of the blood vessel that nourish the nerves(as in the case of the legs and eyes).
[14/11, 10:31 pm] Rx Online Pharmacy-Welnex: Type 2 diabetes can also lead to eye conditions such as cataract and glaucoma
[14/11, 10:31 pm] Rx Online Pharmacy-Welnex: Diabetic foot infections occur when peripheral neuropathy is worsened or

in thd case of a slow healing wound. This conditions if not well treated ultimately results in amputation of the affected limb.
[14/11, 10:31 pm] Rx Online Pharmacy-Welnex: Peripheral Neuropathy is a common occurence in people living with type 2 diabetes.
The symptoms include numbness,tingling sensation,hotness of the foot.

This happens due to the reason just mentioned earlier(persistent elevated blood sugar damaging the blood vessels supplying the nerves).

Another reason is due to the side effects of the anti diabetic medications.
Most of these medications cause increase in the body’s excretion of important vitamins (esp the b vitamins) and elements.
[14/11, 10:44 pm] Rx Online Pharmacy-Welnex: Diabetic Ketoacidosis (DKA) is a common occurence in type 1 diabetes.

In DKA,the body produces high level of acids in the blood calked ketones.
This ketones are produced because there is no insulin to take up glucose into the cells. The body then break down fats to get energy.
As the level of these ketones rise,it leads to a dangerous condition called Diabetic Ketoacidosis.

The Early symptoms include;
-Polydypsia(excessive thirst)
-polyuria (excessive urination)
-High blood glucose levels
–high ketone levels in the urine

More severe symptoms include;
— dry /flaky skin
–difficulty in breathing
–weakness
—constantly feeling sleepy
–Fruity Smelling breath

This is actually a very dangerous condition.
[14/11, 10:58 pm] Rx Online Pharmacy-Welnex: Looking at the symptoms, there are some similarities,therefore more focus should be on the unique factors when confronted with it.
[14/11, 10:58 pm] Rx Online Pharmacy-Welnex: *1)hyperglycaemia*
This simply refers to elevated blood glucose level.
Symptoms include;

Headache
Blurred vision
Highly Irritable
Polydypsia(excessive thirst)
Frequent urination
Weight loss
Fatigue (weakness)

*2)Hypoglycaemia*
Polyphagia (excessive hunger)
Dizziness
Sweating
Dizziness
Trembling
Pale look
Blurred vision
Tiredness
Difficulty in concentrating
Confusion
Palpitation

Extreme of both conditions can lead to coma
[14/11, 11:26 pm] Rx Online Pharmacy-Welnex: Please can you throw more light on this
[14/11, 11:26 pm] Rx Online Pharmacy-Welnex: Lifestyle modification with respect to meals is very important in prevention and management of type 2 diabetes.
If you are in lagos,you can walk into any of our outlets and pick up a *free copy* of healthy portion food chart.
It is very informative and relatable.
[14/11, 11:57 pm] Rx Online Pharmacy-Welnex: *Myths and Realities*
A lot of myths and realities surround this Disease condition,one of which we just talked about -Boring food.
*So now you know better.*

Some feel it is a death sentence.
*It isnt dear Friend,if well managed,you can live a long and healthy life*

Some are just tired of taking pills everyday
*Well,you might be able to avert this if you are focused and meet your required blood glucose target.Thay way you _might_ be on alternate day treatment with strict monitoring*

If tbe blood glucose level drops,they can stop their pills and return to unhealthy eating habits.

*No,No,No*

The Reality of Diabetes type 2 is that it cannot be cured.
It can only be managed effectively. When this is done,the individual is able to live a very normal and healthy life.

Are you living with this condition or you know someone who is?

*Do not let it define you*

*Take charge of the disease condition,set a goal for your blood sugar level and work towards it*

*work closely with your doctor or Pharmacist to guide you in making the right decisions and also providing you with new/relevant information*
[14/11, 11:57 pm] Rx Online Pharmacy-Welnex: For Anyone on anti diabetic medication,it is very important to add a supplement to your medication.

This helps to mitigate those complications mentioned earlier.
Look out for supplements containning,Alpha Lipoic Acid,B-Vitamins,chromium,Zinc,cinnamon,varnadium,
amongst others.
A good number of them are available in most Pharmacies including WELNEX PHARMACY.
[14/11, 11:57 pm] Rx Online Pharmacy-Welnex: The floor is now o

pen for questions
[14/11, 11:57 pm] Rx Online Pharmacy-Welnex: Having covered the outline,we will draw the curtain on today’s Live class.

I want to appreciate everyone who joinned in,and who helped spread the news.

I hope its been interesting and informative as i intended it would.

Above all,let’s change the narrative..

Diabetes is not life imprisonment.

Together we can,and we will!

Thanks
Pharm Chioma

For Audios parts
Click on this TELEGRAM LINK

https://t.me/joinchat/GOR8E1e2nzyfmUIdwuoitQ

TOILET INFECTION? CARE OF THE VAGINA

Post By: Samson Omattah 7 November, 2019 1 Comment

[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: I am to speak on the topic,Vagina care
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: I am Chioma. A pharmacist by profession. I work at welnex pharmacy.
I have been in community practice for a while now and i am passionate about helping people live a healthier and happier life.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: The vagina is a very important structure in the female anatomy.
It marks the end of the urinary and reproductive system.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Since it serves this function,it has to be properly cared for.
Lack of proper care can lead to series of complications.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: The vagina has what is referred to as normal flora.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: The normal flora consists of a healthy mix of fungi and bacteria that reside there naturally.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Some of these practices include but not limited to the following;
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: This is mostly due to some unhealthy practices which we carry out intentionally or unintentionally
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Despite this protection conferred on the vagina by these organisms,some women still come down with vaginal infections
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: This means that they have been placed there from day 1 by the creator. This mix of micro organisms help in protecting the vagina from invasion by other foreign(bad) bacteria.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: *You can keep it clean by simply using plenty water alone while taking your bath or after using the rest room*
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: *please note that this vital organ(the Vagina) is self cleaning. You dont need to do so much with the bid to keep it clean*
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: *use of antiseptic soaps or toilet soap to wash the vagina during bath*
This is wrong. Most of these highly publicised antibacterial/germ killing soaps and liquid actually kills the good bacteria(referred earlier as normal flora) leaving the vaginal prone/open to opportunistic(bad) micro organisms that cause infection
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: *Inserting the fingers deep into the vagina with the intention of washing it very well*
By doing this,you are actually introducing foreign micro organisms into the vagina. This can cause more harm than good.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: No need for soap.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: The practice of sitz bath after your monthly flow is wrong also. I say this because the steam you feel is cleaning the vagina or killing germs or removing bad blood is actually harming both the vagina flora and softening/macerating the tissues of the vagina.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: I’ll explain further
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Another practice that can hamper the health of the vagina is douching.
Douching involves the use of certain pre packaged solutions to wash the vagina. It is usually done in a pump like fashion. These solutions alter the normal balance of the vaginal flora giving room for infections.
Please stop it,if you do use it
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: If you notice,i keep referring to the vagina flora because it is very essential to the well being of the vagina. Any distortion is what breeds an infection.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: A sitz bath usually consists of boiling water and salt.
Usually the female sits on a bowl or bucket containning this solution exposing the vagina to steam from the boiling water in the bucket/bowl.
Now imagine,what happens when you boil meat,or pour hot water on a chicken. It softens it right?
That is what happen when you continually expose your vagina to steam.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Apart from boiling the tender tissues of the vagina,you are also exposing the normal flora to unnecessary high temperatures and most might not survive it
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Another practice i have obsevered very recently is the use of yoni pearls.
My candid advise on this is to *please stay away from it*
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Yoni pearls have been marketed to do all manner of vaginal cleaning,detoxification,inprove fertility,clear the womb and so on.
Remember,the vagina is a self cleaning organ. You dont need to insert anything inside of you to clear out what is not there in the first place.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Along the menstural cycle of a woman,there are two times you discharge and is quite normal
1)during your ovulation. The colour and consistency of this discharge varies. It is however not smelly or deep coloured

2)A week/days to your mensturation. This is referred to as the yellow body. Just as the name sounds it is yellow in colour without odour. It tells you to prepare for your next flow
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Any offensive odour e.g fishy odour,rotten egg like odour,are signs of an infection and should be treated properly
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: I must state here that the vagina has a *normal odour* which is not offensive.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Frequent use of antibiotics and vaginal pessaries after mensturation in order to “cleanse” the vagina because of the “dirty blood” that has just finished flowing is a No No. If you do it,please stop it. You are making yourself prone to infection.
The menstural blood is not dirty.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: 3) Trichomonas vaginalis
This is also one of the common sexually transmitted diseases.
It is a protozoan infection.
Symptoms include
Foul fishy odour
Yellow/milky /green discharge
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Lets talk about the types of infections that can occur in the vagina.
1)candidiasis
This is a fungal infection. It is simply the over proliferation/over growth of the normal flora _Candida albicans_ in the vagina.
It is not sexually transmitted.
It occurs mostly when there is low immunity,elevated blood glucose levels,frequent/concurent use of antibiotics,stress,poor hygiene,and practicing some of those things mentioned earlier.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Symptoms of candida(yeast) infection include;
Itching(may be severe or mild)
Whitish discharge(may be clumped like raw garri or slimy)
No odour

Treatment will be done by your doctor/pharmacist after further evaluation.

I forgot to add that it can also be caused by poor diet and excess intake of refined flour foods,snacks,bread,fizzy drinks(soda) e.t.c
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: 2) Bacterial Vaginosis
This can be sexually transmitted.
It also occurs when there is a distortion in the vaginal flora.
It results to inflammation of the vagina.
While candida cannot hamper your chances of conception, bacterial vaginosis can.
Symptoms also include
Itching
Yellowish discharge which may/may not have odour
Inflammed /painful vaginal walls.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: We use that term a lot in this part of the world. Medically speaking,there is no infection you can get by being in the toilet.
The only way you can get an infection from using a toilet is if the water splashes on your vagina or anus.
This is because,the micro organisms that cause these infections are not airborne.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: I will start rounding up shortly ,in order to take questions
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: *I need to emphasize that there is no such thing as toilet infection*
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: If you are experience/or are experiencing any of the above,kindly see your pharmacist or doctor for proper analysis,lab investigations and then the right treatment
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: If you have multiple sex partners, or having unprotected intercourse,you are puting yourself at risk of having an STI
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Apart from bacterial and fungal infection,women are at risk of contracting HPV(Human Papilloma Virus). This predisposes any one who test positive to it,to cervical cancer.
To prevent this,women are advised to get screened at least once a year
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: I wouldnt have done justice to this topic without mentioning the almighty _staphylococcus aureus_ which has made so many spend people a lot “treating” it.
Staph is a normal skin commensal. This means it resides in the body naturally. It is part of the body’s normal flora so at almost every point in time,you take a test,you will find it.
The only thing that happens is that when there is an imbalance in the flora,it might become harmful. Stop wasting your money and time treating that stubborn staph. It is not going anywhere oo.

Dont mind those charlatans that are using it to rip people off their hard earned money.
Any sincere health professional will tell you the truth.
Ignore those people too that tell you that staph is the reason why you are not ovulating,why your mensturation ceased or isnt flowing well or why you havent gotten pregnant e.t.c
And will then try to sell one concotion or the other to you or place you on drips and injection to flush it out.

A whole lot of malpractices go on in our health system. You can however trust us at WELNEX PHARMACY to always give you sincere and candid medical counsel.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: So that you use a public toilet doesnt mean you will have an infection except the water in the toilet splashed on you. Then you _might_ be prone to having one.
[07/11, 8:29 pm] Rx Online Pharmacy-Welnex: Thanks to everyone for the opportunity to teach out to you all.

*I forgot to add a very important part.Foods and supplements that boost the vaginal health.Foods such as unsweetened youghurt is very rich in healthy flora for the vagina.*

*Supplements such as probiotics containning acidophilus can be taken daily to boost vaginal health.Available in store at WELNEX*

I hope we have learnt a thing or two from this teaching.
I am now going to take your questions and comments within the next 20-30 mins.
Thank you.

send your questions to
welnexrx@gmai.com

THE ADDRESS OF THE PRESIDENT, PHARMACEUTICAL SOCIETY OF NIGERIA AT THE PRESIDENTIAL INAUGURATION/ INVESTITURE OF FELLOWS CEREMONY, JANUARY 24, 2019

Post By: Samson Omattah 29 January, 2019 0 Comment INAUGURATION, MAZI, NIGERIA, PHARMACEUTICAL, SAM, SOCIETY

*THE ADDRESS OF THE PRESIDENT, PHARMACEUTICAL SOCIETY OF NIGERIA AT THE PRESIDENTIAL INAUGURATION/ INVESTITURE OF FELLOWS CEREMONY, JANUARY 24, 2019*

A. PROTOCOLS*

B. I wish to thank God for this extra-ordinary privilege to be here today. I feel very honored to share the company of this array of very distinguished Guests. I cannot sufficiently express my gratitude to Nigerian Pharmacists who have found me worthy to be bestowed with this honour of serving as President of our great society at this time. By this time last year, I had no inkling that I would be standing before this distinguished audience to formally assume this role. But according to the scriptures, “To everything there is a season and a time to every purpose under heaven”. I thank God for bringing this season and let me say that I am very thankful to those God used in diverse ways to usher in the season.

*C*. The Pharmaceutical society of Nigeria (PSN) is 92 years old, making it one of the oldest professional associations in Nigeria. Before me, 19 other Pharmacists have held forth as Presidents of our great Society. Some of these are here today to lend their support to me. These men (Yes Men, for in PSN we are all Men of honour!) have labored to confront the challenges of their times and they have collectively built the Society up to this enviable stage. Mr Chairman, May I request those of these great men who are here to please stand up to receive our applause and appreciation.

*D.* Challenges of our Time: Despite some recent improvements, Nigeria’s healthcare statistics remain unimpressive: Maternal mortality (821 per 100000 life births), under- 5 mortality (100 per 1000 life birth). We have failed to eradicate Poliomyelitis and our people are being needlessly killed by cerebrospinal meningitis and Lassa Fever. Malaria continues to ravage us. Life expectancy at 54 though shows improvement is still too low compared to India’s 68. Our healthcare professionals seem to spend more time quarreling with government, squabbling among themselves and going on strike than they spend caring for Nigerian patients or seeking new ways to prevent or treat diseases.

One major troubled area of healthcare delivery today is the sanctity of the drug supply chain. This sanctity has been broken, admitting all kinds of miscreants and interlopers visiting mayhem on Nigerian drug consumers. Many people who should have no business handling drugs have become purveyors. Drugs that are controlled have now become freely available. The result is the current high rate of misuse, abuse and resultant morbidities and mortalities. The role of the Pharmacist as the custodian of drugs has been compromised by the actions and inactions of the government and its agencies, and what see are the consequences. Today, Nigerians can get their drugs from open market stalls, in intra-city buses, in kiosks and even now in bars and night clubs without care for temperature or humidity. Despite the best efforts of NAFDAC, the incidence of fake drugs remains high and many Patients and drug users have been despatched to early death because of unauthorized access and use. Have we wondered why the increase in drug resistance and failures and the rise in end organ diseases particularly kidneys?

*E*. Our Call: Our essential mission is to work with governments, colleague healthcare professionals and all men of goodwill in the Country to bring sanctity to the Pharmaceutical space. Nigerians must be made to understand that Drugs are two-edged swords that can HEAL or KILL, depending on usage. They are not just mere items of commerce as some ‘traders’ see them! The central place of the professional Pharmacist as the safe-guard who ensures that drugs only heal, with minimum potential to cause harm must now be given greater focus, be better recognized and more competitively rewarded. To assure this, it is our vision to enthrone a drug supply system that will link every tablet, every milliliter of syrup, and every ampoule of injection taken or administered to a patient in Nigeria to a Pharmacist. Which is to say that Pharmacists must now be obligated to take full responsibility for every single medicine produced or imported into the country and must monitor its movement until after it is consumed and intended outcome achieved. We must ring-fence the system. That is the way to protect the integrity of medicines and ensure that Nigerian drug consumers get the best out of their prescribed or recommended medicines. It thus becomes imperative that we must strengthen drug control laws and empower the Pharmacists Council of Nigeria (PCN) and the National Agency for Food & Drugs Administration and control (NAFDAC). Perhaps the most critical step right now if for Mr President to sign the new Pharmacy Council of Nigeria bill, enacted by the National Assembly into law. That will sign post the avowed commitment of the government to sanitize the pharmaceutical space. Henceforth, We will ensure that no Nigerian takes any medication without the advice or counsel of the Pharmacist- directly or indirectly, hence the increased professional focus on Pharmacare and clinical Pharmacy.

Critical to the accomplishment of this critical mission is a working healthcare system. We offer to work with the Ministries of Health and our sister healthcare professional groups to remake a healthcare team that will be united in undiluted focus on the utmost well-being of the patient and restore confidence on Nigeria’s healthcare system. We must get Nigerians believe they can get globally competitive healthcare in Nigeria and reduce the embarrassingly high level of medical tourism out of Nigeria.

We are pleased that the Federal Government has taken the issues of disorderly drug distribution and drug abuse seriously hence it has enacted the National Drug Distribution Guidelines and empaneled Presidential committees. The Pharmaceutical Society of Nigeria will work with these committees and all other committees, agencies (local and international) and all organizations that are aimed at bringing sanity to drug availability and utilization in Nigeria and in our region. As Custodians of medicines, experts in all drug matters and principal stakeholders in the Pharmaceutical space in Nigeria, we promise to support National Health and drug policies and ensure full implementation of these policies especially as it relates to increased reliance on locally produced medicines and the eradication of drug faking, drug misuse and drug abuse.

*F.* Our Projects, our Appeal: Mr. Chairman, Your excellencies, very distinguished guests, fellows of our distinguished Society (old and new), colleagues, Friends, ladies and gentlemen, permit me to close this inaugural address by making a request of you. Presidential inauguration is once in a life-time opportunity, kindly allow me to maximize my opportunity. Our 92 year old Society is still struggling to complete our Pharmacy House in Nigeria’s Capital City- ABUJA. For over ten years we have been applying our internally generated resources-essentially levies to fund this 500 million Naira project. Take a look at where we are going and see where we are today. The FCT authorities have warned that we do not have all the time to keep going at this snail speed. Therefore giving all that we desire to accomplish for Pharmacy, for Nigeria’s healthcare and the Nigerian People in my time as President, kindly indulge me as I humbly ask for your financial support to help us complete this building. Kindly use the paper being handed out to indicate your level of support. In return, we will mount a plague in the building listing all those who supported us to complete the project. In addition The Lord Himself will reward your sacrifice as He Has promised that those who water others will themselves be watered also.

*G. Conclusion:* Mr. Chairman, your excellencies, distinguished guests and colleagues. I want to thank you so much for making the sacrifice to be here today to usher me unto this new role. I know how busy many of our Guests are, many have interrupted their campaigns to be here. I truly and deeply appreciate this investment. It is my hope that the forthcoming elections will be Free, Fair and violence-free and that the Lord himself will choose our next set of truly God- fearing leaders at all levels and usher in a new a new season of Peace and enhanced economic growth that will result in higher quality of life for all NIGERIANS . And to achieve this, please join me in prayer that the God Lord will exorcise the demons at our gates that have held Nigeria down, preventing it from attaining it’s manifest destiny as a great Nation. In Jesus Name I have prayed.

Thank you so very much indeed. God bless you all.

*Pharm (Mazi) Sam Ohuabunwa OFR, MON, FPSN, FNAPharm, NPOM*

_President, Pharmaceutical Society of Nigeria_

*January 24, 2019*