Medical Specialists® Pharmacy now provide alcohol dependency treatment Selincro

Medical Specialists® Pharmacy are now able to actually help those with alcohol addiction through the treatment Selincro (nalmefene). This medication is suited for people who are heavy drinkers, but don’t require immediate detoxification, and whom have a high level of alcohol consumption 2 weeks after the first consultation with their doctor. This is defined as more than 60g of alcohol per day for men or more than 40g of alcohol per day for women. The great news for those who are prescribed it is that there is no risk of becoming dependent on Selincro.

Selincro’s active ingredient nalmefene works by latching onto certain opioid receptors in the brain that are responsible for addictive behaviour, altering their activity, thereby decreasing the urge to continue drinking.

According to a 2007 ‘state of the nation’ survey carried out by the Health and Social Care Information Centre, there are an estimated 1.6 million people in England alone that are dependent on alcohol, and it is a casual factor in over 60 medical conditions, such as cancers of the mouth, throat, stomach, liver and breast, high blood pressure, depression and cirrhosis of the liver.

The abuse of alcohol is said to cost the country a shocking £21 billion annually through the treatment of alcohol-related disease, the resulting crime that follows a bingeing episode of drinking, and loss of work productivity (about 8 to 14 million working days are lost each year in the UK because of alcohol).

The first two impacts of alcohol abuse are probably quite obvious to some, but the impact on alcohol to the workplace can often be dramatically underestimated – and it is a serious problem that many employers are having to tackle as alcohol dependency does not discriminate according to occupation.
Firstly, let’s look at the repercussions of alcohol in the workplace. Through either sustained alcohol dependency, or from isolated occurrences of heavy drinking, the main issues relating to the workplace are: Loss of production, absenteeism and extra sick leave, injuries and accident rates, and the risk of premature death or fatal accidents.

Alcohol can and will impair an employee’s decision making at work, slowing down reaction times, potentially inducing sleepiness and drowsiness, increase the risk of errors occurring and lead to the employee delivering goods or services to a substandard quality. It may even cause friction and anger amongst those employees that have to carry the burden of compensating for those whose work output is declining due to drinking.

It is usually primarily the after-effects of drinking – being hungover – that impacts the ability to perform a job correctly, or even turning up to work at all. In fact, a 2006 survey conducted by YouGov for PruHealth discovered that there are an estimated 200,000 workers in Britain coming into work hungover from the previous night’s drinking.

Some alarming finds were made in the survey: 22% admit they have made errors at work as a consequence of their hangover, 83% admit their hangovers change the way they perform their role, a third even admit to ‘drifting off’, whilst 28% say they have to work with headaches because of their hangover.

It is generally believed that the common working factors linked to increased alcohol consumption include feeling stressed at work, periods of inactivity or feeling bored, low job satisfaction, shift or night work, working remotely, having to travel long distances, and frequenting business meals where there is a likelihood to be alcohol available. A recent article published on the Daily Mail also describes that the increase of women into working lives could be linked to a rise in drinking levels.
Employers should be able to spot if an employee has a drinking problem through a number of common traits.

Signs for employers to be aware of

. The employee’s job performance declines.
. Frequent absenteeism due to sickness.
. Frequent lateness to work or late to arrive at meetings.
. Frequent toilet visits.
. Attempts to mask the smell of alcohol with chewing gum, mints, breath sprays, or applying lots of aftershave/perfume and deodorant.
. The employee is absent from their desk for large periods of time.
. Suspect stories emanating from colleagues trying to cover for each other.

What can employers do?

First and foremost, employers should remember they have a general duty under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably practicable, the health, safety and welfare of their employees whilst at work. Employers can be prosecuted for knowingly allowing an employee to work that is under the influence of excess alcohol.

A clear substance use (i.e. alcohol and drug) policy should be in place for all employees and employers should quiz their staff on what they know about the impact that alcohol has on health and safety, and their thoughts about drinking during working hours. All supervisors and managers should be trained to spot the signs of both alcohol and drug use and be aware of what actions to take if an employee confides about a problem or they suspect an employee might have a problem.

If the employee was a vital and valued member of the team before their alcohol dependency issues began, the employer might be wise to consider offering help and support where possible. After all, that employee will be incredibly grateful for this and probably show a greater sense of loyalty and commitment to the organisation, a huge benefit to the employer of course.

What can employees do?

Employees with alcohol dependency problems should have easy access to occupational health services, but under no circumstances should employees go into work whilst still under the influence of alcohol (or drugs for that matter).

Any employee with alcohol dependency issues should be open and honest with their employer to discuss what can be done to help the situation, and feel comfortable in speaking about it to their GP, or even any local pharmacy if that is preferred.

Unfortunately, alcohol dependency is a disease that affects all aspects of life, not just in workplace. It has a major impact on life at home too, being incredibly stressful for friends and family of the person drinking. It is a disease than can be beat however, with help and support usually available from employers to their employees – if there is complete honesty from the employee of course, and obviously support coming from loved ones of that person.

Medical Specialists™ Pharmacy explore the catastrophic health risks of alcohol abuse

It’s been a long, stressful day at the office, and for many people this means one thing – having a drink to ‘unwind’. Maybe a few pints at the pub with work mates is appealing after a gruelling day, or perhaps a few glasses of wine in the evening each night with a meal is how others choose to relax.

One or two drinks each evening may seem innocent enough and simply a customary part of one’s evening. After all, there is no harm in kicking back with a few beers each night after work right? Wrong…

There are multiple hidden dangers of long-term alcohol consumption, and what seems like a few harmless drinks every night is actually disastrous for the body – both inside and out.

Everybody knows about the staggering number calories contained in most alcoholic drinks. Simply put, those who consume alcohol are consuming empty calories with no nutritional value.

It may be shocking to learn that just a single glass of wine contains around the same number of calories contained in four cookies, and a pint of lager is roughly as calorie-laden as a slice of pizza.
For the heavier drinkers, it will be frightening to learn that the NHS Livewell website’s alcohol page states that just drinking five pints of lager each week can tally up to 44,200kcal over the course of a year – or eating about 221 doughnuts. This may go some way to explaining Homer Simpson’s rotund belly. After all, the Springfield native has a penchant for both beer and doughnuts!

It is suddenly easier to understand the role alcohol plays in the increasingly problematic UK obesity crisis and why the health problems linked to being overweight or obese are costing the NHS over £5 billion each and every year.

And alcohol plays a part in helping people to easily gain weight with its calorific nature. Maybe lager isn’t your preferred choice of tipple and surely wine is kinder on the waistline? Wrong again! Just two large glasses of white wine takes up about fifth of the recommended daily calorie intake for a woman. That could force people into a rethink before opening that second bottle of wine in the future.
In addition, alcohol is fat-sparing. This means that the body will look to burn it for its fuel source before fat. This means when alcohol is drank to excess of the body’s daily energy requirements, it suddenly becomes much more difficult for the body to burn up fat. Thus, more fat is stored, and weight is gained.

As well as weight gain, alcohol – in particularly alcohol abuse – is associated with a whole host of serious health problems. The NHS Change 4 Life’s alcohol’s hidden harms page provides both an excellent, and alarming list of health risks associated with alcohol.

For instance, regularly consuming alcohol above the lower risk guidelines can lead to cancers of the throat, oesophagus or larynx, breast cancer in women, high blood pressure, heart attack, a stroke, liver disease such as cirrhosis and liver cancer, pancreatitis and impaired fertility.

The impact to health extends beyond the deadly diseases. ‘Brewers droop’ may be a term laughed off amongst friends, as purely an isolated occurrence of male impotence from the result of drinking too much. However, alcohol usually always results in sexual problems in a relationship. For men, this equates to difficulty getting and sustaining an erection – even when sober. This is because short and long term of drinking too much alcohol can damage the body’s tissues. Most commonly affected are those in the brain, liver and nervous system, and often leaving the male with erectile dysfunction.
Male impotence can be disastrous for relationships and leave the man with a huge loss of self-esteem, confidence and can even lead to anxiety and depression. Depressed people often turn to alcohol to cope, but this is completely inadvisable.

Not only is alcohol a depressant, meaning you are probably going to end up more miserable than you started off, but then the potential weight gain and sexual dysfunction will only further increase the mental anxieties. Medical Specialists™ Pharmacy provide treatments for both weight gain (Xenical, XLS-Medical), and erectile dysfunction (Generic Sildenafil, Viagra, Cialis, Levitra, Vitaros Cream, etc.) will can help to regain confidence in your social and private life.

The good news is there are many wonderful benefits to reap from cutting down on alcohol intake. Reducing – or even giving up altogether – alcohol will leave the skin looking clearer, suddenly those previously waking up tired every day may have more energy, and there is the financial aspect of course.

Alcoholic drinks can be incredibly expensive and by cutting down, this will save possibly hundreds of pounds each year. The most important reason for cutting back on the booze is obviously the major health benefits to be had, but surely the thought of being able to treat yourself to things that were previously unaffordable is tempting enough to cut back or even banish the booze completely!

Liver disease patients found to have hospital discrimination

A report into patient deaths across England, Wales and Northern Ireland, has concluded that the NHS has been guilty of showing a dismissive, negative and discriminative attitude towards people who are suffering with alcohol-related liver disease.

The findings are part of a new report from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD), which state there are poor levels of care in the health service, not enough specialist doctors, as well as shortcomings in regards to screening, managing patient’s drinking habits and caring for acutely ill patients.

NCEPOD assessed almost 200 hospitals and thoroughly examined the cases of 385 patients who had died from alcohol-related liver disease.

The research found that as many as 32 of the deaths – one in 12 of those examined – could have been prevented if the patients had received better quality care, and shockingly, under half of the patients reviewed were deemed to have received what could classed as ‘good’ care.

It was found that despite three-quarters of the patients being admitted into hospital more than once; a third had never been referred to alcohol support services for help in stopping their drinking.

In addition, a quarter of the patients whilst in hospital had never been given the chance to see a specialist in diagnosing and treating liver disease – a gastroenterologist or hepatologist. In fact, the presence of consultant hepatologists were only discovered at 28% of the 191 hospitals studied in the report.
The NCEPOD strongly argue that every patient who attends hospital should be screened for alcohol misuse and any patient with worrying drinking behaviour should be given alcohol support services. The report also says that anybody suffering with urgent alcohol-related liver disease should never have to wait more than 24 hours before being seen by a specialist such as a gastroenterologist or hepatologist.

Report author Dr Mark Juniper, NCEPOD clinical co-ordinator and consultant physician at the Great Western Hospitals Foundation trust, said: “Many people with alcohol-related liver disease have multiple admissions with this condition. This gives clinicians an ideal opportunity to offer appropriate treatment and advice to patients to help them stop drinking and improve their future health. Unfortunately, this isn’t happening and in over a third of patients reviewed in this study, referral for support to stop drinking was not made, despite most hospitals reporting to have alcohol liaison services. This is partly because the services are not available at all times that they are needed.”
Dr Juniper, a consultant physician the Great Western hospitals NHS foundation trust, Swindon, continued: “Similarly, patients were not always seen by a specialist in liver disease, and when they were, this was often not for several days after admission. We know that abstinence works, and that when simple advice is offered to patients, one in eight will reduce their harmful drinking levels – that’s better than the results from ‘stop smoking’ support services. There are misunderstandings. It is quite difficult to predict the patients who will do well and who will do badly once they get into hospital and are very sick…there are patients who are being denied intensive care and aggressive treatment who do have the potential to survive.”

Liver disease, also known as ‘hepatic disease’, is where the liver is damaged or develops a disease. Alcoholic liver disease is just one of many varying types of liver disease and covers numerous conditions and associated symptoms that emerge after the liver becomes damaged because of alcohol misuse.

Unfortunately, symptoms of alcoholic liver disease do not often appear until the liver is severely damaged so it is important to monitor drinking levels before it is too late.

Alcohol misuse can lead to alcoholic fatty liver disease, alcoholic hepatitis and cirrhosis of the liver. All have a number of symptoms but common signs are loss of appetite, nausea, weakness and abdominal pain. However, when cirrhosis reaches its more serious second stage, the person will experience total loss of liver function, known as liver failure, and other symptoms can include: personality changes (as a result of toxins in the bloodstream interfering with the brain), vomiting blood, rapid heartbeat, staggering when trying to walk, dark urine, jaundice, hair loss, muscle cramps and more weight loss.

If you are misusing alcohol, you could still have liver damage even though you are displaying none of the above symptoms. Medical Specialists Pharmacy recommend that if you are drinking too much alcohol, contact your GP as soon as possible and request a liver function test in addition to a blood test to detect enzymes that are usually only present in the blood due to liver damage.