Asthma is increasingly recognised as a heterogeneous disease, with several phenotypes defined by clinical and inflammatory characteristics. Common phenotypes include allergic (eosinophilic, IgE-mediated), non-allergic (often neutrophilic or paucigranulocytic), late-onset adult asthma, obesity-associated asthma, and asthma with persistent airflow limitation.14 Identifying phenotypes supports individualised treatment strategies, particularly in those with severe asthma, and better long-term outcomes.
Steps 2 and 3: Maintenance and reliever therapy (MART)
Comorbid conditions can complicate asthma management. Assess for and help address factors such as allergic rhinitis, which affects up to 80% of people with asthma,24 as well as gastro-oesophageal reflux disease (GORD), anxiety, depression, obstructive sleep apnoea and smoking.
Early elixirs: Amphetamine
From wonder drug to scourge. The synthesis of amphetamine has had a profound effect on society as well as attitudes towards drugs.
From its use...
Opioid prescribing balloons in Queensland
Recent research analysing the prescription of opioids to Queensland adults over a 21-year period found dispensing of the medicines increased by 11-fold.
Supporting medicine management in patients with epilepsy
Managing medications for epilepsy presents unique challenges, demanding a careful balance of tailored care, patient education and ongoing support.
Strychnine: From murder mysteries to rat bait
Agatha Christie loved strychnine. It starred in her debut novel, The Mysterious Affair at Styles. Thanks to her World War I experience as a hospital dispensary volunteer, and her training as an apothecary’s assistant, the novel received a rave review in The Pharmaceutical Journal.
The role of the pharmacist in onychomycosis
Onychomycosis is a fungal infection of the nails. If left untreated, it can cause pain, discomfort, spread of infection and physical impairment, negatively impacting quality of life.
Aboriginal pharmacy student strives for healthcare equality
Wiradjuri man Alexander Burke MPS recently graduated from the University of Sydney (USYD) with first class honours. Now, he’s on a quest to change how pharmacy students are taught about Aboriginal and Torres Strait Islander health.
