<html><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; ">As a remote area nurse just completing a 6 week stint in Central Australia after a 3 year absence I am struck with the difference in discomfort in giving the Benzathine penicillin preparation when mixed with 1% lignocaine. Even though 2 injections are required for syphilis treatments they are far less painful, immediately afterwards as well as the next day, although needle blockage does occur fairly frequently. Is it not possible to have a depot penicillin that has a lignocaine or procaine added to minimise discomfort and therefore improve acceptance, especially in children? And yes a paediatric dose is very desirable, although we RAN's are used to titrating out of whatever glass syringe formulation is available even though that may not be ideal practice. Better to give the dose than not at all.<div><br></div><div>Unfortunately there seemed to be no real progress in ensuring that RHF & RHD patients were getting their prophylaxis on time, hopefully the introduction of PICAS into remote clinics may assist with this vital program.</div><div><br></div><div>Cheers,</div><div><br></div><div>Chris Wilson<br><div><div>On 19/06/2008, at 10:04 AM, Julie Parras wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"> <div> <div><font face="Arial" size="2"><span class="768252400-19062008">Dear CARPA,</span></font></div> <div><font face="Arial" size="2"><span class="768252400-19062008"></span></font> </div> <div><font face="Arial" size="2"><span class="768252400-19062008">As you are aware we now have the new Bicillin back in stock. One of the areas that we are looking at for the future is the possibility of having a pediatric dose syringe.</span></font></div> <div><font face="Arial" size="2"><span class="768252400-19062008"></span></font> </div> <div><font face="Arial" size="2"><span class="768252400-19062008">It is very early days yet but we at Aspen would like some feedback from you as the main users of this product. Our understanding is that at present you simply adjust the dosage for use in pediatrics, and this would be based on weight?</span></font></div> <div><font face="Arial" size="2"><span class="768252400-19062008"></span></font> </div> <div><font face="Arial" size="2"><span class="768252400-19062008">If a pediatric dose was looked it it would be probably be 1ml (half the adult dose) but we are unsure if this would fulfil the majority of pediatric patients. The other area that we would like some feedback on is the percentage of pediatirc use of Bicillin - it may not be financially viable if this percentage is low.</span></font></div> <div><font face="Arial" size="2"><span class="768252400-19062008"></span></font> </div> <div><font face="Arial" size="2"><span class="768252400-19062008">I look forward to any feedback/thoughts you can give me in this preliminary phase of discussion on a pediatric dose for Bicillin.</span></font></div> <div> </div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong>Kind Regards</strong></font></div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong></strong></font> </div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong>Julie Parras</strong></font></div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong>Senior Product Manager</strong></font></div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong>Aspen Pharmacare</strong></font></div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong>PH: 61 2 8436 8300</strong></font></div> <div align="left"><font face="Comic Sans MS" color="#800080" size="2"><strong>FAX: 61 2 9901 3540</strong></font></div> <div> </div></div> _______________________________________________<br>CARPA mailing list<br><a href="mailto:CARPA@ozdocit.org">CARPA@ozdocit.org</a><br><a href="http://ozdocit.org/cgi-bin/mailman/listinfo/carpa">http://ozdocit.org/cgi-bin/mailman/listinfo/carpa</a><br></blockquote></div><br></div></body></html>