In Discussion With - MedicalUpdateOnline

In Discussion With - Hilary McKeeWe spoke to Hilary McKee about tackling polypharmacy in rheumatology clinics.Topics:Getting started in rheumatologyPolypharmacy problemsPrescribing cascadesMethotrexate safety concernsCannabis in rheumatologyMedication adherencePolypharmacy and the greener NHSBiological DMARDsReducing DMARD dosageClinical case challengesOff-label prescribingRole of rheumatology pharmacistTips for successOpportunities in rheumatologyTo watch the full video series, visit our website - https://medicalupdateonline.com/2025/04/tackling-polypharmacy-in-rheumatology-clinics/This interview was recorded on 11/02/2025.

In Discussion With - Deborah EvansWe spoke to Deborah Evans about GLP-1 receptor agonists – the fat jabs – and what we have learned over the past 12-18 months.Topics:Are GLP-1 RAs easy & safe for weight loss?Differences - semaglutide vs. tirzepatideSide-effects of GLP-1 RAsSerious side-effects of GLP-1 RAsHow to get GLP-1 RAsGLP-1 RAs via the NHSAdditional support for patientsIncorrect GLP-1 RA prescribingCounterfeit GLP-1 RAsShort-term use of GLP-1 RAs?Should you take GLP-1 RAs for life?Risks of sarcopaenia and osteoporosisDose optimisationTolerability variationsDose individualisationGLP-1 RA drug switchingGLP-1 RA non-respondersStarting GLP-1 RAs – what to expectDo we eat too much?Value of GLP-1 RA weight lossPossible anaesthetic riskTo watch the full video series, visit our website - https://medicalupdateonline.com/2025/03/glp-1-ras-where-are-we-now-what-have-we-learned/This interview was recorded on 06/02/2025.

In Discussion With - Cindy WilliamsWe spoke to Cindy Williams about launching a hospital pharmacy drone delivery service for underserved communities.Topics:Could a drone delivery service for medicines improve healthcare?Challenging logistics of a drone delivery service for medicinesHow does a drone delivery service for medicines work in practice?What are the next steps for drone delivery of medicines?This interview was recorded on 27/01/2025.To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/cindy-williams/

In Discussion With - Cathy HarrisonWe spoke to Professor Cathy Harrison about implementing innovative clinical pharmacy services across a health system - from getting the funding to measuring the impact.Topics:Developments in healthcare – the background for new pharmacy services in Northern IrelandHow innovative clinical pharmacy services were funded and implemented in Northern IrelandHow new pharmacy services saved £20 million per year in Northern IrelandPositioning pharmacy in Northern Ireland to make the most of independent prescribingThis interview was recorded on 22/11/2024.To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/cathy-harrison/

In Discussion With - Paul Sessink & Birgit Tans We spoke to Paul Sessink & Birgit Tans about safe handling of hazardous medicinal products – in particular what the guidance says and how this is translated into practice. Topics: Why some medicinal products can be hazardous What the EC guidance tells us about handling hazardous medicinal products How much contamination is too much in the workplace? How to make the EC guidance work in practice Case study – responding to a large hazardous spillage This interview was recorded on 12/11/2024 (Sessink) & 19/11/2024 (Tans). To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/paul-sessink-birgit-tans/

In Discussion With - Philip Chennell We spoke to Philip Chennell about choosing the best syringe for intravitreal bevacizumab injections. Topics: Why syringe type matters for intravitreal injections How the syringe lubricant interacts with the drug inside it Why ready-to-administer syringes improve clinical care This interview was recorded on 06/11/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/philip-chennell/

In Discussion With - Lisa Jamieson We spoke to Lisa Jamieson about nutritional supplements, medicines and deprescribing – and how these all fit together. Topics: How diet and nutrition impact health Is magnesium a forgotten nutrient? Why the omega-3/omega-6 fatty acid balance is critical How much vitamin D do you really need? Could a good diet and supplements reduce the need for medication? This interview was recorded on 20/09/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/lisa-jamieson/

In Discussion With - Shania Liu & Jonathan Penm We spoke to Shania Liu and Jonathan Penm about their research into opioid dose tapering before hip or knee surgery. Topics: Why is opioid use before hip or knee replacement a problem? How OpioidHALT tackles pre-operative opioid use What the OpioidHALT pilot study tells us Why pharmacists should manage pre-operative opioid use This interview was recorded on 03/09/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/category/in-discussion-with/shania-liu-jonathan-penm/

In Discussion With - Paul Rutter We spoke to Paul Rutter about differential diagnosis and clinical reasoning for non-medical prescribers. Topics: Why community pharmacists need skills in differential diagnosis How clinical reasoning underpins effective consultations Clinical reasoning – the challenge of moving from novice to expert This interview was recorded on 02/08/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/paul-rutter/

In Discussion With - Kieron Power We spoke to Kieron Power about a pharmacist-led pulmonary embolism pathway that has delivered excellent results. Topics: Pulmonary embolism – what patients experience How are high and low-risk pulmonary embolisms diagnosed and managed? How the pulmonary embolism pathway ensures consistent decision-making What impact has the pulmonary embolism pathway had? How to establish a sustainable pulmonary embolism service This interview was recorded on 28/06/2024 To watch the full video series, visit our website - hhttps://medicalupdateonline.com/in-discussion-with/kieron-power/

In Discussion With - Steve Tomlin We spoke to Steve Tomlin about pharmacy services in paediatrics and neonatology. Topics: Why neonatology pharmacy is fascinating and demanding The challenges of parenteral feeding for pre-term babies How standardisation of pharmaceutical products helps in neonatology What does a consultant neonatal pharmacist do? This interview was recorded on 08/05/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/steve-tomlin/

In Discussion With - Dr Anna Murphy DPharm We spoke to Dr Anna Murphy about how pharmacists can help to improve the care of patients with asthma. Topics: Asthma and why it causes deaths in the UK Biologics and working with patients Where do pharmacists work in respiratory medicine? Making the case for respiratory pharmacists Reasons to be a respiratory pharmacist This interview was recorded on 27/05/22 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/dr-anna-murphy/

In Discussion With - Dr Cathrine A McKenzie We spoke to Dr Cathrine McKenzie about delirium – what it is, what causes it and how we can treat it. Topics: Delirium and why it's a problem Risk factors and triggers for delirium Treatment options for delirium What can pharmacists contribute to delirium management? This interview was recorded on 07/06/2022 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/dr-cathrine-mckenzie/

In Discussion With - Professor Ashok Soni We spoke to Ashok Soni OBE about how primary care pharmacy could help the NHS work more effectively. Topics: Why pharmacists should manage repeat prescriptions Getting Serious Shortage Protocols (SSPs) to work Reducing harm from medicines and improving the patient experience Integrating community pharmacy and primary care This interview was recorded on 12/01/2023 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-wit\h/professor-ashok-soni-obe/

In Discussion With - Kläre Bryant BSc Kläre Bryant is an advanced clinical pharmacist who has been holding clinics for dermatology patients receiving biologics and other systemic treatments for more than nine years. We spoke to her to find out more about her work. Topics: What a specialist dermatology pharmacist can offer Working with patients with skin conditions Clinical pharmacy services in the dermatology biologics clinic Opportunities for pharmacists in dermatology This interview was recorded on 31/03/22 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/klare-bryant/

In Discussion With - Dr Raliat Onatade Pharmacogenomics and personalised medicine are increasingly becoming a part of mainstream healthcare and it is an area where pharmacists have a major part to play. Topics: The added value of pharmacogenomics to prescribing How does pharmacogenomics work in day-to-day practice? The challenges of developing pharmacogenomic services This interview was recorded on 18/05/2023 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/dr-raliat-onatade/

In Discussion With - Neil Powell Neil Powell combines the roles of consultant antimicrobial pharmacist and clinical researcher at the Royal Cornwall Hospital in Truro. He describes the rationale for removal of erroneous penicillin allergy labels and the quest for effective methods Topics: Why penicillin allergy labels might be a bad thing What the PALACE study tells us about penicillin allergy de-labelling Could penicillin allergy de-labelling lead to better outcomes? What does a consultant antimicrobial pharmacist do? This interview was recorded on 12/10/2023 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/neil-powell/

In Discussion With - Martin Hewison Martin Hewison, Professor of Molecular Endocrinology at the University of Birmingham. For the past 30 years he has been engaged in research into vitamin D ranging from molecular biology to clinical usage. Topics: Vitamin D: endocrine, intracrine and paracrine functions Vitamin D and auto-immune disease Why do people become vitamin D deficient? The impact of vitamin D on auto-immune disease Vitamin D: where we are now? This interview was recorded on 01/11/22 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/professor-martin-hewison/

In Discussion With - Debi Bhattacharya Debi Bhattacharya is Professor of Behavioural Medicine at the University of Leicester, UK. As a former primary care pharmacist, she has experience of both practice and research into deprescribing. Topics: Deprescribing – reactive and proactive Barriers and enablers for deprescribing CHARMER – a different kind of deprescribing intervention study This interview was recorded on 13/04/2023 To watch the full video series, visit our website - https://medicalupdateonline.com/2023/04/deprescribing-to-optimise-drug-therapy/

In Discussion With - Reena Barai Reena Barai is a community pharmacist and owner of the family business, SG Barai Pharmacy in Sutton in Surrey. In this series of short videos, she describes how she and her team prepared for and implemented Pharmacy First Services and how the first few weeks turned out. Topics: What is the Pharmacy First Scheme and how can pharmacies get started? Practicalities – what worked well in Pharmacy First Pharmacy First – where is it going next? This interview was recorded on 11/03/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/reena-barai/

In Discussion With - Deborah Evans Deborah Evans is a pharmacist and independent prescriber who specialises in women’s reproductive and sexual health, including the menopause. She owns and runs Remedi Health, an independent pharmacy and healthcare clinic in Winchester. In this podcast, she describes the menopause clinic and the guiding principles behind it. Topics: How menopause affects women and why we should offer treatment How the benefits of hormone replacement therapy outweigh the risks Why you could add testosterone to menopause treatment Choosing a transdermal oestrogen and tackling genitourinary syndrome of menopause Tips for building a successful pharmacy menopause service This interview was recorded on 04/04/2024 To watch the full video series, visit our website - https://medicalupdateonline.com/in-discussion-with/deborah-evans/