Results Of Pilot Study On Early Medical Abortions In Community Medical Settings Published, UK

The Department of Health published the results of a pilot study into early medical abortions carried out in non-hospital settings, looking at how to improve access.

The study shows that large community contraceptive centres, cottage hospitals or polyclinic type settings could offer a safe, high quality service for women.

It shows that some women welcomed informality and increased availability of staff support. This confirms the experience from other countries which already offer EMA in non-hospital settings.

Medical professionals will now be consulted on whether early medical abortions ( EMAs ) should be made available in non-hospital settings and patients will be asked if this would be a preferable option for them.

Public Health Minister Dawn Primarolo said:

" Our priority is to reduce time women have to wait for an abortion at what's already a very difficult time for them. We've made considerable progress in this, with 65 per cent of women having their abortion at under ten weeks in 2006, up from 51 per cent in 2002.

" We want to investigate whether patients can be more comfortable and feel as supported in a less clinical setting such as in a large community contraceptive centre.

" However, safety of patients must remain paramount and we will now consult with the local NHS and patients to find out whether there's a demand for such a service and how it could best be delivered. "

One of key aims of the Government's sexual health strategy is to reduce unintended pregnancy rates through offering improved contraceptive services.

£26. 8m has been invested for 2008/09 to improve women's access to contraception and to better inform women about their choices. Some of this money will be focussed initially on areas with higher abortion rates.

Notes:

1. The pilot took place in a community hospital and in a stand-alone unit within an acute hospital; both had required proximity to hospitals in case of emergency.

2. The two pilot sites were Chalfont and Gerrards Cross Hospital and St Mary's Hospital, Paddington. Three comparator sites also took part to enable researchers to make direct comparisons between non-traditional pilot sites and more traditional forms of provision.

3. EMA is termination of a pregnancy up to 63 days gestation using drugs.

http: //www. dh. gov. uk

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uses of Quinapril

Quinapril belongs to a group of medications called ACE inhibitors. It's used to treat high blood pressure ( hypertension ) . It works by relaxing blood vessels, causing them to widen. Lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.

Quinapril is also used with other drugs ( e. g. , " water pills " /diuretics, digoxin ) to treat congestive heart failure.

how to use of Quinapril

Take Quinapril by mouth, usually once or twice a day; or as directed by your doctor. Quinapril is best taken on an empty stomach ( 1 hour before or 2 hours after a meal ) , or with a light meal. High-fat meals may decrease absorption of medicine into your bloodstream.

Quinapril contains magnesium which can interfere with the absorption of certain antibiotics. If we are taking a tetracycline antibiotic, take it at least 2 hours apart from this medicine. If we are taking a quinolone antibiotic ( e. g. , ciprofloxacin, levofloxacin ) , consult your pharmacist for the proper times to take it.

Use Quinapril regularly in order to get most benefit from it. Remember to use it at the same time ( s ) each day.

Do not take potassium supplements or salt substitutes containing potassium without talking to your doctor or pharmacist first. This medicine can raise your potassium levels, which rarely can cause serious side effects such as muscle weakness or very slow heartbeats. Tell your doctor immediately if these effects occur.

The dosage is based on your medical condition and response to therapy. For treatment of high blood pressure, it may take 1 to 2 weeks before full benefit of Quinapril occurs or several weeks to months when used for congestive heart failure.

It's important to continue taking Quinapril even if you feel well. Most people with high blood pressure don't feel sick.

side effects of Quinapril

We may experience dizziness, light-headedness, fatigue, nausea, vomiting, back pain, dry cough or blurred vision as your body adjusts to medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed Quinapril because he or she has judged that benefit to you is greater than risk of side effects. Many people using Quinapril don't have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

Tell your doctor immediately if any of these highly unlikely but very serious side effects occur:

Quinapril may rarely cause serious ( possibly fatal ) liver problems. If we notice any of following highly unlikely but very serious side effects, seek immediate medical attention:

A serious allergic reaction to Quinapril is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include:

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

precautions of Quinapril

Before taking Quinapril, tell your doctor or pharmacist if you are allergic to it; or to other ACE inhibitors ( e. g. , benazepril, captopril ) ; or if you have any other allergies ( including an allergic reaction after exposure to certain membranes used for blood filtering ) .

Quinapril should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if we have:

Before using Quinapril, tell your doctor or pharmacist your medical history, especially of:

Quinapril may make we dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages.

To minimize dizziness and light-headedness due to lowering of your blood pressure, get up slowly when rising from a seated or lying position. Serious loss of body fluids can also lower your blood pressure and worsen dizziness. Drink adequate fluids to prevent from becoming dehydrated. If we are on restricted fluid intake, consult your doctor for further instructions. Be careful not to become too overheated during exercise which can lead to excessive sweating. Consult your doctor if you experience severe vomiting or diarrhea.

Before having surgery, tell your doctor or dentist that you're taking Quinapril.

Caution is advised when using Quinapril in elderly because they may be more sensitive to its effects, especially dizziness.

Quinapril isn't recommended for use during pregnancy due to risk for harm to an unborn baby. Consult your doctor for more details. ( See also Warning section. )

Quinapril passes into breast milk. Breast-feeding isn't recommended due to potential harm to the nursing infant. Consult your doctor before breast-feeding.

interactions of Quinapril

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring we for them. Do not start, stop, or change dosage of any medicine before checking with them first.

See also How To Use section.

Before using Quinapril, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of:

A very serious reaction may occur while use Quinapril if we are getting injections for bee/wasp sting allergy ( desensitization ) and are also taking Quinapril. Make sure all your doctors know which medicines we are using.

Check labels on all your medicines ( e. g. , cough-and-cold products, diet aids ) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about safe use of those products.

This document does not contain all possible interactions. Therefore, before using Quinapril, tell your doctor or pharmacist of all the products we use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

overdose of Quinapril

If overdose of Quinapril is suspected, contact your local poison control center or emergency room immediately. US residents can call US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include: unusually fast or slow heartbeat, severe dizziness, or fainting.

notes of Quinapril

Don't share Quinapril with others. Lifestyle changes such as stress reduction programs, exercise and dietary changes may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about lifestyle changes that might benefit you.

Laboratory and/or medical tests ( e. g. , kidney function, potassium blood level ) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Check your blood pressure regularly while taking this medication, especially when we first start Quinapril or when your dose is changed. Learn how to monitor your own blood pressure at home, and share results with your doctor.

missed dose of Quinapril

If we miss a dose Quinapril, use it as soon as you remember. If it's near the time of next dose, skip the missed dose and resume your usual dosing schedule. Don't double dose of Quinapril to catch up.

storage of Quinapril

Store Quinapril at room temperature between 59-86 degrees F ( 15-30 degrees C ) away from light and moisture. Don't store Quinapril in the bathroom. Keep all medicines away from children and pets.

Properly discard Quinapril when it's expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

warning of Quinapril

Quinapril can cause serious ( possibly fatal ) harm to an unborn baby if used during pregnancy. Therefore, it's important to prevent pregnancy while taking Quinapril. Consult your doctor for more details and to discuss use of reliable forms of birth control while taking this medication. If we are planning pregnancy, become pregnant, or think you may be pregnant, contact your doctor immediately.

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