Dr Fox news

News, information and articles on the health, pharmaceutical, medical and wellness industries.

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Ciprofloxacin no longer recommended for travellers’ diarrhoea

Ciprofloxacin medicine pack
Dr Fox no longer supplies ciprofloxacin for travellers’ diarrhoea

February 2019: Public Health England’s antimicrobial prescribing guidance no longer recommends fluoroquinolones (ciprofloxacin) for standby treatment of travellers’ diarrhoea, due to increasing resistance to these antibiotics in some parts of the world.

National Institute of Health and Care Excellence (NICE) and Public Health England recommends standby azithromycin for patients at high risk of severe illness should they develop travellers’ diarrhoea or those visiting high-risk areas.

As a result Dr Fox has withdrawn supply of ciprofloxacin for travellers’ diarrhoea, and provides the recommended alternative azithromycin only.

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Finasteride 1mg supply changes

Actavis Aindeem finasteride 1mg tablets packet
Actavis Aindeem discontinued

Actavis bought by Accord

Actavis UK & Ireland rebranded to become Accord Healthcare in 2017, and has now discontinued Actavis Aindeem branded generic finasteride 1mg (packs of 28 and 84 tablets). This has had a knock-on effect on UK supplies of other finasteride 1mg brands, as not all manufacturers offer the 84-tablet pack size, creating further demand on the smaller 28-tablet pack sizes.

The new EU Falsified Medicines Directive is also now in effect (February 2019) and the new packaging requirements has also contributed to production delays.

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Help, there’s something wrong with my penis!

Photo of man in sexual health clinic with doctor
  • Does it itch?
  • Is it sore?
  • Is it really red?

It’s very upsetting when something goes wrong down below!

Who should you ask? Where should you go for help?

Read on and find out just what you need to know.

Men attending a Sexual Health Clinic usually have one or more of the following symptoms:

  • Pain passing urine
  • Discharge from the tip of the penis
  • Soreness, redness, itching and/or irritation
  • Rashes or bumps on the penis
  • Blisters or ulcers
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Treating migraine with Ginger

Photo of ginger root, ginger powder in bowl, and capsules of ginger powder

The effectiveness of ginger powder in the treatment of common migraine attacks is statistically comparable to sumatriptan.

Comparison Between the Efficacy of Ginger and Sumatriptan in the Ablative Treatment of the Common Migraine

This is the surprising conclusion of a 2013 medical research study (Maghbooli and colleagues).

But before all migraine sufferers rush out to stock up on ginger, there remain some unanswered questions:

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Posted on in Migraine

How long does tadalafil last?

Photo of Generic 10mg tadalafil and branded 10mg Cialis medicine packs
Generic 10mg tadalafil and branded 10mg Cialis packs

Tadalafil is a drug used to treat erectile dysfunction. It is a type of PDE5 inhibitor. Tadalafil is a generic or drug name – ‘Cialis’ is a branded form of tadalafil.

One question men frequently ask when trying to choose a PDE5 inhibitor, is how long does it last?

Keeping it simple, tadalafil lasts for 36 hours and sometimes longer, and has the longest duration of action of all the PDE5 inhibitors. This compares for example to sildenafil (Viagra) which lasts for around 4 hours.

In addition, absorption of tadalafil is not affected by food, so it can be taken at any time before, during, or after a meal.


36 hours – really?

Yes, although this does not mean a continuous erection for 36 hours. Like all PDE5 inhibitors, tadalafil requires sexual stimulation to work – ie: you only get an erection when you want to.

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Once daily tadalafil

Once daily tadalafil 5mg
Tadalafil 2.5mg and 5mg can be used on a daily basis

Tadalafil is the medical – or generic – name for the Cialis brand of erectile dysfunction medicine. Tadalafil works in the same way as sildenafil (Viagra), however whereas sildenafil lasts for around 4 hours, tadalafil remains active for up to 36 hours, hence why it is sometime called the weekend pill. This does not mean you will have an erection for 36 hours, only when required, eg: when sexually aroused.

Most men take tadalafil as and when they need it 30 minutes or more before sexual activity. The usual starting dose is tadalafil 10mg, which – depending on effectiveness – may be increased to 20mg or decreased to 5mg.

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