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It is hoped more people will be diagnosed and treated because of the convenience of visiting a pharmacist instead of a GP or hospital sexual health clinic and it is hoped more medicines for a wide variety of conditions will follow. Antibiotics are effective against Chlamydia and patients must be treated quickly in order to avoid further spread, they said. Patients will be able to buy an approved standard testing kit, called Clamelle costing £25, post a urine sample to an approved laboratory where the test will be carried out and receive the results back in the post with information and advice. If the test is positive, the patient goes to any pharmacy, not necessarily the same one where the test was bought, and the results are confirmed via computer. If the patient has no other symptoms then the pharmacist will hand out the antibiotic, called azithromycin costing £20, with instructions on its use, and take details of sexual partners so they can be traced and tested. If the patient has symptoms they will be advised to see their GP as they might have another disease as well as Chlamydia. The drug will be available to anyone over the age of 16 for themselves and their partner from December. Azithromycin is to be made available over the counter to treat asymptomatic chlamydia infection, the Medicines and Healthcare products Regulatory Agency announced today (6 August 2008). It is the first oral antibiotic to be switched from prescription-only to pharmacy medicine status. The drug will be available as Clamelle for people over 16 years of age who have tested positive for chlamydia but have no symptoms, and for their sexual partners. June Raine, director of vigilance and risk management of medicines at the MHRA, said: “The MHRA is keen to support the availability of more medicines over the counter where it is safe to do so, and we wish to move on to new areas, such as prevention and chronic disease management. We know many pharmacists are ready for this too.“Making this medicine available from a pharmacy is a real example of how we are progressing, and enabling people to play an active role in taking charge of their own healthcare.”Howard Duff, the Royal Pharmaceutical Society’s director for England, said that the decision would mean convenient and effective care for patients. “Pharmacists already play an important role in the provision of sexual health services, and have done so for many years. Reclassifying azithromycin will expand on existing services and improve access to chlamydia screening and treatment for patients.”The fpa also welcomed the decision.
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