Pharmaceutical care for patients with sore throat not requiring medical attention
Authors:
Lenka Ťupová 1; Tereza Hendrychová 1; Josef Malý 1,2
Authors‘ workplace:
Katedra sociální a klinické farmacie, Farmaceutické fakulta UK v Hradci Králové
1; Oddělení klinické farmacie, Nemocniční lékárna, FN Motol, Praha
2
Published in:
Čes. slov. Farm., 2024; 73, 252-260
Category:
Self Medication
doi:
https://doi.org/10.36290/csf.2024.044
Overview
Pharmaceutical care for patients with sore throat not requiring medical attention
Counsultancy in self-treatment of mild health problems is one of the dominant aspects of providing pharmaceutical care, especially in pharmacy practice. A sore throat is one of the most common reasons for visiting a pharmacy. According to current knowledge, the biggest pitfall of sore throat management is the systematic and reliable classification of patients into uncomplicated and potentially complicated cases, which should ideally take place at the level of pre-medical care, i.e. in a pharmacy. For this purpose, the practical use of the self-treatment algorithm in the therapy of sore throat was presented in the article. The introduction of a systematic algorithm into pharmacy practice could contribute to higher efficacy of the provided care and reduce the risk of overlooking warning symptoms (red flags). The article also provides an overview of over the counter therapeutic options for sore throat.
Keywords:
Pharyngitis – sore throat – self-treatment algorithm – pharmaceutical care.
Sources
1. Stead W. Symptomatic treatment of acute pharyngitis in adults. UpToDate® [Internet]. 2024 [cited 2024 Aug 11]. Available from: https://www-uptodate-com.ezproxy.is.cuni.cz/contents/symptomatic-treatment-of-acute-pharyngitis-in-adults?search=sore%20throa&source=search_result&selectedTitle=3%7E150&usage_type=default&display_rank=3.
2. van der Velden A W, Sessa A, et al. Patients with Sore Throat: A Survey of Self-Management and Healthcare-Seeking Behavior in 13 Countries Worldwide. Pragmat Obs Res. 2020;11:91-102.
3. Malý J, Rudolf K. Možnosti samoléčby u pacientů s dyspepsií, poruchami trávení a pálením žáhy v lékárně. Prakt. lékáren. 2011;7:138-143.
4. Vlček J, Malý J, Doseděl M. Farmaceutická péče u pacienta s diabetes mellitus a vztah ke klinické farmacii. Vnitr Lek. 2009;55:384-388.
5. Doseděl M, Malý J, Rudolf K. OTC léčiva a samoléčení průjmu a zácpy. Prakt. lékáren. 2010 6:306-311.
6. Krüger K, Töpfner N, Berner R, et al. Sore Throat. Dtsch Arztebl Int. [Internet]. 2021; 118: 188-94 [cited 2024 Aug 11]. Available from: doi:10.3238/arztebl.m2021.0121.
7. Blenkinsopp A, Paxton P, Blenkinsopp J. Symptoms in the Pharmacy. A Guide to the Management of Common Illness. [Internet]. Wiley-blackwell 6th edition; 2009 [cited 2024 Sep 14]. Available from: https://perpus.univpancasila.ac.id/repository/EBUPT181327.pdf.
8. Aronson J, editor. Meyler’s Side Effects of Drugs The International Encyclopedia of Adverse Drug Reactions and Interactions. Elsevier; 2016.
9. Gunnarsson R K, Ebell M, Centor R, et al. Best management of patients with an acute sore throat–a critical analysis of current evidence and a consensus of experts from different countries and traditions. Infect Dis. 2023;55:384-395.
10. Coutinho G, Duerden M, Sessa A, et al. Worldwide comparison of treatment guidelines for sore throat. Int J Clin Pract. 2021;75:e13879.
11. Mantzourani E, Wasag, D, Cannings-John R, et al. Characteristics of the sore throat test and treat service in community pharmacies (STREP) in Wales: cross-sectional analysis of 11 304 consultations using anonymized electronic pharmacy records. Journal of Antimicrobial Chemotherapy. 2023;78:84-92.
12. Kotolová H, Kollár P. Doporučený postup – Bolest v krku. [Internet]. Česká lékárnická komora; 2018 [cited 2024 Sep 12]. Available from: https://lekarnici.cz/wp-content/uploads/2018/09/DP-Bolest-v-krku-2018-05-09.pdf.
13. Vránová V. Lokální podpůrná terapie bolestí hrdla. Remedia. 2023; 33: 336–338.
14. SÚKL. Databáze léků – SPC: Paralen, Acypyrin, Jox, Septofort, Strepsils, Octenidine Klosterfrau, Orofar, Septolete D, Stopangin, Neo-Angin, Tantum Verde, Strepfen, Trachisan, Panthenol Quintesence, Homéogéne, Angin-Heel S. [Internet].2024 [cited 2024 Oct 31]. Available from: https://prehledy.sukl.cz/prehled_leciv.html#/.
15. UpToDate®. Drug Information database – Povidone iodine, Cetylpyridine. [Internet].2024 [cited 2024 Oct 16]. Available from: https://www.uptodate.com/contents/table-of-contents/drug-information.
16. Merative MIcromedex®. Drug database – Chlorhexidine, Povidone iodine, Hexetidine, Benzydamide, Flurbiprofen. [Internet].2024 [cited 2024 Oct 16]. Available from:https://www.micromedexsolutions.com/micromedex2/librarian.
17. Olzowy B, Müller S, Cidlinsky N A, et al. Erratum zu: Antiseptika in der HNO-Heilkunde – eine Substanzübersicht. HNO. 2024; 72: 536-536.
18. Mao X, Auer D, Buchalla W, et al. Cetylpyridinium Chloride: Mechanism of Action, Antimicrobial Efficacy in Biofilms, and Potential Risks of Resistance. Antimicrob Agents Chemother. 2020;64:e00576-20.
19. Ardizzoni A, Boaretto G, Pericolini E, et al. Effects of benzydamine and mouthwashes containing benzydamine on Candida albicans adhesion, biofilm formation, regrowth, and persistence. Clin Oral Investig. 2022;26:3613-3625.
20. Dhanda S, Evans A, Roy D, et al. A Systematic Review of Flurbiprofen 8.75 mg Dose and Risk of Haemorrhagic Events. Front Pharmacol. 2021;12:726141.
21. de Looze F, Shephard A, Smith A B. Locally Delivered Flurbiprofen 8.75 mg for Treatment and Prevention of Sore Throat: A Narrative Review of Clinical Studies. J Pain Res. 2019;12:3477-3509.
22. Suchopár J, et al. Compendium Léčivá Používaná v Podmínkách ČR. Panax Co, s.r.o.;2018.
23. Formánková K, Kabelková M, Ludvíková I. Poznáváme Homeopatii. Grada; 2018.
24. Váňová H. Praktická Homeopatie. Grada;2016.
25. Boiron® [Internet]. FAQ: Mýty a fakta o homeopatii. [cited 2024 Oct 16]. Available from: https://www.boiron.cz/setrna-lecba/faq-myty-fakta-o-homeopatii.
26. Zákony pro lidi. Sbírka zákonů [Internet]. Zákon č. 375/2022 Sb. Zákon o zdravotnických prostředcích a diagnostických zdravotnických prostředcích in vitro. [cited 2024 Oct 23]. Available from: https://www.zakonyprolidi.cz/cs/2022-375.
27. Strieglerová J. Bolest v krku pohledem lékárníka. In: Svět homeopatie.cz [Internet]. 2024. [cited 2024 Oct 31]. Available from: https://ehttps://svethomeopatie.cz/cs/1246-bolest-v-krku-pohledem-lekarnika.
28. Štýsová L. Bolesti v krku v létě. In: Svět homeopatie.cz [Internet]. 2024. [cited 2024 Oct 31]. Available from: https://svethomeopatie.cz/cs/1013-bolesti-v-krku-v-lete.
29. Registr zdravotnických prostředků. [Internet]. 2024. [cited 2024 Oct 31]. Available from: https://eregpublicsecure.ksrzis.cz/Registr/RZPRO/ZdravotnickyProstredek.
30. Bechná K. Léčba příznaků chřipky a nachlazení u dětí a přehled léčiv. Pediatr.praxi. 2020; 21:27-33.
31. Vachek J, Tesař V, Zakiyanov O, Maxová K. Farmakoterapie v Těhotenství a Při Kojení. Maxdorf Jessenius;2016.
Labels
Pharmacy Clinical pharmacologyArticle was published in
Czech and Slovak Pharmacy

2024 Issue 4
Most read in this issue
- Pharmacotherapy of chronic heart failure – essential summary for pharmacists
- Management of gastrointestinal side effects of cancer pharmacotherapy: Part 1: Diarrhoea, constipation, mucositis and anorexia
- Adjunctive treatment of behavioral disorders in patients with cognitive deficit
- Pharmaceutical care for patients with sore throat not requiring medical attention