Australian Doctor 4th August 2023 AD 4th Aug Issue | Page 12

12 NEWS
THE FIRST MEDICINE in Australia both proven # and indicated † for Heart Failure regardless of LVEF to reduce the risk of CV death or HHF . 1-3

12 NEWS

4 AUGUST 2023 ausdoc . com . au

Town foils GP practice takeover

Sarah Simpkins A MEDICAL crisis in Yackandandah ,
operates the town ’ s only GP practice as well as an aged care facility and child-
as a GP in Yackandandah for 40 years , welcomed the news .
running it , the medical practice could be saved ,” he said .
Victoria , has been averted — at least
care service , was in favour of selling
He and one other GP were retiring
Dr Davis would even consider com-
for now — after a controversial takeo-
up to Apollo Care . But the move was
amid the ongoing uncertainty , but he
ing out of retirement if the practice was
ver of its only GP practice failed to go
blocked when the community mem-
said most GPs would stay on — at least
restructured and run efficiently .
through .
bers voted against the sale last month .
while they waited to see how the prac-
“ I have always loved being a GP ,” he
All five GPs in the small rural com-
Following the vote , all five board
tice fared .
said . “ But when you have got to deal
munity had vowed to quit if the sale
directors said they would resign and
Documents on the proposed
with people who are making a mess
to national aged care provider Apollo
threatened to call in administrators if
sale said Yackandandah Health had
of your life financially and politically ,
Care proceeded , citing concerns about
at least four more directors were not
incurred losses of $ 5.6 million over
then there is no fun in it .
the company ’ s ability to run a general
nominated . However , seven potential
four years , but Dr Davis said the finan-
“ We are in a profession where peo-
practice .
board directors have now stepped for-
cial picture was still unclear .
ple matter more than money or any-
Dr Simon Davis .
The board of the communityowned Yackandandah Health , which
ward from the community . Dr Simon Davis , who has worked
“ We are quite confident that , with an administrator and the right people
thing else , so the GPs basically want to keep the place going .”

TGA okays insulin pen swap

Antony Scholefield THE TGA will allow pharmacists to swap out certain pre-filled insulin products in response to a global shortage predicted to last until June 2024 .
Ryzodeg 70 / 30 FlexTouch — a combined insulin degludec , insulin aspart and injector product — is in shortage because of “ unprecedented ” global demand for different medicines using the same Flex- Touch injector , the TGA says .
As a result , it has granted pharmacists legal permission to dispense Ryzodeg 70 / 30 Penfill , another Novo Nordisk product , instead of FlexTouch .
The products are equal in strength and both subcutaneously
The substitute product does not include an injector .

IMPACT HEART FAILURE LIKE NEVER BEFORE

*† 1-4

*

THE FIRST MEDICINE in Australia both proven # and indicated † for Heart Failure regardless of LVEF to reduce the risk of CV death or HHF . 1-3

LVEF = left ventricular ejection fraction .
As an adjunct to standard of care therapy . 1
#
Meeting the primary endpoint in randomised , placebo-controlled clinical trials powered for major clinical outcomes in HF . 2 , 3
NOW INDICATED for use in HFpEF patients 1
injected , but the substitute product does not include an injector .
The TGA has told patients that doctors , pharmacists or diabetes educators can “ explain the differences between FlexTouch pre-filled pens and Penfill cartridges [ and ] how to administer them ”.
It adds that the reusable Novo- Pen 6 — one of the injector options for the insulin cartridges — is free from some pharmacies under a Novo Nordisk – funded program .
“ Consider instructing patients on how to use the substitute medicine and devices at their next appointment ,” it advises GPs .
Its advice to pharmacists is that patients must have a suitable delivery device to receive Ryzodeg Penfill cartridges and that pharmacists should “ use your professional and clinical judgement to determine if substitution is right for the patient ”.
“ For example , a level of dexterity is required to load a cartridge into a reusable pen , and your patient may not be able to comfortably do this — either due to their age or medical conditions .
“ If substitution is not right for the patient , refer them back to their prescriber .”
Not actual patients .