Sun Feb 5 00:12:56 SGT 2012  
    SHIM CLINIC
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446 (SHIM)
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.

Tamiflu® | Shim Clinic, Singapore

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Summary

Tamiflu® | Shim Clinic, Singapore: Tamiflu® | Shim Clinic, Singapore: Tamiflu® (oseltamivir) clinic, Singapore. For the prevention/prophylaxis and treatment of flu/influenza. Definitions, references, and latest news.

Description

Table of contents

Tamiflu®

For Flu Treatment:
  Take 1 dose, twice daily, for 5 days
For Flu Prevention (prophylaxis):
  Take 1 dose, once daily, for 10 days
Adults and Children
  13 yrs. and older 1 Dose = One 75 mg capsule

References

Influenza

References

Influenza Symptoms Influenza Treatment

Depending on your situation, there are a number of ways of managing influenza.

Relenza®

For Flu Treatment
  for adults and children >5 years of age:
  Administer 2 inhalations, twice daily, for 5 days
For Flu Prevention (prophylaxis)
  for adults and juveniles >12 years of age:
  Administer 2 inhalations, once daily, for 10 days

References

Influenza Vaccine

We DO NOT stock the seasonal flu/influenza vaccine.

Questions and Answers

Question: I am travelling overseas a few weeks from now. When is a good time for me to get the flu vaccine? Shall I have the flu vaccine a week or so just before the overseas trip?

Answer: No. You should have the flu vaccine as soon as possible. The longer the time before the trip, the more time your body would have to react to the vaccination, and build up your immunity against the seasonal flu. And hence provide you better protection during your overseas trip.

Question: Why should I be vaccinated with the seasonal flu vaccine?

Answer: It is worthwhile to be vaccinated against the seasonal flu viruses, as they are the ones which are responsible for the majority of the flu related morbidity and mortality, due to the accompanying opportunistic infections and complications. Every year, worldwide, seasonal flu is responsible for 500 million to 1 billion infections, and 250,000 to 500,000 deaths.

References

Influenza Vaccine History

History of past WHO seasonal influenza vaccine composition recommendations
Year &
Season
123Shim
Clinic
stock
2012 SH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2011-2012 NH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2011 SH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2010-2011 NH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2010 SH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2009-2010 NH
(addendum)
A/Brisbane/59/2007(H1N1) A/Brisbane/10/2007(H3N2) B/Brisbane/60/2008
2009 SH
(addendum)
A/Brisbane/59/2007(H1N1) A/Brisbane/10/2007(H3N2) B/Florida/4/2006
2008-2009 NH
(addendum)
A/Brisbane/59/2007(H1N1) A/Brisbane/10/2007(H3N2) B/Florida/4/2006
2008 SH
(addendum)
A/Solomon Islands/3/2006(H1N1) A/Brisbane/10/2007(H3N2) B/Florida/4/2006
2007-2008 NH
(addendum)
A/Solomon Islands/3/2006(H1N1) A/Wisconsin/67/2005(H3N2) B/Malaysia/2506/2004
2007 SH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Wisconsin/67/2005(H3N2) B/Malaysia/2506/2004
2006-2007 NH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Wisconsin/67/2005(H3N2) B/Malaysia/2506/2004
2006 SH
(addendum)
A/New Caledonia/20/1999(H1N1) A/California/7/2004(H3N2) B/Malaysia/2506/2004
2005-2006 NH
(addendum)
A/New Caledonia/20/1999(H1N1) A/California/7/2004(H3N2) B/Shanghai/361/2002
2005 SH A/New Caledonia/20/1999(H1N1) A/Wellington/1/2004(H3N2) B/Shanghai/361/2002
2004-2005 NH A/New Caledonia/20/1999(H1N1) A/Fujian/411/2002(H3N2) B/Shanghai/361/2002
2004 SH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Fujian/411/2002(H3N2) B/Hong Kong/330/2001
2003-2004 NH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Hong Kong/330/2001
2003 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Hong Kong/330/2001
2002-2003 NH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Hong Kong/330/2001
2002 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Sichuan/379/99
2001-2002 NH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Sichuan/379/99
2001 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Sichuan/379/99
2000-2001 NH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Beijing/184/93
2000 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Beijing/184/93
B/Shangdong/7/97
1999-2000 NH A/Beijing/262/95(H1N1) A/Sydney/5/97(H3N2) B/Beijing/184/93
B/Shangdong/7/97
1999 SH A/Beijing/262/95(H1N1) A/Sydney/5/97(H3N2) B/Beijing/184/93
1998-1999 A/Beijing/262/95(H1N1) A/Sydney/5/97(H3N2) B/Beijing/184/93
1997-1998 A/Bayern/7/95(H1N1) A/Wuhan/359/95(H3N2) B/Beijing/184/93
1996-1997 A/Singapore/6/1986(H1N1) A/Wuhan/359/95(H3N2) B/Beijing/184/93
1995-1996 A/Singapore/6/1986(H1N1) A/Johannesburg/33/94(H3N2) B/Beijing/184/93
1994-1995 A/Singapore/6/1986(H1N1) A/Shangdong/9/93(H3N2) B/Panama/45/90
1993-1994 A/Singapore/6/1986(H1N1) A/Beijing/32/92(H3N2) B/Panama/45/90
1992-1993
(addendum)
A/Singapore/6/1986(H1N1) A/Beijing/353/89(H3N2) B/Yamagata/16/88
1991-1992 A/Singapore/6/1986(H1N1) A/Beijing/353/89(H3N2) B/Yamagata/16/88
1990-1991 A/Singapore/6/1986(H1N1) A/Guizhou/54/89(H3N2) B/Yamagata/16/88
1989-1990 A/Singapore/6/1986(H1N1) A/Shanghai/11/87(H3N2) B/Yamagata/16/88
1988-1989 A/Singapore/6/1986(H1N1) A/Sichuan/02/87(H3N2) B/Beijing/1/87
1987-1988
(addendum)
A/Singapore/6/1986(H1N1) A/Leningrad/360/1986(H3N2) B/Ann Arbor/1/86
1986-1987
(addendum)
A/Chile/1/83(H1N1)
A/Singapore/6/1986(H1N1)
A/Christchurch/4/1985(H3N2)
A/Mississippi/1/85(H3N2)
B/Ann Arbor/1/86
1985-1986 A/Chile/1/83(H1N1) A/Philippines/2/82(H3N2) B/USSR/100/83
1984-1985
(addendum)
A/Chile/1/83(H1N1) A/Philippines/2/82(H3N2) B/USSR/100/83
1983-1984 A/Brazil/11/78(H1N1) A/Philippines/2/82(H3N2) B/Singapore/222/79
1982-1983 A/Brazil/11/78(H1N1) A/Bangkok/01/1979(H3N2) B/Singapore/222/79
1981-1982 A/Brazil/11/78(H1N1) A/Bangkok/01/1979(H3N2) B/Singapore/222/79
1980-1981 A/Brazil/11/78(H1N1) A/Bangkok/01/1979(H3N2) B/Singapore/222/79
1979-1980 A/USSR/90/77(H1N1) A/Texas/1/77(H3N2) B/Hong Kong/05/1972
1978-1979 A/USSR/90/77(H1N1) A/Texas/1/77(H3N2) B/Hong Kong/05/1972
1977-1978 A/Victoria/3/75(H3N2) B/Hong Kong/05/1972
1976-1977 A/Victoria/3/75(H3N2) B/Hong Kong/05/1972
1975-1976 A/Port Chalmers/1/1973(H3N2)
A/Scotland/840/74(H3N2)
B/Hong Kong/05/1972
1974-1975 A/Port Chalmers/1/1973(H3N2) B/Hong Kong/05/1972
1973-1974 A/England/42/72(H3N2) B/Victoria/98926/70
B/Hong Kong/05/1972
1972-1973 A/Hong Kong/1/1968(H3N2)
A/England/42/72(H3N2)
1971-1972 A/Hong Kong/1/1968(H3N2)
1970-1971 A/Hong Kong/1/1968(H3N2)
1969-1970 A/Hong Kong/1/1968(H3N2)
1968-1969 A/Hong Kong/1/1968(H3N2)

References

2009 Influenza Pandemic

The name of the disease has changed from "Swine Flu" to "Influenza A (H1N1)" and now to "Pandemic (H1N1) 2009". Now,

  • "pandemic (H1N1) 2009" refers to the disease, and
  • "pandemic H1N1/09 virus" refers to the agent.
For example: "Hundreds of new cases of pandemic (H1N1) 2009 were reported."

References

2009 Influenza Pandemic Vaccine

We DO NOT stock Pandemic (H1N1) 2009 Vaccine.

References

References
Latest News

Roche in 2011: Strong results and positive outlook
Wed, 01 Feb 2012 12:23:22 +0100 | Drugs.com - Pharma News
Group sales rise 2% 1 (-10% in Swiss francs; +6% in US dollars), excluding Tamiflu. Significant foreign exchange impact of –12 percentage points due to appreciation of the Swiss franc; overall Group sales at 42.5 billion Swiss... (Source: Drugs.com - Pharma News)

Review raises questions about why government stockpiling zanamivir, oseltamivir
Tue, 31 Jan 2012 05:00:00 +0100 | Drug Topics - Top News
Zanamivir and oseltamivir (Tamiflu, Roche) can help prevent and treat the symptoms of influenza, but there is not enough information to evaluate the drugs’ safety and efficacy for preventing the spread of flu or pneumonia, according to a new review published online January 18. (Source: Drug Topics - Top News)

Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children
Tue, 31 Jan 2012 05:00:00 +0100 | NeLM - Drug Class Focused Reviews
Source: Cochrane Library Area: Evidence > Drug Class Focused Reviews Background Planning for outbreaks of influenza is a high priority public health issue for national governments. Neuraminidase inhibitors (NIs) are thought to help reduce the symptoms of influenza with several possible mechanisms proposed. NIs have been stockpiled with a view to their widespread use in the event of a pandemic. However, the evidence base for this class of agents remains a source of debate. In a previous review we have documented substantial risks of publication bias of trials of NIs for influenza (60% of patient data from phase III treatment trials of oseltamivir have never been published) and reporting bias in the published trials. Our confidence in the conclusions of previous versions of this rev...

Review raises questions about why government stockpiling zanamivir, oseltamivir
Tue, 31 Jan 2012 05:00:00 +0100 | Modern Medicine
Zanamivir and oseltamivir (Tamiflu, Roche) can help prevent and treat the symptoms of influenza, but there is not enough information to evaluate the drugs’ safety and efficacy for preventing the spread of flu or pneumonia, according to a new review published online January 18. (Source: Modern Medicine)

Synthesis and preliminary biological evaluation of 5‐substituted‐2‐(4‐substituted phenyl)‐1,3‐benzoxazoles as a novel class of influenza virus A inhibitors
Fri, 27 Jan 2012 05:00:00 +0100 | Chemical Biology and Drug Design
The diversity‐oriented chemistry synthesis together with the random screening approach has permitted the discovery and optimization of novel antiviral lead compounds. In this paper, a series of novel 5‐substituted‐2‐(4‐substituted phenyl)‐1,3‐benzoxazoles was synthesized and evaluated for their in vitro anti‐influenza A virus (IFV‐A) and anti‐influenza B virus (IFV‐B) activity. The activity was monitored by the MTS assay in the Madin‐Darby canine kidney (MDCK) cells. Compound 7h showed excellent inhibitory activity and selective index against A/H3N2 (EC50 = 37.03 ÎŒM, SI>5), which were all higher than that of the reference drug Oseltamivir (EC50 >59.00 ÎŒM, SI>1). However, no compound displays inhibitory activity against influenza B virus.© 2012 John Wiley...

Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children.
Thu, 26 Jan 2012 08:18:08 +0100 | Cochrane Database of Systematic Reviews
CONCLUSIONS: We found a high risk of publication and reporting biases in the trial programme of oseltamivir. Sub-population analyses of the influenza infected population in the oseltamivir trial programme are not possible because the two arms are non-comparable due to oseltamivir's apparent interference with antibody production. The evidence supports a direct oseltamivir mechanism of action on symptoms but we are unable to draw conclusions about its effect on complications or transmission. We expect full clinical study reports containing study protocol, reporting analysis plan, statistical analysis plan and individual patient data to clarify outstanding issues. These full clinical study reports are at present unavailable to us. PMID: 22258996 [PubMed - in process] (Source: Cochrane Dat...

Neuraminidase inhibitors for preventing and treating influenza in children.
Thu, 26 Jan 2012 08:18:08 +0100 | Cochrane Database of Systematic Reviews
CONCLUSIONS: Oseltamivir and zanamivir appear to have modest benefit in reducing duration of illness in children with influenza. However, our analysis was limited by small sample sizes and an inability to pool data from different studies. Oseltamivir reduces the incidence of acute otitis media in children aged one to five years but is associated with a significantly increased risk of vomiting. One study demonstrated that laninamivir octanoate was more effective than oseltamivir in shortening duration of illness in children with oseltamivir-resistant influenza A/H1N1. The benefit of oseltamivir and zanamivir in preventing the transmission of influenza in households is modest and based on weak evidence. However, the clinical efficacy of neuraminidase inhibitors in 'at risk' children is still...

Stockpiled Tamiflu Has 'Modest' Benefits: ReportsStockpiled Tamiflu Has 'Modest' Benefits: Reports
Wed, 25 Jan 2012 01:06:57 +0100 | Medscape Medical News Headlines
After billions of dollars worldwide have been spent stockpiling the anti-flu drug Tamiflu (oseltamivir), two new reports cast doubt on the medication's benefits. Reuters Health Information (Source: Medscape Medical News Headlines)

Stockpiled flu drug has "modest" benefits: reports
Mon, 23 Jan 2012 20:13:27 +0100 | Reuters: Health
NEW YORK (Reuters Health) - After billions of dollars worldwide have been spent stockpiling the anti-flu drug Tamiflu, two new reports cast doubt on the medication's benefits and say its side effects may have been underestimated. (Source: Reuters: Health)


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