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Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 9:03pm On Nov 23, 2014

OmolodMilkman93:
Oboy,.. Induction rice in the offing

But, you na senior man sha,. Your boy sends his greetings

About, your question, I am at a loss. Looking strange

Lol.. You sef be chairman.. You get mouth..

Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 6:48pm On Nov 22, 2014

Bukkiminat:
boss,are you a pharmacy student in UI?

Yes ma'am.. For just a few more months though..

Education › Re: Listed: 10 Nigerian Universities That Give Good Value For Money by drered(m): 4:07pm On Nov 22, 2014

Xcely:
Literature isnt a generic industry. WRT other industries, it can only exist as a sub-category of Arts.

Same applies.. Why isn't art on your list then?

Education › Re: Listed: 10 Nigerian Universities That Give Good Value For Money by drered(m): 1:15pm On Nov 22, 2014

Not bad.. Wole soyinka is an alumnus of the university of ibadan with a nobel prize in literature so literature should be in your list too don't you think?

Health › Re: Nigerian Graduate Nurses Association Disassociate Self From JOHESU Strike by drered(m): 1:09pm On Nov 22, 2014

This doesn't seem right. Last I checked nurses were on strike too.. There absence is even the most noticeable in the teaching hospitals.. The way the G.I even addressed the issue shows there is a political motive behind this.. Johesu better learn how to play politics,stop infiltration of its members and stop being docile all the time. As much as i don't like the idea that other professions apart from the nurses, pharmacists and medical lab scientists are part of johesu their being there makes the strike action more effective..

Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 12:59pm On Nov 22, 2014

Likes and no attempt on the case? Lol. Pharmacists how far?

Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 10:26am On Nov 20, 2014

Case note: Man With Nausea?

JK is an 88-year-old man picking up his monthly prescriptions at your pharmacy with the assistance of his daughter. JK's daughter asks you to make a recommendation for an over-the-counter treatment for nausea for her father.

She explains that JK has been complaining of nausea for the last several months and has lost 8 pounds (currently weighs 134 pounds) due to his recent lack of appetite. Upon review of JK's profile, you find that he is currently receiving the following prescription medications from your pharmacy: carvedilol 6.25 mg BID; lisinopril 10 mg QD; furosemide 20 mg QD; KCl 20 mEq QD; tamsulosin 0.4 mg QD; donepezil 23 mg QD; and citalopram 20 mg QD.

Upon further discussion with JK and his daughter, you verify that JK was diagnosed with heart failure 12 years earlier and has a history of benign prostatic hyperplasia, which is currently well controlled with tamsulosin. JK has been taking citalopram for approximately 4 years, which was initiated shortly after the passing of his wife. According to your records, JK was started on donepezil 3 months prior. JK's daughter explained that he was having difficulty remembering the names of his extended family members and the medication was initiated at the recommendation of his primary care physician. In addition to the list above, JK is currently taking a senior multivitamin daily and fills all of his medications at your pharmacy. JK's daughter also reports that he has an appointment scheduled with his cardiologist next week. JK has had several bouts of syncope lately and his daughter, who is a nurse's aide, noted that his heart rate varies between 40 and 55 beats per minute.

Based on the above information, what recommendations would you have for JK and his daughter?

2 Likes

Health › Re: Medical Students Being Use In Place Of Nurses At Ubth,following JOSEHU Strike by drered(m): 5:22pm On Nov 19, 2014

Loool

Health › Re: Health Workers' Strike Paralyses Federal Hospital by drered(m): 4:45pm On Nov 19, 2014*

The strike is a no-brainer, it was inevitable. I can't imagine how short sighted our government could be. I expected a round table discussion with NMA and JOHESU so that everything in contention be addressed once and for all. You don't go giving a particular group privileges in the same system and not expect the others to speak out when they are just as qualified for this privileges.. Unfortunately strike action is the only effective line of action that the government responds to, nothing else. Meaningful dialogue hardly leads anywhere and who suffers? The patients.. It is just disheartening really, one day I'm going on ward rounds in the renal unit in uch seeing critically ill patients with various forms of complication and over half of the patients there due for dialysis, some can't afford 30k for dialysis and the ones that can have to wait their chance which could take a week and the next week I'm in the same ward and everywhere is empty.. Critically ill patients breathing through a hose in their nose kicked out? I don't even know.. But then it was just horrible, the faces of the boys, men and women in pain I saw the previous week was just piercing.. I really hope things get better soon and the issue with healthcare is addressed squarely..

2 Likes

Health › Re: Nigeria Has The Highest Number Of People Living With Diabetes In Africa. by drered(m): 10:26am On Nov 16, 2014

creamylicious:
White rice white bread garri white yam amala plantain. White spaghetti,white semo, fry fry..... These are d major foods sold in iya risi's restaurant. Stop and fill ur belle with loads of carbohydrate plus a bottle of soft drink to step down. Overload d body with loads of sugar...... The resultant effect is DIABETES

Ehn ehn? So its too much intake of sugar that causes diabetes ba?

Health › Re: All Health Workers Can Now Be Consultants-fg by drered(m): 2:42pm On Nov 15, 2014

Unbias:
Doctors claim to be mini-pharmacists, pharmacists claim to be mini-doctors. I am not trying to be bias but I think every health-related profession has the right to state their agitation and regulate their field without objections from other health professioners. In as much as you cannot or would not do the job of a pharmacist, nurse, lab scientists etc even if you can, then there is no reason to set limits for them.

Also, lack of courtesy for other health workers by medical doctors is contributing to this brouhaha in our health sector. I have witnessed a scene where the doctor embarrased a nurse so much that I almost confronted him as a patient.

I respect medical practitioners and they are quite indispensable in the health sector. However, they need to understand they can't do the work alone; others are indispensable too.

Health › Re: All Health Workers Can Now Be Consultants-fg by drered(m): 12:29pm On Nov 15, 2014

Mbediogu:
Pharmacy is alll about drugs ..agreed. Medicine is about drugs and DISEASES, among others. Or is ther any pharm course known as patho-pharmacy? All the experiments you do in pharmacology are based on response of HEALTHY tissues. Medicine and therapeutics are based on responses of diseased tissues to drugs (or medicine, which is the true name of profession of medical doctors). This is not to belittle the pharmacy profession which is an important basis of all mediacal practices whether orthodox or traditional. Pharmacists concentrating in their core area can revolutionize the art of healing, but that cannot be achieved thro interaction with patients because they are not trained in clerkship, history taking, systemic exams, and lab investigations and interpretation. A doctor is also a mini -pharmacist, -nurse, -labman, all rolled into one. Let us stop inhouse fighting within our sacred joint humanitarian profession. As an old doctor, father of a 3rd MBBS student, and in-law to a pharmacist, I feel sad about the goings on in health sector.

First, I gotta commend you sir.. 3 MBBS graduates? Not easy.. But then it is very understandable that you don't know how much pharmacy has evolved since its been a while you've been out of school.. Clinical pharmacy is the aspect of pharmacy that deals with all disease states, their epidemiology, aetiology, risk factors, pathophysiology, signs and symptoms, diagnosis, therapy;both pharmacological and non pharmacological.. Experiments done in pharmacology are based on both response of healthy and diseased tissues with certain conditions/diseases being induced invivo and histological examinations being carried out.. A little bit of pathology is done in both pharmacology, pharmaceutical microbiology and clinical pharmacy however definitely not as much as MBBS students.. Sir, you are really way behind on how we are trained and from this I can infer why MD's try so hard to belittle pharmacy students/pharmacists. Pharmacy students go on ward rounds, they clerk patients, they have been trained on history taking and how to interpret lab investigations.. Pharmacy students in UI are currently going for their clerkship in UCH.. The truth is pharmacist qualify as mini-doctors to an extent because the knowledge shared with doctors is not mutually exclusive.. The pharmacy profession cannot be belittled by anybody sir because unlike medicine where we know a lot about in some areas and a little in others. Their are aspects of pharmacy a non-pharmacist knows nothing about.. Can a medical doctor make any substantial contribution on Pharmaceutical chemistry? Pharmaceutics? Quality assurance and quality control of pharmaceuticals? Drug design? The chemical basis or the synthesis of drugs he so proudly claims he knows all about?.. I do agree with you that the current situation is sad and needs to be addressed though but then it should start with the M.D's and their god complex.. You can't imagine how M.D ( especially senior reg's and some consultants in UCH) verbally insult pharmacy students going on ward rounds using all sorts of derogatory terms.. Where will the cohesion then come from? Nobody has ever ascended by trying to pull others down.. I say "trying" because they can only try..

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Health › Re: All Health Workers Can Now Be Consultants-fg by drered(m): 7:05am On Nov 15, 2014

Mbediogu:
The pharmacist does not have to act as consultant in order to do his job well. Mind you, not all doctors are consultants. The one that discovered and stopped the patient taking herbs in a ward did the job of a nurse and is asking for consultant status because of that. A pharmacist can also advice the doctor on certain drug issues. If the consultancy they seek brings them into direct consultation with patients, then....
Remember signs displayed in pharmacies - if symptoms persist, see a doctor.

I ignored some of your points by error and going through your post again i can understand why.. Firstly, "the one" is a pharmacist, and identifying drug-drug, drug-herb interaction among many others is one of the basics of the pharmacology both medical and pharmacy students are taught. Pharmacist know more of pharmacology so it is understandable why a pharmacist will identify potential interactions wether drug-drug, drug-herb, drug-disease.. Nd that exactly is where my point lies.. How exactly does your last phrase relate to anything we are talking about?

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Health › Re: All Health Workers Can Now Be Consultants-fg by drered(m): 6:08am On Nov 15, 2014

drlawizle:
No mind dem, never seen a group so shameless at copying others...when we develop another name dem too go open mouth say dem wan be am...bunch of copy & paste.

Who really is copying who? Get a good book on the history of medicine.. Medicine became what it is today by encroaching other professions notably the midwives or how do you think O and G came about?.. Since when has becoming a specialist in one's field become an exclusivity for M.D's that everyone is copying?.. You an M.D and you don't even have the basic capacity to reason.. Smh

1 Like

Health › Re: All Health Workers Can Now Be Consultants-fg by drered(m): 10:40pm On Nov 14, 2014

Mbediogu:
The pharmacist does not have to act as consultant in order to do his job well. Mind you, not all doctors are consultants. The one that discovered and stopped the patient taking herbs in a ward did the job of a nurse and is asking for consultant status because of that. A pharmacist can also advice the doctor on certain drug issues. If the consultancy they seek brings them into direct consultation with patients, then....
Remember signs displayed in pharmacies - if symptoms persist, see a doctor.

But the MD has to right? No medical doctor wether senior reg or consultant knows as much about drugs as a fresh pharmacy graduate but then a specialist could know more about the drugs in his particular field. So what exactly is wrong in a pharmacist specialising in such fields and related fields to ensure the quality control of the medications used in that field? Or you think pharmacy is not as diverse?.. I agree that the MD's might spend a longer time getting to specialise than other health profession but then i expect their training to be just as rigorous and besides isn't that why M.D's earn higher than the others and isn't that the whole point of the relativity M.D's always stress?

2 Likes

Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 8:16pm On Nov 13, 2014

DiplomaticG:
After writing jamb 3 times to study
medcine I finally decided to try
pharmacy, and as Fate would have it I
got admitted in UNN. Higly gratefull to
God actully, but somewhere inside me
I'm like, "dude u know medcine is d
ish". So ryt now I dunno if i should
rewrite jamb and put medcine or to
continue wit Pharm.. I'm a fresher
though.. Pls Greatest Pharmacist talk
to me, is d course fun? lucrative?
fulfilling? I'm curious abt all these
stuffs... Talk to me pls...

Pharmacy isn't exactly a course of second choice.. It isn't an alternative to medicine.. If its med.surg you want then you really should go for it cuz you'll feel more fulfilled.. There's this tension between pharmacists and doctors in the hospitals right now esp. the teaching hospitals and you as a pharmacist will be ill equipped for the kind of psychological warfare cuz all you'd be thinking is "had I known I'd probably have written jamb one last time".. Do your research, be realistic and follow your heart..

1 Like

Health › Re: Health Workers Begin Strike On Wednesday by drered(m): 9:31am On Nov 12, 2014

Watching to see how this plays out..

Health › Re: All Health Workers Can Now Be Consultants-fg by drered(m): 6:44pm On Nov 11, 2014*

Hmmm.. *modified* I initially didn't want to say nothing but then as expected there are so many people ignorant of how healthcare works/ how it should work.. Other members of the healthcare team have been undermined for too long and they want to do something about it but then the supposed leaders of the healthcare team as usual have issues with it.. First, it was the pharm. D programme that has since been replaced by the B.pharm programme in so many countries but is currently being practised in Nigeria. Pharm. D is designed to make pharmacy practise more clinically oriented requiring an extra year in teaching hospitals for which the deans and other selected professionals went on a retreat abroad and designed a framework for this programme, identified potential co-ordinators for this programme but then when they came back to Nigeria the doctors kicked against it saying pharmacists just wanted to be called doctors. Last time I checked this is still in court.. Now consultancy has been approved for other professions and much dust is being raised by people who don't fully grasp the practise.. Pharmacy is way too multi dimensional to be streamlined in the hospital.. For every specialty in the hospital there are medicines that are used so what exactly is wrong with becoming a specialist in a particular field? The complexities of drugs relating to therapy isn't fully understood by most people and that's the major reason they think this isn't necessary.. Why shouldn't there be residency in oncology, peadiatrics, cardiology and other specialties?.. Who would ensure medication safety and monitor drug therapy especially in patients with multiple drug regimen? An HIV patient in UCH had diarrhoea for close to 4months and had finished so many packets of loperamide prescribed by the doctor. The pharmacists probed and discovered this patient was using aloe vera which is a laxative as a supplement and this was the underlying cause of the patients diarrhoea, after the pharm's advice four days after for the first time in 4months this patient could retain food.. There are so many cases of negligence that had cost patients their life that could have been corrected if other members of the health care team were more involved but then most MD's just want to retain their god complex.. For the people saying consultancy in other fields will cause anarchy and confusion will a programme like this be run and clear boundaries not stated? Will the practise not be regulated by regulatory bodies? The way I see it, its the fear that the incompetence of so many doctors might be revealed.. In saner climes a pharmacist recognises a drug therapy problem and runs this by the MD, they put heads together and ultimately optimise therapy but then because you are a consultant in a field your method or therapeutic regimen should not be questioned when you might be causing more damage to a patient?.. Think about it, a pharmacist spends say 10years in a hospital and stays the same coupled with the routine nature of his job in a hospital while an MD spends the same number of years and would have become an authority in his field.. Isn't this enough reason for the agitation? Pharmacists are saying they want to be more involved and apply what they have been trained for with the sole aim of improving therapeutic outcome but some low-lifes would want to twist that?..

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Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 10:43pm On Nov 09, 2014

Bhuumhite:
pls smeone should explain the difference btw pharmacy and pharmacology

Pharmacy is the art and science of preparing and dispensing medications and the provision of drug related information to the public. It involves the interpretation of prescription orders; the compounding, labelling and dispensing of drugs and devices; drug product selection and drug utilization reviews; patient monitoring and intervention; and the provision of cognitive services related to the use of medications and devices. The american pharmacists association describes the mission of pharmacy as serving society as "the profession responsible for the appropriate use of medications, devices and services to achieve optimal therapeutic outcomes. Pharmacology on the other hand can be defined as the study of the effects of chemical substances on the functions of living systems..

Career › Re: Pharmacists, Pharmacy Students And Interns. At Home Or Abroad, Let's Meet Here. by drered(m): 1:11pm On Nov 08, 2014

Bhuumhite:
@bukkiminat, in UI,is the faculty of pharmacy insyd d main school or @ d teaching hospital

Main school..

Health › Re: Stroke Of The Left Side Of The Brain by drered(m): 9:24am On Nov 05, 2014

Niccharles:
Kindly mind your words, I will not write those words if ive not seen its efficacy......its either the person gets it or not. it can help, let him try it. Its just childish to insult people you dont even know. it shows ur level of reasoning but i knw dis wont stop u. javascript:void(0);

where did you see its efficacy? You carried out clinical trials to ascertain its efficacy against stroke? The manufactures state that trevo cannot be used to diagnose or cure any conditions true or true?..

1 Like

Health › Re: Stroke Of The Left Side Of The Brain by drered(m): 8:22pm On Nov 04, 2014

Hi.. Stroke is a brain dysfunction that causes neurological deficit depending on the part of the brain affected.. So this means the presenting symptom will depend on the part of the brain affected.. See, the brain requires a constant supply of blood and when this blood supply is cut for as little as 30 seconds unconciousness will occur and in 4minutes there will be permanent brain damage.. The major risk factor for stroke is hypertension, diabetes and heart disease so apparently your dad had two of the major predisposing factor. Your primary care giver should have properly educated your dad/your family on this risk of developing stroke.. Uncontrolled hypertension will cause weakening of the blood vessels and increase the chances of an intracranial aneurysm(ballooning of a weakend blood vessel which eventually bursts) and the blood leak in the brain will have severe consequences depending on what part of the brain that is affected.. Diabetes on the other hand will favour the formation of an atheriosclerotic plaque and narrowing of your blood vessels which not only makes hypertension worse but can also cause the formation of a clot( either locally; thrombus or a dislodged clot;embolus) in a blood vessel supplying the brain also cutting off blood supply.. So you see how this isn't caused by evil forces? but by not properly managing his co-morbidities? For anyone reading this it is very important to manage hypertension and diabetes when they occur seperately and it is even of more concern when they occur together.. I'd like to know what kind of stroke he has; hemorrhagic or ischemic as this usually determines the kind of therapy he should be placed on and the prognosis.. It is very important that his blood sugar level and blood pressure is strictly controlled.. The target blood pressure here is 130/80.. Make sure he ALWAYS take his med and you also have to be very patient with him and understand that him not being able to comprehend certain things isn't exactly is fault..

Health › Re: Stroke Of The Left Side Of The Brain by drered(m): 8:04pm On Nov 04, 2014

Niccharles:
It is not well till it is well
First, make sure you pray
Second, I recommend that you get TREVO. You can google it with respect to its effectiveness on stroke. It also takes care of diabetes, hbp
I'm a firm believer of supplements because it has worked for people that i recommended it to also it contains in major quantity what you can not find in drugs and in our food in the appropriate proportions and because it's natural all the way.
He may have to take more than 1bottle: dosage 4 caps daily, you can get it from any chemist and if not contact me 08171896562

FOH with your trevo BS.. It is criminal to give unsubstantiated claims especially when it comes to someone's health..

1 Like

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 10:48am On Nov 04, 2014

kennygee:
That's what I'm saying, its genetic.

Ohkk

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 10:33am On Nov 04, 2014

kennygee:
Asthma is not contagious.

I am the only one in my family who has it, my grand pa had it tho.

Yeah.. Its not contagious but there is genetic predisposition.. If someone in your family has it there is a higher probability that a family member will..

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 10:31am On Nov 04, 2014

adaemeka245:
pls can u explain this in a layman s understanding; muscle myopathy, hyperglycemia, glycosuria, Cushingoid syndrome, mania, etc, thanks

Muscle myopathy will simply cause muscular weakness and you'll easily feel fatigued on exertion.. Hyperglycemia is high blood glucose and sustained(long term hyperglycemia) is indicative of diabetes, glycosuria is sugar/glucose in the urine and is indicative of renal/kidney damage, cushingoid syndrome is like a constellation of symptoms like moon face(round face), trunkal obesity( big belle), no clear demarcation between the face and neck and deposition of fat in various parts of the body, mania is an emotional disturbance( like over-paraing(vexing)) but this is usually seen in people with a family history tho..

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 7:03pm On Nov 02, 2014

wesley80:
I didn't mean "stuck " literally. I only meant it has become my go to drug for attacks and I recognize the difference between Ventolin and seritide. Having used another preventive drug like bicotide I was trying to point out the effectiveness of the former. About the side effects of steroids, can you highlight any? I've been on this stuff for close to 20years.

Oh.. My bad.. Yeah they are loads.. Weight gain, moon face, muscle wasting, muscle myopathy, adrenal insufficiency due to sudden withdrawal that could cause death, hyperhlycemia, glycosuria and it could precipitate diabetes mellitus in predisposed patients, cushingoid syndrome, immunosupression and susceptibilty to infections, gastric ulcerations, it also affects bone development, oral thrush, mania, activation of tuberculosis in patients under remission and so many more.. Most of the side effects though are due to high doses of steroids over a prolonged period of time.. Nd it is usually with oral steroids so inhaled steroids are relatively safe except for the thrush that can easily be prevented..

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 4:37pm On Nov 02, 2014

WASMOG:
the doc said I should do chest xray and blood test so he said the result shows am having asthma

I'm guessing the blood tests and x-ray was to rule out other conditions(differential diagnosis) that could be wrong with you as their are several conditions that could cause asthma like symptoms.. Get a peak flow meter.. It isn't expensive and ask your pharmacist how to use it..

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 4:22pm On Nov 02, 2014

joywendy:
drered hello

you seem to be very well informed about this. are you some kinda doctor or therapist? or are u also an asthma patient?

A pharmacist that was once diagnosed/misdiagnosed with asthma that has taken control of is asthma and is now symptom free.. When I was diagnosed of asthma on a faulty/not-so-perfect basis i took control, augmented school knowledge with research and seminars and got to know all I know..

2 Likes

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 4:17pm On Nov 02, 2014

Arysexy:
Please throw more light on the oral thrush/candidiasis stuff.

I had symptoms of asthma last two years and was placed on duovent inhaler (steroid), before it was confirmed not to be asthma but respiratory infection (inflammation of bronchial walls) treated with antibiotics and got well.

I noticed when I was using d inhaler I added weight tremendously but after it was diagnosed not to be asthma and I stopped using d inhaler, I have been having discomfort in the throat, could it be a side effect of puffing in d duovent Inhaler?

Candidas normally grows in your mouth. Its growth is kept in check by your immune system.. Steroids are immunosuppresants (They suppress your immune system) and that's why they are even effective in asthma because allergies occur when your body treats substances that are not harmful to your body as harmful so they mobilize your body's defense against this unharmful substances causing the classical symptoms of asthma.. In other words the body attacks its own healthy tissues so immunosuppresants like corticosteroids suppress your body's immune system helping your asthma but also predisposing your body to infections and a number of side effects... So taking inhaled steroids will cause immunosuppresion locally in your mouth resulting in over growth of candidas causing oral thrush/ candidiasis. It however resolves in a matter of weeks so its nothing to worry about really.. Yeah a major side effect of using steroids over a long period of time is weight gain although it is much more common with oral therapy.. Some people even use steroids on purpose to add weight..

2 Likes

Health › Re: Asthmatic Patients,share Your Experiences And What Medication Works For You. by drered(m): 3:21pm On Nov 02, 2014

wesley80:
What injections? Can't remember the last time I visited a hospital on account of asthma, I do sometimes mention it to collect a free inhaler sha but so far I think the most effective drug is the seritide diskus inhaler. My dad uses it and the few times I tried it, it worked like magic. Still stuck using Ventolin Inhalers anyway, I find it more easy to carry when I need to.

stuck?? You don't want to have to be on a steroid trust me.. Be very happy with ventolin and don't use your dad's medication cuz they are two different kinds.. Your dad's seretide is a controller therapy( to prevent attacks) your ventolin inhaler is to treat acute exacerbations of asthma..( to abort attacks)..

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