THE Pharmaceutical Society of Australia (PSA) has updated advice in the digital Australian Pharmaceutical Formulary (APF) relating to the use of Cautionary Advisory Labels (CAL) 6, CAL 13, CAL 18 and CAL I.
CAL 18 now covers a broader range of situations where foods and fruit juices - grapefruit, Seville oranges, pomelo, star fruit, bitter melon and pomegranate - may interfere with medicines, and provides support for clearer and more actionable dietary advice for patients.
CAL 1, which also related to foods and juices that interact with medicines, has been retired, and the expanded CAL 18 will be used instead.
CAL 6 explanatory notes have been expanded to help support pharmacists provide actionable, accurate advice regarding storage temperatures.
The wording of CAL 13 and its explanatory notes have been updated and refined to prompt meaningful conversations with patients about dosage forms and active ingredients truly sensitive to light, moisture or temperature excursions.
Emeritus Professor Lloyd Sansom, Chair of the APF editorial board, reminded pharmacists: "CALs are intended to be an adjunct to verbal counselling on medicine-related issues, not to replace this."
Learn more in APF DIGITAL.
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