Wednesday 8 January 2014Anytime Doctor is an Online Doctor registered with the Care Quality Commission
Anytime Doctor is owned and operated by the UK company Anytime Medical Ltd registered with the Care Quality Commission to provide prescriptions online: Anytime Doctor's Care Quality Commission Provider-ID number: 1-101727777 .
Prescriptions are dispensed by an NHS pharmacy regulated by the General Pharmaceutical Council.
The regulations ensure genuine medicine is dispensed from an associated NHS pharmacy. It also guarantees accurate information is given and careful checks are carried out.
Tuesday 3 September 2013Isotretinoin has been a dramatically successful treatment therapy for severe and persistent Acne. Initially it was only used for sever cystic acne, its use has been gradually extended for those with significant but milder acne that will not clear despite persistent use of conventional topical and oral therapies. Isotretinoin has an important role in those with scarring because of their Acne. Most studies indicate a success rate of almost 100% and confirm that approximately two-thirds of patients have no relapse when treatment is discontinued. However, it is not clear whether these figures are correct for the patient types now being treated with Isotretinoin.
Monday 5 August 2013More than 1.1 billion adults are overweight and 321 million are obese. Although the increased health burden due to obesity is well-known in industrialised countries, over the past 20 years the prevalence of Obesity has tripled in more westernised developing countries, where there has been a marked increase in cheap energy-dense food and a gradual decline in physical activity.
The Middle East, in particular, is facing the greatest threat in terms of escalating obesity epidemic. Adults in Mediterranean countries are at high risk of obesity, especially in Southern European countries. Greece and Spain had the highest mean body mass index (BMI) and waist circumference (WC).
Tuesday 30 July 2013Body Mass Index (BMI) is regularly used to show that excess body weight is highly prevalent and associated with adverse medical conditions such as high cholesterol and diabetes. Overweight and obesity are recognised as important public health challenges Worldwide. In Europe 30-80% of adults are either overweight or obese and the trend is particularly alarming because the current annual rate of increase is much higher than that of the 1970s. Although Obesity is the result of an unbalanced energy intake and expenditure, mechanisms implicate genetic, environmental, socioeconomic, cultural and behavioural factors, eating out at home has received increasing attention.
Monday 22 July 2013Erectile Dysfunction (ED) is a common and distressing condition affecting an increasing number of men. It is estimated that almost 30 million men in the United States and between two to three million men in the UK suffer from Impotence. According to the American Urological Association clinical guidelines, ED is defined as “the inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse.” The growing incidence of erectile dysfunction is related primarily to a growing aging population worldwide, a rise in prevalence of risk factors (e.g. Diabetes and cardiovascular disease) and in increase in the treatment for prostate cancer. Prostate cancer is now the most commonly diagnosed cancer among Western men and Impotence is a common side effect of treatment. Despite the numbers of men affected by erectile dysfunction is estimated that 90% of ED sufferers are still reluctant to visit their GP because of embarrassment.
Tuesday 16 July 2013Erectile Dysfunction ('ED' or 'Impotence') is defined as 'the inability to achieve or maintain an erection sufficient for satisfactory sexual performance'. It has been suggested that ED is one of the most common chronic medical disorders in men over 40 years old. A recent study found that 36% of men ages between 40 and 70 years old were moderately to completely impotent. Alarmingly, the prevalence of ED is increasing. It was estimated in 2005 that 25 million men in the United States experienced some form of ED.
Monday 8 July 2013Clinical diagnosis of skin and fungal nail infections are not always straightforward or easy. Inappropriate antifungal therapy has a significant cost implication for the NHS.
Fungi of dermatological importance can be divided into yeasts (such as Candida and Pityrosporum) and dermatophytes (such as the fungi which causes ringworm and athlete's foot). Because some agents, such as imidazoles (e.g. miconazole, clotrimazole), will kill either of these two types of fungi, there is a clinical tendency for all anti-fungal therapies to be lumped together and viewed as equal. This is not correct. Anti-fungal treatments differ in their action against various types of fungi in a similar manner to the way antibiotics have different abilities to kill a variety of bacteria (broad or narrow spectrum antibiotics). Some medicines, notably terbinafine, also differ in the way they act depending on whether terbinafine is used orally or topically especially in the case of fungal nail infection.
Friday 5 July 2013Gonorrhoea, caused by Neisseria gonorrhoeae (N. Gonorrhoeae), remains one of the most common sexually transmitted infections (STIs) and contributes to a substantial burden of morbidity, mortality and infertility worldwide. Penicillin’s, tetracyclines, and fluroquinolones were commonly used for the treatment of genoccal infections until the emergence of resistance to these antimicrobials. Third-generation cephalosporins, both injectable and oral, are being used globally as first-line therapy. Resistance to oral third-generation cephalosporins used as Gonorrhoea Treatment such as cefixime and ceftibuten have been reported in Japan, Hong Kong and Taiwan. Although treatment failurs with the injectable cephalosporins like ceftriaxone have not been reported decrease in susceptibility to these agents has been documented in the World Health Organization (WHO) Western pacific Region (Australia, Brunei, China and Papua New Guinea), Vietnam and Greece. Some of these isolates are already resistant to multiple drug classes, such as quinolones, macrolides, penicillins, and tetracyclines.
Tuesday 2 July 2013Erectile Dysfunction (ED) is a common public health problem affecting millions of men worldwide. It has a strong negative effect on interpersonal relationships, well being and quality of life. Smoking is a major public health problem Worldwide and its effect on sexual life and ED is an often-used fact in Stop Smoking campaigns. The link between smoking and ED has been discussed in many studies. Few studies have looked or published findings on the effect of smoking on ED or the effect on ED by stopping smoking. We look at a study that tries to better understand the mechanisms between smoking and ED.
Thursday 20 June 2013Chinese and Asian ethnic groups have a greater prevalence of type 2 diabetes despite having a lower body mass index.
Electronic health record data from 46, 507 unique patients were analysed. The ethnic groups of the patients ranged from Koreans, to Japanese to Sri Lankans. The proportion of women ranged from 46% in Indian to 68% in Japanese. Asian patients as a group were younger than Filipinos. The proportion of overweight (BMI: 25 – 30) among Chinese ethnic patients was lower than white patients with the exceptions of Indians and Filipinos.
Friday 3 May 2013In Europe, as well as in the United States and many affluent regions of the World, significant portions of the population are already overweight or obese and obesity is increasing in many developing countries. Obesity is one of the main determinants of avoidable ill health and carries significant economic burden.
Wednesday 24 April 2013
Chlamydia trachomatis is the most common sexually transmitted infection (STI) diagnosed in NHS genitourinary medicine (GUM) clinics in the United Kingdom. The highest rates of Chlamydia Treatment are among 16-19 year old females and 20-24 year old males. Co-infections with other STIs are common. National chlamydia screening programme involves the opportunistic screening of the target group in non-GU settings and further referral of all chlamydia positive patients to GU medicine for a full STI screening.
Genital Chlamydia trachomatis infection is the most common sexually transmitted infection (STI) diagnosed in NHS GUM clinics within the UK. Untreated chlamydia can cause significant morbidity with nearly 20% of infected women developing pelvic inflammatory disease (PID). We examine a study that aims to assess the prevalence and significance of other STIs (e.g. Gonorrhoea) associated with Chlamydia Treatment.
Tuesday 16 April 2013Acne is a very common skin condition that affects virtually all individuals at least once during their life. Acne normally peaks at 18 years, though there are significant numbers of adults, both men and women that are affected. A recent study shows that 12% of women and 3% of men have acne and are over 25.
Thursday 4 April 2013Increasing rates of weight gain (and the follow-on effect of increasing rates of Obesity) are a global concern, as higher body mass indices (BMIs) have been consistently associated with increased rates of cardiovascular disease, diabetes and hypertension. Various causes of the Obesity epidemic have been put forward by scientists and the media ranging from fast food, climate change, lack of sleep, driving to work, antidepressants and having fat friends. A high fat diet has often been associated with increased risk of weight gain. Howver a recent study suggests that it may be not so much the amount of fat as the type of fat that should be considered. Weight Loss is a priority for many people in Developed countries to avoid increased rates of diabetes.
Sunday 10 March 2013Neisseria gonorrhoeae is the causative agent of one of the most important sexually transmitted diseases, Gonorrhoea. Gonorrhoea and STD Treatment remains an important clinical and public health problem throughout the World. The incidence of gonorrhoea has decreased in Europe and in the USA over the past two decades but risen sharply in Asia. Historically Gonorrhoea has responded well to antimicrobial agents, including penicillin and fluroquinolones, but the emergence of antimicrobial resistance in Gonorrhoea has compromised the treatment and control of the disease.
Wednesday 6 February 2013
Comparing self-collected swabs for the detection of Chlamydia & Gonorrhoea versus clinician collected swabs
Chlamydia Treatment and Gonorrhoea Treatment are highly prevalent curable sexually transmitted infections (STIs) that are associated with significant adverse reproductive health sequelae among men and women. Within the UK, men who have sex with men constitute a group at high risk of catching Chlamydia and Gonorrhoea infections. Both infections can infect the throat area and as such act as an important reservoir for further transmission to genital sites. Infection rates for men who have sex with men for the throat region range from 1% to 2^% for Chlamydia and 3% to 9% for Gonorrhoea.
Tuesday 22 January 2013
NHS clinical guidelines state that singe dose azithromycin, 1g, or doxcycline, 100mg twice daily for 7 days are recommended as equal treatments of choice for uncomplicated Chlamydial infection and for syndromes associated with Chlamydia. However a recent publication by Schwebke et al. challenges the efficacy of azithromycin for Chlamydia Treatment.
Monday 19 November 2012
By the age of 50 years, at least 50% of men and 25% of women will have lost cosmetically significant amounts of hair due to the aging process. This hair loss occurs from puberty onwards and increases in prevalence until, at 80 years of age, it affects 80% of men. Male Pattern Baldness is, therefore, the most common cause of Hair loss. It can cause significant psychosocial impact, usually in circumstances where it is deemed an inappropriate appearance in terms of cultural norms for age and gender. The good news for sufferers is that hairloss treatments, such as Propecia, that produce a good degree of benefit are now available.
Wednesday 14 November 2012Very few data studies have looked at the potential harms of Chlamydia testing. This study assessed the psychological impact of receiving a positive Chlamydia Test result. The study looked at women over 18 years of age undergoing Chlamydia testing in 4 GUM clinics. The women were surveyed at baseline and about 1 month after receiving test results using a validated psychological scale and Chlamydia specific questions. Changes in scale scores were calculated for each womingan.
Friday 9 November 2012Fungal Nail Infections are the most common type of fungal infection seen by GPs. It affects between 2 and 8% of adults in the UK, particularly men. 80% of nail infections occur in the toes. The dermatophytes Trichophyton rubrum and Trichophyton mentagrophytes var interdigitaleare responsible for most toenal infections, but the incidence has risen over time.
Wednesday 31 October 2012
Herpes simplex virus is one of eight human herpes viruses. Herpes occurs worldwide, in both sexes and all age groups. Herpes last forever, once infection has occurred, it cannot be eradicated. Herpes infections may reactivate, spontaneously or with identifiable triggers.Available Herpes Treatment can manage the severity of a Herpes outbreak. Good STD Treatment is an effective way of managing all aspects of sexual health.
Herpes occurs as two subtypes, HSV1 and HSV2. The term ‘primary infection’ is used to describe infection with either subtype in an individual previously infected with the other subtype is termed ‘non primary, first episode disease’.
Sunday 28 October 2012
Hair loss and male pattern baldness
Hair has been a sign of beauty and a contribution to an individual’s personality since time began. Male Pattern Baldness is a common problem and is common throughout the World which can impact the quality of life or psychological well-being of the patient.
Friday 21 September 2012
Partner treatment is a longstanding and critical part of public health efforts to control the spread of curable sexually transmitted diseases (STDs) and sexually transmitted infections (STIs). However, relatively few GUM clinics routinely assure that the partners of persons with Chlamydia or Gonorrhoea are treated. The failure to provide STD Treatment to treat infected sex partners is known to be one factor underlying the persistence of high rates of STDs in the UK. Standard partner referral in which STD/STI patients are counselled to refer their partners for examination and treatment is the norm.
Thursday 20 September 2012
Fungal Nail Infection has a lifetime incidence of up to 90% in patients with psoriasis. In addition to the cosmetic impact, it causes pain and interferes with the activities of daily living in a large proportion of those affected. Fungal Nail Infection treatment can be unsatisfactory and is limited by temporary efficacy or adverse side-effects.
Friday 14 September 2012
Chlamydia Infection Rate Trends among Women Attending GUM Clinics
Annual Chlamydia Screening is recommended for all sexually active women. Due to not all women getting tested substantial limitations exist in ascertaining Chlamydia trends. Reported case rates have increased likely due to increased screening and improved test technology.
Results: Over 5 million Chlamydia Tests were reported to American family planning clinics from 2004 to 2008. A majority of tests were conducted among white women. Overall Chlamydia positivity from 2004 to 2008 was 7.0%.
Saturday 18 August 2012
Study shows resistance training or combined with weight-loss diet alone affects the loss of abdominal fat in obese women
Bodyweight loss induced by either diet changes, alone or in combination with exercise (aerobic or resistance training) lead to decreases in total body fat especially abdominal fat. These changes in abdominal fat and in its regional distributions have also been accompanied by significant improvements in different cardiovascular risk factors (for example, high blood pressure and cholesterol).