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P. 27

Helping your patients live


 in harmony with creatures


 great and small  Live like you

 Ryaltris is indicated in adults and
 adolescents 12 years of age and older
 for the treatment of moderate to
 severe nasal symptoms associated
 with allergic rhinitis (AR). 1






                                                            MANAGEMENT



                                                            SKILLS                     with Martyn Potter












 Ryaltris  combination intranasal spray can bring symptom   After the success of our 2023 PSUK live Study   Martyn is a CIPD qualified HR Consultant
 ®
                                                                    with over 25 years’ experience of advising
              Day program, 2024 is expected to be no
 relief within 10-15 minutes* from allergic rhinitis triggered by   different, as we’re excited to once again bring   and working with a variety of public, private,
 perennial factors such as animal dander and dust mites. 1-4  you another jam-packed year of events, on a   and not for profit organisations across
              variety of specialty topics hosted by industry
                                                                    the UK on people, strategic and change
 *Findings from one environmental exposure chamber study and two large randomised controlled trials. 2-4  experts.   management issues. Martyn is also a CMI-
 Ryaltris is generally well tolerated; the most commonly-reported adverse reactions are dysgeusia,   qualified executive business coach, a UK
 epistaxis and nasal discomfort. 1,2,5  As part of these study day events, we have   Mediation-qualified Mediator, and a Mental
              Martyn Potter offering his expertise on
 Scan to visit
 Find out more at www.ryaltris.co.uk  www.ryaltris.co.uk  management skills.    Health First Aider.
              Martyn himself shared insights about the              What will you learn?
              upcoming An Introduction to Management                This half-day introduction to management
 Ryaltris Prescribing Information  during periods of stress or elective surgery. The replacement of a systemic corticosteroid
 Ryaltris  (mometasone  furoate  and  olopatadine  hydrochloride)  Please  refer  to  the  with a topical corticosteroid can be accompanied by signs of adrenal insufficiency, and   sessions:   training course looks at the essential skills
 Summary of Product Characteristics (SmPC) before prescribing. One delivered dose   some patients may experience symptoms of withdrawal. Patients previously treated for
 contains mometasone furoate monohydrate equivalent to 25 microgram mometasone   prolonged periods with systemic corticosteroids and transferred to topical corticosteroids   ‘’Often people are promoted to a team leader   required to lead and manage a team. We cover
 furoate  and  olopatadine  hydrochloride  equivalent  to  600  micrograms  olopatadine.   should  be  carefully  monitored  for  acute  adrenal  insufficiency  in  response  to  stress.
 Indication:  treatment  of  moderate  to  severe  nasal  symptoms  associated  with  allergic   In  those  patients  who  have  asthma  or  other  clinical  conditions  requiring  long  term   or manager position because they are good at   topics such as management styles, emotional
 rhinitis  in  adults  and  adolescents  12  years  of  age  and  older  Posology  and  method  of  systemic corticosteroid treatment, too rapid a decrease in systemic corticosteroids may   intelligence, motivation, influencing skills,
 administration:  The  usual  recommended  dose  is  two  actuations  in  each  nostril  twice   cause a severe exacerbation of their symptoms. Somnolence: in isolated cases dizziness,   their current job and show great potential. This
 daily  (morning  and  evening).  Children  below  12  years:  Ryaltris  is  not  recommended.   lethargy,  fatigue  and  somnolence  may  occur  when  using  Ryaltris.  In  these  cases,  the   transitioning from team member to manager,
 Elderly: No dose adjustment required. Renal and hepatic impairment: there are no data   ability to drive and use machines may be impaired. Alcohol and other CNS depressants   promotion is often made without any thought
 in patients with renal and hepatic impairment, however no dose adjustment is expected   may enhance this effect. Antihistamine effects: concomitant use of other antihistaminic   values, delegation, basic employment rights,
 to be required. Contraindications: Hypersensitivity to the active substances or to any of   drugs  administered  may  increase  the  risk  of  antihistamine  adverse  effects.  Paediatric   around what additional skills the individual
 the excipients. Ryaltris should not be used in the presence of untreated localised infection   population: It is recommended that the height of children receiving prolonged treatment   may need to take on the new responsibility   performance management, giving feedback,
 involving the nasal mucosa, such as herpes simplex. Patients who have experienced recent   with nasal corticosteroids is regularly monitored. If growth is slowed, therapy should be
 nasal surgery or trauma should not use a nasal corticosteroid until healing has occurred.   reviewed with the aim of reducing the dose of nasal corticosteroid if possible, to the lowest   of managing people. This can often result   time management, effective meetings,
 Precautions: Local nasal effects: nasal ulceration and nasal septal perforation have been   dose at which effective control of symptoms is maintained. Excipients: Ryaltris contains
 reported in patients following intranasal antihistamines. Nasal septal perforation has been   0.02  mg  benzalkonium  chloride  in  each  actuation.  Benzalkonium  chloride  may  cause   in the newly appointed manager having a   handling challenging conversations and
 reported following intranasal corticosteroids. Patients using Ryaltris over several months   irritation or swelling inside the nose, especially if used for a long time. Adverse reactions:   leadership skills.
 or  longer  should  be  examined  periodically  for  possible  changes  in  the  nasal  mucosa.   Common  (≥1/100  to  <1/10):  dysgeusia  (unpleasant  taste),  epistaxis,  nasal  discomfort.   challenging first few months in the role, often
 Ryaltris is not recommended in cases of nasal septum perforation. In clinical studies with   Uncommon  (≥1/1,000  to  <1/100):  dizziness,  headaches,  somnolence,  nasal  dryness,  dry
 mometasone furoate administered intranasally, the development of localised infections   mouth, abdominal pain, nausea, fatigue. Rare (≥1/10,000 to <1/1000) bacterial vaginosis,   with a resulting loss of self-confidence. This   Who should attend?
 of the nose and pharynx with Candida albicans has occurred; may require treatment and   anxiety, depression, insomnia, lethargy, migraine, blurred vision, dry eye, eye discomfort,
 discontinuation of Ryaltris. Patients using Ryaltris over several months or longer should be   ear  pain,  nasal  inflammation,  nasal  mucosal  disorder,  oropharyngeal  pain,  sneezing,   training will provide new managers with a   Delegates who will benefit most from this
 examined periodically for evidence of Candida infection or other signs of adverse effects   throat  irritation,  constipation,  sore  tongue,  laceration.  Incidence  not  known  (reported   useful overview of the challenges involved
 on  the  nasal  mucosa.  Visual  disturbances  may  be  reported  with  systemic  and  topical   from use of corticosteroids): pharyngitis, upper respiratory tract infection, hypersensitivity   course are newly appointed line managers,
 corticosteroid use. Symptoms such as blurred vision or other visual disturbances should   including anaphylactic reactions, angioedema, bronchospasm, and dyspnoea, cataracts,   in managing people and will give them the
 be  considered  for  ophthalmologist  referral  for  evaluation  of  possible  causes  including   glaucoma,  increased  intraocular  pressure,  nasal  septum  perforation.  Marketing   team leaders or junior managers or those in
 cataract,  glaucoma  or  rare  diseases  such  as  central  serous  chorioretinopathy  (CSCR).   authorisation number: PL 25258/0331 Marketing Authorisation Holder and distributer:   toolbox to carry out their new role with   existing management positions looking to
 Hypersensitivity  Reactions  including  instances  of  wheezing,  may  occur.  Discontinue   Glenmark  Pharmaceuticals  Europe  Limited,  Laxmi  House,  2B  Draycott  Avenue
 Ryaltris  if  such  reactions  occur.  Immunosuppression:  Chickenpox  and  measles,  for   Kenton,  Middlesex,  HA3  0BU.  United  Kingdom  Legal  classification:  POM  Cost:  £13.32.     confidence.’’   build their confidence.
 example, can have a more serious or even fatal course in susceptible patients and those   1  bottle  with  29  g  suspension  (240  actuations)  Date  of  preparation:  June  2021.  Job
 using  corticosteroids.  In  children  or  adults  who  have  not  had  these  diseases  or  been   number: PP-UK-RYAL-0001
 properly immunized, particular care should be taken to avoid exposure. Corticosteroids
 should  be  used  with  caution,  if  at  all,  in  patients  with  active  or  quiescent  tuberculous   Adverse events should be reported. Reporting forms and information
 infections of the respiratory tract, untreated local or systemic fungal or bacterial infections,   can be found at https://yellowcard.mhra.gov.uk. Adverse events should
 systemic viral or parasitic infections, or ocular herpes simplex because of the potential   also be reported to Glenmark Pharmaceuticals Europe Ltd
 for worsening of these infections. Systemic Effects of Corticosteroids: potential systemic
 effects  may  include  Cushing’s  syndrome,  Cushingoid  features,  adrenal  suppression,   medical_information@glenmarkpharma.com or call 0800 458 0383  Upcoming 2024 Events - An Introduction to Management
 growth retardation in children and adolescents, cataract, glaucoma and more rarely, a
 range of psychological or behavioural effects including psychomotor hyperactivity, sleep   References: 1. Ryaltris Summary of Product Characteristics. 2. Gross GN, et al. Ann
 disorders,  anxiety,  depression  or  aggression  (particularly  in  children).  When  intranasal   Allergy Asthma Immunol 2019;122:630–638. 3. Hampel FC, et al. Allergy Asthma Proc
 steroids  are  used  at  higher  than  recommended  dosages  or  in  susceptible  individuals   2019;40(4):261–272. 4. Patel P, et al. Ann Allergy Asthma Immunol 2019;122(2):160–166.    Location: The Roundthorn,   Location: Dunston Hall.
 at  recommended  dosages,  systemic  corticosteroid  effects  such  as  hypercorticism  and   5. Segall N, et al. Allergy Asthma Proc 2019;40:301-310.
 adrenal  suppression  may  appear.  If  such  changes  occur,  the  dosage  of  Ryaltris  should   Penrith, CA11 8SJ  Norwich, NR14 8PQ
 be  discontinued  slowly,  consistent  with  accepted  procedures  for  discontinuing  oral   Ryaltris  is a registered trademark of Glenmark Speciality S.A.
 ®
 corticosteroid  therapy.  The  concomitant  use  of  intranasal  corticosteroids  with  other   © 2023 Glenmark Pharmaceuticals Europe Ltd.
 inhaled corticosteroids could increase the risk of signs or symptoms of hypercorticism   Date: Tuesday, 30 April 2024  Date: Wednesday, 15 May 2024
 and/or suppression of the HPA axis. If there is evidence for higher than recommended   All rights reserved.
 doses  being  used,  then  additional  systemic  corticosteroid  cover  should  be  considered   Date of preparation: October 2023  PP-UK-RYAL-0338 V1
                        Time: 12:00 pm - 4:00 pm                         Time: 8:45 am - 12:30 pm
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