Extra care is necessary when taking several different medicines. This is particularly true for patients with visual or cognitive impairment. Blister packs make it simple and easy to take the right medicines at the right time by dividing your tablets into separately sectioned blisters, each marked with the time of day when the tablets should be taken. This can improve your medication adherence and reduce errors. Caregivers can also easily check that the right medicines have been taken in a timely manner. Blister packs can help if you are

• Struggling to organise medicines.
• Finding it difficult to remember when to take your medicines.
• Helping to look after someone else.
• Recently home from hospital and suddenly have a lot more tablets to take.
• Looking after someone who is visually impaired.
• On a complex medication regime.

Hypertension is the foremost risk factor for cardiovascular events globally and affects around a third of adults. High blood pressure can affect people of all ages but does not always have symptoms. Untreated, high blood pressure may lead to conditions like heart disease or a stroke. Monitoring your blood pressure for 24 hours can help work out if its consistently high. This would be particularly useful if you:

• Have family members with a history of high blood pressure.
• Suspect you have high or borderline high blood pressure.
• Experience variable blood pressure.
• Have conditions such as diabetes or high cholesterol.
• Already take medicines to reduce your blood pressure.
• Experience blood pressure that is hard to control.
• Want to check for Atrial Fibrillation (irregular heartbeat).

For convenience and proximity reasons, community pharmacies play an increasingly important role in hypertension screening and monitoring. Our service involves fitting you with a device to wear, which includes a cuff around your arm that will measure your blood pressure for 24 hours.

Blood Pressure Category	Systolic mm Hg (upper number)		Diastolic mm Hg (lower number)
Normal	Less than 120	and	Less than 80
Elevated	120-129	and	Less than 80
High Blood Pressure – Hypertension Stage 1	130-139	or	80-89
High Blood Pressure – Hypertension Stage 2	Higher than 140	or	Higher than 90
Hypertensive Crisis	Higher than 180	and/or	Higher than 120

A person’s BMI, or body mass index, is one way of measuring whether you are a healthy weight for your height. Body Mass Index is calculated using a person’s weight in kilograms (kg) divided by the square of height in meters (m2). Initially used as a statistical index of health and weight for a population group, BMI can be used to show the weight categories that may lead to health problems but it is not diagnostic of the body fatness or health of an individual. Nonetheless, your BMI is a good indication of whether you are a healthy weight, and if not, how over or underweight you are.

BMI	Classification
Less than 18.5	Underweight
18.5 - 24.9	Normal Weight
25 - 29.9	Overweight
Over 30	Obese

Obesity is currently a worldwide problem, with overweight (body mass index ≥25 kg/m2) and obesity (BMI ≥30 kg/m2) estimated at 35% and 12% of the overall adult population, respectively. We can assist with weight loss steps by evaluating potential obesity-related diseases; obtaining a weight history, identifying patient triggers and screening for medications that may influence weight gain. Plus, we can evaluate and track weight and height in calculating your body mass index (BMI).

A COVID-19 vaccine will offer you protection from serious illness with COVID-19.

COVID-19 vaccine booster dose

COVID-19 vaccines are strongly recommended to protect people from serious illness caused by COVID-19 (coronavirus).

Adapted Booster Vaccine

• Adapted vaccines are bivalent and contain mRNA based on the spike protein of the ancestral virus, as in the original vaccine, as well as mRNA based on the spike protein of the variant strain, either Omicron BA.1 or Omicron BA.4/5.
• They are adapted to better match circulating variants.
• They are expected to give broader protection against different variants, although their impact on future variants is unpredictable
• In studies comparing the original vaccine, neutralising antibody levels induced by adapted vaccines were similar against the original COVID-19 strain and higher against Omicron.

People should only get a booster dose if a primary course of the COVID-19 vaccine has been completed.

Who is being offered a 1st booster dose?

• the 1st booster is being offered to all people age 12 and over (it must be over 4 months since a previous COVID-19 vaccination or infection)

Who is being offered a 2nd booster dose & how long to wait?

• age 18-49 (must be over 6 months since a previous COVID-19 vaccination or infection).
• age over 50 (must be over 4 months since a previous COVID-19 vaccination or infection).
• age 12 or older with a condition that puts you at high risk of serious illness from COVID-19 e.g. diabetes, asthma or heart disease (must be over 4 months since a previous COVID-19 vaccination or infection).
• pregnant from 16 weeks (must be over 4 months since a previous COVID-19 vaccination or infection)
• healthcare workers - please bring ID (must be over 4 months since a previous COVID-19 vaccination or infection)

Who is being offered a 3rd booster dose?

• age 65 or older
• age 12 or older with a weak immune system

Please note we cannot administer a booster dose to persons who are not in the specified cohorts.

COVID-19 Antigen Testing Service also avaliable

With results in only 20 minutes, the COVID-19 Antigen Test is a nasopharyngeal swab test which detects the COVID-19 Antigen. Early detection allows more efficient and effective control of the virus. The test is being offered primarily for the purposes of essential travel. Your result is available within 15 minutes. Our Rapid Antigen test has a sensitivity of 97.04% and a specificity of 99.9%. A Travel Certificate is provided which is mutually recognised by all member states across the EU and on common list of EU COVID-19 rapid antigen tests.

Our experienced professionals will provide a hygienic and comfortable ear piercing

Emergency Hormonal Contraception (morning after pill) can be used to prevent unplanned pregnancy. An unplanned pregnancy could occur due to mishaps with contraceptives, a missed pill, incorrect timing of patch or vaginal ring application. Emergency contraception is not suitable as a regular method of contraception and it does not prevent pregnancy in every woman. It can be used by women of all ages to prevent unplanned pregnancy. Emergency contraception is most effective if taken as soon as possible after unprotected sex. However, if you are already pregnant, emergency contraceptive pills will not work. Medical card holders can get emergency contraception directly from a pharmacy, free of charge, without having to go to their GP for a prescription. Emergency contraception does not provide protection from sexually transmitted infections. Our compassionate pharmacists provide access to emergency hormonal contraception (EHC) following a private consultation.

Seasonal flu or influenza is an acute respiratory infection caused by flu viruses which circulate in all parts of the world. Seasonal flu symptoms include a high temperature, a severe (usually dry) cough, headache, muscle pain, joint pain, sore throat, and a runny nose. A person with the flu will also feel extremely unwell. Most people recover from the symptoms within a week or two without requiring medical attention. But flu can cause severe illness or death especially in people at high risk (see below). Illnesses range from mild to severe and even death. Hospitalisation and death occur mainly among high risk groups. The most effective way to prevent the flu is get vaccinated. An annual vaccination is recommended as immunity decreases over time. The flu vaccine can be administered as an injection or using an intra-nasal spray. While everyone should consider getting a flu vaccine, it is especially important that the following groups get vaccinated:

• Persons aged 65 years and older.
• Persons with a chronic illness requiring regular follow up, e.g. chronic respiratory disease (including chronic obstructive pulmonary disease, cystic fibrosis, moderate or severe asthma and bronchopulmonary dysplasia), chronic heart disease (including acute coronary syndrome), chronic renal disease, diabetes mellitus, haemoglobinopathies, chronic liver disease, chronic neurological disease (including multiple sclerosis, hereditary and degenerative disorders of the central nervous system).
• Those who are immunosuppressed due to disease or treatment including those with missing or non-functioning spleens.
• All cancer patients.
• Patients with any condition that can compromise respiratory function, e.g. spinal cord injury, seizure disorder or other neuromuscular disorder.
• Persons with Down syndrome.
• Those with morbid obesity, i.e. body mass index over 40.
• All pregnant women (vaccine can be given at any stage of pregnancy).
• Healthcare workers.
• Household contacts of at-risk persons.
• Out-of-home care givers to at-risk persons.
• Residents of nursing homes and other long stay institutions.
• Carers.
• People with regular contact with pigs, poultry, or waterfowl.

Nutrients are substances that are essential for good health - promoting energy, providing building blocks to form body structures, and helping to regulate body functions. Protein, carbohydrate, and fat are classified as macronutrients providing energy to fuel the body plus protein is broken down into amino acids to repair and grow new muscle fibres. Minerals and vitamins are classified as micronutrients and play a key role in the body's structures and functions. The Irish government and the HSE publish detailed nutritional guidelines comprising a few key points:

• Eat more vegetables, salad, and fruit - Up to seven servings a day.
• Limit your intake of high fat, sugar, salt (HFSS) food and drinks.
• Reduce portion sizes and use the food pyramid as a guide.
• Increase your physical activity.

For many people, following a balanced and healthy diet coupled with exercise, will provide all the nutritional needs of your body. However, nutritional needs vary with age, activity, and medication - particularly the long-term use of medications. With age the lean body mass naturally reduces and there is an increase in body fat. This generally results in reduced mobility and subsequent risk of osteoporosis and falls. It also reduces the metabolic rate causing the body's energy requirements to fall which may in turn may lessen your appetite. The reduced intake of foods may also decrease your micronutrient intake (for example vitamins). Certain medications are well known for causing side effects such as nausea or drowsiness affecting nutritional intake, but sometimes a lesser known side effect happens without giving you any warning: nutrient deficiency. Most medications for a short amount of time will not lead to nutrient deficiency. But long-term use can be different - reducing the absorption of certain vitamins or depleting minerals in the body or even inhibiting the production of important enzymes. Even commonly used medications like some statins, PPIs (for acid reflux) and diuretics (lower blood pressure) etc taken for long periods can lead to nutrient deficiency. If you feel any of the above apply to you, we can complete a review of your medications and diet to provide guidance on what nutritional supplements would benefit you.

Using our instant digital photo equipment, we can offer the following professional photo services.

• Passport Photos (Standard & Online)
• Driving License Photos
• PSV License Photos
• American Passports and Other Nationalities
• Taxi License Photo
• Passport Photos for toddlers (2yrs plus) & children
• Garda ID Photos

Taxi License Photos We print passport-style photographs, each measuring 10cm by 7cm as per taxi driver license requirements, showing your head and shoulders and complying with standards for passport photographs. Passport Photos (Standard & Online) We print and check that developed photos meet all requirements of the Irish Passport Office, both for print and online versions.

Every year in Ireland, nearly 6,000 people die because of smoking with many more suffering from smoking related diseases. The HSE estimates that 1,000 people are admitted to hospital every week with an illness caused by smoking. In our pharmacy, we help smokers break nicotine addiction by recommending Nicotine Replacement Therapy (NRT). NRT comes in many different forms including patches and gums. It is important that the right option is chosen to suit individual needs. Evidence has shown that if a smoker participates in a smoking cessation service that combines advice, support, and Nicotine Replacement Therapy that the smoker is 4 times more likely to quit compared to using willpower alone.

The delivery of patient care and pharmacy services to patients residing in residential care and nursing homes is a primary patient safety and professional practice issue. As pharmacists, we play an ongoing role in the healthcare team caring for nursing home and residential care patients, particularly in ensuring safe and appropriate supply and management of medicines. Our SOPs set out the requirements involved in the sale and supply of medicines to patients who are living in residential care settings/nursing homes. Our SOPs adhere to the PSI guidelines which outline several interactions between pharmacies and nursing home / care facilities relating to the importance of prescriptions, mandatory review of prescribed medicines, patient counselling the appropriate delivery of medicines. Our pharmacists are also available to participate in an interdisciplinary review of each patient on long-term medication. HIQA recommends this is complete at least every three months.

Viagra Connect is a medicine for adult men living with erectile dysfunction (ED). The purpose of the consultation is to ensure Viagra Connect is safe and suitable for you. How does Viagra Connect work? Viagra Connect contains 50mg of the active ingredient sildenafil. Sildenafil relaxes blood vessels to help increase blood flow to the penis helping a man get and maintain an erection. It will not give you an instant erection, requires sexual arousal and can take between 30 minutes to an hour to work. Who is Viagra Connect suitable for? Viagra Connect is for men aged 18 or over who have erectile dysfunction symptoms. It’s for men who are fit enough to have sex, but unable to get or maintain an erection hard enough for sexual intercourse. During your consultation, we will check if Viagra Connect is suitable by asking you a few questions related to your health and any medication you may be taking. Viagra Connect is not suitable for:

• Men under the age of 18
• Men who do not have erectile dysfunction
• Men living with certain health problems
• Men taking certain medications
• Women

How can I buy Viagra Connect? You can buy Viagra Connect in our pharmacy once you complete a consultation. Does my GP need to know I'm using Viagra Connect? If Viagra Connect is suitable for you, we recommend you speak to your GP within six months of getting your first supply. Are there any side effects when using Viagra Connect? Some people may experience side effects when taking Viagra Connect including:

• Headaches
• Hot flushes
• Dizziness
• A blocked nose
• Indigestion
• Nausea
• An upset stomach
• Changes to your vision

Taking Viagra Connect Take one Viagra Connect 50mg tablet with water approximately one hour before sex. Your erection will subside after you’ve had sex. Please note:

• You can only take one 50mg tablet per day.
• If you do have a constant and painful erection that lasts for over four hours, please seek urgent medical help.

According to the HSE, obesity levels in Ireland have reached “epidemic proportions” and affect up to a fifth of all adults and result in 2,000 premature deaths annually. Weight management means maintaining a healthy body weight. Body weight can affect health in many ways. Being overweight can increase your chances of developing high blood pressure, high cholesterol, diabetes, and other cardiovascular problems. If people maintain a healthy weight, this will decrease the risk of developing these problems. In addition to improve general health, losing weight can help to increase levels of confidence and make people feel better. If people are serious about losing weight, we could help reach the goal, with the support of a highly trained healthcare professional on hand for information, advice, and encouragement. We are here to help you figure out what direction is best for you as there is no such thing as a ‘one-size-fits-all’ weight management product or programme.