Chicken Pox is an acute illness caused by the virus, Varicella Zoster. It is mainly a common childhood illness, but can be acquired in adults, where the illness may be more severe. The virus is easily transmitted from person to person by coughing or sneezing and is highly infectious, especially before the rash comes out when there may be no symptoms or mild symptoms only.
The classic symptom is a rash, which is very itchy and can be widespread affecting the face, chest, arms and legs. There is often fever and cold symptoms also. The symptoms tend to improve after 1 week. The illness can vary from mild symptoms with a few spots to itchy rash covering the whole body, which can be very distressing, affecting sleep, school and work and causing scarring to the skin. Adults who catch chicken pox tend to have more complicated illness. Chicken Pox in Pregnancy is a serious disease for the mother and especially the baby. Therefore, it is important to know before trying for pregnancy whether you have immunity to this illness and if not, vaccination may be appropriate to protect you.
There is no specific treatment for chicken pox as most children will recover spontaneously. It is important if you are working closely with children or in health care to check whether you have had chicken Pox, as there is vaccination is available to protect you.
The Varicella vaccine can be given from 12 months of age and prevents against the infection. It may be appropriate to vaccinate if you have been exposed to chicken pox within the last five days and are not sure if you have had the illness during childhood.
Vaccination requires 2 doses, 4-8 weeks apart. Each dose costs £65 and is administered by our specially-trained and experienced Pharmacist from our central Bath location. Contact us today on 01225 465576 or go to www.citydoc.org.uk to book an appointment.
You can now have your prescription sent to us electronically if your surgery is live with EPS. Not on ly is it generally a quicker turnaround, it means we can collect your prescription from any surgery set up with the surgery. So, if you work in Bath or visit regularly, but live in Bristol, Wiltshire or North Somerset, chances are you could have your prescription sent to us and collect at a convenient time to you. No more queueing on a Saturday morning at your local pharmacy!
You will need to sign a consent form called a ‘nomination’ but this is very flexible and can be changed whenever you from your surgery or pharmacy. Don’t forget though, you’ll still need to initiate a repeat request from your surgery.
Contact us on 01225 465576 to see if your surgery is up and running.
We offer FREE prescription collection from the following local surgeries:
At Lifestyle Pharmacy we know how time-consuming and troublesome it can be to organise your repeat medication. You can now take the hassle out of the process by allowing us to manage your repeat requests automatically, subject to your surgery's permission. You also can drop your repeat request slip into us directly, contact us by telephone or sign up to our online repeat request service here.
Whichever surgery you use, we offer a FREE weekday prescription collection service. We collect your prescription and prepare it in advance, allowing you to simply pop in and pick up your medication without having to wait. Alternatively, you could take advantage of free delivery…
FREE Prescription Delivery Service: We now offer an efficient and professional prescription delivery service - delivering to BA1 and BA2 postcodes within the city of Bath every weekday. Local deliveries are always done by our dedicated and friendly drivers. Let us know if you need anything else delivering such as toiletries, toothpaste etc and we'll happily deliver them to your door!
Human Papilloma Virus (HPV)
Human Papilloma Virus (HPV) is the most common viral sexually transmitted infection in the UK.
HPV is transmitted by intimate contact, including sexual intercourse and unfortunately condoms do not prevent HPV infection. Most people who have HPV are unaware they have it.
There are over 100 strains of HPV and around 40 of them affect the genital region. Some strains cause genital warts and others increase the risk of cancer including cervical, vaginal and penile cancers.
Cervical cancer is the most common cancer in women under 35 years of age and account forr 2% of cancers in all women. HPV leads to changes in the cells of the cervix causing cancerous changes to occur.
HPV infection is found in over 99% of cervical cancer and over 70% are due to HPV types 16 and 18.
HPV can also lead to warts in the genital and anal region, which can be uncomfortable and embarrassing. HPV types 6 and 11 are responsible for over 90% of genital and anal warts.
We can screen for the most important strains of HPV including the high risks strains associated with cancer. This is done via highly accurate DNA testing on a swab and we can discuss with you how to manage positive results, including vaccination, if appropriate.
For more information and to make an appointment please go to: https://www.citydoc.org.uk/cervical-cancer-vaccines
Our Pharmacist and trained counter assistants are available for advice and information on all medicines and minor ailments, in private if required. We can help you get the best treatment for common ailments and give you expert advice on best use of over-the-counter medicines. We can also give advice on how to live a healthy life, such as eating a healthy diet and maintaining healthy alcohol consumption.
Measles / Mumps / Rubella Vaccination
The vaccine is effective at preventing all three illnesses and can be given from 12 months of age. It is particularly important to check if you are vaccinated against MMR before travelling as infection is prevalent in Asia, Africa and South America.
Because the illness is easily transmitted through air, MMR immunity is also necessary for certain jobs.
The vaccine costs £45 per dose and is a two-dose course. Contact 01225 465576 to book or for more info. Alternatively, you can book online using our live booking system: www.citydoc.org.uk/make-an-appointment
Measles a highly infectious viral illness, which spreads rapidly from person to person. It is one of the leading causes of death among young children, the majority occurring in developing countries where immunisation is patchy (WHO 2013).
The initial symptoms are similar to the common cold with runny nose, cough, red and watery eyes and fever. This is followed by a rash, which spreads throughout the body.
Complications of measles tend to occur in children under 5 years or adults over 20 years and include encephalitis (infection of the brain) and pneumonia (infection of the lungs).
There is no specific treatment for measles.
Mumps is a viral infection mainly of childhood and affects the salivary glands.
Symptoms appear 2 to 3 weeks after infection and include headache, fever, muscle ache and swelling of the salivary glands.
It tends to be mild in children, but in adults, can lead to complications such as meningitis, deafness and orchitis (infection of the testicles).
There is no specific treatment available for mumps.
Rubella is an acute viral illness that is spread easily from person to person by coughing or sneezing. It is mainly an infection of children and is generally mild in this group. However, rubella in pregnancy is a severe and potentially fatal illness for the unborn baby.
Symptoms include rash and fever and usually occur 2 to 3 weeks after exposure.
In adults, it can also cause painful joints and arthritis,
There is no specific treatment for rubella
Meningitis is a potentially serious condition. Meningococcal infection can cause meningitis (inflammation of the lining of the brain and spinal cord), septicaemia (blood poisoning) or both. Symptoms can develop within hours and can be non-specific. It is particularly difficult to identify the infeciton in babies and the rash does not always occur. In children and adults symptoms can include:
In babies there may also be:
Septicaemia occurs if the bacteria enter the bloodstream. A characteristic rash develops and may start as a cluster of pinprick blood spots under the skin, spreading to form bruises under the skin. The rash can appear anywhere on the body. It can be distinguished from other rashes by the fact that it does not fade when pressed under the bottom of a glass (the tumbler test).
Meningitis B now causes over 80% of all Meningitis since Meningitis C was included in childhood immunisation programme.
Meningitis is treatable with antibiotics and best results occur with prompt treatment. Around 10% cases result in fatality and 10% survivors have serious long-term health issues or a disability as a result of infection. Over 600 confirmed cases and over 30 deaths in 2011/12.
Meningitis B Vaccine
Bexsero is the recently developed vaccine against meningococcus group B, which has now been approved by the Joint Committee on Vaccinations and Immunisations and is licensed for use in the UK.
The vaccine is effective against around 88% of the UK circulating strains of meningococcus group B and 78% of the European circulating strains.
It can be given from 2 months of age as a three dose schedule. From 6 months, it is a 2 dose schedule with a further dose within 1-2 years depending on age. The duration of protection and further doses has not yet been determined.
It can be given at the same time as other childhood vaccines and the side effect profile is similar to other vaccines.
We can’t say conclusively what the roll-out will look like in practice as there are currently only guidelines available, but the following - from Meningitis research foundation - looks likely.
“Will my child be entitled to receive this vaccine free of charge on the NHS?
In the UK it will be introduced into the routine programme for babies at 2 months of age. The JCVI has suggested that once the programme starts, babies who are 3 and 4 months of age should also be offered the vaccine. Babies aged 3 months will receive 3 doses at 3, 4 and 12 months of age, and babies aged 4 month will receive 2 doses at 4 and 12 months of age.
Babies and children who are older than 4 months by the time the vaccine is rolled out will not be offered the vaccine on the NHS.”
(http://www.meningitis.org/menb-vaccine) accessed 29th March 2015
Current recommended dosage schedule is below:
|Age Group||Primary Immunisation||Intervals between Primary Doses||Booster|
|Infants, 2 months to 5 months||Three doses each of 0.5 ml, with first dose given at 2 months of age||Not less than 1 month||Yes, one dose between 12 and 15 months|
|Unvaccinated infants, 6 months to 11 months||Two doses each of 0.5 ml||Not less than 2 months||Yes, one dose in the second year of life with an interval of at least 2 months between the primary series and booster dose|
|Unvaccinated children, 12 months to 23 months||Two doses each of 0.5 ml||Not less than 2 months||Yes, one dose with an interval of 12 months to 23 months between the primary series and booster dose|
|Children, 2 years to 10 years||Two doses each of 0.5 ml||Not less than 2 months||Need not established|
|Adolescents (from 11 years of age) and adults*||Two doses each of 0.5 ml||Not less than 1 month||Need not established|
For more information about Meningitis, NHS Choices is well worth a read (http://www.nhs.uk/Conditions/vaccinations/Pages/meningitis-B-vaccine.aspx) costs £130 per dose. To book an appointment or for more information visit http://www.citydoc.org.uk/mengititis-b-vaccine or call 01225 465576.
A Medicines Use Review is a chance for you to sit down and talk to our Pharmacist about your medicines to ensure you are getting the best from them. During the Medicines Check-Up you will be able to find out more about your medicines and what they do, how well they work for you and also how you can get the most out of them. Sometimes small changes, such as the time of day that you take your medicine, can change how well it works and may improve your symptoms even more. This service is for patients prescribed two or more regular medicines and using our pharmacy services for more three months or more.
New Medicines Service
If you’ve been prescribed a new item for a heart problem, diabetes or a respiratory condition, such as asthma or COPD, we can can help you get off to a good start. Let a member of our pharmacy team know and we’ll arrange a quick and convenient follow-up to see how you’re getting on.
We keep a comprehensive stock of medicines and can dispense both NHS and private prescriptions. As an idnependent pharmacy, we have access to a wider range of suppliers, so if you’re having difficulty obtaining an item, we may be able to help.
We have a range of dispensing solutions available for those have impaired memory or eyesight.
Private prescriptions are priced competitively and we’ll match prices quoted by other pharmacies where possible.
In conjuction with CityDoc we now offer imunity and/or occupational health blood tests in-store, including:
Prices, including consultation, start at £45.
Visit here to make an appointment
Worried about Sexually Transmitted Infections? Our private and discrete sexual health screening service can provide you with tests for STIs such as HIV, Hepatitis B, Hepatitis C, Syphilis, Gonorrhea, Chlamydia and others.
Sexually transmitted infections are common and many are without symptoms.
There were 450,000 STI Diagnoses in 2012, with Chlamydia being most common (46 % of cases). Gonorrhoea increased by 21% and 32,000 people were diagnosed with herpes in 2012. Syphilis 61% increase among men between 2003-2012.
New Fastest Screens-Blood Results in 15-20 Minutes (from 28 Days post exposure). Earliest STD Screen (From 10-14 days post contact) including HIV and Chlamydia/Gonorrhoea
For more information on which service is right for you, check prices, or to book an appointment, call us on 01225 465576 or visit the CityDoc website here
Lifestyle Pharmacy now offers a private Shingles Vaccination Service to patients aged 50 or over, using Herpes Zoster vaccine.
If you've already had Chicken Pox, the virus responsible can lay dormant in the spinal fluid and can be re-activated when your immune system comes under challenge, such as a period of ill health or stress. The vaccine stimulates the immune system to reduce your risk of first-time shingles by over 50%.
The complications of Shingles can include severe nerve pain that potentially lasts for several weeks. The vaccine reduces the risk of these secondary complications by almost 70%.
The Service is provided on-site in our private consultation room in the centre of Bath.
Call 01225 465576 for more information or to book an appointment click here
In conjunction with CityDoc, we are now able to provide a comprehensive travel clinic customised to your individual needs. The service includes:
CityDoc is a UK leading provider of travel health vaccinations and medical services and prides itself in offering an affordable alternative to the NHS for time conscious clients across the UK. Citydoc has served over 150,000 clients since 2006.
For more information or to make an appointment, contact Lifestyle Pharmacy on 01225 465576 or visit www.citydoc.org.uk/citydoc-bath