'B' In ABC Method Is The 'Real Pillar' Of HIV Prevention In Uganda, Letter To Editor Says Uganda's success in reducing its HIV rate from 21% to 6% from 1991 to 2002 is mainly due to " B " in ABC approach to HIV prevention, which stands for abstinence, be faithful and use condoms, Sam Ruteikara, co-chair of Uganda National AIDS Prevention Committee, writes in a Washington Post letter to the editor. Ruteikara's letter comes in response to recent a Post opinion piece by columnist Michael Gerson, who wrote that HIV/AIDS prevention is " ultimate answer " to curbing the epidemic in Africa. Ruteikara writes that he agrees prevention is key, adding that " we must go further " and ask what " sort of prevention " is needed.
'AIDS epidemics in Africa are driven by people having sex regularly with more than one person, " Ruteikara writes, adding, " Therefore, our main message was stick to one partner " and to use condoms " only as a last resort. " He says, " Condoms won't stop AIDS in Africa because fewer than 5% of people use them consistently. "
According to Ruteikara, HIV/AIDS treatment is necessary, though he notes that providing antiretrovirals to one patient with HIV/AIDS costs more than $1, 000. Ruteikara concludes that every " $1 spent on treatment is $1 unspent on effective prevention " ( Ruteikara, Washington Post , 4/16 ) . Reprinted with kind permission from http: //www. kaisernetwork. org. We can view entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http: //www. kaisernetwork. org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork. org, a free service of The Henry J. Kaiser Family Foundation 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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Modern medicine: Quinapril. uses of Quinapril Quinapril belongs to a group of medications called ACE inhibitors. It is used to treat high blood pressure ( hypertension ) . It works by relaxing blood vessels, causing them to widen. Lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.
Quinapril is also used with other drugs ( e. g. , " water pills " /diuretics, digoxin ) to treat congestive heart failure. how to use of Quinapril Take Quinapril by mouth, usually once or twice a day; or as directed by your doctor. Quinapril is best taken on an empty stomach ( 1 hour before or 2 hours after a meal ) , or with a light meal. High-fat meals may decrease absorption of medicine into your bloodstream.
Quinapril contains magnesium which can interfere with absorption of certain antibiotics. If you are taking a tetracycline antibiotic, take it at least 2 hours apart from this medicine. If we are taking a quinolone antibiotic ( e. g. , ciprofloxacin, levofloxacin ) , consult your pharmacist for proper times to take it.
Use Quinapril regularly in order to get most benefit from it. Remember to use it at the same time ( s ) each day.
Don't take potassium supplements or salt substitutes containing potassium without talking to your doctor or pharmacist first. This medicine can raise your potassium levels, which rarely can cause serious side effects such as muscle weakness or very slow heartbeats. Tell your doctor immediately if these effects occur.
The dosage is based on your medical condition and response to therapy. For treatment of high blood pressure, it may take 1 to 2 weeks before full benefit of Quinapril occurs or several weeks to months when used for congestive heart failure.
It's important to continue taking Quinapril even if you feel well. Most people with high blood pressure do not feel sick. side effects of Quinapril We may experience dizziness, light-headedness, fatigue, nausea, vomiting, back pain, dry cough or blurred vision as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your doctor has prescribed Quinapril because he or she has judged that benefit to we is greater than risk of side effects. Many people using Quinapril do not have serious side effects.
Tell your doctor immediately if any of these unlikely but serious side effects occur:
Tell your doctor immediately if any of these highly unlikely but very serious side effects occur:
Quinapril may rarely cause serious ( possibly fatal ) liver problems. If we notice any of following highly unlikely but very serious side effects, seek immediate medical attention:
A serious allergic reaction to Quinapril is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include:
This is not a complete list of possible side effects. If we notice other effects not listed above, contact your doctor or pharmacist. precautions of Quinapril Before taking Quinapril, tell your doctor or pharmacist if you are allergic to it; or to other ACE inhibitors ( e. g. , benazepril, captopril ) ; or if you have any other allergies ( including an allergic reaction after exposure to certain membranes used for blood filtering ) .
Quinapril shouldn't be used if we have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:
Before using Quinapril, tell your doctor or pharmacist your medical history, especially of:
Quinapril may make we dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages.
To minimize dizziness and light-headedness due to lowering of your blood pressure, get up slowly when rising from a seated or lying position. Serious loss of body fluids can also lower your blood pressure and worsen dizziness. Drink adequate fluids to prevent from becoming dehydrated. If you're on restricted fluid intake, consult your doctor for further instructions. Be careful not to become too overheated during exercise which can lead to excessive sweating. Consult your doctor if we experience severe vomiting or diarrhea.
Before having surgery, tell your doctor or dentist that we are taking Quinapril.
Caution is advised when using Quinapril in the elderly because they may be more sensitive to its effects, especially dizziness.
Quinapril isn't recommended for use during pregnancy due to risk for harm to an unborn baby. Consult your doctor for more details. ( See also Warning section. )
Quinapril passes into breast milk. Breast-feeding is not recommended due to potential harm to the nursing infant. Consult your doctor before breast-feeding. interactions of Quinapril Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring we for them. Do not start, stop, or change the dosage of any medicine before checking with them first.
See also How To Use section.
Before using Quinapril, tell your doctor or pharmacist of all prescription and nonprescription products we may use, especially of:
A very serious reaction may occur while use Quinapril if you're getting injections for bee/wasp sting allergy ( desensitization ) and are also taking Quinapril. Make sure all your doctors know which medicines we are using.
Check labels on all your medicines ( e. g. , cough-and-cold products, diet aids ) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about safe use of those products.
This document doesn't contain all possible interactions. Therefore, before using Quinapril, tell your doctor or pharmacist of all products we use. Keep a list of all your medications with you, and share list with your doctor and pharmacist.
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