Purple Pen Podcast

We talked with, Dr Eleni Yiasemides (board-certified consultant Dermatologist specialist from Sydney) about *Inappropriate indications for topical corticosteroids (cortisones) like perioral dermatitis when less is usually more *The verdict on combination products corticosteroids + anti fungal creams and when to use them *Busting myths on topical corticosteroids like "apply sparingly" *The issue of tachyphylaxis *Practice points about alcohol based treatments, preservatives and fragrance *Alternative topical therapy other than corticosteroids *Best practice for managing skin health (moisture, hydration and occlusion) alongside medicated treatment like corticosteroids   Read further Perioral dermatitis https://dermnetnz.org/topics/periorificial-dermatitis RACGP  https://www1.racgp.org.au/ajgp/2021/september/selection-of-a-corticosteroid The Australasian College of Dermatologists https://www.dermcoll.edu.au/wp-content/uploads/2024/04/ACD-Fact-Sheet-Topical-corticosteroids-and-eczema-April-2024.pdf

We're marking World Antimicrobial Resistance (AMR) Awareness Week 2025 with an episode dedicated entirely to antibiotics, the medicines we rely on every day and the ones we need to protect. We're joined by Caroline Chen, a senior antimicrobial stewardship pharmacist and project officer at the Royal Melbourne Hospital, for a deep dive into all things antibiotics. Together, we walk through the ABCs of commonly used antibiotics, or more accurately the B through T, including beta-lactams, clindamycin, doxycycline, macrolides, metronidazole, nitrofurantoin, quinolones, rifampicin and trimethoprim. This episode highlights how these medicines work and when we use them and key counselling points. Antibiotics are a finite resource, and understanding them is one of the most powerful tools we have to preserve their effectiveness for the future.

Listen in as Kristin chats with Dr Angela Kwong, a Sydney-based General Practitioner with a special interest in medically supervised weight management, about the use of GLP-1 agonists. Dr Kwong serves as the NSW State Lead for the RACGP Specific Interests Group in Obesity Management and works closely with colleagues across disciplines to improve care for people living with obesity. She is also the founder of Enlighten Me, a multidisciplinary online program that provides evidence-based, GP-led support for patients seeking weight management. The program has been recognised for its contribution to patient education and its focus on accessible, stigma-free care. Additional GLP-1 reading: 1. GLP-1 agonist role in renal protection - FLOW Trial 1a. Digestible summary of the FLOW trial 2. Current ANZCA guidelines for anaesthesia / sedation in patients using GLP-1 agonists (May 2025) 3. Tirzepatide as Compared with Semaglutide for the Treatment of Obesity

We talk with Prof Pete Smith, an allergist from Queensland about Why rhinitis shouldn't be sneezed at (sorry we had to), including the consequences of allergic rhinitis being un/undertreated The recommended method to use intranasal sprays - hint "if you can taste it, you're wasting it" How to discuss concerns patients might have about intranasal corticosteroids The long list of potential triggers of nonallergic rhinitis What are the red flag symptoms of rhinitis?   Some further reading: Nonallergic Rhinopathy: A Comprehensive Review of Classification, Diagnosis, and Treatment. The journal of allergy and clinical immunology. In practice, S2213-2198(24)00270-8. Advance online publication. https://doi.org/10.1016/j.jaip.2024.03.009  Itch Beyond the Skin-Mucosal Itch. Front Allergy. 2021;2:700368. Published 2021 Oct 28. https://doi.org/10.3389/falgy.2021.700368   Characteristics of nonallergic vasomotor rhinitis. World Allergy Organ J. 2009 Jun 15;2(6):102-5. https://doi.org/10.1097/wox.0b013e3181a8e389  Allergic and Mixed Rhinitis: Diagnosis and Natural Evolution. J Clin Med. 2019 Nov 19;8(11):2019. https://doi.org/10.3390/jcm8112019 

Listen in to round out our conversation about anticoagulation, by hearing from two Anticoagulation Stewardship Pharmacists - Hadley Bortz from the Alfred in Melbourne and Julianne Chong from Concord Hospital. Find out more about ACS programs in Australia and overseas and the benefits that these programs can bring to your health service. Anticoagulant patient care plan Anticoagulation Forum Advancing Anticoagulation Stewardship: A Playbook CATAG Medicines Stewardship Toolkit