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7 steps to managing sore throat

Get to grips with what customers want from their sore throat treatment and upgrade your consultations with this 7-step guide

7 steps to managing sore throat

8-minute module

Sore throats are very common and usually get better by themselves within a week.1

Understanding what your customers want from a sore throat treatment will enable you to recommend an effective product to relieve their symptoms.

 

Objectives

Learning objectives

  • Refresh your knowledge on sore throat
  • Understand what customers want from a sore throat treatment
  • Be able to recommend an effective sore throat treatment
  • Know when customers should be referred to their GP

 

Product information can be found at the end of this module.

Sore throat category

Sore throats are usually caused by a viral infection such as a cold or flu; they may also be caused by smoking.
A sore throat can also be caused by laryngitis, tonsillitis, glandular fever or a bacterial infection such as strep throat.1

Symptoms may include1:

Children may also have a raised temperature or fever and be less active than usual

 

Covid-19 and sore throat: In April 2022, the UK’s official list of Covid-19 symptoms was updated to include sore throat.2

 

Did you know…

90% of pharmacists recommend Difflam Spray for sore throat.3

Customer journey

A study of 515 consumers carried out in May 2022 looked at the treatment journey of customers experiencing a sore throat.4 Click on the customer at each stage in the journey below to find out more.

SORE THROAT EXPERIENCE4

35% of consumers have had a sore throat in the past 6 months

Most tend to experience mild or moderate sore throat symptoms

LOOKING FOR HELP4

Most customers browse products themselves in the supermarket or pharmacy

They are more likely to speak to a healthcare professional when their symptoms become severe

INITIAL TREATMENT4

16% of consumers had not heard of spray and rinse products for a sore throat

Pain relief medication is the most common treatment used initially, followed by drinking plenty of fluids and using medicated lozenges

 

The research also looked at which factors are most important to customers when choosing a sore throat product.

What customers want from their treatment4

Which of the following are the two most important factors for customers when choosing a sore throat product?
Click on the two you think are correct.

When choosing a product to manage a sore throat, customers want a product which eases the pain and reduces inflammation. For customers who use a spray product, as well as wanting to ease pain and inflammation, they also want a product that is clinically proven to be effective.

The Difflam range

Difflam products are only sold in pharmacies and are available in 3 different formats.
Click each image to find out more.

  • Difflam Spray delivers fast-acting sore throat relief for all the family and is suitable for children of all ages

  • Mint flavoured Difflam Sore Throat Rinse can be used as a mouthwash or gargle by adults and children aged 12 and over

  • Difflam Lozenges (available in 4 flavours) deliver relief of pain and irritation of the mouth and throat, for adults and children aged 6 and over

P, BENZYDAMINE HYDROCHLORIDE 0.15%

16% of consumers who haven’t used spray or rinse products mentioned that they had not heard of these types of products before.4

This suggests there is a role at the pharmacy counter to raise awareness of different treatment formats and how they work to tackle sore throat.

The Difflam range of products can be recommended for all sore throats – from mild to severe. Each product in the range contains benzydamine hydrochloride, and has a triple action to ease pain and reduce inflammation5 – those key customer concerns.

1. ANTI-INFLAMMATORY

To support the body's natural healing process and help customers feel better sooner

2. ANALGESIC

To relieve the pain from a sore throat quickly and effectively

3. ANAESTHETIC

To soothe a sore throat so customers can get on with their day

The Difflam brand is perceived positively by consumers aware of the brand. More than 75% consider Difflam to be a trusted, easy-to-use brand which eases the pain and inflammation caused by sore throat symptoms and provides quick relief.4

Customer conversations

When customers come to you for advice on their sore throat, or to purchase a product, there is always an opportunity to add value, even with just one or two questions.

For example, you could explore what format your customer might prefer.

  1. Do they want a fast acting, on-the-go format?

  2. Research shows that sore throat relief sprays and lozenges are more likely than rinse products to be considered easy and convenient to use.4

  3. Do they want something that gets straight to where it’s needed, where a product from the Difflam range might help?

  4. Consider asking open questions to avoid one word ‘yes’ or ‘no’ answers and find out more detail.

For example:

How long has your throat been sore?

What have you tried so far?

 

If a customer is buying sore throat lozenges, you could highlight that there are different formats that might suit them better. For example, customers tend to initially become aware of Difflam Spray due to it being recommended by a pharmacist,4 as it’s only available behind the counter, so it could be useful to highlight this as an option.

Once you have found an appropriate product, you can offer additional self-care advice.
Suggest that the customer avoids hot drinks, which can exacerbate pain, and recommend that they try eating cool or soft foods.

Put your learning into practice

Sam is in his 40s and is a regular customer in your pharmacy. He comes to the pharmacy counter having self-selected some GSL throat lozenges. He asks if there is anything better you could recommend that will work quickly to ease his sore throat.

You ask Sam some questions to find out more about his symptoms. He explains that he has had a cold for a couple of days. His throat feels very painful and uncomfortable, especially when swallowing, and he would like something that will work quickly. Sam isn’t taking any prescribed medicines.

Which of the following would you do?

Click on the option you would recommend.

A
Sell Sam the throat lozenges he has selected and explain that all products for sore throats are pretty much the same

While most sore throats tend to get better within a week by themselves, there may be a more suitable product to help relieve Sam’s symptoms.1

Choose another option

B
Advise Sam that he should contact his GP as his sore throat is probably caused by a bacterial infection and he may need antibiotics

A sore throat is usually caused by a virus and most sore throats get better within a week. Antibiotics are not effective against viral infections. However, Sam should be advised to contact his GP if his symptoms persist after one week.1

Choose another option

C
Recommend a product such as Difflam spray. Explain the benefits of Difflam and advise how often Sam should use the spray

Correct! Difflam contains benzydamine hydrochloride, which has a triple action to relieve pain and inflammation; it is anti-inflammatory, analgesic and anaesthetic. Some other sprays only provide one of these benefits. Sam should be advised to spray 4-8 puffs onto his throat every 1.5 to 3 hours.5

When to refer customers1

Customers should be referred to their GP if they:

  • Have a sore throat that doesn’t improve after a week
  • Often get sore throats
  • Are worried about their sore throat
  • Have a sore throat and a very high temperature, or feel hot and shivery
  • Have a weakened immune system, e.g. they have diabetes or are receiving chemotherapy
  • A severe or long-lasting sore throat that could be a bacterial throat infection such as strep throat.

Click finish to complete this training and take the assessment to test your knowledge


DIFF-2022-0012

Date of preparation: September 2022

References

1. https://www.nhs.uk/conditions/sore-throat/

2. https://www.bmj.com/content/377/bmj.o892

3. UK Sore throat treatment survey June 2022, 167 pharmacists, CIG Research (Data on file)

4. UK Difflam Customer Journey Research May 2022, 515 consumers, Toluna (Data on file)

5. https://www.medicines.org.uk/emc/product/827

Online references last accessed July 2022

Product information

Difflam 3 mg Lozenges (benzydamine hydrochloride) Lemon, Orange-Honey, Eucalyptus and Mint flavour Essential Information

Presentation: Difflam 3 mg Lozenges, contains 3mg of benzydamine hydrochloride equivalent to 2.68 mg of benzydamine. Indications: Difflam is indicated in adults and children over 6 years of age for symptomatic local treatment for the relief of pain and irritation of mouth and throat. Dosage and Administration: For oropharyngeal use. Adults and children over 6 years of age: one lozenge 3 times a day. Lozenge should be dissolved slowly in the mouth. Do not swallow. Do not chew. Contraindication: Hypersensitivity to the active substance or to any of the excipients. Warnings and Precautions: Benzydamine use is not advisable in patient with hypersensitivity to salicylic acid or other NSAIDs. Bronchospasm may be precipitated in patients suffering from or with a previous history of bronchial asthma. Caution should be exercised in these patients. In a minority of patients, buccal/pharyngeal ulceration may be caused by serious disease processes. Patients whose symptoms worsen or do not improve within 3 days, or who appear feverish or have other symptoms, must therefore seek the advice of their doctor or dentist as appropriate. Difflam lozenges contain: Aspartame and Isomalt; aspartame is hydrolysed to phenylalanine which may be harmful for people with phenylketonuria. Isomalt is unsuitable for patients with rare hereditary problems of fructose intolerance and so should not take this medicine. Interactions: Not Known Pregnancy and lactation: Difflam Lozenges should not be used in pregnancy or lactation. Undesirable effects: Serious (frequency not known): Anaphylactic reaction which can be potentially life-threatening, Hypersensitivity reactions, Hypoaesthesia oral. (Uncommon): Photosensitivity, (Rare): Burning mouth, Dry mouth, (Very rare): Laryngospasm, Angioedema. Basic price (UK): RRP 20 lozenges £7.59 Product licence number: Mint flavour PL 46302/0095, Lemon flavour PL 46302/0096, Orange-Honey flavour PL 46302/0097, Eucalyptus flavour PL 46302/0098. Legal Category: P.

Difflam™ 0.15 % w/v Spray (benzydamine hydrochloride)

Presentation: Difflam™ Spray contains benzydamine hydrochloride 0.15% w/v. Each metered dose pump spray delivers approximately 175mcl per puff. Indications: Difflam™ Spray is a locally acting analgesic and anti-inflammatory treatment for the throat and mouth. It is especially useful for the relief of pain in traumatic conditions such as following surgical removal of tonsils or the use of a naso-gastric tube; dental surgery. Dosage and administration: Adults and elderly: 4 to 8 puffs, 1½ to 3 hourly. Children aged 6-12: 4 puffs, 1½ to 3 hourly. Children under 6: One puff per 4kg body weight, up to a maximum 4 puffs, 1½ to 3 hourly. Contra-indications: Patients with known hypersensitivity to ingredients. Warnings and Precautions: Not advisable in patients with hypersensitivity to acetylsalicylic acid or other NSAIDs. Bronchospasm may be precipitated in patients suffering from or with a previous history of bronchial asthma. Caution should be exercised in these patients. The small amount of alcohol in this medicine will not have any noticeable effects. Some inactive ingredients may cause allergic reactions. Avoid contact with the eyes. Interactions: None known. Pregnancy and lactation: Difflam™ Spray should not be used in pregnancy or lactation unless considered essential by the physician. There is no evidence of a teratogenic effect in animal studies. Undesirable effects: Serious (frequency not known): Anaphylactic reaction which can be potentially life-threatening. Hypersensitivity reactions. Angioedema (Uncommon): Oral tissue numbness or ‘stinging’ sensations in the mouth may occur which may disappear on continuing treatment. (Very rare): pruritus, rash, urticaria, photosensitivity reaction, laryngospasm / bronchospasm. Prescribers should consult the Summary of Product Characteristics in relation to side-effects. Special precautions for storage: Do not store above 30ºC. Do not refrigerate or freeze. Keep out of reach of children. Basic price (UK): RRP 30ml spray £6.99. Marketing Authorization number: PL 46302/0160 Legal category: P.

Difflam™ Sore Throat Rinse & Difflam™ Oral Rinse (benzydamine hydrochloride)

Presentation: Difflam™ Sore Throat Rinse & Difflam™ Oral Rinse contain benzydamine hydrochloride 0.15% w/v. Presented as a gargle/oral rinse in a 200ml and 300ml glass bottle respectively. Indications: Locally acting analgesic and anti-inflammatory treatment for the relief of painful inflammatory conditions of the throat including pharyngitis. Dosage and administration: Rinse or gargle with 15ml (using measuring cup provided) every 1½-3 hours as required. Expel solution from the mouth after use. If stinging occurs the rinse may be diluted with water. Uninterrupted treatment should not exceed seven days, except under medical supervision. It is not suitable for children aged 12 years or under. Contra-indications: Patients with hypersensitivity to ingredients. Warnings and Precautions: Not advisable in patients with hypersensitivity to acetylsalicylic acid or other NSAIDs. Bronchospasm may be precipitated in patients suffering from or with a previous history of bronchial asthma. Caution should be exercised in these patients. The small amount of alcohol in this medicine will not have any noticeable effects. Some inactive ingredients may cause allergic reactions. Avoid contact with the eyes. Interactions: None known. Pregnancy and lactation: Difflam™ Sore Throat Rinse should not be used in pregnancy or lactation unless considered essential by the physician. There is no evidence of a teratogenic effect in animal studies. Undesirable effects: Serious (frequency not known): Anaphylactic reaction which can be potentially life-threatening. Hypersensitivity reactions. Angioedema (Uncommon): Oral tissue numbness or 'stinging' sensations in the mouth may occur. (Very rare): pruritus, rash, urticaria, photosensitivity reaction, laryngospasm/bronchospasm. Prescribers should consult the Summary of Product Characteristics in relation to side-effects. Basic price (UK): RRP Difflam™ Sore Throat Rinse 200ml bottle £7.99, Difflam™ Oral Rinse 300ml bottle £11.19 Product licence number: Difflam™ Sore Throat Rinse PL 46302/0161 & Difflam™ Oral Rinse PL 46302/0159 Legal category: P Marketing Authorisation Holder: Mylan Products Ltd, Station Close, Potters Bar, Hertfordshire, EN6 1TL, United Kingdom. Date of preparation of Essential information: August 2022 Ref number: DIFF-2022-0031


The SmPC for this product, including adverse reactions, precautions, contra-indications, and method of use can be found at: http://www.mhra.gov.uk/Safetyinformation/Medicinesinformation/SPCandPILs/index.htm and from Mylan Medical Information, Building 4, Trident Place, Hatfield Business Park, Mosquito Way, Hatfield, Hertfordshire, AL10 9UL, phone no. 01707853000, Email: info.uk@viatris.com

Please continue to report suspected adverse drug reactions with any medicine or vaccine to the MHRA through the Yellow Card Scheme. It is easiest and quickest to report adverse drug reactions online via the Yellow Card Scheme website: https://yellowcard.mhra.gov.uk/ or search for MHRA Yellow Card in the Google Play or Apple App Store. Alternatively, you can report via some clinical IT systems (EMIS/SystemOne/Vision/MiDatabank) or by calling the Commission on Human Medicines (CHM) free phone line: 0800-731-6789. Adverse reactions/events should also be reported to MAH at e-mail address: pv.uk@viatris.com

Content produced by Viatris working with CIG Healthcare Partnership.
© 2022 CIG Healthcare Partnership

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