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Australia Day Perth - Find a Aussie Day breakfast, BBQ and fireworks here! Australia Day Family Events HAPPY AUSTRALIA DAY TUESDAY JANUARY 26th, 2016 Australia Day is an awesome day for Perth families to get out and enjoy all things Australian. Australia Day is on January 26 and commemorates the establishment of the first European settlement at Port Jackson, now part of Sydney, in 1788. Many people have a day off work and use the day among other things to barbecue, go to outdoor concerts, and to play or watch sports events. Good viewing points are South Perth, Kings Park, and the Perth foreshore, while the flat nature of the Swan Coastal Plain allows viewing from elevated suburban locations further away. In 2. 00. 5 and 2. Foti Fireworks were in charge of the fireworks. From 2. 00. 7 to 2. Howard and Sons were responsible for the fireworks and Laser System Europe were responsible for the new laser show. In 2. 01. 0 Foti Fireworks again took charge of the fireworks and every year from then until 2. Skyworks 2. 01. 6 again saw the return of Howard and Sons. The City of Perth Skyworks event is Australia's largest fireworks celebration in the country on Australia Day. There is usually a delayed telecast of the Skyworks on Channel Seven. The soundtrack is broadcast twice by Mix 9. TV broadcast. Less than a week from the 2. Skyworks display, Lotterywest pulled out as the naming rights sponsor for the display because of concerns revolving around alcohol fuelled violence. Reports of unruly and drunken behaviour at the show, of which some have led to fights and scuffles with the police, have become increasingly common. At the 2. 00. 6 Skyworks the Western Australian Police successfully mounted an operation to minimise such behaviour. In the late 1. 99. Kings Park bushland due to people igniting sparklers at the event. This led to the eventual banning of them. Police and emergency service officials came close to cancelling the 2. Skyworks due to extreme heat and strong winds. During the display, fires broke out on three of the fireworks barges. No one was injured, but nearby spectators had to be evacuated due to the thick smoke that blew towards the area. The show's finale was cut short and nearly a quarter of the planned fireworks display was lost due to the fires. The rain and thunder continued into the Skyworks, which onlookers said added to the experience. At the 2. 01. 0 Skyworks alcohol was completely banned to prevent unruly behaviour, leading to a reduced crowd of 3. Other Australia Day fireworks in Perth. In response, Perth Lord Mayor. Peter Nattrass said.
Patients who are prescribed the fentanyl patch by a doctor could be at risk of respiratory depression or other side effects of an overdose. Daily. Med - DURAGESIC- fentanyl patch. Addiction, Abuse, and Misuse DURAGESIC contains fentanyl, an opioid agonist and a Schedule II controlled substance. As an opioid, DURAGESIC exposes users to the risks of addiction, abuse, and misuse . As modified- release products such as DURAGESIC deliver the opioid over an extended period of time, there is a greater risk for overdose and death due to the larger amount of fentanyl present. Although the risk of addiction in any individual is unknown, it can occur in patients appropriately prescribed DURAGESIC and in those who obtain the drug illicitly. Addiction can occur at recommended doses and if the drug is misused or abused. Assess each patient's risk for opioid addiction, abuse, or misuse prior to prescribing DURAGESIC, and monitor all patients receiving DURAGESIC for the development of these behaviors or conditions. Risks are increased in patients with a personal or family history of substance abuse (including drug or alcohol addiction or abuse) or mental illness (e. The potential for these risks should not, however, prevent the prescribing of DURAGESIC for the proper management of pain in any given patient. Patients at increased risk may be prescribed modified- release opioid formulations such as DURAGESIC, but use in such patients necessitates intensive counseling about the risks and proper use of DURAGESIC along with intensive monitoring for signs of addiction, abuse, and misuse. Abuse or misuse of DURAGESIC by placing it in the mouth, chewing it, swallowing it, or using it in ways other than indicated may cause choking, overdose, and death . Consider these risks when prescribing or dispensing DURAGESIC. Strategies to reduce these risks include prescribing the drug in the smallest appropriate quantity and advising the patient on the proper disposal of unused drug . Contact local state professional licensing board or state controlled substances authority for information on how to prevent and detect abuse or diversion of this product. Life- Threatening Respiratory Depression. Serious, life- threatening, or fatal respiratory depression has been reported with the use of opioids, even when used as recommended. Respiratory depression from opioid use, if not immediately recognized and treated, may lead to respiratory arrest and death. Management of respiratory depression may include close observation, supportive measures, and use of opioid antagonists, depending on the patient's clinical status . Carbon dioxide (CO2) retention from opioid- induced respiratory depression can exacerbate the sedating effects of opioids. DURAGESIC is indicated only in opioid tolerant patients because of the risk for respiratory depression and death. While serious, life- threatening, or fatal respiratory depression can occur at any time during the use of DURAGESIC, the risk is greatest during the initiation of therapy or following a dose increase. Closely monitor patients for respiratory depression when initiating therapy with DURAGESIC. To reduce the risk of respiratory depression, proper dosing and titration of DURAGESIC are essential . Overestimating the DURAGESIC dose when converting patients from another opioid product can result in fatal overdose with the first dose. Accidental exposure to DURAGESIC, especially in children, can result in respiratory depression and death due to an overdose of fentanyl. Accidental Exposure. A considerable amount of active fentanyl remains in DURAGESIC even after use as directed. Death and other serious medical problems have occurred when children and adults were accidentally exposed to DURAGESIC. Accidental or deliberate application or ingestion by a child or adolescent will cause respiratory depression that can result in death. Placing DURAGESIC in the mouth, chewing it, swallowing it, or using it in ways other than indicated may cause choking or overdose that could result in death. Improper disposal of DURAGESIC in the trash has resulted in accidental exposures and deaths. Advise patients about strict adherence to the recommended handling and disposal instructions in order to prevent accidental exposure to DURAGESIC . It can be consumed via a patch, an injection, smoking and a lollipop, among other methods. 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Interactions with Central Nervous System Depressants Hypotension, profound sedation, coma, respiratory depression, and death may result if DURAGESIC is used concomitantly with alcohol or other central nervous system (CNS) depressants (e. When considering the use of DURAGESIC in a patient taking a CNS depressant, assess the duration use of the CNS depressant and the patient's response, including the degree of tolerance that has developed to CNS depression. Additionally, evaluate the patient's use of alcohol or illicit drugs that cause CNS depression. If the decision to begin DURAGESIC is made, reduce the starting dose, monitor patients for signs of sedation and respiratory depression, and consider using a lower dose of the concomitant CNS depressant . Monitor such patients closely, particularly when initiating and titrating DURAGESIC and when DURAGESIC is given concomitantly with other drugs that depress respiration . Consider the use of alternative non- opioid analgesics in these patients if possible. Head Injuries and Increased Intracranial Pressure. Avoid use of DURAGESIC in patients who may be particularly susceptible to the intracranial effects of CO2 retention such as those with evidence of increased intracranial pressure, impaired consciousness, or coma . In addition, opioids may obscure the clinical course of patients with head injury. The FDA has warned about the risk of overdose deaths and other side effects caused by the fentanyl pain patch. Autopsy confirms that the pop star Prince died of a accidental fentanyl overdose. Question remain regarding his pain treatment and recovery plans. Monitor patients with brain tumors who may be susceptible to the intracranial effects of CO2 retention for signs of sedation and respiratory depression, particularly when initiating therapy with DURAGESIC, as DURAGESIC may reduce respiratory drive and CO2 retention can further increase intracranial pressure. Hypotensive Effects. DURAGESIC may cause severe hypotension including orthostatic hypotension and syncope in ambulatory patients. There is an increased risk in patients whose ability to maintain blood pressure has already been compromised by a reduced blood volume or concurrent administration of certain CNS depressant drugs (e. Monitor these patients for signs of hypotension after initiating or titrating the dose of DURAGESIC. Interactions with CYP3. A4 Inhibitors and Inducers Since the CYP3. A4 isoenzyme plays a major role in the metabolism of DURAGESIC, drugs that alter CYP3. 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CYP4. 50 inducers, such as rifampin, carbamazepine, and phenytoin, may induce the metabolism of fentanyl and, therefore, may cause increased clearance of the drug which could lead to a decrease in fentanyl plasma concentrations, lack of efficacy or, possibly, development of an abstinence syndrome in a patient who had developed physical dependence to fentanyl. If co- administration is necessary, caution is advised when initiating DURAGESIC treatment in patients currently taking, or discontinuing, CYP3. A4 inhibitors or inducers. Evaluate these patients at frequent intervals and consider dose adjustments until stable drug effects are achieved . A clinical pharmacology study conducted in healthy adult subjects has shown that the application of heat over the DURAGESIC system increased fentanyl exposure . Monitor patients wearing DURAGESIC systems who develop fever closely for opioid side effects and reduce the DURAGESIC dose if necessary. 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