Increased risk of skin cancer under treatment with HCT

Hydrochlorothiazide (HCT) is a diuretic medication widely used to treat high blood pressure – up to 45% of hypertension patients in Germany, for congestive heart failure and fluid retention / oedema in the body. It is available either as a single preparation or combined with other antihypertensive drugs e.g. Ramipril, Valsartan, Candesartan, Bisoprolol etc, These combinations used to have an appendix like “plus” or “comp” in their German trade names e.g. Ramiplus, Bisoplus or Candesartan comp. Usual dosage for HCT is 12,5 mg or 25 mg.

Recent studies indicated that longterm usage of HCT increases the risk of having skin cancer, probably due to increased photosensitivity of the skin.

Although skin cancer is a rare disease it is advisable for patients taking HCT to be precautious, to observe and report any change of the skin condition to the doctor and perhaps to swap HCT for a suitable substitute.

Please contact us for further advice.

Problems around the electronic Health Card

Since March 2018 our surgery is electronically linked to the telematics infrastructure. During the retrieval procedure your data stored on your e-Health Card are checked with your health insurance database. In some cases the e-Health Card is rejected and your valid insurance status is not confirmed.

Here are information and possible solution relating to e-Health Card issues (German): e-Health Card info

Medical student from Oldenburg University

From 1st to 28th October 2018 a medical student of the Oldenburg University will have her training month in our surgery.
She should have the oppertunity to exerise practical skill early in her career: Taking medical history and clinical examination.
If you do not wish to be interviewed and examined by a medical student or to have her attending your appointment, please let our receptionist know.
Medical confidentiality is fully applied to such training sessions.
Thank you for your cooperation.

Surgery closed on 28th September 2018

Our surgery is closed on Friday, 28th September 2018 for the quarterly accounting.
Please make sure, you order your referral forms and repeat prescriptions in time.

We will re-open on Monday, 1st October 2018. Thank you for your understanding.

Flu jab 2018 – 19

Due to frequent inquiries we would like to confirm that only the tetravalent influenza vaccine will be applied for the oncoming flu season.

A delivery date for the vaccine is still unknown. We will inform again in due course.


Surgery closure in September 2018

Our surgery is closed from Monday, 3rd September to Friday, 14th September 2018 for holidays.
Please make sure, you order your referral forms and repeat prescriptions in time.

Cover during our closure by:
– Praxis Dr Beyen, Bahnhofstr. 18, 26409 Wittmund – Burhafe, Tel. 04973 253

Be aware: Due to the lack of your full records complicated administrative task and applications can not be dealed with by the covering practice.

Thank you for your understanding.

Reimbursement of expenses for Valsartan replacement

Dear patients,
we have received more informations in the meantime:

– The list of recalled Valsartan preparations:
Website of the Federal Union of German Associations of Pharmacists

– The list of not affected  Valsartan preparations:
Website of DeutschesApothekenPortal (German Pharmacies Portal)

– Some health insurance companies have announced, they would refund the more expenses caused by repacement of contaminated Valsartan. More health insurance companies are expected to follow. Please contact your own insurance company for more details.

– Because prescription drug like Valsartan can not be exchanged over the counter without a new prescription, please contact us for further advice.

Surgery closed on 25th July 2018

Our surgery is closed on Wednesday, 25th July 2018 for the renewal of the server computer.
Please make sure, you order your referral forms and repeat prescriptions in time.

We will re-open on Thursday, 26th July 2018.
Thank you for your understanding.