Y GWASANAETH IECHYD GWLADOL, CYMRU Enwi, cychwyn a chymhwyso 1 1 Enw'r Rheoliadau hyn yw Rheoliadau'r Gwasanaeth Iechyd Gwladol (Contractau Gwasanaethau Meddygol Cyffredinol) (Rhagnodi Cyffuriau Etc.) (Cymru) (Diwygio) 2005 a deuant i rym ar 4 Ebrill 2005. 2 Mae'r Rheoliadau hyn yn gymwys o ran Cymru yn unig. Diwygio Rheoliadau'r Gwasanaeth Iechyd Gwladol (Contractau Gwasanaethau Meddygol Cyffredinol) (Rhagnodi Cyffuriau Etc.) (Cymru) (Diwygio) 2004 2 1 Mae Rheoliadau'r Gwasanaeth Iechyd Gwladol (Contractau Gwasanaethau Meddygol Cyffredinol) (Rhagnodi Cyffuriau Etc.) (Cymru) 2004 yn cael eu diwygio fel a ganlyn. 2 Yn Atodlen 2 (cyffuriau neu feddyginiaethau i'w harchebu o dan amgylchiadau penodol yn unig)— a Yn y man priodol ac yn nhrefn yr wyddor yn ôl enw'r cyffur, mewnosoder yng ngholofnau 1, 2 a 3 yn y drefn honno— Oseltamivir (Tamiflu) 1 At-risk adult and child patients where — a It has been determined in accordance with a community based virological surveillance scheme that influenza A or influenza B is circulating in the locality in which the patient resides or is present or was present at the time that the virus was circulating; b the patient has an influenza-like illness; and c the patient can start therapy within 48 hours of the onset of symptoms. Treatment of influenza 2 At-risk patients who are aged 13 years and older where — a it has been determined in accordance with a community-based virological surveillance scheme that influenza A or influenza B is circulating in the locality in which the patient resides; b the patient has been exposed to an influenza-like illness as a result of being in close contact with someone with whom the patient lives who is, or has been, suffering from an influenza-like illness; c the patient is not effectively protected by vaccination against influenza because the patient — i has not been vaccinated because vaccination is contra-indicated; ii has not been vaccinated since the previous vaccination season; iii has been vaccinated but the vaccination has yet to take effect; or iv the patient has been vaccinated but the vaccine is not well matched to the strain of influenza circulating in the locality in which the patient resides or is or has been present; d the patient lives in a residential care establishment and another resident or member of staff of the establishment has an influenza-like illness; and e the patient can start prophylaxis within 48 hours of exposure to an influenza-like illness. Prophylaxis of infinfluenza ; a Zanamivir (Relenza) At-risk adult patients where— it has been determined in accordance with a community based virological surveillance scheme that influenza A and influenza B is circulating in the locality in which the patient resides or is present or was present at the time that the virus was circulating; the patient has an influenza-like illness; and the patient can start therapy within 48 hours of the onset of the symptoms. Treatment of influenza . b Ar ôl y geiriau “in this Schedule” mewnosoder yn y man priodol yn nhrefn yr wyddor— “at-risk” means an adult or child patient or a patient aged 13 years or older who— has chronic respiratory disease (including asthma and chronic obstructive pulmonary disease); has significant cardiovascular disease, excluding an adult or child patient who has hypertension only; has chronic renal disease; is immunocompromised; has diabetes mellitus; or is aged 65 years or over; ; “child” means any person under the age of 16 years; ; “patient” has the same meaning as in the National Health Services (General Medical Services Contracts) (Wales) Regulations 2004 ; ; a “residential care establishment” means a place where persons reside on a long-term basis in order to receive continuing care. . Llofnodwyd ar ran Cynulliad Cenedlaethol Cymru o dan adran 66(1) o Ddeddf Llywodraeth Cymru 1998 D. Elis-Thomas Llywydd y Cynulliad Cenedlaethol 22 Chwefror 2005