Drug Topics

Monthly news magazine reports on all phases of pharmacy for community and health-system pharmacists. Concise, easy-to-read news reports cover managed care trends, professional issues, national and state governmental activities, new prescription drugs, OTCs, and new merchandising and marketing techniques.

Articles from Vol. 157, No. 11, November

Bariatric Surgery Affects Postoperative Warfarin Dosing
ANTICOAGULATION therapiesA small study of patients undergoing bariatric surgery suggests that weekly warfarin doses can change by as much as 20% postoperatively.The study included 27 patients who were matched, by age and date of surgery, with patients...
C'mon, Folks, Give Them the Chair!
IN MY VIEWAlthough I currently work on the hospital side of pharmacy, I have spent more than half my professional career in retail. I still work a shift every few weeks at an independent pharmacy. I am sensitive to the current plight of retail pharmacists,...
Collaborative Practice Agreements
How pharmacists and physicians can work together to help diabetes patientsEric Ip, PharmD, CDE, a diabetes specialist and clinical pharmacist with Kaiser Permanente Mountain View Climes, Mountain View, Calif., manages a group of patients with uncontrolled...
Concomitant Use of NSAIDs and Aspirin: Is It Ever a Safe Combination?
There is a wide variety of over-thecounter (0TC) medications available, allowing patients to self-medicate with herbal supplements, cold and flu remedies, and a variety of pain relievers. Many patients-by some estimates, more than 40 million-take low-dose...
Drug Donations in Humanitarian Aid: A Mixed Blessing
Immediately after earthquakes struck in Haiti and Japan, vast amounts of medications were donated and shipped to these countries. While these nations were obviously in need of aid and relief, the massive influx of medical products often created a logistical...
Empowered Patients Boost Outcomes with Project IMPACT: Diabetes
Project IMPACT: Diabetes, a national research initiative conducted by the American Pharmacists Association (APhA) Foundation, has demonstrated that community-based interdisciplinary teams of providers that include pharmacists can help improve clinical...
FDA Approves 4PCC for Acute Major Bleeding
NEW DRUG REVIEWHuman-derived 4-factor prothrombin complex concentrate (4PCC) (Kcentra, CSL Behring) was approved in late April as the first nonactivated agent for urgent reversal of acquired coagulation factor deficiency induced by vitamin K antagonist...
FDA Approves Lipid Injectable Emulsion
PRIORITY REVIEWUnder a priority review to help alleviate a drug shortage, FDA has approved lipid injectable emulsion, USP (Clinolipid, Baxter Healthcare) for intravenous feeding (parenteral nutrition) in adult patients, providing a source of calories...
FDA Approves Riociguat for PAH
NEW TREATMENTFDA has approved riodguat (Adempas, Bayer Healthcare Pharmaceuticals) tablets to treat adults with chronic thromboembolic pulmonary hypertension (CTEPH) after surgical treatment, adults with inoperable CTEPH, and adults with pulmonary arterial...
Federal Track-and-Trace Legislation Imminent
Congressional leaders agree on bicameral legislationAs both federal and state legislation concerning track and trace continues to evolve, a closer look at pending federal legislation becomes increasingly appropriate. As is well settled, California's...
Flu Vaccinations Cut Risk of Pneumonia Hospitalizations by Almost 60%, Study Finds
Influenza vaccination can reduce the risk of influenza-assodated pneumonia hospitalizations by more than hall according to data presented at October's ID Week Meeting in San Frandsco.Using a case test-negative study design, Carlos G. Grijalva, MD, MPH,...
Hold the Phone
VIEW FROM THE ZOOMy athletic career in school was brief, undistinguished, and for the most part completely forgettable. Try as I might to become the next Johnny Bench, I realized sometime in junior high that if I was ever going to be able to feed myself,...
Improving Patient Outcomes in Multiple Sclerosis: Considerations for Medication Therapy Management
AbstractMultiple sclerosis (MS) is a chronic, progressive inflammatory disease that results in demyelination of nerves and consequent disability. Disease management includes supportive therapy during disease flares, control of symptoms between flares,...
Lip Service: All about the Balm
OTCLate-stage middle-agers can hearken back to a time when the only lip-care options around were ChapStick (cherry-flavored or original) and petroleum jelly. Folks weren't thinking about other alternatives, because they hadn't been invented yet. No one...
mHealth for Diabetes Patients: Lessons Learned
Mobile health (mHealth) technology has the potential to reach medically underserved populations and to positively influence behavior change among prediabetes and diabetes patients.Knowing this is possible, the Beacon Community Cooperative Agreement Program,...
Milenkovich Joins Roetzel & Andress
NOTE BENENed Milenkovich, Drug Topics' legal compliance columnist, has joined the Business Services Practice Group of the law firm of Roetzel & Andress as partner in its Chicago office and head of the firm's Dmg and Pharmacy practice."Ned's background...
More Independent Pharmacies Offer Patient Services in Challenging Healthcare Environment
Up front In DepthApproximately half of independents counsel patients on medication adherence. They also recommend generic chug use to patients and physicians, and achieve a high acceptance rate (83%), said B. Douglas Hoey, RPh, MBA, CEO of the National...
New CMS Rules for Diabetes Testing Supplies Stymie Community Pharmacies
On July 1, the Centers for Medicare and Medicaid Services (CMS) put into effect new regulations governing fee schedules and mail order or delivery protocols for diabetes testing supplies provided to Medicare patients. The fee schedule was lowered considerably...
New Group Reframes the Cause of Specialty Compounding
DISPENSED AS WRITTENThe fungal meningitis tragedy touched off by the contaminated products from the New England Compounding Center last year must never happen again. The American public must have confidence in the role of the pharmacy profession in this...
New Products
RX&OTCRX CARENew RxAntares Pharma has announced FDA approval of Otrexup, a methotrexate drug/device that delivers 0.4 mL of drug by disposable, single-dose, subcutaneous auto-injector in 10-mg, 15-mg, 20-mg, and 25-mg dosage strengths, for injection...
Researchers Explore Drug Combinations That Reduce Adverse Effects
esearchers using data from the FDA's Adverse Event Reporting . System (FAERS) have hypothesized that certain drug combinations can be used to mitigate serious adverse events. They have tested their hypothesis with an animal model to determine the mechanisms...
She Works Hard for the Money
It was the winter of 1992.1 had to hire a new full-time pharmacist. I had already decided on the person I wanted. The store manager called me up to the office to discuss my choice. He indicated a thick folder. It was a paint-by-numbers company-policy...
State Pharmacy Groups, APhA Discuss Provider Status
Executives from 11 state pharmacy associations met this fall with the American Pharmacists Association (APhA) to discuss their organizations' successes, opportunities, and challenges at the state level and what they may mean in the context of a larger...
Teachable Moments: Take Your Best Shot
IN MY VIEW"Yes, Doctor. I know this heavily marketed medication lowers blood pressure very well, but there are more things to consider," I said. "Is the cost prohibitive for her?" he asked. "It's very expensive, but that's not the only issue," I said....
Telepharmacy
How to deliver personalized, specialized care to community, hospital, and at-home patientsWhether they are visiting their local community pharmacies or being hospitalized at the nearest facility, patients in rural settings, such as those in North Dakota,...
Treating Two: Effective Management of Gestational Diabetes
Growing rates of adult obesity in the United States and updated diagnosis guidelines that would include almost one-fifth of all pregnancies have recently put gestational diabetes melJitus (GDM) in the spotlight.The American Diabetes Association (ADA;...
Two New Weight-Loss Drugs Available for Patients with Diabetes
With the FDA approval and coverage of new prescription weight-loss drugs last year, healthcare professionals have two more options to consider when treating obesity.According to the Centers for Disease Control and Prevention, 2009-2010 saw this major...
Two Organizations Offer Key Strategies for T2DM Management
Late last year, the American Diabetes Association (ADA) released "2012 ADA/EASD Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered Approach," its updated position statement for the treatment of type 2 diabetes melJitus (T2DM), while the...
Voices
Sign of the timesYesterday my hospital group laid off four of our total of 27 pharmacists, who covered two hospitals and two ambulatory clinics, and cut another pharmacist to 20 hours. Three of the four laid off were RPhs.Out of the 22 pharmacists we...
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