CDC: PrEP option for injection drug users
June 24th 2013The Centers for Disease Control and Prevention (CDC) recommended preexposure prophylaxis (PrEP) to injection drug users who are at high risk of HIV infection, following the positive results of the Bangkok Tenovir Study, published online June 12 in the Lancet.
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Increased red meat consumption linked to type 2 diabetes
June 24th 2013Adding more than a one-half serving of red meat daily for 4 years can increase the risk of type 2 diabetes mellitus over the subsequent 4-year period, according to a report published online June 17 for JAMA Internal Medicine.
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New test identifies HCV genotypes
June 21st 2013FDA approved a test that identifies the genotype of hepatitis C virus (HCV) that a patient is carrying. The Abbott RealTime HCV Genotype II (Abbott Molecular) can differentiate genotypes 1, 1a, 1b, 2, 3, 4, and 5 using a sample of an infected patient’s blood plasma or serum, which will aid healthcare professionals in determining the appropriate approach to treatment, resulting in better patient outcomes. Various HCV genotypes respond differently to available drug therapies.
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FDA officially approves Plan B One-Step for all women
June 21st 2013FDA announced it has approved the use of Plan B One-Step (levonorgestrel) as a nonprescription product for all women of child-bearing potential. This action complies with the April 5, 2013 , order of the United States District Court in New York to make levonorgestrel-containing emergency contraceptives available as an over-the-counter (OTC) product without age or point-of-sale restrictions.
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Management of antipsychotic medication polypharmacy
June 13th 2013Within our healthcare-driven society, the increase in the identification and diagnosis of mental illnesses has led to a proportional increase in the prescribing of psychotropic medications. The prevalence of mental illnesses and subsequent treatment approaches may employ monotherapy as first-line treatment, but in many cases the use of combination of therapy can occur, leading to polypharmacy.1 Polypharmacy can be defined in several ways but it generally recognized as the use of multiple medications by one patient and the most common definition is the concurrent use of five more medications. The presence of polyharmacy has the potential to contribute to non-compliance, drug-drug interactions, medication errors, adverse events, or poor quality of life.
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Medical innovation improves outcomes
June 12th 2013I have been diagnosed with stage 4 cancer of the pancreas, a disease that’s long been considered not just incurable, but almost impossible to treat-a recalcitrant disease that some practitioners feel has given oncology a bad name. I was told my life would be measured in weeks.
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Plan B One-Step restrictions are lifted
June 11th 2013The Obama administration on Monday abandoned its attempt to restrict access to the emergency contraceptive Plan B One-Step (Teva Women’s Health Inc.) as an over-the-counter (OTC) medication-a decision that’s being celebrated by some groups.
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ASCO: Lipid-lowering agents linked to improved survival in women with endometrial cancer
June 5th 2013Endometrial cancer patients who took statins and aspirin reduced their chance of death by 84% with the use of statins and aspirin, according to a new study by researchers at Montefiore Einstein Center for Cancer Care (MECCC), presented at the annual meeting of the American Society of Clinical Oncology (ASCO) in Chicago. Additionally, women who used only statins saw their risk of dying decline by 45%.
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Crizotinib better than standard chemotherapy in some patients, study says
June 5th 2013In a phase 3 study of previously treated patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC), crizotinib (Xalkori, Pfizer) more than doubled median progression free survival (PFS) than when treated with standard chemotherapy, according to a study published June 1, 2013 online in New England Journal of Medicine.
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Medication underdosing and underprescribing are often overlooked and can result in poor patient outcomes. They can also contribute to polypharmacy and significant cost to the healthcare system. Pharmacists can play a key role in preventing underdosing and underprescribing of medications by ensuring that patient-specific pharmacotherapy is prescribed and administered, and by providing patient and provider education regarding appropriate use of medications. While numerous examples of effective pharmacist-led interventions to reduce medication underdosing and underprescribing are described in the literature, further research is needed to elucidate new ways to improve patient outcomes and reduce unnecessary cost to the healthcare system. This article describes the clinical consequences of medication underdosing and underprescribing and provides examples of pharmacist-led interventions to address these medication issues.
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Specialty drugs will account for 50% of all drug costs by 2018
June 1st 2013Health insurers should use both medical and pharmacy data to forecast specialty drug costs, which are predicted to rise to 50% of commercially insured total drug costs by 2018, according to a new study presented at the Academy of Managed Care Pharmacy’s 25th Annual Meeting & Expo in San Diego, in April.
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Biologic anti-inflammatory (BAI) specialty medications to treat autoimmune inflammatory conditions-such as rheumatoid arthritis (RA), psoriasis or inflammatory bowel disease (eg, Crohn’s disease, ulcerative colitis)-are among the most commonly used specialty drugs and costs are rising rapidly. Three new studies presented at the 2013 Academy of Managed Care Pharmacy’s 25th Annual Meeting & Expo in San Diego, in April, highlight the use, effectiveness and cost trends for BAIs.
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Specialty drug costs now make up half of the total cost of RA and hepatitis C care
June 1st 2013Specialty drugs now account for half of the cost of treating patients with rheumatoid arthritis (RA) or hepatitis C (Hep C), according to 2 studies presented by St. Paul-based Prime Therapeutics (Prime) and Blue Cross and Blue Shield of Minnesota at the Academy of Managed Care Pharmacy’s 25th Annual Meeting & Expo in San Diego, in April.
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