Broader-spectrum antibiotics over-prescribed in ambulatory settings
August 16th 2013The majority of antibiotics prescribed for adults in ambulatory care settings are broad-spectrum agents, most commonly fluoroquinolones and macrolides. These are frequently prescribed for conditions where no antibiotic therapy is needed at all, such as for bronchitis and colds, which are caused by viruses, according to a study published online July 25, 2013, in the Journal of Antimicrobial Chemotherapy.
Rise in mortality risk seen in hysterectomized women not using estrogen therapy
August 15th 2013A severe decline in the use of estrogen therapy (ET) due to misunderstanding the findings of the Women’s Health Initiative (WHI) Estrogen Plus Progestin Trial has particularly affected hysterectomized women in their 50s, leading to excess mortality, according to a study published online in the American Journal of Public Health.
FDA approves third oral agent for MS
August 15th 2013Dimethyl fumarate (Tecfidera, Biogen Idec) oral delayed-release capsules, formerly called BG-12, was approved by the FDA on March 27, 2013 for the treatment of relapsing forms of multiple sclerosis (MS). It is the third oral drug to be recently approved for the treatment of these types of MS.
An update on insulin resistance and use of U-500 insulin
August 15th 2013Insulin resistance can be described as a decrease in sensitivity or a decreased biological response to insulin. No single etiological explanation has been described for insulin resistance because of the unique associations with cardiovascular risk, obesity, hypertension, and dyslipidemia. Research has shown that the pathogenesis of insulin resistance results from either lipid accumulation, the contribution of systemic inflammation, or through genetic mutations involving autoantibodies to the insulin receptor.
Telmisartan and valsartan present lower risk of heart attack and strokes in diabetes patients
July 24th 2013Telmisartan and valsartan, used to reduce blood pressure in people with diabetes, are associated with a lower risk of hospitalization for heart attack, stroke, or heart failure, according to a study published on the Canadian Medical Association Journal.
Management of antipsychotic medication polypharmacy
July 15th 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 that employ monotherapy as first-line treatment, but in many cases the use of combination of therapy can occur, leading to polypharmacy.1
FDA advisers recommend easing Avandia restrictions
July 15th 2013FDA advisers recommended in early June the easing of restrictions on the diabetes drug rosiglitazone (Avandia, GlaxoSmithKline), following an independent re-examination of GSK’s RECORD study conducted by Duke Clinical Research Institute.
Long-term data reinforce safety profile of dabigatran etexilate mesylate
July 15th 2013Results from the RELY-ABLE trial, the RE-LY extension study, support the long-term safety profile of dabigatran etexilate mesylate (Pradaxa, Boehringer Ingelheim Pharmaceuticals) 150 mg twice daily in patients with nonvalvular atrial fibrillation (NVAF), according to a study published in Circulation.
Long-term data reinforce safety profile of dabigatran
July 15th 2013Results from the RELY-ABLE trial, the RE-LY extension study, support the long-term safety profile of dabigatran etexilate mesylate (Pradaxa, Boehringer Ingelheim Pharmaceuticals) 150 mg twice daily in patients with nonvalvular atrial fibrillation (NVAF), according to a study published in Circulation in mid-June.
Report: CVD risk factors that pharmacists can address
July 15th 2013The Community Preventive Services Task Force, an independent, uncompensated panel of public health and prevention experts, has released 3 recommendations to address risk factors for cardiovascular disease. Pharmacists were included as members of the team to help with interventions for CVD prevention.
Concomitant control of BP, cholesterol is difficult
July 9th 2013Many patients suffer from both hypertension and high cholesterol, putting them at greater risk of coronary heart disease. Controlling the hypertension and high cholesterol would reduce CHD risk by 50% or more, but less than a third of patients have achieved adequate control of both, according to an online study in Circulation.
Costs much lower for HCV patients achieving SVR, study shows
June 28th 2013Healthcare costs were substantially lower for HCV patients who achieved sustained virologic response up to 5 years after antiviral therapy ended, according to a study published in the July/August 2013 Journal of Managed Care Pharmacy.
FDA approves Vibativ for hospitalized patients with bacterial pneumonia
June 26th 2013FDA has expanded the use of telavancin (Vibativ, Theravance) to treat adult patients with hospital-acquired and ventilator-associated bacterial pneumonia caused by susceptible isolates of Staphylococcus aureus when alternative treatments are not suitable.