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Pepin’s Pharmaceutical Prattle for 11-29-2004

 

Quote of the day: Thanksgiving is a typically American holiday...The lavish meal is a symbol of the fact that abundant consumption is the result and reward of production. Ayn Rand (1905 - 1982)

Good morning!

 Good morning ! 

Leftovers

Well Thanksgiving is over but the turkey probably isn’t.  People complain about leftovers. Think about what these leftovers represent. They are the excess that we have after our appetites have been satisfied and all of our caloric needs met. Most of us more that just “met” out needs.  What about those who didn’t have nearly enough to eat? Before you grab a large manila envelope and fill it with mashed potatoes and address it to “Starving People” think about it. What can you do to give from your excess? Donations of actual food to the food shelves (not just now but all year long) or a check to your favorite charity just might fill the bill. It is one of the best ways to keep the Thanksgiving spirit alive. Of course that means that you will have to find creative ways to fix the leftovers for your self but the warm feeling you get might take the place of your antacids.

 

ps. Best answer this week to the question "How are you?" was "Thankful" (Duh!)

 

1) New drug, Tysabri ,  approved for MS (with a new name as well)

(Old name was Antegren).

 My previous education into Multiple Sclerosis (MS) was from the University of Minnesota Medical School, which I attended as part of my Pharm. D. training.  This was before the advent of many of the treatments now available that appear to modify the disease itself. In the past we would divide 100 patients into quartiles. About 25% would be relatively unaffected by the disease, about 25% would experience minor effects, about 25% would have significant effects and about 25% would be devastated by the disease. While the new drugs have not eliminated all of the effects they have shifted everything to the positive.

  While the diagnosis will send chills down the spine, there is not better time in history to receive such a diagnosis as today. It is important, from my observations of those with the disease, to keep a positive attitude in order to both cope with the disease and maintain the immune system responses.

 Because this is an area of intense research and that advances are being made daily MS patients, new and old,  will likely benefit from these advances as they learn to live with the disease. The numbers on this new drug are quite impressive. There are different types of MS and the drug therapy is tailored to the disease based upon research. It is best to see a neurologist that is familiar (even sub-specializing) with the diagnosis and treatment of MS.

 http://yahoo.reuters.com/financeQuoteCompanyNewsArticle.jhtml?duid=mtfh38356_2004-11-24_00-33-16_n23123728_newsml

 

2) New “Over-active-bladder” drug FDA approved….. I can wait for the ads…

As the “baby boomers” age and start suffering from such maladies I expect the demand to grow in the therapeutic category. Many of the drugs have anticolinergic effects and can precipitate mental changes that look a lot like Alzheimer’s. (Cholinegic drugs are given to treat Alzheimer’s). Vesicare (solifenacin), is one drug in the class called “selective muscarinic receptor antagonists”.  The class name might just be hype or a true medical advance. The cholinergic system consists of both muscarinic and nicotinic receptors so it interesting to see the side effect profile includes typical “anticholinergic” effects of urinary tract infections and eye problems. Will have to keep an eye on developments. The drug will be promoted in the US by GlaxoSmithKline.

http://www.medscape.com/viewarticle/494487?src=mp

 Package insert is at http://www.vesicare.com/assets/vesicare_prescribing_info.pdf  

 

3) WHO warns of inevitable “bird flu” pan-demic.

This one has been kicking around in Asia for a few years. Hasn’t been able to make a wholesale jump to human but expect it at some point. This is getting a lot of play in the virus-manipulation circles with fears that any experimental tampering will escape into the population. Some are suggesting a HUGE percentage of fatalities from either source. I’ll keep you posted.

http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=6928426

 

4) Work-stress healthy?…

Decreased rates of dementia (commonly read as Alzheimer’s) for those with challenging jobs with increasing responsibilities. May be related to other factors but interesting all the same.

http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=6930710

 

            Call the loan officer I use:

Maria (Pepin) Sifuentes at 1-800-322-4025 Extn 724

msifuentes@affinity-mortgage.com

Mention the Prattle and get $100 off your closing costs.

www.affinity-mortgage.com      

5) After that huge Thanksgiving feast and with diabetes increasing in the population…

… it may be a good idea to review the effects of diabetes on eyes, kidneys, and hearts. If you have never been tested it may be something to ask your doctor about at your next physical.

http://www.drugdigest.org/DD/Articles/News/0,10141,-281,00.html

 

6) Statisticians recant big FAT error.

CDC says that they recently overestimated the deaths due to obesity. They aren’t giving the new stats but 400,000 was too high.

http://election.cbsnews.com/stories/2004/11/24/health/main657636.shtml

 

7) As long as we have been talking Alzheimer’s….What do “statins” do?

According to this article…nothing. Previous studies linked statin use with decrease in dementias…. Will be interesting once this all settles out. Statins will reduce your lipids….(no other guarantees)

http://www.reuters.co.uk/newsArticle.jhtml?type=healthNews&storyID=6801005&section=news 

----

  Have a SUPER-FANTASTIC week. Steve
  Disclaimer: "Pepin's Pharmaceutical Prattle" (AKA "The Prattle") is the property of PHARMWORKS, LLC and Steven M. Pepin, Pharm. D, BCPS. The opinions expressed are those of the bald-headed author. To start or stop any drug without the advice and supervision of your physician would be stupid. So don't do anything based upon what you read here without professional advice. To be added to or removed from the distribution list please e-mail your request to spepin@pharmworks.com . All insightful comments from readers are thoughtfully considered (the rest are callously discarded). Copyright 1998-2004 PHARMWORKS, LLC all rights reserved.

 

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