Saturday, July 08, 2006
New cancer drugs funded by Ontario
TORONTO -- About 1,400 Ontario cancer patients are getting easier access to four new drugs. Health Minister George Smitherman announced today that the government will fund the cancer-fighting drugs. The government will spend $8.2 million this year and $15 million next year for coverage. It also estimates that the number of people who will eventually benefit from the new funding will rise to about 2,600. The treatments that will be covered are for lung cancer, breast cancer and blood cancer. The drugs that will be covered are: Velcade, Taxotere, Tomudex and Tarceva. Cancer Care Ontario chief executive officer Terry Sullivan says the announcement is good news for cancer patients. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Online doctors dole out drugs blind
DOCTORS are approving powerful prescription drugs over the internet for weight loss, impotence and baldness without seeing or actually speaking to their patients. An investigation by The Sunday Times has found three British companies providing potentially dangerous medications including Viagra, the sexual performance drug, Xenical and Reductil, the slimming drugs, and Propecia, for baldness. The British Medical Association, the doctors' professional body, said a system in which registered doctors were paid to give online consultations was open to abuse and misdiagnosis. Paul Cundy, its spokesman on computers and general practice, said: "Doctors are operating blind. It's not possible to have an online 'consultation', because you can't see, speak to or enter into a proper dialogue with a patient. It is very dangerous." Online consultations are legal because of a loophole in the Medicines Act 1968. The act says many drugs can be dispensed only after a patient has had a consultation with a doctor, but it does not lay down that this should be face-to-face. A report by Envision, a web analysis company, estimates there are nearly 2,300 sites selling prescription-only drugs direct to the consumer. In the space of a week a reporter obtained £400 of prescription drugs after falsely claiming to be overweight, balding and suffering from impotence in "free" online consultations. These amounted to little more than a medical checklist in which the patient agreed to waive medical responsibility. One company, Online Clinic (UK), supplied four 50mg Viagra tablets and a month's stock of Xenical. Viagra has been linked to cardiac problems while Xenical has possible side effects that include severe breathing difficulties, nausea and vomiting. In the past two years the company has dealt with more than 20,000 consultations. Robert MacKay, its director, said he acted responsibly and provided a "vital service" for people too embarrassed to see their GP. But Steve Bloomfield, a spokesman for the Eating Disorders Association, warned that online consultations enabled people with bulimia and anorexia to obtain slimming drugs. The prescriptions for the drugs obtained from Online Clinic (UK) were made by Dr Julian Eden, who runs an online prescription company called e-med. Eden also approved a prescription for Viagra placed with another website called MyOnline Doctor. In a statement he insisted his company followed guidelines set by the General Medical Council (GMC) and the Medicines and Healthcare products Regulatory Agency. Jane O'Brien, head of standards and ethics at the GMC, said it was a "grey area". She said the council would investigate any evidence of a doctor prescribing irresponsibly but stopped short of supporting a ban on online consultations. The GMC has taken action against four doctors since 2002 for prescribing drugs over the internet without a proper consultation. A Sunday Times reporter also obtained nearly £200 of drugs from a site run by Menscare (UK). It is half-owned by Mark Groombridge, who was jailed for 12 months for providing Viagra without prescription in 2002. After an online consultation the company provided a month's supply of Reductil, which suppresses appetite, for £120. The drug requires regular monitoring by a doctor, and possible side effects include liver and kidney damage and pulmonary hypertension. The company also charged £70 for four tablets of Cialis, an anti-impotence drug that can be effective for 36 hours. It can cause back pain and headaches. Menscare repeatedly refused to tell the undercover reporter the name of the doctor who approved the prescriptions, in contravention of GMC guidelines, advising him instead to return the drugs to the pharmacy if there were concerns. But a spokesman said: "We do not offer addictive drugs or drugs of abuse (sic) and so there is no reason for patients to be deceitful to obtain the drugs we supply through a registered pharmacy. All doctors, however, are vulnerable to lying patients and will tell you it happens every day in face-to-face consultations in surgeries." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Area legislators working to preserve SeniorCare program
Wisconsin's popular SeniorCare prescription drug program is due to end in the summer of 2007 under an agreement with federal authorities. However, Wisconsin seniors and political leaders are asking for it to continue as a alternative to the federal Medicare Part D prescription plan. On Thursday state Assemblywoman Sheryl Albers, R-Reedsburg, was among a bipartisan group of legislators signing a letter in support of the Wisconsin SeniorCare prescription drug program, according to a statement from her office. They are asking U.S. Health and Human Services Secretary Michael O. Leavitt to allow the program to continue beyond the June 30, 2007, deadline set under an agreement between the state and federal governments. SeniorCare is a good, low-cost way for seniors of modest means such as themselves to get help paying for their prescription drugs, said retirees Ed and Lorna Brecka of Baraboo. When they considered joining Medicare Part D they were confronted with a long list of drug insurance programs to chose from, said Ed. Each charged its own monthly fees and separate charges for different prescriptions. With SeniorCare, they each pay a $30 annual fee and a co-payment of $5 or $10 when they pick up their medications, he said. [Blocked Ads] "SeniorCare is much cheaper," Lorna said. "We're retired people, we have to watch every penny we spend." SeniorCare serves more than 110,000 Wisconsin residents and thousands of seniors selected the Wisconsin program over the federal one in the last year, according to the legislators' letter. Assemblyman J.A. "Doc" Hines, R-Oxford, is on vacation and has not yet signed the legislators' appeal to Leavitt, said Doug Parrott, a legislative aide. He said Hines strongly supports the SeniorCare program because it works well. He supports the Wisconsin prescription program despite the fact Medicare Part D is being promoted by President Bush and Republicans in Congress, Parrott said. "SeniorCare has been an extremely popular program and an extremely successful program for Wisconsin seniors," he said. "You can't argue with the success of the program. "The number of seniors (who) have chosen to use it speaks for itself," Parrott said. "Medicare Part D had some problems. There were some stumbling blocks for people." Health and Human Services officials are reviewing the request by Wisconsin's government to continue SeniorCare, said Bob Herskovitz, a spokesman based in Chicago. It will take some time before federal officials decide what to do about the program. "It's too early until we look at everything and see all the pieces and do the final analysis," he said. "Realistically, we will work very closely with the state of Wisconsin to come to an understanding of their program." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Friday, July 07, 2006
Prescription plan may shut down
Gov. Jon Corzine warned Wednesday that $5 million in weekly prescription drug assistance for 190,000 seniors and the disabled could be cut off due to the state budget showdown. According to the Treasury Department, the state issued the final $4 million and $5 million in reimbursement payouts to pharmacies on Wednesday. That leaves retailers in the position of essentially accepting IOUs in exchange for providing subsidized pharmaceuticals. "It is not that we will cut it off. Without an appropriations act passed by the Legislature the state of New Jersey cannot spend money," said Anthony Coley, Corzine's spokesman. "The government is forced to shut down because the Legislature has failed to pass a budget bill." The development comes as a 5-day-old state shutdown widened on Wednesday to include Atlantic City casinos, state parks and most state offices. Corzine shuttered all nonessential state services Saturday, when the Legislature passed the constitutional deadline to approve his $31 billion budget. In the Garden State, senior drug assistance comes in two main programs: ( The Pharmaceutical Assistance for the Aged and Disabled, or PAAD, which covers those over 65 or disabled who meet federal guidelines. The PAAD program has an income threshold of $21,850 for single seniors and $26,791 for married couples; ( The second is the less generous Senior Gold program. Both programs require enrollees to pay $5 co-pays. Drug providers then seek reimbursement with the state. Last year, the PAAD program cost the state $304 million; this year Corzine budgeted $270 million. "The program, of course, is very important. We have worked hard to make sure these benefits are maintained from year to year. We have every expectation there will be no disruption to the PAAD or Senior Gold programs," said Jane Margesson, spokeswoman for the 1 million-member New Jersey chapter of the American Association of Retired Persons. "We don't expect any immediate impact." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Viagra may be of help to heart disease patients
Probably, although more studies are needed. In the first human study of its kind, Dr. David Kass, a cardiologist at the Johns Hopkins University School of Medicine, reported last fall in the journal Circulation that Viagra can suppress the effects of stress hormones on the heart, a potential boon to many people with heart disease. In the study, 35 healthy male and female volunteers were given a drug called dobutamine, which stimulates the heart much as the natural hormone, adrenalin, does. Their hearts responded just as expected - pumping harder and increasing cardiac output. The point of this was to show that their hearts responded to this chemical stress. About 30 minutes later, Kass divided the group in two. Half got Viagra, the other half, placebo. Neither the doctors nor the subjects knew who got which drug. About half an hour later, all subjects got another dose of dobutamine. The hearts of people who had gotten Viagra showed less increase in contraction than those of people who got placebo, suggesting, said Kass, that Viagra, also known as sildenafil, "acts like a brake on the heart." In the penis, Viagra works through a chain of chemical reactions to dilate blood vessels - the key to getting and maintaining an erection. In the heart, Viagra works through the same chemical pathway but the result, instead of vasodilation, is a decrease in the heart's response to stress. In another study, Kass's team has found this decrease in susceptibility to stress can reduce the thickening of the heart muscle that often follows long-term high blood pressure, a problem called cardiac hypertrophy. Dr. Michael Mendelsohn, director of the Molecular Cardiology Research Institute at Tufts-New England Medical Center, said that the new evidence of Viagra's effect on the heart means that "it is time to start studying the possibility of using Viagra as a heart drug." Viagra and similar drugs such as Cialis and Levitra, said Kass, could be taken once a day by people who have thickened heart walls, a problem for about 2.5 million Americans with congestive heart failure. A new study using Cialis, which is longer acting than Viagra, is expected to begin this month. So far, though, doctors don't recommend taking Viagra for heart problems. Is lowering salt consumption important for health? Many medical organizations say yes, though there's room for disagreement. Last month, the American Medical Association urged the government to develop regulations to limit salt - or sodium - in processed and restaurant foods, noting that excess sodium can increase blood pressure. A 2004 report by the Institute of Medicine, a branch of the National Academy of Sciences, said that healthy adults should keep their salt consumption under 2,300 milligrams a day. Most Americans consume far more than that, in part because the food industry laces so many products with salt. Lowering salt consumption can reduce blood pressure, said Dr. Lawrence Appel, a professor of medicine at Hopkins. "Elevated blood pressure is a powerful risk factor for cardiovascular disease and is extremely modifiable by lifestyle changes including sodium reduction," he said. "Reducing salt is even easier for most people than losing weight or making other dietary changes." While the American Heart Association and the federal government recommend sodium reduction, a review of the issue by the Cochrane Collaboration, an international not-for-profit research group, showed that reducing salt intake is linked to reductions in blood pressure by only a few points. Moreover, lowering blood pressure by salt reduction may not translate to a survival advantage. A study published in February in the American Journal of Medicine by Hillel Cohen, an associate professor of epidemiology and population health at the Albert Einstein College of Medicine in New York, concluded that people who reduced salt actually had a 37 percent greater risk of death than those who didn't. Salt reduction studies, he said, present "a very mixed picture." One of Cohen's co-authors, Dr. Michael H. Alderman, president of the International Society of Hypertension, has been a consultant, albeit unpaid, to the Salt Institute, an industry group based in Alexandria, Va. The Salt Institute did not pay for the study. Bottom line? Take all advice on salt, including this, with a grain thereof. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Online Pharmacy
Tricia Smith of Sparta never took more pills than prescribed for her fibromyalgia, but the amount and mixture of drugs from a single doctor and pharmacy took a toll on her body. In the summer of 2003, she developed a heart condition and other problems. A doctor said her new health problems were from the medications, but that she couldn't simply stop using the drugs. She'd become addicted but didn't know it. The dependency required a gradual rollback to avoid more medical strife, or even death, doctors said. "I felt about an inch tall," she said. "I was embarrassed, shocked." Smith, now 48, went through a rugged three-month withdrawal period. Fortunately, she was not psychologically addicted and had the support of a close friend and the K.E.E.P. board of directors, where she is chief executive officer. Smith's story is just one example of prescription drug dependency in Sussex County, an issue that defies a one-size-fits-all description. Unlike Smith, some county residents are prescribed a drug and seek more pills through illegal means. Some addicts are looking for a new high, but some, like Smith, were never high to begin with. Prescription drug abuse has been a persistent problem in Sussex County for more than five years, according to the Center for Prevention and Counseling in Newton. Abusers span all ages and socio-economic classes, from teen party usage to seniors who go "doctor shopping" for duplicate prescriptions, county officials said. Many students in the first category will go to school and seek out a "happy little pill," she said. The most popular are Percocet, Xanax, Adderall and Coricidin HBP Cough and Cold, known as "Triple C" in user circles. "Since they are prescription and over-the-counter, they are not perceived as harmful," Becky Carlson, coordinator of Sussex County Coalition for Healthy & Safe Families, said, noting party usage is a national trend. "Bowling" is a new trend at parties, where bags of pills are emptied into a bowl and teens pick random ones out. Pills are often mixed with alcohol, adding to the danger, Carlson said. "You're doing a double-whammy to your body," she said. There are many teens in the county who do not know what pill they are taking or its effect, said Carlson. Carlson recalls one local high school girl who, at home one day, sighed and said, "I'm so tired I could use a Percocet." The girl's mother was astounded. The statement wasn't even logical, because Percocet is a painkiller, Carlson said. "They don't know pharmacology," she said. "It's just what they hear." Parents may also be astounded to learn teens are knocking back cough syrup for a high. One elderly couple, living in a Sussex County lake community, saw empty Robitussin bottles in the street during their evening walks and thought it was a shame polluters couldn't clean up after themselves. After the couple saw a local presentation on drugs, they realized the bottles signified drug use, Carlson said. "It was just another place where kids got high," Carlson said. Prescription drug addiction can go further than raiding the medicine cabinet and using what's there. Assistant Prosecutor Thomas Reed, who handles most drug cases in Newton, said he has faced defendants who posed as doctors or altered written prescriptions. The everyday nature of prescription drugs may cause problems for defendants who associate jailtime with heroin users or other illicit drugs. "They really don't consider themselves to be criminals," Reed said. In Superior Court on May 30, a Hopatcong woman confessed to forging a Xanax prescription on forms she stole from a nurse practitioner. On June 26, a Sparta woman admitted she obtained Vicodin in February by calling the Sparta Stop 'n' Shop pharmacy and representing herself being from a doctor's office. She repeated the fraud against the Weis pharmacy on May 4. "Some people do stupid things, like change the number of prescribed pills," Reed said. A six becomes a 16, for instance, or sometimes suspects change the amount of refills, Reed said. Many prescription fraud cases are caught at the pharmacy. Luckily for county prosecutors, local pharmacies are "quite good" in catching fraud and cooperating with the criminal justice system, Reed said. Elsa Iglesias, the pharmacist at Sparta Pharmacy for six years, checks numerous details to verify prescriptions. The prescription should be a written on New Jersey blanks of a blue color with a specific design and cannot be more than 30 days old, she said. Iglesias also gets a feel for irregular customer behavior. "They'll come once and disappear, then show up again coming from a different doctor," she said, describing a common practice known as "doctor shopping." When the Sparta Pharmacy calls a doctor's office, they find the correct phone number by calling information, Iglesias said. Otherwise, the number on the prescription script could be fake, with someone posing as a doctor on the other end. Iglesias will also ask for photo ID from new patients. She photocopies the ID and staples it to the prescription to ensure the right person receives the drug. Insurance information will display recent activity in the pharmacy's computer system, which it can use to keep customers honest. If the pharmacy suspects fraud, they wait until the customer returns and call the police, Iglesias said. "We'll stall and tell (the customer) we're a little backed up," she said. In her more than 15 years as a pharmacist, Iglesias noticed fraud is blind to age, race or economic status. "It's everyone," she said. Smith, who never strayed from "doctor's orders," said she felt let down by the medical system. Neither a doctor nor pharmacist raised questions about the quantity or interactions of the prescriptions she was taking. "At the least, the pharmacy should have said, 'Hey wait a minute, what's going on here?'" In the aftermath of it all, Smith found the law relies on a layperson's understanding of what they are prescribed. There seems to be little liability on the physician or pharmacy, she said. "I don't think the doctors should be punished, per se, but I do think that they need to stop creating addicts and they need to stop it right now," she said. Smith's three-month withdrawal from the medications was "just like every B movie you ever saw about it. I have now been to the mountain and am back." She experienced muscle cramping, sweating, nausea, hallucinations and the pain and loss of friendships. Today, Smith enjoys life and "plays a mean round of golf," she said. Although shortness of breath, one of the side effects of two medications mixing, caused her to leave her church choir where she was a soloist, she has found a new home in the Harmony Hill United Methodist Church's choir. "I have no regrets. I didn't do anything wrong. But, if I had to change one thing, I wish I was smarter about it and about where I placed my trust." A professional for most of her life, Smith feels sorry for anyone who might find themselves "over-prescribed, under-served, and addicted." County residents who need help for prescription drug addiction can seek it at the center in Newton. There is no quick fix, however, and detoxing often requires both therapy/counseling and medical intervention, said Pat DeCoste, clinical director at the center. Detox may occur in a hospital setting, while some patients check into rehab centers like the Sunrise House in Lafayette, she said. Some cases require inpatient treatment, while others can be treated as outpatient. "All types of people can have drug problems," DeCoste said. Counselors at the center worry that a lack of awareness, both by parents and prescription users, will only add to the problem. Since 2001, they said, prescription addiction and abuse has not wavered in Sussex County. "It's just there," Carlson said. "And it doesn't seem to be going away." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Wanted: pharmacists to fill critical need in U.S.
More people are relying on prescription medication to treat illnesses, but the pharmacists trained to hand out those sometimes lifesaving drugs come in short supply. Add to that Arizona's booming population, and you've got the makings of a shortage that is spurring some pharmacies to offer signing bonuses and nearly six-figure salaries. About 45 percent of the nation's population has been prescribed at least one drug compared with 35 percent in 1994 - making the United States the most medicated of all nations, several health experts say. Pharmacy school is hard, but the problem is not a lack of applicants. "One of the problems with the pharmacist shortage is that colleges cannot turn out pharmacists fast enough to meet the demand," said Don Featherstone, who hires pharmacists for Bashas' supermarkets in southern Arizona. "It's an ongoing search. There is rarely a time when you're not looking for somebody." Qualified pharmacists can save lives, catching potentially fatal prescription errors and making sure patients know how to take their medication. Hundreds of people die each year because of prescription errors, researchers say. Thousands more die because of adverse drug reactions. Given such problems - and hoping to help build the state's biomedical hub - University of Arizona officials plan to expand the College of Pharmacy into Phoenix as early as this fall. "There is a critical shortage of pharmacists across the country," said Judy Bernas, UA's associate vice president for advancement. "We will start small, then possibly grow to the size of the Tucson programs." Changes in practice The Phoenix program won't just aid in the pharmacists shortage. It could help revolutionize the practice. UA officials plan to introduce a new field of study to Arizona - a rare clinical pharmacogenomics program to teach would-be pharmacists to tailor drugs to each patient's genetics. This could reduce chances of patients having allergic reactions and side effects, "even to prevent a liver problem," said J. Lyle Bootman, UA's pharmacy dean. "It's happening in clinical settings, but is very, very limited," Bootman said. "Much more research must be done." Such a practice could especially benefit minority groups, older people and patients with diseases such as cancer and diabetes. The method builds on the centuries-old practice of compounding custom-made medicine. These days, most pharmacists have little occasion to use such custom mixes, but the knowledge involved is critical, experts say. "Medicine is about to go through some significant changes, and we need people out there so when you're handed a drug, it's not just everybody's. It's going to work for you," said David Burks, senior director of development for UA's pharmacy college. Pharmacists would be among those at the helm of this change. Adding to the history pharmacists already keep on their patients, they would maintain a database of genetic information for each person. Wanted: skilled pharmacists But the immediate problem is managing the workload and the time it takes to fill a prescription. Because of the competition for more pharmacists, those who are qualified in Arizona can expect salaries approaching the six-figure range, with bonuses between $20,000 and $30,000, said Featherstone, a practicing pharmacist whose company is opening about 10 new Arizona pharmacies each year. Just two years ago, bonuses averaged about $15,000, he said. "The sign-on bonus is actually new to pharmacy. In the last seven or eight years, it's become very common to offer them," he said. More than 5,300 licensed pharmacists live in Arizona, but about 15 percent don't practice, the Arizona State Board of Pharmacy reported. The number of pharmacies has doubled. The board reported there were more than 1,500 registered chain, independent, hospital and other pharmacies last year, up from 765 in 1995. Some pharmacists work multiple jobs in the field and others work more than 40 hours a week, which can result in errors. Meanwhile, patients must sometimes wait days before a prescription is filled. The demand is so severe that pharmacist and UA College of Pharmacy graduate Amy Thai is already considering expanding her six-month-old practice to offer Internet and mail-order sales. "By 2008, the baby boomers will reach retirement age and that's going to have a great impact on the pharmacy," said Thai, 28, owner of Arizona Discount Pharmacy in Mesa. Nationwide statistics say the same. Since 1995, the nation has seen a 54 percent increase in the number of prescriptions handed out - now more than 3.2 billion annually, the National Association of Chain Drug Stores reported. About 18 percent of the population is prescribed three or more drugs, compared with 12 percent in 1994, the U.S. Department of Health and Human Services noted in a 2005 report on the nation's health. Increasingly common outpatient surgery, swift development of new drugs and the push to reduce deaths from adverse drug reactions are also driving the need for more pharmacists. Yet too few training slots exist for the number of students interested in studying pharmacy, said John Murphy, associate dean of UA's College of Pharmacy. UA's pharmacy college in Tucson is filled to capacity and graduates nearly 150 students each year. That's why the Phoenix program - which should produce more and better-trained pharmacists - is so hopeful, David Burks said. "If you have more doctors and more pharmacists," Burks said, "you'll have a health care system that can deliver more equitably and faster to more people, sooner." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Thursday, July 06, 2006
A Practical Approach To Healthy Eating
You will never be healthy, eating healthy foods occasionally. You have to make healthy eating a habit if you want to obtain nutritional health. I have been doing push-ups five days a week for over 25 years. My arms are pretty strong but it did not happen overnight. I did not do push-ups for a couple weeks or months and then stopped. I had to make push-ups a habit if I wanted to continuously get the results I have. Exactly the same holds true with having a healthy diet. People jump on the "band wagon" of healthy eating when they read books or view web sites that talk about nutrition. While many of these books and web sites tell you what you should eat in-order to be healthy, they fail to teach you how to make healthy eating a habit. Thus in a short period of time when temptations come, people fall right back into their unhealthy eating habits. What is a Habit? According to Webster's dictionary a habit is "a behavior pattern acquired by frequent repetition or physiologic exposure that shows itself in regularity or increased facility of performance." Can you see that if we simply apply this principle to healthy eating we will be on our way to vibrant health? Bad Eating Habits: Bad eating habits do not develop overnight. For most people these habits began forming when they were kids. Thus one reason why many adults have a hard time breaking their bad eating habits is because these habits have been a part of their lifestyle for many years. Why Do We Eat Food? There are two main reasons why we eat food. One is to supply fuel for our body. The other reason is for pleasure. Unfortunately some of the foods that give us pleasure are unhealthy. Most people make their food selections based on what they see, smell or taste. Look at these three sentences: That pie sure looks good! That pie sure smells good! That pie sure taste good! Notice that all three statements involve food and pleasure. However the food that is producing the pleasure (in this situation the pie) may or may not be good for you from a nutritional standpoint. That is why we need to be wise in our food selections and not simply leave it up to our sense of sight, taste or smell. Healthy Eating Can Be Enjoyable: Some people think of a healthy diet as being boring and tasteless. I think that one reason they feel this way is because most of the commercial ads we see promote foods high in calories, fat, or sugar and only a small percentage of food advertising is done for fruits, vegetables, grains and beans. Thus if there was more nutritional education, more and more people would find healthy eating to be pleasurable and tasty. How Having a Healthy Diet Changed My Life: In 1998 my wife finally talked me into going to the doctor to get a check-up. I was not feeling sick but she clearly said that it was a good idea to get a yearly physical examination. Thank God I listened to her. I have been athletic all my life. I run 18 miles a week. So when I went to the doctor I was not expecting to hear the bad news he gave me. He told me I had borderline diabetes. Diabetes can be very dangerous if not treated. It is one of the leading cause of death in the United States. It is a disease of the pancreas that causes the body to stop producing the insulin it needs to regulate blood sugar. My doctor told me that I did not need to be put on medication, however he suggested I start reading some books on healthy eating. That was the beginning of my path to a healthy diet that turned my health situation around. Today I can honestly say that I am in excellent health. I feel great, I sleep great, people tell me that I do not look my age, I maintain a healthy weight, I do not take any type of medication, my blood pressure is normal, my blood sugar is normal, my cholesterol is normal, my immune system is strong, and the list goes on. I do not believe that I am healthy because of chance. I strongly believe that one main reason that I am healthy is because I take personal responsibility for my health. A healthy diet is a great part of this responsibility. Our physical bodies have laws that are governed by proper nutrition. If we violate these laws by consistently eating unhealthy foods, we are going to get sick. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Diagnosing Back Problems
Back problems come in many different types, including herniated or slipped disc, spinal stenosis, scoliosis, degenerative disc disease, and problems caused by weak muscles. This article will give you an idea of what different types of tests are available and how your doctor will determine the source of your back pain. What you are about to read is the culmination of information from many different places and resources. Before your doctor can diagnose your condition and create a treatment strategy, a complete profile and physical exam are needed. This will give your physician a better idea of the reason for your condition. Then appropriate diagnostic tests may be recommended. Complete History Your doctor will want to get an account of your condition. While you are waiting to see the physician you may start by filling out a printed form. Your problem will be easier to diagnose, the more information you share with your physician; so take time to think about everything that relates to your pain and write it down. A physical history can give your physician insight into your lifestyle, when the pain began,physical factors that might be causing pain, something that could have caused an injury, and any family history of similar problems. After reading through your written history, your physician will ask more questions that connect to the information you have given. Your physician may want to know: If and where you are feeing deadness or weakness. If the pain radiates to other parts of your body. About any current weight loss, fever, or illness. Where you are feeling pain and how intense it is. If you have had an injury. If you've had troubles with your bladder or bowels. Whether you have had this problem or something like it before. What factors make the pain feel better or poorer. Physical Exam After taking your history, your doctor will give you a physical exam. This allows the physician to to determine the source of your trouble and try to rule out probable causes of pain. The areas of your body that will be examined depend upon where you are experiencing pain: lower back, legs, neck, arms, etc. Motion of Your Spine - Is there pain when you bend, move or twist? If so, where? Have you lost some flexibility? Reflex Changes - Your tendon reflexes might be tested, such as below the kneecap and behind the ankle in the Achilles tendon Motor Skills - You might be asked to stagger on your heels or toes. Sensory Changes - Can you feel certain sensations in detail areas of the feet or hands? Weakness -Your muscles will be tested for power. You might be asked to try to elevate or push your arm, hand, or leg when light resistance is put against them. Pain - The physician may try to determine if you have tenderness of certain areas. Special Signs - Your physician will also confirm for any "red flags" that could designate something other than spinal/vertebrae problems. Some indications of other problems include tenderness in certain areas, a fever, an abnormal pulse, frequent steroid use (leads to injury of bone mass), or fast weight loss. Diagnostic Tests Diagnostic tests may be required in order to spot your condition. Tests are chosen based on what your physician suspects is causing the trouble. Bone Scan CT Scan Discogram EMG Facet Joint Block Lab Test MRI Myelogram Spinal Tap SSEP X-ray Each one of these tests will be covered in further depth in upcoming articles. We have come to the end of my informational article. It's now your job to take this information and do something with it. Good luck and good health! Labels: No Prescription, Online Pharmacy, Prescription Drugs
Hair Loss Help
Long, lustrous and silky hair are trade mark of many, especially females. A female's hair are her best natural accessories to carry and obviously show and even compete with her same sex friends. But if you are amongst those 60% of the females, who are suffering from hair problems, then you know the shock of being less haired over your head. The major problem is that the hair loss in females is considered as a taboo in society and this adds to salt into bounds of the females suffering with hair loss or hair thinning problems. Women themselves do not feel comfortable in openly discussing their problems. However, men can openly discuss openly and thus able to try on several treatment options including treatment of hair loss using medications, etc. You are not the only woman who is suffering from hair loss and feeling difficulty in openly discussing and finding resolution to hair problems. According to a clinical analysis, one in every four women is suffering from hair problems. Females also keep worrying why hair loss happens? The causes of hair loss in women can be any, like; harsh hair treatments, hormonal changes during pregnancy, or the menopause. Stress and unhealthy eating habits also lead to hair problems. Sometimes, hair thinning in females may be genetic. The hair thinning as a genetic factor normally occurs between 18 to 24 years of age. The most common form of hair loss due to genetic or other medical factors is alopecia androgenecia. This is the sort of hair problem in which the hair becomes extremely thin so that one can see through it. Alopecia areta is another form of hair problem that normally starts as tiny bald patches but may result into total hair loss, if not taken care of. If you can believe it, almost one quarter of the world population is suffering with some type of hair problems. And any sort of hair problems in females affect self confidence and sometimes, may even lead to anxiety and depression. The first step in settling any sort of hair problems is, distinguishing the nature of hair loss you are suffering with. There are a number of treatment options available for treating hair problems, depending on the kind and severity of problems. Your doctor may suggest you some oil / cream / lotion to apply on your scalps. If hair loss is due to hormonal or hereditary or due to some other serious health problems then your doctor may prescribe you a variety of medications. Besides getting aid from a health professional, you also can take care of your hairs to avoid hair loss. How?? Here are given some tips and tricks to prevent you from bad hair days. 1.Analyze your diet. Nutrition plays a vital role in keeping healthy tresses. Lack of essential vitamins and minerals and proteins etc may switch hair problems. Ask your doctor / nutritionist for help. 2.Opt for loose and comfortable hair style. Give up the hairstyle that introduces tensions in your hair follicles. For example; tight ponytails, chignons and plaits. 3.Avoid layered cuts as these create misapprehensions of more vigor. 4.Do not use in large the heated hair styling tools, such as; tongs and straightening irons, as these may create strain and breakage of hair. 5.Use wigs and hair extensions or use hats, scarves and funky jewellary to draw attention away from your hairs. 6.Ask your hair dresser to monitor your hair growth, but not become obsessed about it. 7.Stress is a major trigger to hair loss. Try to stay positive. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Wednesday, July 05, 2006
Drugs before surgery improve stomach cancer survival
Stomach cancer patients who receive chemotherapy before and after surgery have significantly higher survival rates, according to a study published this week. "This is the first time we've been able to demonstrate that chemotherapy alone significantly improves outcome," David Cunningham, an oncologist at the Royal Marsden Hospital in England who led the study, told Reuters. Chemotherapy increased the five-year survival rate by 57 percent for a cancer that strikes nearly one million people worldwide each year, the study said. About 700,000 die from it annually. The researchers studied 503 patients and their findings were published in this week's New England Journal of Medicine. The results "convincingly demonstrated a benefit" from chemotherapy pre-treatment, John Macdonald of St. Vincent's Comprehensive Cancer Center in New York wrote in an editorial in the New England Journal. The finding offers a new option for people with stomach cancer, Macdonald wrote. Cunningham, who led the study, said a recent test of chemotherapy and radiation had shown similarly good results after surgery. If diagnosed early, surgery can cure 90 percent of all stomach cancer. But because it is rarely caught quickly, the cure rate drops to 20 to 30 percent with doctors long agreeing that chemotherapy after surgery is so ineffective that it is routinely not prescribed. The new study, conducted at 45 medical centers, mostly in the United Kingdom, however, may change that. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Viagra may be effective in treating heart disease
It could help your love life and possibly your heart too. Researchers say they have discovered that Viagra may be effective in treating heart disease. They conducted a study on mice and healthy patients at John Hopkins University. The study found that the little blue pill blocks the adrenaline stress on the heart. Hearts that were enlarged by stress stayed normal size when Viagra was used, and in patients the pill reduced the strain by half. Doctors say, if the results hold up, Viagra could be used as a standard heart treatment in a few years. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Tuesday, July 04, 2006
A Practical Approach To Healthy Eating
You will never be healthy, eating healthy foods occasionally. You have to make healthy eating a habit if you want to obtain nutritional health. I have been doing push-ups five days a week for over 25 years. My arms are pretty strong but it did not happen overnight. I did not do push-ups for a couple weeks or months and then stopped. I had to make push-ups a habit if I wanted to continuously get the results I have. Exactly the same holds true with having a healthy diet. People jump on the "band wagon" of healthy eating when they read books or view web sites that talk about nutrition. While many of these books and web sites tell you what you should eat in-order to be healthy, they fail to teach you how to make healthy eating a habit. Thus in a short period of time when temptations come, people fall right back into their unhealthy eating habits. What is a Habit? According to Webster's dictionary a habit is "a behavior pattern acquired by frequent repetition or physiologic exposure that shows itself in regularity or increased facility of performance." Can you see that if we simply apply this principle to healthy eating we will be on our way to vibrant health? Bad Eating Habits: Bad eating habits do not develop overnight. For most people these habits began forming when they were kids. Thus one reason why many adults have a hard time breaking their bad eating habits is because these habits have been a part of their lifestyle for many years. Why Do We Eat Food? There are two main reasons why we eat food. One is to supply fuel for our body. The other reason is for pleasure. Unfortunately some of the foods that give us pleasure are unhealthy. Most people make their food selections based on what they see, smell or taste. Look at these three sentences: That pie sure looks good! That pie sure smells good! That pie sure taste good! Notice that all three statements involve food and pleasure. However the food that is producing the pleasure (in this situation the pie) may or may not be good for you from a nutritional standpoint. That is why we need to be wise in our food selections and not simply leave it up to our sense of sight, taste or smell. Healthy Eating Can Be Enjoyable: Some people think of a healthy diet as being boring and tasteless. I think that one reason they feel this way is because most of the commercial ads we see promote foods high in calories, fat, or sugar and only a small percentage of food advertising is done for fruits, vegetables, grains and beans. Thus if there was more nutritional education, more and more people would find healthy eating to be pleasurable and tasty. How Having a Healthy Diet Changed My Life: In 1998 my wife finally talked me into going to the doctor to get a check-up. I was not feeling sick but she clearly said that it was a good idea to get a yearly physical examination. Thank God I listened to her. I have been athletic all my life. I run 18 miles a week. So when I went to the doctor I was not expecting to hear the bad news he gave me. He told me I had borderline diabetes. Diabetes can be very dangerous if not treated. It is one of the leading cause of death in the United States. It is a disease of the pancreas that causes the body to stop producing the insulin it needs to regulate blood sugar. My doctor told me that I did not need to be put on medication, however he suggested I start reading some books on healthy eating. That was the beginning of my path to a healthy diet that turned my health situation around. Today I can honestly say that I am in excellent health. I feel great, I sleep great, people tell me that I do not look my age, I maintain a healthy weight, I do not take any type of medication, my blood pressure is normal, my blood sugar is normal, my cholesterol is normal, my immune system is strong, and the list goes on. I do not believe that I am healthy because of chance. I strongly believe that one main reason that I am healthy is because I take personal responsibility for my health. A healthy diet is a great part of this responsibility. Our physical bodies have laws that are governed by proper nutrition. If we violate these laws by consistently eating unhealthy foods, we are going to get sick. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Forget jabs, just breathe in your insulin
Revolutionary drug technologies are looking to take the pain and hassle out of the way we medicate — by replacing insulin injections with breathable insulin, vaccines with skin patches, and tablets with mildtasting wafers or granules. At yesterday's 18th Singapore Pharmacy Congress, visiting professor at the National University of Singapore's (NUS) Department of Pharmacy, Professor Hans Junginger talked about the move towards more convenient and efficient methods of drug delivery. An example is Clarosip, a plastic drinking straw filled with the antibiotic clarithromycin. Launched in November last year by German company Grunenthal, the straw contains a precise dose of the medication in the form of tasteless granules. All you do is sip a favourite drink with the straw, which releases the antibiotic. No more frustration swallowing tablets or coaxing stubborn children when it is medicine-taking time. Said Prof Junginger: "There are elderly people who are unable to swallow; not all drugs dissolve easily in water. With this new technology, controlled release of granules which can be simply drunk will be of great advantage for the patient." Taking the sting out of injections are technologies like the inhalent insulin Exubera, which will potentially do away with the 20,000 insulin injections a diabetic undergoes in 10 years. Insulin powder is released in a small inhaler, and a few deep breaths allow the fine powder to be absorbed quickly into the bloodstream. Micro-needle and patch technology designed to allow drugs to permeate via the skin could also make vaccines painless and trauma-free. Some of these innovations are already being marketed. In two or three years, wafers incorporated with medicine — just like breath-freshening strips in the market now — could also be available, said Dr Junginger. While none of these are available in Singapore yet, head of the Department of Pharmacy at NUS, Professor Chan Sui Yang, said that we could see more of these technologies in the future. "We already have the medicine. It is just that some of them may not be in the optimal form. All we need to do is add some engineering to achieve better outcomes," she said. For her and many other pharmacists, improving current drug delivery systems is important to achieve better patient compliance and, more importantly, to cater to an ageing population. Said Prof Chan's colleague Assistant Professor Giorgia Pastorin: "It is helpful for the elderly. My grandmother always tells me that she is unable to swallow her pills or finds it hard to count them. "With this technology, she can take her medicine properly without mistakes. It will be very empowering for her that she can take her pill in the proper manner." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Is Viagra, the erectile dysfunction drug, good for the heart, too?
In the first human study of its kind, Dr. David Kass , a cardiologist at Johns Hopkins University School of Medicine, showed in a paper last fall in the journal Circulation that Viagra can suppress the effects of stress hormones on the heart, a potential boon to many people with heart disease. In the study, 35 healthy male and female volunteers were given a drug called dobutamine, which stimulates the heart much as the natural hormone, adrenalin, does. Their hearts responded just as expected, pumping harder and increasing cardiac output. About 30 minutes later, Kass divided the group in two. Half got Viagra, the other half, a placebo. Neither the doctors nor the subjects knew who got which drug. About half an hour later, all subjects got another dose of dobutamine. The hearts of people who had gotten Viagra showed a smaller increase in contractions than those of the people who got a placebo, suggesting that Viagra ``acts like a brake on the heart." In the penis, Viagra works through a chain of chemical reactions to dilate blood vessels, the key to getting and maintaining an erection. In the heart, Viagra works through the same chemical pathway, but the result, instead of vasodilation, is a decrease in the heart's response to stress. In another study, Kass's team has found that this decrease in susceptibility to stress can actually reduce the thickening of the heart muscle that often follows long-term high blood pressure, a problem called cardiac hypertrophy. Dr. Michael Mendelsohn , director of the Molecular Cardiology Research Institute at Tufts-New England Medical Center, said that the new evidence of Viagra's effect on the heart means ``it is time to start studying the possibility of using Viagra as a heart drug." Viagra and similar drugs such as Cialis and Levitra, said Kass, could be taken once a day by people who have thickened heart walls, a problem for 2.5 million Americans with congestive heart failure. A new study using Cialis, which is longer-acting than Viagra, is expected to begin in July. For now, doctors aren't recommending Viagra for heart problems. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Monday, July 03, 2006
Teens may be holding prescription drug parties
Drugs support agencies say north Queensland teenagers may be turning to pharmaceutical drugs because illegal drugs are getting dearer and harder to source. A Townsville father says schoolchildren are holding 'pharm' or pharmaceutical parties, where they mix prescription drugs and wash them down with alcohol. He has spoken out after the death of a 16-year-old school girl at a party last month. Di Forsyth from the Addiction Help Agency says teenagers see pharmaceuticals as a cheap way to get high. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Pfizer cuts the price of some drugs in Switzerland
Pfizer said it will charge the same price for the drugs as it does for chemically identical copies, or generics. The Swiss price cuts will become effective on Aug. 1, Pfizer said. Pfizer, based in the U.S., is the world's largest pharmaceutical company by sales. The price cuts follow an agreement between the pharmaceutical industry and the Swiss government in the fall of 2005, which aimed at limiting the rise in healthcare spending. Under the pact, the highest possible price that can be charged for a generic drug is 70% of the price of the original product. A few months later, effective Jan. 1, 2006, the government also introduced a new regulation to encourage the use of generic medicines. Under the new rules patients pay a lower percentage share of the medicine's price - 10% instead of 20% - if they are taking a generic version of a branded drug. Interpharma, a Swiss pharmaceutical industry trade group, estimates that by the end of July, the prices of around 1,400 medicines will have dropped by 30% on average. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Side effects of drugs to be monitored
Health authorities are tackling adverse drug reactions among patients with the establishment of a department that will monitor side effects' cases and educate the public and the private sector. The central pharmaceutical services department, set up last week by Dubai Department of Health and Medical Services (Dohms), aims to improve and regulate pharmaceutical services in its hospitals and clinics, including a surveillance and reporting system for adverse drug reaction cases. Adverse drug reactions, defined as harmful reactions to drugs due to allergies, interaction with another drug or undocumented side effects, range from minor, such as decreased effectiveness of the medicine, to major, such as injury or death. However, the department's authority on surveillance and reporting system will only cover cases received at Dohms facilities. Dr Ali Sayed Hussain, head of the new department, told Gulf News that the surveillance system was important to ensure the safety of the public. "It's very important to have a reporting system for drug-drug interaction cases and adverse drug reactions," he said. He added that adverse drug reactions were common, partly due to some pharmacists' practice in selling prescription medicines over the counter. "We are sure it happens. But we don't see any cases right now, because there is no reporting system," he said. Adverse drug reactions afflict millions of people around the world, with four of them reported annually in the United States alone. Some experts believe the figures are higher as many cases were explained away by other factors, including the advanced age of the patient or severity of the disease. Dr Hussain said the requirement was important as many pharmacists did not know enough about drug interactions. "For example, if a patient takes erythromycin [an antibiotic] with cisapride [to treat acid reflux disease], he could die," he said. Cisapride is not available over the counter but erythromycin can be purchased over the counter. The simplest item, be it prescription medicine or herbal supplement, can cause an adverse reaction in people if they interact with each other. Herbal supplements that contain ginseng, ginger, garlic or ginkgo biloba decrease or enhance the effects of blood thinning medicine, warfarin. This medicine is commonly used to treat blood clots, such as in pulmonary embolism in the lungs. Antibiotic erythromycin, used to treat respiratory tract infections and syphilis, also interacts adversely with warfarin. Labels: No Prescription, Online Pharmacy, Prescription Drugs
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