Saturday, July 22, 2006
Millions In Life-Saving Drugs Being Dumped
With the cost of prescription drugs skyrocketing, some can't even afford to get the medicine they need to live. But a 5 On Your side investigation has found that millions of dollars in expensive drugs, enough drugs to fill a warehouse, are simply being wasted. Investigator Ron Regan reported that the sheer volume of wasted drugs is stunning, and they could go a long way to ease the pain and suffering of more than 1 million patients in Ohio who have no medical insurance. Some cancer drugs can cost as much as $10,000 a month, but the investigation found millions of dollars of perfectly usable medications all over Ohio are never reaching the people who need them most. NewsChannel5 checked with the Ohio Pharmacy Board, the state agency that regulates how drugs are stored and dispensed, and found out how millions of expensive drugs are going to waste. Expensive, life-saving medicine that's never been opened, drugs that ease pain, treat cancer and fight heart disease, is never reaching the sick and dying. And that's not all. Many more are simply tossed in the furnace, incinerated by licensed disposal companies. The medicine is still in tamper-proof packages, with expiration dates that are years away. But here's the worst part. The investigation found an Ohio law that could save millions of lives is simply being ignored. "It's hurting the community, the American people who need this medication to survive," said patient Joanne Brunner. Despite a law that's been on the books for three years, there's only one spot in the entire state of Ohio that's benefiting. At the Western Stark Clinic, donated drugs are saving lives like Brunner's. "The doctors told me you need this medication and you must take it every day," said Brunner. "It's unconscionable that in this day and age we're destroying medications when we have people who are forced to go without medication," said clinic director Diane Daniels. Instead, nearby Absolute Pharmacy donates drugs that are leftover or no longer needed from nursing homes it serves. "We're looking at donating approximately 4,000 prescriptions per month," said Absolute Pharmacy founder Tim Tannert. So why is the law being ignored by others, such as one huge company near Cincinnati? Omnicare is the nation's largest provider of pharmaceuticals to nursing homes, but it refused to donate a single pill to the poor and dying. Instead, the medicine is destroyed. NewsChannel5 wanted the ask them why, but the company only provided the following statement: "Omnicare supports the concept and the program's goals, but the particular legislation does not offer relief from serious liability issues." State Sen. Kirk Schuring said that's not true: those donating drugs are protected from lawsuits. "It's a tragedy to think that when we have so many folks, that we're depriving them of the opportunity and actually destroying these drugs," said Schuring. For an idea of how much could be save, more than $3 million worth of medication is being donated to the Stark Clinic alone, and that's by just one pharmaceutical company. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Friday, July 21, 2006
Beware of herbal medicines say authorities
Acting director-general of health, Debbie Chin, says people may be putting their health at risk by taking so-called herbal products which actually contain undeclared prescription medicines. Seven different products imported from Asia, being sold as herbal medicines, have tested positive for erectile dysfunction and weight loss prescription medicines following routine investigations Medsafe. "There is a real potential for harm to occur when prescription medicines are used by consumers without a prescription, because of the absence of any medical supervision," Mrs Chin says. "If people are in doubt about the contents of any herbal product they are taking for a health condition they should seek advice from their health professional." Medsafe investigators located the seven products imported from Asia through a routine investigation of retail outlets. Some products containing sildenafil were being advertised as natural or herbal Viagra. Products were often being sold "under-the-counter" on request and some were being supplied unlabelled in plastic bags. Medsafe investigations are continuing and prosecution cases are being considered in relation to the alleged distributors. All known stocks of these herbal products have been seized. Breaches of the medicines laws are taken very seriously, especially where patient and consumer safety is put at risk. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Preventing Prescription Drug Errors
The wrong medicine could do more harm than good. A statistic from the Institute of Medicine shows that may happen more often than you may think. Now a national organization and a local hospital are trying to prevent medication errors. There are more than 10,000 prescription drugs on the market and more than 300,000 over the counter medications. So, choosing the right one, at times, can be tricky. Vanderbilt's Dr Kevin Johnson says each year, around 1.5 million people are harmed by medication errors. That's why he and several other doctors spent six years working with the Institute of Medicine studying the problem, and they came up with several recommendations, starting with how prescription drugs are prescribed. Doctor Johnson said new technology, some of which was developed at Vanderbilt, provides a new system of safety checks when a doctor is prescribing medicine to a patient. Electronic prescription generators eliminate confusion that can be caused by illegible handwriting. But one of the main reasons for confusion is some drugs look alike and some of the drug names sound alike. That's why the institute recommends that the FDA does more to prevent that from happening. The study also advises patients to be educated consumers when buying over the counter drugs and when taking drugs that a doctor has prescribed. So, if you don't understand something, ask questions. Doctors say communication is they key to making the right decision. The Institute of Medicine is asking the government to pass a law requiring that all prescriptions be electronically generated by the year 2010. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Prescription Pain and Other Medications
Prescription medications such as pain relievers, tranquilizers, stimulants, and sedatives are very useful treatment tools, but sometimes people do not take them as directed and may become addicted. Pain relievers make surgery possible, and enable many individuals with chronic pain to lead productive lives. Most people who take prescription medications use them responsibly. However, the inappropriate or nonmedical use of prescription medications is a serious public health concern. Nonmedical use of prescription medications like opioids, central nervous system (CNS) depressants, and stimulants can lead to addiction, characterized by compulsive drug seeking and use. Patients, healthcare professionals, and pharmacists all have roles in preventing misuse and addiction to prescription medications. For example, when a doctor prescribes a pain relief medication, CNS depressant, or stimulant, the patient should follow the directions for use carefully, learn what effects the medication could have, and determine any potential interactions with other medications. The patient should read all information provided by the pharmacist. Physicians and other healthcare providers should screen for any type of substance abuse during routine history-taking, with questions about which prescriptions and over-the-counter (OTC) medicines the patient is taking and why. Providers should note any rapid increases in the amount of a medication needed or frequent requests for refills before the quantity prescribed should have been used, as these may be indicators of abuse. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Prescription plan money goes to those who don't need it
My Mom, Sheila, has asked me to thank each of you for the extremely generous and completely unnecessary gift of free high-end pharmaceuticals. Mom, a 79-year-old confined to a wheelchair and afflicted with a number of chronic illnesses, resides in a nursing home in rural Oregon. She uses an average of 17 different prescription drugs each month. In 2005 these cost her, uh, well, let's just say roughly the same amount as a pretty good car. But this year, thanks to your largesse, Mom will save several thousand dollars. She signed up for Medicare Part D and bought an Aetna insurance policy that covers most of what she needs. The premiums are low, the coverage excellent and her savings staggering. You made this possible. Essentially, your tax dollars have been transferred to my Mom, even though you may have a lower income than her. I'm not saying my Mom is undeserving. She's a nice lady - mostly - if you can overlook the fact that she voted Republican for 50 years and occasionally snatches a piece of pie off another resident's lunch tray. She's a decent and feisty citizen. She's always paid her own way, and she can afford to continue to do so. It's hard to be old and sick, but it's worse to be old, sick and poor. My fortunate Mom has the resources to pay for her own prescriptions. But now she doesn't have to, because Medicare Part D, like welfare, is an entitlement. But unlike welfare, it is not means-tested. Even the wealthiest can get lush benefits. There are trade-offs. The decision to buy drugs for my Mom means that we can't afford to buy other things for other people. Instead of the benefits my Mom receives from the federal government (which is, after all, every taxpayer), you could pay for a significant quantity of medication for someone who can't now afford it, or provide preventative health care services such as childhood immunizatios or smoking cessation counseling for people who need it. Now, Sheila's my Mom, so I want her to get every benefit she's entitled to. But if she were the "decider" here, she'd choose to apply those thousands of dollars in benefits to people who need them, not to herself. She'd advocate a more thoughtful investment strategy for public health care dollars. And she'd oppose a minor repairs approach that makes marginal improvements without addressing the biggest issue: resource allocation. If we were starting from scratch, figuring out what to do with the $80 billion we'll spend on Medicare Part D this year, not to mention the nearly $1 trillion state and federal governments will spend on health care programs in 2006, what would we choose to buy? Would federally subsidized prescription drugs for Sheila and others like her who can afford to pay for their own be a high priority? Or would we prefer to invest in preventative health care for the children of working poor families and basic insurance for those now going bare? Like I said before, hey, thanks. It's a great gift. But you really shouldn't have. I mean it. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Abuse of OxyContin on the rise
Doctors and pharmacists would be alerted when patients seek multiple OxyContin prescriptions under a new proposal spurred by the growing number of deaths, overdoses and crimes linked with abuse of the narcotic and similar prescription drugs. The proposal, which could be implemented by the state Department of Public Health this fall, was applauded by two local experts on addiction who say it is too easy to score OxyContin. "The people who abuse these things often shop around for physicians, prescribers, and go to different pharmacies and chains, and the smaller (drug stores)...so their prescription history remains vague," said Patrick Rice, a psychotherapist and substance abuse specialist at MetroWest Medical Center in Framingham and Natick. Waltham Police Lt. Richard Manning said the use of pharmaceutical drugs has increased in the city in the last five years and is present in schools and popular with the under-25 crowd. "We get tons of reports of it," he said. Manning, who heads the Middlesex Drug Task Force, said the city has seen a decline in the use of designer drugs such as Ecstacy since pharmaceutical drugs became popular. He said he could not comment on ongoing investigations. The prescription drug proposal, issued last week by a commission created by the Legislature, could also help state officials detect the next "Dr. Feel Good" -- a moniker applied to a Cape Cod doctor who lost his license to practice medicine after issuing nearly one-third of all OxyContin prescriptions written in Massachusetts in 2004. "The Board of Registration in Medicine had no idea that he had such irregular patterns of prescribing and there was really no way for them to find out," said state Rep. Peter Koutoujian, D-Waltham, the OxyContin Commission chairman. The commission wants to upgrade the DPH's Prescription Monitoring Program so it can find patients who receive prescriptions from multiple doctors or pharmacies, Koutoujian said. The drugs targeted by the commission are OxyContin, transdermal fentanyl, methadone, morphine, Vicodin and Percocet. The DPH will have to decide whether doctors and pharmacists would have direct access to the database or whether they would simply be notified when irregular patterns are found, Koutoujian said. Better monitoring of drug prescribing patterns would allow the Board of Registration to take swifter action against doctors who issue questionable prescriptions, Koutoujian said. Opioid-related deaths in Massachusetts increased 600 percent between 1990 and 2003, according to the commission report. In the 10 years ending in 2002, the state saw a 950 percent increase in the number of people admitted into medical facilities for abusing OxyContin and other non-heroin opiates. Many OxyContin addicts eventually switch to heroin because it is much cheaper, Koutoujian said. Budget cuts in recent years have reduced drug treatment programs that help people beat their addictions. Sen. Richard Moore, D-Uxbridge, said he expects the state to restore some of the lost treatment funding. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Tuesday, July 18, 2006
Military Families Deserve Prescription Choice
The U.S. House and Senate are considering a bill that would force many U.S. military families to fill most of their prescriptions through mail order drug warehouses instead of at their local community pharmacy. The TRICARE provisions of the Defense Authorization Act are headed for a House-Senate conference after different versions of the bill passed in each chamber. TRICARE is the name of the Department of Defense (DOD) managed health care program for active duty military, active duty service families, and military retirees and their families, and covers more than 9.2 million persons worldwide. "Mandatory mail order will force our active duty military personnel, retired military, and their families away from their trusted community pharmacy, effectively denying them the important face-to-face patient care that community pharmacists provide," said Bruce Roberts, RPh, executive vice president and CEO of the National Community Pharmacists Association (NCPA). "Especially at a time when so many of our military personnel are deployed abroad, they and their families at home deserve the best care possible. Patients overwhelmingly prefer to receive their prescription medications from their local pharmacy and not be forced to hope and wait for them to appear in their mailbox." The Senate version of the bill would require all TRICARE beneficiaries to obtain refills of "maintenance medications" through the mail. The Congressional Budget Office estimates that 65 percent of prescriptions could be classified as maintenance medications. Other estimates put the figure as high as 80 percent. NCPA is calling for the congressional conferees to strike that section of the bill. The House version of the bill also penalizes patients who prefer to fill their prescriptions locally, by increasing the copay for both generic and brand drugs at a community pharmacy while eliminating the copay entirely for prescriptions purchased by mail. Also, DOD currently negotiates with drug manufacturers for significant discounts. However, brand manufacturers only offer DOD discounted prices for prescription medications dispensed at military treatment facilities and through the TRICARE mail order program. NCPA strongly supports language in the Senate bill that would extend these discounts to retail pharmacy. DOD would save approximately $773 million a year by expanding that discount pricing to community pharmacy. That is $150 million a year more than the estimated savings of forcing beneficiaries into mail order. "We urge Congress to carefully consider the impact of these provisions and to come down firmly on the side of active duty military, military retirees, their families, and true, cost- saving choice in the community," Roberts said. The National Community Pharmacists Association, founded in 1898, represents the nation's community pharmacists, including the owners of more than 24,000 pharmacies. The nation's independent pharmacies, independent pharmacy franchises, and independent chains dispense nearly half of the nation's retail prescription medicines. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Some prescriptions drugs about to get a lot cheaper
Consumers buying certain prescription drugs may soon find a big drop in prices. That's because some expensive brand name drugs will soon come off patent and be facing competition from generics. Four of the nation's 10 best-selling prescription medications. including drugs such as Zocor to treat high cholesterol and Flonase for allergies just to name a few, will lose their patent protection this year. Unlike hospitals or doctor care that is paid mostly by insurance, patients pay a higher share of prescription drug costs out of their own pockets. Generics can cost up to 80 percent less than their branded versions. Medical experts say generic medications are just as effective as brand name drugs. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Promising preclinical study for DNAPrint candidate
PT-502 uses the dopamine system in order to treat depression, a mechanism of action which is different to traditional serotonin and norepinephrine reuptake inhibitors such as Prozac. The compound is one of a series of Ritalin-like compounds developed by Dr Mark Froimowitz, research professor of chemistry at the Boston College, which the company licensed in October 2005. Ritalin is a well-known drug used for the treatment of attention deficit hyperactivity disorder (ADHD). These compounds have the potential to be enhanced pharmaceuticals for the clinical treatment of depression, drug addiction and ADHD. Dr Froimowitz noted that 30% or more of the patients treated with available anti-depressants either do not respond to treatment or have adverse side effects. "PT-502 is our new compound designed to selectively block the reuptake of dopamine with a slow onset, and a longer duration of action. This pharmacokinetic profile indicates that PT-502 should have little or no abuse potential. This offers a new model for the treatment of depression that affects nearly 20 million people a year in the US alone," said Dr Froimowitz. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Monday, July 17, 2006
Save on Generic Drugs, Even in Medicare
The year 2006 maybe remembered as the year prescription drugs got a whole lot cheaper for senior citizens. Not just because of the Medicare prescription drug program but because of the flood of lower-cost generic drugs coming on the market to replace high-priced brand name drugs. "Never have so many branded drugs, with annual sales of as much as $75 billion, lost their patents in so short a time," says the Los Angeles Times. Generic drugs, including new anti-cholesterol and anti-depressants drugs, could save U.S. consumers $24.7 billion this year alone, according to a report in June by Express Scripts, one of the nation's largest managers of pharmacy benefit plans. The biggest savings available this year the company says are in the anti-cholesterol class at $10.3 billion. For many older people, who are on the front line of the fight against high cholesterol, the introduction of generics for the statin drugs Zocor and Pravachol, is expecially good news. This just leaves two brand-name stations standing – Lipitor and Crestor – that may see their customers switching to the much-less-expensive generic statins. HealthPartners, the largest consumer-governed, non-profit health care organization, projects that drug costs for treating high cholesterol will decline by as much as $14 million annually with just the introduction of the Zocor generic. According to the research firm, IMS Health, statins accounted for $16 billion in U.S. sales in 2005. Zocor was the second most widely prescribed statin with sales in 2005 of $3.1 billion. A generic drug is identical, or bioequivalent to a brand name drug in dosage form, safety, strength, route of administration, quality, performance characteristics and intended use," according to the U.S. Food and Drug Administration. "Although generic drugs are chemically identical to their branded counterparts, they are typically sold at substantial discounts from the branded price. According to the Congressional Budget Office, generic drugs save consumers an estimated $8 to $10 billion a year at retail pharmacies. Even more billions are saved when hospitals use generics," the FDA says. Several studies have also pointed out that the savings for senior citizens on generic drugs in the Medicare prescription drug program are gigantic. Seniors in the Medicare program stand potentially to save at least $23 billion dollars over the next five years as 14 major brand-name drugs commonly used by seniors are expected to become available in generic form, according to a report in April by the Pharmaceutical Care Management Association. If PCMA's analysis were expanded beyond the top 100 drugs used by seniors, the savings would be even greater. In 2007, seven drugs commonly used by seniors - Norvasc (heart disease), Ambien (sleep disorder), Zyrtec (allergies), Lotrel (heart disease), Coreg (hypertension), Lamisil (fungal infection), and Tequin (antibiotic) -- are expected to go generic. PCMA estimates the potential savings in 2007 alone at nearly $700 million and about $7 billion over the 2007-2010 period. There are still heated discussions in Washington on making changes to the Medicare drug program, including allowing Medicare to negotiate with the drug-makers for better drug prices. Senior citizens, however, can only look at that as just one more gigantic reduction in the gigantic cost of drugs, because they are already making big savings. KaiserNet.org reports below on the Times' story and more on generic drug news - Generic Competition for Several Best-Selling Brand-Name Drugs Could Result in Billions of Dollars in Savings for Consumers Four of the 10 "best-selling" brand-name prescription drugs will lose patent protection this year through 2010, and the competition from generic versions of the medications could result in billions of dollars in savings for consumers, the Los Angeles Times reports. The anticholesterol medication Zocor, manufactured by Merck, and the antidepressant Zoloft, manufactured by Pfizer, lost patent protection last month. In addition, the hypertension medication Norvasc, manufactured by Pfizer, will lose patent protection next year, and the asthma treatment Advair, manufactured by GlaxoSmithKline, will lose patent protection in 2008. According to the Times, "Never have so many branded drugs, with annual sales of as much as $75 billion, lost their patents in so short a time," and the "savings for consumers could be enormous." Generic medications, which can cost as much as 80% less than the brand-name versions, currently account for about half of prescription drugs sold, compared with about one-fourth in 1986. Ron Fontanetta, a health care specialist at Towers Perrin, said that generic medications could account for more than 60% of the prescription drug market by the end of next year. According to pharmacy benefit manager Express Scripts, generic medications will result in estimated savings of $24.7 billion this year. The amount of savings that individual consumers will receive depends on "how aggressively health plan and other care providers steer patients to generics," the Times reports. 'Authorized Generics' In response to increased competition from generic medications, brand-name pharmaceutical companies have begun to manufacture or license "authorized generics," which "are essentially the brand drug in a different bottle," the Times reports. According to the Times, consumer advocates maintain that the sale of authorized generics "could stifle competition from generics," but brand-name pharmaceutical companies maintain that they "are not trying to undermine competition from generics" and that they are "spurring" competition with the practice (Yi, Los Angeles Times, 7/15). "Reprinted with permission from kaisernetwork.org You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. (c) 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved." Labels: No Prescription, Online Pharmacy, Prescription Drugs
Heart, cancer drugs lift Novartis
Swiss pharmaceutical maker Novartis AG posted a 4 per cent rise in second-quarter profit, to $1.71 billion US, on Monday due to higher sales of its heart and cancer drugs. The figure was up from $1.64 billion in the same period last year, but rose at a slower pace than sales because of costs for the integration of acquired biotech company Chiron Corp., which took effect April 20. Second-quarter sales rose 18 per cent to $9.2 billion from $7.8 billion in the second quarter of 2005, Novartis said in a statement. "Our strategic focus on health care delivered dynamic growth, with all divisions achieving excellent results expanding their market share," said chairman and CEO Daniel Vasella. "Led by our strategy and our commitment to innovation, I am confident that Novartis will continue to grow strongly and achieve another year of record sales and earnings." Sales growth was driven by the inclusion for the first time of sales from generics company Hexal, which was acquired last year, and five weeks of Chiron sales. Sales of prescription drugs rose ahead of the industry average, up 11 per cent to $5.7 billion. "Prescription drug sales came in clearly ahead of expectations as they continued to rise, while the market had expected growth to decelerate," said Birgit Kulhoff, an analyst at Swiss private bank Rahn & Bodmer. "Growth was healthy in the U.S., where the key brands continued to grow against expectations of a slowdown for some of them." Novartis's net profit for the first half rose 17 per cent to $3.7 billion. First-half sales were up 15 per cent, to $17.5 billion. The Basel-based company expects the consolidation of Chiron to reduce its full-year net profit by $400 million to $450 million, but maintained its outlook for posting record income in 2006. Novartis shares fell 0.3 per cent to 66.95 Swiss francs ($54.26) in Zurich trading. Labels: No Prescription, Online Pharmacy, Prescription Drugs
A home-made Viagra
A concoction of herbs mixed with baboon's urine, which is widely sold by traditional healers in the Vhembe region of Limpopo, is believed to be having a sex-boosting effect like the well-known Viagra and it is selling like hot cakes in the area. It is also alleged that the concoction was sent for testing to the University of Pretoria two years ago and it has been given the thumbs up. "True, the mixture has been approved by the university, but people with sexual problems must first consult traditional healers, who will prescribe it to them," said Mr Mmbulaheni Neluvhola, president of the Council of Traditional Healers in South Africa. Neluvhola said that, before drinking the concoction, a man is first given some traditional medicine that cleans the bladder. "Three days later, I give them mageu mixed with herbs called mpesu, which boost men's sexual life," he said with a chuckle, before adding "If I order men to take two spoons, that must be strictly two spoons, because if one exceeds the prescription, this can result in an erection lasting for two days and that is not healthy." He added that local women "need strong men who can perform like tigers in bed. Failure to live up to expectations can result in your wife going to a younger man, because there is nothing that welds family life better than sexual satisfaction," he added. Mr Dovhani Nembudani, who sells the product under trees in Thohoyandou, says he is making a killing and he has even forgotten that he is unemployed. "Men come in large numbers and my happy customers always return to thank me for the medicine." Neluvhola has confirmed that the former Venda homeland is rich of traditional Viagra called Mpesu and tshitunde tsha pfene. All these herbs are found in the bush outside Thohoyandou. He cautioned young men from using these traditional herbs, however, "because they could end up sleeping with young girls and infect themselves with sexually transmitted diseases like HIV/Aids". Labels: No Prescription, Online Pharmacy, Prescription Drugs
Viagra-like products draw an FDA warning
Some products advertised online as natural alternatives to impotence drugs such as Viagra illegally contain the same active ingredients as prescription medicines, the Food and Drug Administration said Wednesday. The FDA warned consumers not to buy or use seven of the so-called dietary supplements sold online to treat impotence and enhance sexual performance. The list includes Zimaxx, which FDA testing showed contains sildenafil, the same active ingredient in Viagra. Viagra, made by Pfizer Inc., is sold in the United States only by prescription. A message left for Herbal Remedies USA, a Casper, Wyo.-based company that sells Zimaxx on its website, was not immediately returned. The FDA has sent letters to the company and five others that warn them about marketing illegal drugs, based on the claims made for the products or their ingredients. The other products named by the FDA are Libidus, Neophase, Nasutra, Vigor-25, Actra-Rx and 4Everon. Chemical analyses showed the products contain either chemical ingredients that are similar to sildenafil or a second drug called vardenafil, the FDA said. Vardenafil is the active ingredient in Levitra, an impotence drug sold by Glaxo SmithKline PLC and ScheringPlough Corp. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Viagra being made illegally in Pakistan
There is a large market in Pakistan for the illegally made Viagra, the sex-enhancement pill, with its ingredients mixed with Unani medicine. The market for the smuggled and indigenously produced Viagra is run mainly due to poor enforcement of regulations. A report of the health ministry submitted to the Supreme Court of Pakistan in a case relating to prevalence of spurious drugs said that certain classes of drugs including central nervous system stimulants (CNS stimulants), sildenafil citrate (Viagra) and other steroids were being prepared illegally, posing serious threats to human health. "Many pharmaceuticals manufacturers were involved in the illegal sale of pharmaceutical raw material in the open market, which ultimately is used in the production of many medicines and also in veterinary medicines, including poultry feed that leads to health hazards. "One of the quoted example was sildenafil citrate, which is being actively used in Punjab in certain Unani medicines," The News quoted from a report on the findings discussed at a meeting of health authorities chaired by the federal health secretary. Apart from smuggled drugs, the major sources of spurious drugs were at the wholesale level as well as Ayurvedic, Unani and homoeopathic systems of medicines due to poor regulation. The report further said the restricted pharmaceutical raw materials required for the production of many herbal, Ayurvedic, and homoeopathic drugs, including Viagra, are being sold illegally in the open market, and were also being used in poultry feed leading to serious health hazards in the country. The committee was formed after the Chief Justice took suo motu notice of prevalence of spurious and substandard drugs in the country and also noticed the uncontrolled sale of restricted medicines. It was pointed out in the meeting that many of the pharmaceutical manufacturers, both the national and multinational firms, adopt "unethical, non-professional and illegal practices". It was also observed that the unethical marketing trend was creating a culture of money making among the pharmaceuticals at the cost of the consumers. It also provokes and encourages such elements to indulge in the production/sale of spurious drugs mainly in the name of herbal, Ayurvedic and homeopathic products and many a time the allopathic drugs as well, said the report. The meeting recommended that rules of the Pakistan Medical and Dental Council (PMDC) should be amended to curb the unhealthy practice of pharmaceutical firms. It was also observed that retailers without the prescription of a registered medical practitioner were selling certain restricted medicines. It was also pointed out at the meeting that a large segment of the pharmaceutical industry was involved in promoting their drugs through illegal advertisement, which compel the uneducated and unaware population of the country to purchase and use such medicines as pose serious risks to their health. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Sunday, July 16, 2006
All HIV sufferers to have access to drugs by 2010
All people suffering from HIV, the virus that causes AIDS, will have access to antiretroviral drugs by the end of this decade, the Russian president said Sunday. Speaking at a meeting of the Group of Eight leaders with students from the G8 countries, Vladimir Putin said: "If programs now in the making are implemented, access to drugs will be provided for all HIV carriers." The leaders of the world's major industrialized nations have made the fight against HIV/AIDS one of the main topics on the agenda of their current three-day meeting near St. Petersburg. Delegates to the Junior 8 forum, held in the run-up to the G8 summit, have also raised concerns over the spread of the deadly virus across the globe. At Sunday's meeting with the leaders of Russia, France, Britain, Germany, Italy, the United States, Canada and Japan, they brought up the problem of providing access to medical services for HIV/AIDS patients, including in rural areas, and suggested softening visa regulations for immunologists willing to share their expertise with colleagues overseas. They also spoke in favor of broader information campaigns to raise young people's awareness of HIV/AIDS and make them more sympathetic to sufferers. The first meeting of J8 took place in Edinburgh in 2005 during the G8 summit in Gleneagles, Scotland. Labels: No Prescription, Online Pharmacy, Prescription Drugs
HIV/AIDS patients get pill that combines cocktail of drugs into one dose
A once-daily pill that combines three drugs used to treat HIV received federal approval Wednesday, giving U.S. patients the first triple "cocktail" therapy that can be swallowed as a single dose. The pill, called Atripla, combines three Food and Drug Administration-approved AIDS drugs that already form one of the most widely prescribed AIDS "cocktails." Atripla can replace the two or more pills HIV-positive patients now must take each day to keep the human immunodeficiency virus in check, as well as eliminate the need for multiple co-payments when the drugs are purchased separately. That should simplify the treatment of HIV and AIDS and in turn could slow the emergence - and ultimately, transmission - of drug-resistant strains of the virus. Those strains can evolve when patients skip pills. "It is a major, major breakthrough for all people living with HIV and AIDS," said Frank Oldham Jr., executive director of the National Association of People with AIDS. Oldham cautioned that AIDS patients often still must take multiple other drugs to fend off infections and other complications of their weakened immune systems. Some patients also will take Atripla with a fourth drug to combat HIV. Atripla combines Viread (tenofovir), Emtriva (emtricitabine) and Sustiva (efavirenz). Viread and Emtriva, both made by Gilead Sciences Inc. of Foster City, Calif., are now sold in combination under the brand name Truvada. Sustiva is made by New York-based Bristol-Myers Squibb Co. The wholesale price of the new pill will be $1,150 for a 30-day supply, or the same as for Truvada and Sustiva when purchased separately. The new pill is expected to be available within seven business days. Several initial attempts by the two companies to combine the three drugs failed. The two companies then settled on a process called "bi-layer" technology to join them in a single pill. "The fact that innovator companies in the U.S. have actually heeded the call to collaborate on this is just an amazing happening," said Veronica Miller, director of the Forum for Collaborative HIV Research. The effort, Miller said, could lead to future collaborations on better drug combinations formulated for use in infants and children. The FDA approved last month the first three-drug combination pill to treat HIV as part of foreign AIDS relief efforts. That combo pill, for sale only outside the United States, must be taken twice daily. About 40 million people worldwide, including 1 million Americans, are HIV positive. Each year, roughly 5 million people are infected with HIV and 3 million die from AIDS, according to the World Health Organization. The three drugs inhibit the replication of HIV within the body but are not a cure. Nor will the new pill be suitable for all patients: Sustiva, for instance, can cause birth defects. Serious psychiatric symptoms including severe depression, suicide attempts, aggressive behaviour, delusions and paranoia also have been reported in patients taking the drug. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Consumers to profit big as drugs go off patent
Consumers stand to save billions of dollars in prescription drug costs in the next few years as an unprecedented wave of expensive brand-name medications come off patent, facing competition from far-cheaper generic versions. Four of the nation's 10 best-selling prescription medicines – treating common ailments ranging from high cholesterol to asthma – are due to lose patent protections starting this year through 2010. Never have so many branded drugs, with annual sales of as much as $75 billion, lost their patents in so brief a time, experts say. The savings for consumers could be enormous. Unlike hospital or doctor care, which are expensive but paid mostly by health insurance, patients pay a relatively higher share of prescription drug costs out of their own pockets. The high cost of brand-name drugs has driven many Americans to import lower-cost versions from Canada and other nations. Generics can cost as much as 80 percent less than branded versions. General Motors Corp., for example, said employees in its prescription drug plan are paying 90 cents a pill for the generic version of cholesterol-lowering Zocor, which lost its patent last month, compared with as much as $4.50 for the branded version. Users of rival cholesterol-fighter Lipitor, the nation's top-selling prescription medication whose patent doesn't expire until 2011, could also save by switching to generic Zocor. The generic versions generally offer no loss in quality and effectiveness, medical experts say. "For the vast majority of patients, generics work just like the brand drugs," said Debra Judelson, a Beverly Hills, Calif., cardiologist. Generic drugs have been around for decades and their share of prescriptions filled have grown steadily over the years, accounting for just over half of all prescription drugs sold today versus a quarter two decades ago. That share could rise beyond 60 percent by the end of next year, said Ron Fontanetta, a healthcare specialist at Towers Perrin, a human resources consulting firm. The upcoming surge of generics stems from an innovation boom in the early 1990s, when giant drug companies such as Merck & Co. and Pfizer Inc. launched blockbuster drugs. By law, patents last about 20 years, but companies spend many of those years testing and getting government approvals for their new drugs. The creators are typically left with between 12 and 14 years of exclusive rights to sell the drugs, usually at high prices, to recoup the enormous costs in inventing and developing the treatments. Many of those patents from the 1990s innovation wave are now beginning to expire. A few days after Merck's cholesterol-fighter Zocor, the nation's No. 2 selling prescription drug, lost its patent last month, Pfizer's antidepressant Zoloft, ranked No. 7, lost its patent. The patent for Pfizer's high blood pressure medicine Norvasc expires next year. Express Scripts Inc., one of the country's largest managers of pharmacy health benefits, estimates the potential overall savings from generics this year alone is $24.7 billion. That is unlikely to make a major dent in the country's overall escalating healthcare bill, at $2.6 trillion. But for many patients' health budgets, the savings can be huge. Patients with health insurance pay as much as a quarter of prescription drug costs out of their own pockets, compared with 20 percent for dental, 16 percent for physician services and 7 percent for hospitals. How much consumers will save depends on how aggressively health plans and care providers steer patients to generics. Labels: No Prescription, Online Pharmacy, Prescription Drugs
FDA: Some Sexual Performance Drugs May Be Harmful
Som Patidar - All Headline News Staff Writer New York, NY (AHN) - Scientists from the Food and Drug Administration (FDA) have identified some sexual performance enhancer drugs such as Zimaxx, Neophase, Nasutra, Vigor-25, Actra-Rx and 4EVERON as dangerous products that threaten public health. Steven Galson, director of the FDA's center for drug evaluation and research told a health news portal, "this drugs present a serious risk because consumers may not know that the ingredients in these drugs can interact with medications and dangerously lower their blood pressure." The FDA has sent warning letters to the companies marketing these products stating that the products are illegal and the labeling is false and misleading as it fails to disclose the presence of the chemical ingredients or the potential side-effects associated with the products' consumption, the portal said. Labels: No Prescription, Online Pharmacy, Prescription Drugs
Alternatives to Statin Drugs To Lower Cholesterol
Is there an alternative to statin drugs such as Lipitor and Pravachol? If yes, does it have any side effects? Physicians are facing these questions each day however, most have bought into the drug companies marketing, and have not done the research for themselves. The truth is that there a number of naturally-occurring compounds that will work as well as, or better than, these multi-million dollar drugs. These compounds are found naturally in our bodies, or are found in nature. They don't cause the side effects commonly found with statins, and are much safer to use. These compounds have been clinically shown to improve cholesterol levels without the heart damaging side effects found with statin drugs. Pantethine So what are these compounds, and why hasn't the doctor told me about them? Well, there are a couple of them. The first is Pantethine . Pantethine is a compound in your body that is created from vitamin B-5. Although your body produces it through enzyme metabolism, supplementation of Pantethine has been shown to significantly improve your cholesterol levels. As your body uses Pantethine, it slows down cholesterol production in your liver. Pantethine also increases the rate at which your metabolism uses fats. Because of this effect, Pantethine has been clinically demonstrated to increase your level of good cholesterol (HDL) while lower the level of bad cholesterol (LDL) in your body. Where is the proof? Japan has actually been using Pantethine for over 30 years. There are a number of clinical trials that demonstrate its effectiveness on cholesterol levels, as well as improved liver function. Niacin Shown to Decrease LDL In addition to Pantethine, the mineral Niacin has been shown to greatly decrease the levels of bad cholesterol (LDL) in the blood stream. Our Niacin intake is typically pretty low in western diets because of the number and type of processed foods that we eat. Subsequently, supplementation has been shown to significantly improve our cholesterol profile. In fact, the combination of Niacin and Pantethine can be more effective than statins in improving overall cholesterol levels. The impact of this is significant, especially when you consider that side of effects of Pantethine and Niacin are non-existent when compared to the effects of statin drugs on you heart, liver, and short term memory. In fact, there are no documented short or long-term side effects with Pantethine. The only side effect with Niacin is a short term hot flash that is harmless, and can be avoided by taking time-release Niacin or taking an aspirin fifteen minutes before taking the Niacin. Why Don't Doctors Prescribe Pantethine or Niacin? Well, the answer is, he may just not know about it. Unlike drugs companies that spend millions of dollars on advertising and have sales reps whose only job is to push their statin drug, Pantethine and Niacin are naturally occurring compounds. Because they are natural and common compounds, nobody can patent them. Because a drug companies cannot patent and therefore have exclusive right to sell the compounds, no significant investment in marketing or education for Pantethine and Niacin has been made. Subsequently, your doctor may just not know. Policosanol Also Lowers Cholesterol The final compound that has been demonstrated to have a dramatic effect on cholesterol levels is Policosanol. This compound is a waxy substance taken from sugar cane or bees wax. It has been demonstrated to significantly reduce bad (LDL) cholesterol and to raise good (HDL) cholesterol levels in the blood stream. The specific mechanism that Policosanol uses to improve cholesterol levels is not as understood as that of Niacin and Pantethine. However, it is believed to both increase the elimination of LDL cholesterol in the blood stream and aid the liver in creating good (HDL) cholesterol in a manner similar to Pantethine. You Have Choices To Lower Your Cholesterol Well, if you have high cholesterol, it means you have choices. Statin drugs are highly effective. However, side effects for statins range from muscle atrophy to loss of short term memory to significant heart damage. Because statin drugs block your body from producing an enzyme that makes an essential heart health vitamin as well as cholesterol, the potential for negative side effects can be significant. Alternatively, supplementation with Pantethine, Niacin, Policosanol, or all three simultaneously has been shown to have no damaging side effects and can be just as effective as statin drugs. Labels: No Prescription, Online Pharmacy, Prescription Drugs
hope of help with prescription costs
In a month's time, Mary Lugo spends about $900 in prescription medicines. That's only about $50 less than what she receives from her retirement. "It is a lot of money for me to afford to pay all these," said Lugo, of Ottawa, who is on prescriptions for high blood pressure and a number of other conditions. "It is very, very tough." Holding a bag of the medicines she's currently taking, Lugo sat on a large bus parked outside the Lima Mall Friday. Inside, an official with the Partnership for Prescription Assistance gathered information from her to see if Lugo could receive some help. "I hope I can get some help. It would be nice," Lugo said. The Partnership for Prescription Assistance, a national program to help patients access prescription medicines, has been bringing the "Help is Here Express," a traveling education center, around the country since April of last year. "We're trying to raise awareness about patient assistance programs," said Jennifer Page of PhRMA. "And to help people out there who are having trouble affording their medicines get matched with the patient assistance programs." The tour spent two hours in Lima Friday, thanks to a partnership with Lima Memorial Health System's Women's Center at Macy's. The tour was in Findlay earlier Friday. "It's the type of thing that we love to get involved with," said Rebecca Jenkins, director of marketing at the hospital. "It enables the community to get more information on a pretty heavy topic." The national program is sponsored by pharmaceutical research companies working with doctors, pharmacists, health care providers and community groups. Since it started, it has helped nearly 2.5 million patients around the country and 127,000 in Ohio receive free or nearly free prescriptions. "We know there are many more folks who could be eligible for patient assistance programs. That's why we're here today," Page said, saying that about 70 percent of those who are matched with a program are under the age of 65, many times mothers of children who need a little extra help. There are 475 available programs. Page said the tour is bringing them all together for easier access for people. Those coming to the bus tour need to answer a few questions to see if they can be matched with a program. People can also call 888-477-2669, or go to www.pparx.org for assistance. Labels: No Prescription, Online Pharmacy, Prescription Drugs
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