GPhA Buzz

GPhA Buzz

Daily pharmacy, medicine, and health news — with a dash of snark — from the good folks at the Georgia Pharmacy Association! read less
Health & FitnessHealth & Fitness

Episodes

China’s miracle continues, Plan B’s new label, conspiracy dopiness, and more
Dec 27 2022
China’s miracle continues, Plan B’s new label, conspiracy dopiness, and more
FDA clarifies Plan B The FDA has changed the required label on boxes of Plan B (levonorgestrel) to make it clear that it works before fertilization, i.e., it doesn’t cause an abortion, and is therefor safe for those who believe life begins at conception. The package insert also says the pill “will not work if you’re already pregnant, and will not affect an existing pregnancy.” Another good reason to get the shingles vaccine Stroke. Rather, the huge increase in stroke risk if you get shingles. We’re talking a crazy 80 percent higher risk than non-shingled people. Why is there such a high risk? No one knows. Ha! Kidding! University of Colorado neurologists think they figured it out. It seems when shingles strikes, the varicella zoster virus activates exosomes, which the body needs for clotting. Problem: Shingles doesn’t make you bleed, so those exosomes just end up clogging up the works, clumping with platelets, and forming clots that eventually can cause a stroke. Good thing there’s a vaccine, huh? Make and fulfill a New Year’s resolution right now In one fell swoop you can impress your patients and your boss, boost your résumé, and improve yourself and your practice. Register to earn a certificate with GPhA! GPhA’s got awesome certificate programs in 2023, and you can register now. BAM — one resolution checked off! (GPhA members get a price break, but non-members are welcome too!) The certificate programs: APhA’s Delivering Medication Therapy Management (MTM) Services Certificate Training Program Live via Zoom 21.0 contact hours of CPE, including the 8-hour live class. Sunday, March 19, 2023 and Sunday, September 17, 2023 APhA’s Pharmacy-Based Immunization Delivery Certificate Training Program Live in person at GPhA’s North American headquarters in Sandy Springs 23.0 contact hours of CPE, including the 8-hour live class Sunday, February 12, 2023, Sunday, May 21, 2023, Sunday, August 20, 2023, and Sunday, December 3, 2023 NASPA’s Pharmacy-based Point-of-Care Test & Treat Certificate Program Live in person at GPhA’s North American headquarters in Sandy Springs 20.0 contact hours of CPE, including the 4-hour live class Sunday, April 23, 2023 and Sunday, October 8, 2023 GPhA’s Immunization Delivery Training for Pharmacy Technicians Live in person at GPhA’s North American headquarters in Sandy Springs 6.0 hours of CE, including the 3-hour live class Sunday, January 22, 2023 and Saturday, April 15, 2023 Get the details on all of them — and sign up! — at GPhA.org/certificates (or just click here). And their cases grew three sizes that day China’s Christmas miracle continues, with the country experiencing zero Covid-19 deaths despite having more than a million cases in one province alone. To make matters difficult for people who care about things like, you know, health, the government stopped counting asymptomatic positive tests, and (as we reported the other day) only counts people without any underlying conditions as Covid deaths. Limits to molnupiravir Taking molnupiravir if you have Covid can help ... to a point. A big British study found that it can speed recovery in vaccinated patients, but it doesn’t cut the risk of hospitalization or death. So at least you might spend less time in hospital — an average of about 9 days compared to more than 2 weeks for people who didn’t get it. Assuming you’re vaccinated. Tiny patch for glucose monitoring The latest up-and-coming, anti-finger-prick technology is being tested up in Canada, where biomed engineers are “perfecting a wearable patch that uses hundreds of tiny microneedles to sense glucose levels.” “But wait,” you say, “Glucose-monitoring patches already exist.” Ah, but this is different. It’s much less expensive, can be put on by patients themselves, is tiny and unobtrusive, and will (they hope) be available over the counter. And they’re working to add a tiny Bluetooth radio to allow monitor...
Why docs ignore advice, NSAIDs ruin teeth, new red-dye danger, and more
Dec 22 2022
Why docs ignore advice, NSAIDs ruin teeth, new red-dye danger, and more
Influence this You can stop screening everyone: https://www.statnews.com/2022/12/21/screening-asymptomatic-patients-covid-19/?utm_campaign=rss Insurance prices going up up up: https://www.valuepenguin.com/average-cost-of-health-insurance Lots of people are about to lose coverage: https://apnews.com/article/health-covid-304d921beee43d29f1862cd4d6ab5297 Oseltamivir shortage: https://www.fiercepharma.com/pharma/tamiflu-supplies-take-hit-latest-chapter-2022s-us-drug-shortage-saga Doctors think they know better: https://news.mit.edu/2022/physicians-medicine-guidelines-1215 Celebrex can rot kids’ teeth: https://agencia.fapesp.br/anti-inflammatory-drugs-commonly-taken-by-children-can-cause-alterations-to-dental-enamel-study-shows/40342 Paxlovid’s recommended price slashed: https://www.reuters.com/business/healthcare-pharmaceuticals/drug-price-group-slashes-suggested-price-pfizer-covid-treatment-by-80-2022-12-20 Health info from social media: https://www.forbes.com/sites/debgordon/2022/12/20/33-of-gen-zers-trust-tiktok-more-than-doctors-new-survey-shows/?sh=6dba08bf6c7b Coffee and hypertension: https://newsroom.heart.org/news/drinking-2-or-more-cups-of-coffee-daily-may-double-risk-of-heart-death-in-people-with-severe-hypertension Red dye 40 and the gut: https://healthsci.mcmaster.ca/news-events/news/news-article/2022/12/20/common-food-dye-can-trigger-inflammatory-bowel-diseases-say-mcmaster-researchers
Big Walnut speaks, Georgia’s TikTok ban, serotonin reprieve, and more
Dec 17 2022
Big Walnut speaks, Georgia’s TikTok ban, serotonin reprieve, and more
Fly, baby, fly Message from Big Walnut: https://www.mdpi.com/2072-6643/14/22/4776 Expedited partner therapy course: https://www.gpha.org/unwanted#ept AbbVie has left the building: https://www.politico.com/newsletters/politico-pulse/2022/12/15/abbvie-exits-the-lobby-00074047 Parents oppose vaccine requirements: https://www.nytimes.com/2022/12/16/health/vaccines-public-opinion.html The serotonin hypothesis is right: https://www.elsevier.com/about/press-releases/research-and-journals/new-support-for-a-serotonin-deficit-in-depression Diabetes guidelines updated: Details: https://diabetesjournals.org/care/article/46/Supplement_1/S5/148048/Summary-of-Revisions-Standards-of-Care-in-Diabetes Summary: https://www.news-medical.net/news/20221215/Revised-guidelines-for-diabetes-care.aspx Effect of the US’s Covid-19 vaccination program: https://www.commonwealthfund.org/blog/2022/two-years-covid-vaccines-prevented-millions-deaths-hospitalizations Broader overdose stopper: https://cmns.umd.edu/news-events/features/5007 Georgia bans TikTok: https://www.kxnet.com/news/national-news/ap-georgia-becomes-latest-to-ban-tiktok-from-state-computers Captain Obvious does double duty: https://www.newswise.com/articles/fathers-who-drink-heavily-report-less-positive-involvement-with-their-children-reducing-fathers-binge-drinking-may-have-broad-benefits-for-families = and = https://med.umn.edu/news-events/research-brief-medical-terminology-can-be-confusing-patients
When diabetics should eat, busting hypertension myths, shrinking your patients, and more
Dec 15 2022
When diabetics should eat, busting hypertension myths, shrinking your patients, and more
Calm blue ocean Shocking task-force recommendation: https://consumer.healthday.com/physician-s-briefing-prep-2658871536.html. How can you help manage type 2 diabetes? By not eating at random times during the day: https://www.newswise.com/articles/intermittent-fasting-may-reverse-type-2-diabetes The number of states asking for permission to import drugs from Canada jumped 33 percent this month: https://khn.org/news/article/states-challenge-biden-to-lower-drug-prices-by-allowing-imports-from-canada/). HHS is proposing a permanent change to the rules for methadone: https://www.axios.com/2022/12/14/biden-pandemic-flexibilities-opioid-treatments Attorneys general letter: https://naagweb.wpenginepowered.com/wp-content/uploads/2022/11/NAAG-Policy_45_AG-Telehealth-Extension-Letter-1.pdf You might want to look into giving weight-loss counseling: https://www.forbes.com/sites/anuradhavaranasi/2022/12/14/doctors-weight-loss-advice-to-people-with-obesity-is-unscientific-and-vague-study Myth: Stress causes high blood pressure: https://www.axios.com/2022/12/14/hypertension-stress-high-blood-pressure-mind-body-wellness-pandemic Myth: High lipoproteins increases cardiovascular disease risk: https://newsroom.heart.org/news/combo-of-bad-cholesterol-and-high-blood-pressure-may-increase-heart-attack-or-stroke-risk If you know someone with inflammatory bowel disease, you might suggest they keep their next dental appointments: https://mau.se/en/news/strong-link-between-tooth-loss-and-inflammatory-bowel-disease
Pharmacists being harassed, the pain of television, women are different, and more!
Dec 14 2022
Pharmacists being harassed, the pain of television, women are different, and more!
Cheerleaders of Doom Little women? Women are not just smaller versions of men: https://theconversation.com/women-are-50-75-more-likely-to-have-adverse-drug-reactions-a-new-mouse-study-finally-helps-explain-why-195358. A magazine and a CE webinar Tomorrow morning's live (FREE!) webinar: "Hormonal Contraception — A Clinical Practice Update for Pharmacists": https://www.gpha.org/contraception Melanoma vaccine passes trial Merck's Keytruda plus Moderna's experimental mRNA vaccine can protect melanoma patients from recurrence or death: https://www.cnn.com/2022/12/13/health/mrna-cancer-vaccine-study/index.html Jerks are everywhere If you or your co-workers have ever been harassed by patients, you're not alone: https://www.medpagetoday.com/meetingcoverage/ashp/102141 Post-menopausal cholesterol: more than estrogen A different hormone is a complementary predictor of choloesterol issues: https://www.sph.pitt.edu/news/hormone-may-be-missing-ingredient-heart-healthy-cholesterol-levels-menopausal-women Smallpox vaccine works against mpox The Jynneos smallpox vaccine does a darned good job preventing monkeypox infections: https://www.upi.com/Top_News/US/2022/12/08/mpox-Jynneos-vaccine/2241670534781/ The agony of the set Watching TV can be literally painful: https://baker.edu.au/news/media-releases/tv-watching-pain Utah: Bad Advice Do your own pharmacy compounding! https://ksltv.com/514374/utah-pharmacist-says-amoxicillin-capsules-can-be-converted-into-liquid-form-amid-shortage India: Nasal booster The Indian government has approved a nasal Covid-19 vaccine: https://source.wustl.edu/2022/12/washus-nasal-covid-19-vaccine-approved-for-use-as-booster-in-india Ohio: Bad parenting 74 cases of measles in the current outbreak: https://public.tableau.com/app/profile/columbus/viz/MeaslesPublicReport/MeaslesPublicReport
Cancer matchmaker of doom, dogs getting flu, rebound-infection reality, and more!
Dec 13 2022
Cancer matchmaker of doom, dogs getting flu, rebound-infection reality, and more!
Hunting for insulin mimics Insulin is great stuff, but it has one big problem: It dissolves in the gut — that’s why it has to be injected. But what if, wondered Australian researchers, there was another molecule that can do what insulin does and be made into a pill? First step: proof of concept, which is where they are — as in, they proved the concept by using a super-powerful microscope (cryo-electron microscopy, if you must know) to visualize insulin receptors. It’s sort of like X-raying a lock — now they’re identifying other molecules that can act as a key, doing what insulin does. So far they’ve found one promising peptide, but “therapeutic outcomes are distant.” Still, knowing that there might be a better insulin than insulin is a might big step. The foundation needs your gift It’s not too late! Please make a year-end gift to the Georgia Pharmacy Foundation — help it continue the work it does all year: Supporting the mental wellness of pharmacists across the state Fun fundraising events Student scholarships Continuing education funding Preparing future pharmacy leaders, and more…. Your gift will help the foundation to continue its legacy of support for every generation of pharmacists for years to come! All the bad news Dogs get their own flu Veterinarians are reporting outbreaks of H3N2 dog flu, aka canine influenza virus. A dog sick with canine influenza can end up transmitting the virus to others via direct contact, contaminating surfaces with the virus, or dispersing virus-laden respiratory droplets into the air via coughing, barking, or singing. Human flu continues to spread “CDC estimates that, so far this season, there have been at least 13 million illnesses; 120,000 hospitalizations; and 7,300 deaths from flu.” There’s high or crazy-high flu activity in 43 states (including Georgia). While the number of cases continues to rise, there was a slight dip in positive test results from last week, so ... maybe good news? Considering that flu usually peaks in February and we’re waaaaaaay above normal for this time of year, predictions may be a waste of time. Just be careful. And Covid cases are picking up again “In the past two weeks, reported cases have increased by 53 percent, and hospitalizations have risen by 31 percent,” reports The World’s Most Depressing Magazine. This isn’t surprising (thanks, Thanksgiving), but with at least two other family-gathering holidays fast approaching, it’s likely gonna get worse. Ira and Jonathan, spreading the word Shout-out to both GPhA’s Ira Katz and AIP VP Jonathan Marquess, both of whom were featured in a Capitol Beat news story on the increase in demand for naloxone as overdoses — and fentanyl use — increase. Stat Watch How many Americans have had Covid-19 at this point? About 42 percent, according to CDC data — based on samples of the blood of more than 1,500 people. And yep, they can tell whether someone was vaccinated or actually had Covid. Fun fact: Almost 44 percent of the folks who had had Covid claimed never to have been infected — it was that mild. How many people get a rebound Covid infection after taking antivirals? Long article, short answer: About 1% who take molnupiravir, 1% who take Paxlovid (nirmatrelvir-ritonavir) ... and 1% who don’t take an antiviral. Considering that the antiviral can keep you out of the hospital and reduce the symptoms, the numbers say it’s absolutely worth it. Talk to your COPD patients Because someone else apparently isn’t. Check out these numbers from a survey of about 1,200 COPD patients: 66% said COPD has a substantial impact on their everyday life, including almost a third who said “that the disease has affected their ability to work.” 84% started taking meds because their doctor recommended it The big one: “Only about 4 in 10 (44%) patients said they have detailed conversations with their doctor about their COPD symptoms,