Meds

Are hospitals who limit ties with drug companies at a competitive disadvantage?

Doctors have been coming under increasing scrutiny for their relationships with pharmaceutical companies.

Many hospitals and medical schools have outright banned any involvement of their physician staff with drug companies. This isn’t a contentious issue most of the time.

But a recent case at Boston’s Brigham and Women’s Hospital raised some eyebrows. Apparently, an asthma specialist was so dependent on drug company money, that he chose to quit the …

Read more…

An anesthesiologist accused of making up trial data pleads guilty to federal charges

Originally published in MedPage Today

by John Gever, MedPage Today Senior Editor

A Massachusetts anesthesiologist accused of fabricating data in studies of pain drugs will plead guilty to federal criminal charges under an agreement with prosecutors.

Scott Reuben, MD, a well-known pain researcher at Baystate Medical Center in Springfield, Mass., was charged with one count of healthcare fraud.

Early last year, the hospital …

Read more…

How should pharmacy benefit managers (PBMs) and pharmacies communicate with physicians?

by George Van Antwerp

In the pharmacy and pharmacy benefit manager (PBM) business, there are lots of reasons to reach out to a physician:

* Drug-drug interactions
* A chemically equivalent version of the drug prescribed is available
* A therapeutically equivalent version of the drug prescribed is available
* The prescribed drug is not covered
* A prior authorization is required
* The patient is required to try an alternative drug first (step therapy)
* The prescribed …

Read more…

Why doctors are too quick to prescribe drugs for ADHD

Originally published in MedPage Today

by Kristina Fiore, MedPage Today Staff Writer

Physicians may be too quick to medicate children suspected of having attention deficit hyperactivity disorder (ADHD).

The etiology of the disease is not well understood, and while some cases may have neurological causes, children may respond to psychotherapy instead, Esther Fine, PhD, a psychoanalyst in private practice in Los Angeles, told …

Read more…

How many Americans received the H1N1 vaccine?

Originally published in MedPage Today

by Michael Smith, MedPage Today North American Correspondent

As 2009 ended, an estimated 55 million Americans had been infected with the H1N1 pandemic flu and roughly one in five Americans had been vaccinated against the disease, the CDC said.

The immunization data works out to about 61 million people, the agency said in an early release issue …

Read more…

Can morphine help prevent post-traumatic stress disorder (PTSD)?

Originally posted in MedPage Today

by Todd Neale, MedPage Today Staff Writer

The use of morphine may prevent the development of post-traumatic stress disorder (PTSD) in military personnel injured in combat, an observational study showed.

Those who received the drug during resuscitation or trauma care were about half as likely to later develop PTSD (OR 0.47, P<0.001), according to Troy Lisa Holbrook, PhD, …

Read more…

When are stroke patients more likely to receive clot busting drugs?

Originally published in MedPage Today

by Todd Neale, MedPage Today Staff Writer

Patients suffering an acute ischemic stroke are about 20% more likely to receive clot-busting therapy with tissue plasminogen activator (tPA) if they arrive at the hospital on the weekend, a retrospective study showed.

However, there was no difference in rates of inhospital mortality based on the time of admission, Abby …

Read more…

How psychiatrists may be giving their patients too many drugs

Originally published in MedPage Today

by John Gever, MedPage Today Senior Editor

Psychiatrists who prescribe drugs for their patients today usually give more than one at a time, often with little scientific basis, researchers said.

About 60% of patients with psychiatrist office visits leading to a drug prescription received at least two medications in 2005-2006, according to government survey data analyzed by Ramin …

Read more…

Do neuroenhancement pills really improve attention, memory, or cognition?

Originally published in HCPLive.com

by Victor G. Dostrow, MD

The Internet is filled with reports of remarkable cognitive enhancement with various nostrums.

Many are not regulated, and the pages are typically associated with glowing testimonials and a link to sign up for uninterrupted (and uninterruptible) delivery of the miracle substance. More to the point of this post, other blogs, reports, and forum comments opine as to notable benefits of taking prescription medications marketed …

Read more…

Don’t use kitchen spoons to measure drug dosages

Originally published in MedPage Today

by Todd Neale, MedPage Today Staff Writer

Individuals using standard spoons from their home kitchen to dispense liquid medications may be pouring too little or too much of the drugs, researchers found.

Among volunteers trying to pour a teaspoonful of cold and cough medicine, using a slightly larger spoon resulted in underdosing and using a much larger …

Read more…

Depression severity predicts how well antidepressant drugs will work

Originally published in Insidermedicine

The benefits of antidepressant therapy increase with the severity of underlying depression, according to a meta-analysis published in the Journal of the American Medical Association.

id=”play_continuous_flvs” classid=”clsid:d27cdb6e-ae6d-11cf-96b8-444553540000″ width=”385″ height=”239″ codebase=”http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0″>Read more…

What will the next big medical advance be?

Originally published in MedPage Today

by Michael Smith, MedPage Today North American Correspondent

It’s tough to make predictions, especially about the future.

That famous observation from baseball great Yogi Berra applies in spades to medicine.

What technological advance or new insight will shape the next few years? As Yogi noted, it’s tough to predict:

It could be — as Leif Ellisen, MD, PhD, thinks — tumor genotyping.

Read more…

How osteopenia became a disease and made Fosamax popular

How did osteopenia, the precursor to osteoprosis, come about?

Fascinating story from NPR, detailing how a drug company popularized the condition in order to expand the market for their drug, Fosamax.

Osteopenia is diagnosed via a bone density study showing a “T-score” between -1.0 and -2.5. But how that definition came about was quite arbitrary.

In 1994, a group of researchers from the World Health Organization poured over data, and eventually, …

Read more…

Cardiologists discuss how far myocardial infarction management has come

Originally published in MedPage Today

by Peggy Peck, MedPage Today Executive Editor

“What we did for patients with acute MI was place them in a cool, dark place. Give them morphine for pain and lidocaine to prevent arrhythmias and hope for the best.”

The speaker is Steven Nissen, MD, director of Cardiovascular Medicine at the Cleveland Clinic. He is describing standard care 25 …

Read more…

How effective is a single dose of H1N1 vaccine for adults?

Originally published in Insidermedicine

Healthy adults require only a single dose of H1N1 vaccine in order to be optimally protected, according to research published in the New England Journal of Medicine.

id=”play_continuous_flvs” classid=”clsid:d27cdb6e-ae6d-11cf-96b8-444553540000″ width=”385″ height=”239″ codebase=”http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0″>Read more…

How women can benefit from oral contraceptive pills

Originally posted in MedPage Today

by Nancy Walsh, MedPage Today Contributing Writer

Hormonal contraceptives have a variety of noncontraceptive uses, ranging from common problems such as dysmenorrhea to severe conditions such as premenstrual dysphoric disorder, according to a new practice bulletin from the American College of Obstetricians and Gynecologists (ACOG).

“Combined hormonal contraceptives can correct menstrual irregularities resulting from oligo-ovulation or anovulation and …

Read more…

How medication mistakes happen in the hospital

Originally published in MedPage Today

by Katrina Woznicki, MedPage Today Contributing Writer

Hospitalized patients were often clueless when asked about their medications, with almost all of them unable to name all their medications and many leaving out as many as a half-dozen drugs they have been prescribed, according to a small survey of patients in a Colorado hospital.

Ninety-six percent of the …

Read more…

Rich countries are selfish when it comes to vaccine safety

A recent article from Newsweek discusses some of the long-term benefits of vaccines.

But it’s a section on the rich nation-poor nation dichotomy towards vaccine safety that’s most fascinating. The authors observe that better educated nations are those with the most vigorous opposition to vaccines. The United States, for instance, has many who simply refuse to be given the H1N1 vaccine – a benefit that’s not available to many …

Read more…

49
pages

✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories