Why Mom may not be taking her pills, Patty Hedrick, @PKHedrick North Star Elder Care:"Did your parent teach you to "do what the doctor says"? If he or she is not following doctor's orders for medications now, you're probably feeling confused. And concerned.
It's common for patients not to take pills as directed. Some reasons include:
"It's too costly." One quarter of new prescriptions are never filled because of cost. Make sure the drug is on the insurance plan formulary. Or ask about generics. Find a discount pharmacy, or consider mail order."
North Star Elder Care
222 N. Sepulveda Blvd. Suite 2000
El Segundo, CA 90245
310-335-2006, or toll-free at (800) 385-NSEC (6732)
http://elderpages.com/beachcities/staying-independent/managing-medications.php#t4517
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Power Strategies For Nurses:"Do your nursing shifts feel like you’re running full speed ahead on a treadmill that you just can’t stop?
http://revolutionarynurse.com/power-strategies-nurses-program-2/
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Showing posts with label prescription drugs. Show all posts
Showing posts with label prescription drugs. Show all posts
Saturday, January 4, 2014
Thursday, March 24, 2011
Branded drug prices soar as generic pressure rises | Reuters
LOS ANGELES |
(Reuters) - U.S. prices for brand-name drugs are rising faster than ever as patents expire on top-selling medicines and the pharmaceutical industry nervously eyes the future of healthcare reform.LOS ANGELES
Prices for the 15 best-selling drugs rose by much higher rates in 2010 than they did in each of the last five years, according to exclusive data from Thomson Reuters MarketScan, which measured the average cost of a daily dose as shown in medical claims data.
Two thirds of the drugs saw double-digit price hikes, well above inflation of 1.6 percent in 2010 measured by the consumer price index. The analysis indicates drug makers are scrambling to make as much money as possible from blockbuster drugs before their patents expire, while taking advantage of the fact that last year's healthcare reform bill did not cap drug prices.
According to MarketScan, payments for Pfizer Inc's Lipitor rose 11.4 percent last year, compared with 5 percent annually from 2005 to 2010. That meant the cost of a daily dose of the cholesterol drug rose from $3.17 at the end of 2009 to $3.53 at the end of 2010. Lipitor, which will soon lose patent protection, had 2010 global sales of $10.7 billion.
via reuters.com
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Tuesday, February 22, 2011
Prescription Medications Take on Leading Role in Illegal Drug Trade - Nursing Link
Brian Freskos | Star-News, Wilmington, N.C.
February 22, 2011
Feb. 17—When Lt. J.A. LeBlanc arrived at the New Hanover County Vice and Narcotics Unit in 2001, one detective could handle the volume of prescription drug cases. Now, he said, all 16 detectives investigate them.
Street drugs such as cocaine and heroin have long been the targets of authorities seeking to root out illicit substances. But in recent years, growing prescription drug abuse has shifted law enforcement’s focus to stemming the flow of dangerous medications onto the black market.
Abuse of prescription medications, particularly narcotic pain relievers such as hydrocodone and oxycodone, is rising precipitously, leading White House drug czar Gil Kerlikowske last June to call it the “nation’s fastest-growing drug problem.” Between 1998 and 2008, treatment admissions for prescription pill addicts posted a 400 percent increase, according to the federal Substance Abuse and Mental Health Services Administration.
Southeastern North Carolina has not escaped what many law enforcement officials call an epidemic. Between 2004 and 2010, the New Hanover County Vice and Narcotics Unit seized nearly 15,100 pills — 3,749 of them in 2010 alone, the largest county pill haul in four years.
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Thursday, January 13, 2011
CMS 30-minute rule for drug administration needs revision, ISMP.org
In our June 17, 2010 newsletter, we covered a precarious topic best known as the “30-minute rule”—a requirement in the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation Interpretive Guidelines to administer scheduled medications within 30 minutes before or after the scheduled time (see pages 174-175 at: www.cms.gov/manuals/Downloads/som107ap_a_hospitals.pdf). In our July 2010 nursing newsletter, Nurse Advise-ERR, we asked frontline nurses who are most directly affected by the 30-minute rule to weigh in on the issue by completing a short survey. And WOW, did they ever! More than 17,500 nurses responded to our survey, providing more than 8,000 additional comments (see Table 1 on page 2 of the PDF version of the newsletter), making it very clear that the issue is of great significance to nurses.
Respondent profile and compliance rates
Almost half of the responding nurses work on medical/surgical units, and the other half work in critical care, telemetry, or specialty inpatient units. Most nurses feel that the 30-minute rule is unsafe, unrealistic, impractical, and virtually impossible to follow. Approximately three out of four respondents (70%) told us their organization enforces such a policy. Of these nurses, only five of every 100 (5%) were always able to comply with the policy, while more than half (59%) were infrequently or only sometimes compliant (see Graph 1 on page 6 of the PDF version of the newsletter). Why nurses find it difficult to comply with the 30-minute rule was expressed by many (see Table 2 on page 3 of the PDF version of the newsletter), including a nurse who sent a pragmatic yet eloquent account of a Day in the Life of a Nurse (see Sidebar that follows this article).
via ismp.org
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Monday, January 3, 2011
New Drug Approvals Slipped in 2010 - WSJ.com
The Food and Drug Administration approved about 21 drugs in 2010, a relatively modest figure that shows the pharmaceutical industry hasn't yet escaped its drought in recent years.
A few potential blockbusters won approval during the year, but some of the most highly anticipated new products got delayed into next year or beyond. That partly reflects a tougher environment at the FDA, with regulators stepping up their scrutiny of safety issues in drugs for obesity, diabetes and other conditions.
According to monthly drug-approval reports on the FDA's website, 21 new drugs were approved in 2010, down from 25 in 2009 and 24 in 2008, but higher from a recent low of 18 in 2007.
The final approval figures, as well as the number of applications received by the agency in 2010, won't be available until next month. The approval figures don't include dozens of approvals granted for new formulations or new uses of existing drugs.
Although the 2010 figures are a bit lower than previous years, FDA spokeswoman Sandy Walsh said there's "no systemic change in how the FDA is approaching drug approvals."
The figures include several major biologic drugs, which are created from living cells and represent a growing portion of the pharmaceutical market. Amgen Inc. won approval for Prolia, a drug that is injected twice yearly to treat osteoporosis in postmenopausal women. Roche Holding AG's biotechnology unit, Genentech, won approval for Actemra, a drug that's administered intravenously to treat rheumatoid arthritis.
via online.wsj.com
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Sunday, January 2, 2011
Drug recalls surge to more than 1,700 in 2009 - Aug. 16, 2010
Recalls of prescription and over the counter drugs are surging, raising questions about the quality of drug manufacturing in the United States.
The Food and Drug Administration reported more than 1,742 recalls last year, skyrocketing from 426 in 2008, according to the Gold Sheet, a trade publication on drug quality that analyzes FDA data.
One company, drug repackager Advantage Dose, accounted for more than 1,000 of those recalls. Even excluding Advantage Dose, which has shut down, recalls jumped 50% last year.
"We've seen a trend where the last four years are among the top five for the most number of drug recalls since we began tallying recalls in 1988," said Bowman Cox, managing editor of the Gold Sheet. "That's a meaningful development."
The fast pace of drug recalls seems to be continuing in 2010. Drug recalls totaled 296 from January through June of this year, said Cox. "If we continue at this same rate, we could get 600 or more recalls by the end of the year," he said. "That's still a very high rate of recalls."
via money.cnn.com
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Saturday, December 18, 2010
How an antidepressant can hurt your patient, KevinMD.com
Patients still have shame about seeking help from a psychiatrist or other mental health professional. So they ask help for their depression from their primary care physician. The PCP feels an emotional pressure to provide the quick fix in that 15-minute appointment – the same pressure that he responds to when prescribing antibiotics to a adequately squeaky wheel of a patient with a common cold.
via kevinmd.com
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Monday, November 15, 2010
Uninsured Americans cannot afford many medications-KevinMD.com
I went to the doctor recently and got a new prescription.
The doctor was kind enough to give me some free samples, and a voucher that I could redeem to fill the prescription once at no cost. In the future, it will cost me $50 if I decide to refill it. If I didn’t have pharmaceutical benefits through my insurance coverage, the medication would set me back about $500 for a month’s supply. For those of you doing the math, yes, that’s $6,000 a year. Suffice it to say that I wouldn’t be filling the prescription. And that’s exactly what many Americans do.
For many low-income uninsured Americans, a number of important medications are out of reach because they are simply unaffordable. These are medications that treat chronic diseases like hypertension, high cholesterol, and other common illnesses. They are effective medications that can make a huge difference in a person’s quality of life–including whether or not they die an avoidable death. In a show of good faith, most pharmaceutical manufacturers provide access to no-cost or reduced-cost brand name medications (the ones they manufacture, of course) to this “gap” population. The trouble is, few people know about these programs, which offer tremendous assistance, but require people to jump through a number of application hoops to qualify for the cheap or, in some cases, free meds.
Dr. Heather Whitley has an article out in the latest issue of The Journal of Rural Health, which attempts to quantify the value of these prescription assistance programs (PAPs) at a clinic in Alabama. Head south from Tuscaloosa, and you’ll find yourself in Hale County–one of the 50 poorest counties in America with an average annual income of $14,927 per person. In Hale County, is a town called Moundville, and it is here that the Moundville Medical Clinic operates with a single physician, a nurse practitioner and a couple of nurses. This is one of those places that most Americans don’t know–or at least really don’t like to acknowledge–exists in the United States. If ever anyone needed help obtaining prescription medication, the patients of the Moundville Medical Clinic would be first in line.
The clinic has a pharmacist who works two days a week to help patients navigate the PAP application process. Costs are offset by charging patients $5 per completed and mailed application. In most cases, that is a small price to pay. Dr. Whitley looked at the data collected by the clinic to assess the value of the program–that is, how much free or reduced-cost medicine were patients getting?–and found that across a two-year period (2007 and 2008), the PAP program at the Moundville Medical Clinic brought in more than $138,000 in free medications.
That’s a lot, yes, but what is even more striking is when you consider that that was only for a total of 31 patients. In other words, each patient received about $4,500 in free medication on average during the study period. That’s a pretty remarkable benefit in return for filling out some complicated paperwork, and it suggests that — until real health reform and cost-control is achieved — clinics that see a number of PAP-eligible patients should strongly consider investing in such programs, even if it means having someone volunteer their time one day a week. The benefits far outweigh the costs, but there are administrative hurdles that must be cleared before the benefits can be accessed.
Brad Wright is a health policy doctoral student who blogs at Wright on Health.
via kevinmd.com
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Thursday, September 23, 2010
RxDrugSAFE
RxDrugSAFE:"RxDrugSAFE is the newest weapon in the fight to prevent prescription drug abuse from toddlers to teens. RxDrugSAFE is a real steel safe that uses advanced, simple to use, fingerprint recognition to open. Only parents, guardians or other authorized users can program and open RxDrugSAFE. RxDrugSAFE is the most secure prescription medication safe for home use on the market. RxDrugSAFE is designed to be securely mounted in drawers, closets or cabinets, but can also be used when traveling as well."
info@rxdrugsafe.com
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Wednesday, September 1, 2010
WikiAnswers - Is diphenhydramine safe to take after expiration date
Wondering about that expiration date on your medicine bottle?
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WikiAnswers - Is diphenhydramine safe to take after expiration date:"It turns out that the expiration date on a drug does stand for something, but probably not what you think it does. Since a law was passed in 1979, drug manufacturers are required to stamp an expiration date on their products. This is the date at which the manufacturer can still guarantee the full potency and safety of the drug."
http://wiki.answers.com/Q/Is_diphenhydramine_safe_to_take_after_expiration_date#
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Saturday, July 3, 2010
Internal Medicine, Medical Specialties, Legal Nursing Consultants, Medical/Legal Consulting
Internal Medicine, Medical Specialties, Legal Nursing Consultants, Medical/Legal Consulting:"Doctors of internal medicine focus on adult medicine and have had special study and training focusing on the prevention and treatment of adult diseases. At least three of their seven or more years of medical school and postgraduate training are dedicated to learning how to prevent, diagnose, and treat diseases that affect adults. Internists are sometimes referred to as the "doctor's doctor," because they are often called upon to act as consultants to other physicians to help solve puzzling diagnostic problems."
http://www.legalnursingconsultant.org/internal
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