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contents - Health Sciences Authority
contents - Health Sciences Authority

... considerably with the patients’ baseline cardiovascular risk, from roughly 1 in 111,000 among healthier patients to 1 in 4,100 among high-risk patients. The duration of the elevated risk of all-cause mortality and of cardiovascular death corresponded to the duration of azithromycin therapy. The incr ...
Long-term and high-dose piracetam treatment of Alzheimer`s
Long-term and high-dose piracetam treatment of Alzheimer`s

the PDF - NEOMED Institute
the PDF - NEOMED Institute

... The clinical trial will commence in the first quarter of 2016 and data are expected to be delivered the same year. The trial will enroll up to 50 patients with osteoarthritis of the knee. Three sites, two in Montreal and one in Sherbrooke, will participate. Using naproxen, it will be a crossover, do ...
Falling Short
Falling Short

... of unknown quality. An initial examination of the ...
COPD: FIXING the FIXABLES in 2003
COPD: FIXING the FIXABLES in 2003

... Prevalence 5.9% of U.S. population or about 24,000,000 adults (ATS Gold Paper 2004) In 2000 there were 122,000 deaths (CDC data) For the first time more women than men 2nd to heart disease as a cause of disability Annual cost 2002 est. $32.1 billion 70% of the patients were less than 65 ...
Psychopharmacology of Depression
Psychopharmacology of Depression

... KEY EDUCATIONAL MESSAGES  Antidepressants only work if taken every day.  Antidepressants are not addictive.  Benefits from medication appear slowly.  Continue antidepressants even after you feel better.  Mild side effects are common, and usually improve with time.  If you‟re thinking about st ...
CHOLESTEROL AND OUR LIVES الدهنيات وحياتنا
CHOLESTEROL AND OUR LIVES الدهنيات وحياتنا

... – Higher dose of statin – Statin + bile acid sequestrant – Statin + nicotinic acid ...
Medical Therapy of Glaucoma
Medical Therapy of Glaucoma

... therapy will induce depression in an otherwise normal individual. However, the impact of beta blockers in patients that already suffer from depression is presently unknown. Most of the above mentioned effects are anecdotal cases or case series. Very few controlled studies have been performed to iden ...
Methamphetamine Use Spreading Across US, New Federal Studies
Methamphetamine Use Spreading Across US, New Federal Studies

... should be permitted from a public health perspective. For instance, we see noiliing in the proposal that would require a company to tell the FDA of a change which could render a product more addictive, more appealing, easier to use or more toxic. • It is not clear to what extent the FDA could regula ...
International Journal for Pharmaceutical Research Scholars (IJPRS)
International Journal for Pharmaceutical Research Scholars (IJPRS)

... The oral route of drug delivery is typically considered the preferred and most patient-convenient means of drug administration. The advances in the formulation technology of modified release dosage form with extended release oral dosage form has been widely accepted approach as compared to conventio ...
the Information Breaking Medical
the Information Breaking Medical

... tion of information about such uses. Controlling Cost-Effectiveness Claims. The FDA in recent years has been withholding products from the market-not because they are unsafe or because it needed to determine the efficacy of the products; rather, the agency has been making judgments concerning which ...
Reduction in Medication Errors: The Fentora Case Study
Reduction in Medication Errors: The Fentora Case Study

... plan, the goals of which were to avoid the use of Fentora by nonopioid users and to minimize drug abuse and misuse.12 The manufacturer was to educate the physician, pharmacists, and patients about the risks and benefits associated with the drug; it was to implement a standard plan to avoid the use o ...
Opioids for Pain in the Elderly
Opioids for Pain in the Elderly

... reduced metabolism due to genetic factors or if on 2D6 inhibitors*.26  Š codeine alone is a weak analgesic with very limited effectiveness. 15  Combination with acetaminophen increases analgesic efficacy; however limit  acetaminophen to ≤4g/day (ideally ≤3.2g/day) to reduce hepatic risk2 . The  caff ...
Roxycodone (oxycodone hydrochloride): prescribing
Roxycodone (oxycodone hydrochloride): prescribing

... system depressants (sleep aids, tranquilizers) except by the orders of the prescribing physician, because additive effects may occur. Women of childbearing potential who become, or are planning to become, pregnant should be advised to consult their physician regarding the effects of analgesics and o ...
H 2 -receptor antagonists
H 2 -receptor antagonists

Suggestion from clinicians
Suggestion from clinicians

... multiple treatment comparison meta-analysis."Cephalalgia 34.4 (2014): 258-267. Canadian Guidelines for Migraine (2013) Note: Guidelines split in to multiple parts, will only include relevant sections. There are relatively few randomized, controlled, head-tohead trials comparing triptans to each othe ...
Meta-analysis of Oral Triptan Therapy for Migraine: Number Needed
Meta-analysis of Oral Triptan Therapy for Migraine: Number Needed

... Headache Society. In addition, this endpoint is the one that patients identify as being the “most important,”26 and it also correlates well with return to full function. The endpoint of “24-hour sustained pain free” could also have been used in this meta-analysis and would have produced data similar ...
PGXL-Multidrug-report-example-11172014
PGXL-Multidrug-report-example-11172014

The Top 6 June specials 2015
The Top 6 June specials 2015

... in blood pressure[8]. Midodrine is reported to only cross the blood–brain barrier poorly and so it is not associated with effects on the central nervous system[9]. The evidence showed that 10 mg midodrine taken orally 3 times a day for 3 to 4 weeks increases standing blood pressure 1 hour post-dose ...
Principles of Metered-Dose Inhaler Design
Principles of Metered-Dose Inhaler Design

... develop formulations of bronchodilator drugs in pressurized containers, providing greater convenience and a more reliable dose. This development followed the introduction of proprietary cosmetic aerosols as pressure-packs, and coincided with the invention of a metering valve capable of providing the ...
medicines management guide to prescribing
medicines management guide to prescribing

... Before prescribing any new innovative treatments, it is suggested that the GPs discusses this with a member of the CCG Medicines Management team to make sure that they have access to all available evidence on safety and effectiveness. The transfer of prescribing for new drugs, initiated by hospital ...
CONTROLLED RELEASE OF A WATER SOLUBLE DRUG, METOPROLOL SUCCINATE, BY... LACTALBUMIN MICROPARTICLES
CONTROLLED RELEASE OF A WATER SOLUBLE DRUG, METOPROLOL SUCCINATE, BY... LACTALBUMIN MICROPARTICLES

... Fig. 6: In vitro release of the encapsulated metoprolol from lactalbumin particles at 1 hour. The lactalbumin was stabilized by various concentrations of lactic acid (in the range 0.5 % to 3.0%). The above mentioned release data confirms that the formulations are found to be a suitable candidates fo ...
Walker GJA, Johnstone PW. Interventions for treating
Walker GJA, Johnstone PW. Interventions for treating

... Patients who are first exposed to scabies often do not develop symptoms for several weeks. A well documented case report detailed the spread of scabies in a day care center, in which 21% of the staff and children were eventually infected. More than 570 family members of the children also became symp ...
Pain Pathway
Pain Pathway

An inadequate absorption, distribution, metabolism, excretion
An inadequate absorption, distribution, metabolism, excretion

... Pre-systemic intestinal and hepatic phase I metabolism plays a major role in oral drug bioavailability. A drug, in possession of good intestinal absorption but high first pass metabolism results in low bioavailability. CYP3A is estimated to metabolize about 50-70% of currently administered drugs.15 ...
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Bad Pharma



Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients is a book by British physician and academic Ben Goldacre about the pharmaceutical industry, its relationship with the medical profession, and the extent to which it controls academic research into its own products. The book was published in September 2012 in the UK by the Fourth Estate imprint of HarperCollins, and in February 2013 in the United States by Faber and Faber.Goldacre argues in the book that ""the whole edifice of medicine is broken"" because the evidence on which it is based is systematically distorted by the pharmaceutical industry. He writes that the industry finances most of the clinical trials into its own products and much of doctors' continuing education, that clinical trials are often conducted on small groups of unrepresentative subjects and negative data is routinely withheld, and that apparently independent academic papers may be planned and even ghostwritten by pharmaceutical companies or their contractors, without disclosure. Goldacre calls the situation a ""murderous disaster,"" and makes suggestions for action by patients' groups, physicians, academics and the industry itself.Responding to the book's publication, the Association of the British Pharmaceutical Industry issued a statement arguing that the examples the book offers are historical, that the concerns have been addressed, that the industry is among the most regulated in the world, and that it discloses all data in accordance with international standards.In January 2013 Goldacre joined the Cochrane Collaboration, British Medical Journal and others in setting up AllTrials, a campaign calling for the results of all past and current clinical trials to be reported. The British House of Commons Public Accounts Committee expressed concern in January 2014 that drug companies were still only publishing around 50 percent of clinical-trial results.
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