Brought to you by the International Journal of Pharmaceutical Compounding
October 14, 2005 Volume 2, Issue 39
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IJPC Yard Sale
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  Letter from the Editor
Loyd V. Allen, Jr., Ph.D., R.Ph.

Editorial: How do you keep up with pharmacy information?

I don't know about you, but the amount of information and news that comes in daily is staggering. How are you supposed to prioritize it and respond to it? It seems that every year there is more and more demands upon our time and things we need to know in order to function efficiently in our jobs and with our families. How do you keep up with everything?

First, we have information coming through the radio (on the way to and from work), television (evening news), telephone (all day long), e-mail (all day long), faxes (during the day at the office), newsletters (like this one), newspapers, magazines, journals, announcements, seminars, courses, meetings, etc. Some of these sources require an immediate response and others can be put off until a more convenient time. Obviously, radio and television are those that one opts to pay attention to. The telephone can be answered or left alone (at home we generally do not answer the phone if it is someone we don't recognize). E-mail can be selective but I prefer it over the telephone as I can respond much more rapidly and at my convenience, rather than when the telephone rings. It is also nice when traveling to be able to keep up with things at the office on a Blackberry. One can also get their thoughts together in an e-mail more completely rather than an "on the spot" telephone conversation. Faxes can be read at leisure also and some are quite informative; if not, they go into the circular file. Newsletters are a great source of information as long as they don't repeat the same information that was received a couple of days ago from another newsletter. Magazines are generally a "quick read" in the evening; journals are a "slower read", generally in the evening or throughout the day if time permits. Attending seminars, courses and meetings (professional and scientific) consume a lot of time, especially when travel is involved.

How does one prioritize their information resources? Sometimes you don't get a chance to prioritize them. Telephones usually require an immediate response; radio and television can be scheduled at preset times; but most of the other communication methods can be prioritized. For example, e-mail, faxes, newsletters, newspapers, magazines, journals, announcements can be placed together and viewed all at once in the evening when time permits. I generally print out all electronic newsletters, etc. and take them home for reading in the evening (I realize that one of the reasons for electronic media is to save paper but it is more efficient to print them and read them later and then file them). Attendance at seminars, courses and meetings is generally planned in advance and can be very worthwhile.

After prioritization, then comes the question of what to save and what to discard? Generally, if it is something I know I need to review or save for a later time, it is saved. Otherwise, it is discarded (into the recycle bin). If it is saved, where do I put it? I have stacks and stacks and files and files of VERY IMPORTANT papers that I think I will need sometime. Sometimes I can even find the information when I need it later. Files are set up generally according to drug (generic) name and everything concerning that drug goes into that folder. Notebooks are set up for different articles according to subject matter. I have difficulty keeping track of what is in the seminar notebooks for accessing at a later time. Regulatory, legislative, standards and other information is similarly organized. The problem one faces is that of running out of room!

So, we have looked at information sources, prioritization, saving and filing and discarding. The question remains, "How do we keep up with everything"? Realistically, the answer is, "We can't". It is only going to get more complicated as time goes on and we must look at what our options are and start planning for the future.

To me, the ultimate answer is to have everything in my specific interest area of pharmacy instantly available in something like a "Google" search. If everything I read, hear, discuss, etc. can be "filed away" as a word or audio file that is searchable, it would not be necessary to continue stuffing file cabinets and notebooks with all the information that is being generated each day. When we need something, we should be able to access it either through our computer, PDA, Blackberry, SmartPhone, etc. Much of the technology is already available for retrieval, etc., but we need to be able to input all that we are exposed to every day. However, I am sure that it will soon be possible.

Meanwhile, we will keep putting as much information as possible into CT.com for immediate access and try to keep everyone updated on the latest events in compounding through this newsletter.


Loyd V. Allen, Jr., Ph.D., R.Ph
Editor-in-Chief

 
Itraconazole Plasma Sample and Compounded Preparation Sample Data Collection

CompoundingToday.com is pleased to assist Gigi Davidson, RPh in her collection of animal blood samples and compounded preparation samples from treatments using itraconazole. Read her letter to see how you and your patients may participate at a very minimal cost. You can download the Itraconazole Blood and Preparation Sample Form here.

 
Top CT.com Resources and Tools Used by Compounding Pharmacists

During the last seven days compounding pharmacists have accessed many Compoundingtoday.com's resources and tools. The most accessed in order include:

  • Standard Operating Procedures
  • Formulas
  • Abstracts and Citations
  • Oral Vehicle Tool
  • Patient Advisory Leaflets
  • pH Adjustment Tool
  • Veterinary Transdermal Tool
  • Flavoring Tool
  • Base-Salt-Ester Weight Conversion Tool
  • Chemotherapy Vial Reconstitution and Stability Tool

The most searched words and phrases on CT.com this week are:

  • Testosterone
  • Progesterone
  • Ketamine
  • Dexamethasone
  • Ketoprofen
  • Methimazole
  • Nifedipine
  • Vancomycin
  • Methadone
  • Methylphendiate

 
Variety of Article Citations Added to CT.com This Week

This week there were 43 article citations and abstracts added to the literature search tool discussing nonhormonal therapy for menopause symptoms, eight articles on three topics discussed in the Compounders Network List including omeprazole suspension, atropine to reduce secretions and lecithin organogels.

 
Grants Being Given to Feline Health Studies

The Morris Animal Foundation is looking for investigators who need money for feline health studies. Click here for more information: http://www.morrisanimalfoundation.org/learn/about/press/FelineMedia.asp

 
Grants Being Given to Feline Health Studies

The Morris Animal Foundation is looking for investigators who need money for feline health studies. Click here for more information: http://www.morrisanimalfoundation.org/learn/about/press/FelineMedia.asp

 
Regulatory Update

This Regulatory Update has been provided by the International Academy of Compounding Pharmacists. For more information, www.iacprx.org.

FDA Gives Interim Response to CHASM Citizen Petition
On September 21, FDA gave an interim response to the citizen petition filed by the Consumer Health Alliance for Safe Medication (CHASM). The CHASM citizen petition called for increased federal regulation of pharmacy compounding, including alarming labeling on inhalation medications. FDA's interim response states that they have been unable to reach a decision and will respond at a later date. View a copy of FDA's response here.

There has been additional activity on the CHASM docket lately. Sarah Sellers recently filed a comment asking FDA to approve CHASM's petition and to broaden the scope of federal intervention from the inhalation medications targeted by CHASM to all compounded medications. Several individuals have filed template comments asking that CHASM's request be granted. It is likely that the consumer comments have been organized by CHASM or an ally.

 
Compounding Tip of the Week

Need to clean up a spill?
First, generally use water to remove all the water-soluble portions of the spill. This can be followed with alcohol to remove the water insoluble portions. If alcohol is used first, it may precipitate the water insoluble materials and they may become "gummy" or "sticky" and become more resistant to removal. In some cases, an organic solvent such as acetone may also be required.

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