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September 26, 2008 Volume 5, Issue 38
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  Letter from the Editor
Loyd V. Allen, Jr., Ph.D., R.Ph.

Editorial: Compounding Around the World!

Attend a "once-in-a-lifetime" event for pharmacy! On October 11 in Tampa, Florida in association with the National Community Pharmacists Association (NCPA) annual meeting, the International Society for Pharmaceutical Compounding will present eight speakers from around the world to address pharmaceutical compounding in their individual countries. The program is also sponsored by NCPA, IJPC, and FAGRON (an international provider of compounding supplies and equipment). The full-day program begins with a Continental breakfast, provides lunch, and morning and afternoon breaks and provides opportunities for one-on-one discussions with pharmacists from around the world. This program is part of the NCPA Convention and is free, but you need to register so we can make appropriate arrangements.

The program is as follows:

(7:30 AM - 8:30 AM)Continental Breakfast (Provided)
(8:30 AM - 9:00 AM)Welcome and Introductions (Loyd V. Allen, Jr.)
(9:00 AM - 9:45 PM)Compounding in Spain (Diego Marro)
(9:45 AM - 10:30 AM)Compounding in Argentina (Aldo Mario Naddeo)
(10:30 AM - 10:45 AM)   Break
(10:45 AM - 11:30 AM)Compounding in Puerto Rico (Marisol Lopez)
(11:30 AM - 12:15 PM)Compounding in Brazil (Vanessa Pinheiro)
(12:15 PM - 1:30 PM)Lunch (Provided)
(1:30 PM - 2:15 PM)Compounding in Portugal (Carlos Barbosa)
(2:15 PM - 3:00 PM)Compounding in Africa (John Alfa)
(3:00 PM - 3:15 PM)Break
(3:15 PM - 4:00 PM)Compounding in Belgium (Renaat Kinget)
(4:00 PM - 4:45 PM)Compounding in Germany (Gerhard Zueck)
(4:45 PM - 5:30 PM)Panel Discussion/Questions (All Speakers)

We look forward to seeing you there!

Go to the following site to register!
http://www.ncpanet.org/pdf/conv/2008conv_preconventionprogramsregform.pdf


Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief

 
Other News

India Concerned About FDA Actions on Ranbaxy
India may take up the issue of the import ban imposed by the USFDA on 30 drugs manufactured by Ranbaxy, an Indian pharmaceutical company, in case the ban is not revoked following corrective actions taken by the company, according to senior officials in the commerce department.

Ranbaxy states, "There is nothing wrong with the quality of the drugs banned by the U.S. There were small procedural violations pointed out by the USFDA. Ranbaxy has informed us that those violations have been corrected, and it would now invite the FDA to come and inspect its facilities," a commerce department official told ET.

The Indian government would step in if the US FDA refused to revoke the ban, despite the steps being taken by Ranbaxy. "We have no objections when genuine concerns are addressed. But if quality issues are unnecessarily raked up as nontariff barriers, we will surely discuss the matter with the U.S.," the official added.
http://economictimes.indiatimes.com/News/articleshow/3510707.cms

More Children Sickened by Tainted Formula
China's government doubled the official tally of children sickened by tainted formula and stepped up efforts to address the domestic fallout from the scandal. China's Ministry of Health said Sunday that 12,892 infants were in hospitals after ingesting formula tainted with the industrial chemical melamine, including 104 whose symptoms are "severe." An additional 1,579 babies have been treated and released from the hospital, and 39,965 with less-severe symptoms have been treated without admission, the ministry said.

Milk dealers have been arrested and government officials fired as milk powder laced with melamine poisoned more than 12,800 babies and killed 4. State media have said four babies died from tainted formula, although the Health Ministry put the tally at three. The government last week put the number of sick infants at 6,244. The ministry didn't explain the increase. It's possible the number rose because more hospitals have filed reports to the government.
http://online.wsj.com/article/SB122199609652260515.html

Prescription Drug Use Declining
People are picking up fewer prescription drugs and visiting their doctors less often as the economy pinches pocketbooks, according to recent studies. The number of prescriptions dispensed in the second quarter of this year fell almost 2 percent from a year earlier. That followed a 0.5 percent drop in the first quarter of this year, the first time that number has been negative since 1996, according to IMS Health. A number of factors may have contributed to the changes, including (1) drug companies have introduced fewer new products, (2) high-profile stories about dangerous drug side effects may have made doctors and consumers wary of prescribing and taking drugs, (3) the FDA also has slowed the pace at which it approves new drugs, and (4) corporate cutbacks have shrunk paychecks and pushed up co-pays for prescriptions and doctor visits.
http://www.therapeuticsdaily.com/news/article.cfm?contentValue=1842518&contentType=sentryarticle

Questionable Medicare Claims Cost more than $1 billion
The government paid more than $1 billion in questionable Medicare claims for medical supplies that showed little relation to a patient's condition, including blood glucose strips for sexual impotence and special diabetic shoes for leg amputees, congressional investigators say.

Billions more in taxpayer dollars may have been wasted over the last decade because the government-run health program for the elderly and disabled paid out claims with blank or invalid diagnosis codes, such as a "?" or "zzzzz." Medicare officials say even smiley-face icons could have been accepted.

The report by Republicans on the Senate Homeland Security investigations subcommittee, obtained by The Associated Press, is the latest to detail lax oversight in the $400 billion program that has been cited by government auditors as a high-risk for fraud and waste for nearly 20 years.
http://ap.google.com/article/ALeqM5jaD627V_u_hm4koV2o-2DYuICCDgD93CO5N80

 
Did You Know?

Pharmacists must filter Ammonul Injection prior to use?

Ucyclyd Pharma, Inc., a wholly owned subsidiary of Medicis Pharmaceutical Corporation, detected particulate matter in our AMMONUL® (sodium phenylacetate and sodium benzoate) Injection 10%/10% product.

Due to the possibility that this particulate matter may impact the safe use of this product and to ensure optimal patient care, pharmacists are being instructed to use a Millex® Durapore GV 33 mm sterile syringe filter (0.22 �m), which is now packaged with the drug, during the admixture process when injecting Ammonul into the 10% dextrose intravenous bag. Please note this particulate matter may not be readily seen on visual inspection, so a filter must be employed in all cases regardless of whether particulate matter is seen in the vial. Testing has confirmed the removal of this specific particulate when using this filter to admix AMMONUL. The company states, "We apologize for any inconvenience this may have caused." Editors Note: Pharmacists may wish to consider billing Ucyclyd Pharma for the time involved in correcting their faulty product!
http://www.ammonul.com/files/08-034_dhp_letter.pdf

 
Compounding Tip of the Week

Protecting Your Investments
Until the financial uncertainty is tempered, it may be worthwhile to consider moving any investments into "protected" or "insured" areas where it can be quickly moved back into the markets when things settle down. Protection and security is important at this time.

RxTriad - The most valuable marketing tool available for compounding pharmacist.
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