Compounding This Week Newsletter from www.CompoundingToday.com
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September 25, 2009 Volume 6, Issue 39
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Loyd V. Allen, Jr., Ph.d., R.Ph  Letter from the Editor
Loyd V. Allen, Jr., Ph.D., R.Ph.


Editorial: Aging

While working on the November/December 2009 issue of IJPC with the theme of Compounding for Geriatric Patients, it has been interesting listening to Congress as they are working on the healthcare bill and its effect on seniors. I am reminded of the sayings:

Do not regret growing older. It is a privilege denied to many. (Unknown)

Old age is when you choose the cereal for the fiber, not for the toy. (Unknown)

Well, let's look at some of the benefits of being over 60:

  1. Kidnappers are not very interested in you.
  2. In a hostage situation, you are likely to be released first.
  3. No one expects you to run�anywhere.
  4. People call at 9 PM and ask, "Did I wake you?"
  5. There is nothing left to learn the hard way.
  6. Things you buy now won't wear out!
  7. You can eat supper at 4 PM.
  8. You no longer think of speed limits as a challenge.
  9. You quit trying to hold your stomach in no matter who walks in the room.
  10. You sing along with elevator music.
  11. Your eyes won't get much worse.
  12. Your investment in health insurance is finally beginning to pay off!
  13. Your secrets are safe with your friends because they can't remember them either.
  14. Never take a sleeping medication and a laxative at the same time!

The November/December 2009 IJPC issue on geriatrics covers some new ground that should be of interest to all compounders, including: autologous eye drops for dry eyes, dysphagia, bone mineral density, cardiovascular issues, cognition, depression, hypogonadism, and marketing the geriatric patient.


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

 
Other News

Potential Tamiflu Errors
The FDA issued a Public Health Alert to notify prescribers and pharmacists about potential dosing errors with Tamiflu (oseltamivir) for Oral Suspension. U.S. healthcare providers usually write prescriptions for liquid medicines in milliliters (mL) or teaspoons, while Tamiflu is dosed in milligrams (mg). The dosing dispenser packaged with Tamiflu has markings only in 30, 45, and 60 mg. The Agency has received reports of errors where dosing instructions for the patient do not match the dosing dispenser. Healthcare providers should write doses in mg if the dosing dispenser with the drug is in mg. Pharmacists should ensure that the units of measure on the prescription instructions match the dosing device provided with the drug.
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts
/ucm183714.htm

AstraZeneca Denied Drug's Diabetes Link Years After Warning
AstraZeneca internal documents show that a salesperson working for AstraZeneca told a U.S. doctor the antipsychotic Seroquel didn't cause diabetes almost four years after the company warned Japanese physicians about the drug's links to the disease.

The salesperson, Nancy White, and a colleague met with a physician in July 2006 who reported "getting a lot of flak" from patients about Seroquel's diabetes links, according to a note unsealed as part of a lawsuit. In November 2002, AstraZeneca had written to Japanese doctors that it received a dozen reports of diabetes-related cases tied to Seroquel "where causality with the drug could not be ruled out."

Ms White said in the 2006 note that she told the physician that "there has been no causative effect" found between Seroquel and diabetes. The physician responded and "said he would not quit writing" prescriptions for Seroquel "because of this at this time," White reported.

The London-based AstraZeneca has been sued by more than 15,000 patients claiming the company withheld information about links between diabetes and Seroquel.
http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aTC6jrBl_mwM

At Least 130 Fundraisers for Members of Congressional Health Committees Hosted by Health Industry Lobbyists This Year
Health industry lobbyists have hosted at least 130 fundraisers this year for members of Congress who sit on the five key committees responsible for the healthcare overhaul, according to an analysis released today by the nonpartisan Consumer Watchdog. The Political Action Committees (PACs) of the health industry donated $30.7 million to members of those committees over the same period of time. This money clouds the debate, says Consumer Watchdog.

The Consumer Watchdog group has called on members of Congress to cancel upcoming fundraisers sponsored by the healthcare industry and return any campaign contributions received from the industry until health reform legislation is complete.
http://pharmalive.com/news/index.cfm?articleID=653297&categoryid=9&newsletter=1

Children's Tylenol Lots Recalled by J&J
Johnson & Johnson's McNeil unit said Thursday it is voluntarily recalling 57 lots of infants' and children's liquid Tylenol products because of possible bacterial contamination.

The products include: Children's Tylenol Suspension 4 oz. Grape, Infants' Tylenol Grape Suspension Drops 1/4 oz., and Children's Tylenol Plus Cold/Allergy 4 oz. Bubble Gum. The reason for the recall is that an inactive ingredient didn't meet internal testing requirements, the company said. B. cepacia bacteria were detected in a portion of raw material that went unused in the finished product.

No bacteria were found in the finished product, according to the company, and the likelihood of a serious medical event is remote. However, the company decided to recall the products after consultation with the U.S. Food and Drug Administration.

A full list of the 21 recalled products and their lot numbers can be seen at: http://www.tylenol.com/page.jhtml?idtylenol/news/subpchildinfantnews.inc

http://www.google.com/hostednews/ap/article/ALeqM5jkwp2_vSSmgZ4Gfcucbb
feq1kM6wD9AU1JO01

AstraZeneca Loses Price Inflation Lawsuit Appeal
An appeals court on Wednesday upheld a lower court's ruling that AstraZeneca and Bristol-Myers Squibb Co. inflated the "average wholesale price" of expensive drugs in the state of Massachusetts. The London-based AstraZeneca was ordered to pay $12.9 million in damages and New York-based Bristol-Myers was ordered to pay $695,594 in damages.
http://www.google.com/hostednews/ap/article/ALeqM5i_yNizSQv25jx
6Qrv9rInk08SJPAD9ATS0H81

 
New Standard Operating Procedures

Four new SOPs have been added to www.CompoundingToday.com's SOP library:

1.059Methods Used to Assess Compounding Skills
1.059.01Direct Observation of Technique
9.002Quality Assurance for Nonsterile Preparations
9.003Quality Assurance for Sterile Preparations
 
Did You Know?

A reasonably priced LED-based display can be put together by purchasing a lighting kit that is sold to be installed underneath cars. These kits consist of 4 strips of LED lights and a controller. Simply add a 12-volt adapter, and you are all set. Place the four strips of LED lights to "highlight" the display of choice, plug it in, select the program you like, and let it run.

 
Compounding Tip of the Week

Backup Safety
Check your computer backups! Is your computer set up to automatically back up each day? How do you know it is actually working? A backup device may be attached, but the backup not actually be performed. Check it out for peace of mind!

 
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