Compounding This Week Newsletter from www.CompoundingToday.com
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May 6, 2011 Volume 8, Issue 18
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IACP Annual Meeting and Compounders on Capitol Hill - June 11-14, 2011

IJPC Calculations CD

 
When PBMs give you lemons, CPCSI will help you make lemonade.
 
Loyd V. Allen, Jr., Ph.d., R.Ph  Letter from the Editor
Loyd V. Allen, Jr., Ph.D., R.Ph.


Editorial: Pharmacists and Retirement

With 401(k) plans decreasing or in limbo, increasing health insurance and healthcare costs, increasing gasoline prices that can impact travel, supporting unemployed family members and uncertainty about the economy, many pharmacists are changing their minds about retirement.

Several stories have appeared recently about pharmacists wanting to retire in their 50's and 60's, but those plans are changing. With the big loss in investments in recent years, there has been a decrease in their value even though most have probably recovered to where they were prior to the drop in the market. There has been, however, the loss of additional growth over the past few years. The bottom line is that the projected income is not what was being forecast.

Plans for travel during retirement are being challenged by high gas prices, high plane fares, safety and the hassle of travel. If some of your adult children are unemployed, then in many cases they are now being financially assisted by the parents.

Consequently, many pharmacists are staying in the workforce longer than anticipated and some have returned to the workforce that have already retired because of increased costs and the lack of adequate finances for their retirement. This may be full-time or part-time employment.

The end result is that the workforce in pharmacy is becoming overpopulated and new graduates are having trouble finding jobs. This is further complicated by fewer new chain stores being built and a significant increase in the number of colleges of pharmacy (from about 80 in the 70s to over 140 currently), that are now churning out more pharmacists.

A reversal in this trend will probably not occur until the US economy changes with an increase in new pharmacies opening, retirement becomes more "profitable", closing of some colleges of pharmacy or other activities that impact pharmacy practice. Retirement age of pharmacists may increase from 62, to 65, to 70, to 75�it's hard to tell what is going to happen but the topic needs to be discussed at the national level


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

 
Other News

Warfarin Recall
A warfarin sodium recall has been announced by Bristol-Myers Squibb because of the possibility the tablets might contain doses that are too high. The recall applies to Coumadin Crystalline 5 mg tablets -- lot number 9H49374A -- in 1,000 count bottles, with a Sept. 30, 2012 expiration date. BMS said testing of a returned bottle identified a single tablet that had higher-than-expected potency.

There was a similar issue earlier this year when Upsher-Smith Laboratories recalled some of its generic warfarin product (Jantoven) because of the possibility of tablets with the wrong doses.
http://www.medpagetoday.com/ProductAlert/Prescriptions/26241

Abbott Laboratories gets FDA approval for Androgel 1.62% Formula
Abbott Laboratories has received approval for a new, more potent formulation of its testosterone gel. The approval is for treating men with hypogonadism or low testosterone, a condition associated with fatigue, depression and various sexual dysfunctions.

This new formula, Androgel 1.62 percent, delivers 40.5 milligrams of gel in two pumps of the canister. The older, Androgel 1% formulation included 50 milligrams in four pumps. The company says the two formulations are not interchangeable and both require a prescription.

The FDA approval is based on a study showing 78 percent of men using the gel had normal testosterone levels after one year of use. More and more, drug companies are targeting low testosterone as a new market opportunity. It is estimated that about 14 million American men are believed to have irregularly low testosterone levels, though only 1.3 million are being treated. The estimated U.S. market for testosterone therapies is $1.1 billion.
http://finance.yahoo.com/news/Abbott-gets-FDA-clearance-for-apf-1957904740.html?x=0

1,000 More Lawsuits Over Avandia to be Settled
$700 million to resolve about 12,000 suits has been agreed upon by Glaxo, alleging the drugmaker failed to warn consumers that Avandia could cause heart attacks and strokes. There are a total of about 5,300 state-court cases pending around the country. The company said last September it would stop promoting Avandia worldwide after regulators said the treatment would be withdrawn from the market in Europe and sales would be limited in the U.S. because of studies linking the drug to increased risks of heart attacks. Avandia sales fell 43 percent due to the restrictions, the company said. Avandia was once the world's best-selling diabetes medication and generated $3 billion in annual sales. A court in Los Angeles has already seen 2,400 former Avandia users settling their claims.
http://www.bloomberg.com/news/2011-05-04/glaxo-is-poised-to-settle-about-1-000-suits-over-avandia-drug-lawyer-says.html

Acetaminophen to be Reformulated
In order to try to curb overdoses of acetaminophen, Johnson & Johnson and other drug makers will switch to a single concentration in their over-the-counter remedies for infants and children. These medications now come in different concentrations depending on whether they are for infants or older children and this has made it confusing for parents to figure out how much to give, causing overdoses and, in rare cases, deaths.There were 14 hospitalizations in 2009 caused by pediatric versions of medicines containing acetaminophen, but no deaths.
http://online.wsj.com/article/SB10001424052748704322804576303440194765686.html

New Hair Growth Option
Latisse, the prescription eyelash-enhancing solution, is now being used on the scalp.

Three or four drops daily and the Allergan drug that has already won a following among women for helping them grow long, fluttery eyelashes, is now being used by men to treat baldness.

Although Latisse does not appear to be a silver bullet for hair loss, it does appear to work in much the same way as Rogaine or Propecia. That is, all three can strengthen and darken hair that grows from a dying follicle, but none can bring a dead one back to life. This results in an enhanced, refortified hairline rather than a brand new head of hair.
http://www.nytimes.com/2011/05/05/fashion/05SKIN.html?_r=1&partner=rss&emc=rss

FTC Reports Finding a 60 Percent Increase in Pharmaceutical Industry Deals That Delay Consumers' Access to Lower-Cost Generic Drugs
In 2010, pharmaceutical companies struck a record number of deals in which the manufacturers of branded products paid potential generic rivals and generic companies agreed to delay the introduction of their products, thus eliminating competition.

The FTC report found that the number of deals increased more than 60 percent, from 19 in FY 2009 to 31 in FY 2010. In general, the agreements reached in 2010 involved 22 different brand-name pharmaceutical products with combined annual U.S. sales of about $9.3 billion. These collusion-type deals to keep generics off the market are already costing consumers and taxpayers $3.5 billion a year in higher drug prices; a win-win proposition for the pharmaceutical industry, but a lose-lose for everyone else.

An FTC staff study has found that such settlements that include a payment delay generic entry by 17 months longer on average than those that do not include a payment.
http://pharmalive.com/news/index.cfm?articleID=778964&categoryid=9&newsletter=1

 
Book Review

Martindale: The Complete Drug Reference, 37th Edition
Pharmaceutical Press; 4,142 pages; Hardback (2 vols); $774.99

This edition is a full print and digital combined package, consisting of the two volume reference book in a slip case and a one year's individual access to the online version of Martindale via MedicinesComplete (with updating every 90 days).

This edition contains nearly 6,000 drug monographs, lists over 160,000 preparations, 54,000 reference citations and lists over 15,000 manufacturers. It contains proprietary preparations from 41 countries and regions.

What else can you say about "Martindales"? It includes information on drugs, medicines, herbals, diagnostic agents, radiopharmaceuticals, pharmaceutical excipients, toxins, and poisons along with synopses of disease treatments. No other source has the breadth and depth of coverage. I have used Martindales for years and highly recommend it.

 
Did You Know...

�it's really interesting to do a Google search on a topic such as, "earth temperature cycles" and read some of the 13,100,000 results!

 
Compounding Tip of the Week

Planning Advice
It's never too early to plan for retirement�BUT, be careful who you select as a financial advisor.

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