MTM Pharmacists

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Tom Simpson P. Can Probiotics Prevent Antibiotic-Induced C. diff. Diarrhea?

(Treatment of antibiotic-induced C. diff. diarrhea will not be discussed here - therapy for that is very different.) Re: probiotics (PBs) to prevent antibiotic-induced C. diff.-associated diarrhea (CDAD): If you're an...

  • 3 days ago

Tom Simpson P. Is Silenor 6mg (Doxepin/Sinequan) a Rip-Off? Yes.

Silenor, a drug used for insomnia, is an example of what we like to call "generic arbitrage." Generic arbitrage occurs when a drug manufacturer takes a generic drug and pays to have it studied for a new indication at a new...

  • 7 days ago

Tom Simpson P. Is Brisdelle (paroxetine 7.5mg) a Rip-Off? Yes

Brisdelle is FDA-approved for reduction of post-menopausal hot flashes. A new study in the October issue of Menopause showed it had no effect on sexual function or weight gain. Brisdelle® is an example of what we like to...

  • 7 days ago

Tom Simpson P. Fish (Salmon), Lovaza, or OTC Fish Oil Caps?

Fish oil capsules may have the same health benefits as oily fish, according to new research. Omega-3 (n-3) fatty acids from fish oil and from oily fish both modulate platelet lipid profiles efficiently, the authors wrote...

  • 7 days ago

Tom Simpson P. Self-Serving Physicians?

The pharmacy/retail clinic business has grown rapidly over the past several years, driven by a combination of factors such as the physician shortage, lower prices and better cost transparency. But the model is the wrong...

  • 8 days ago

Tom Simpson P. A Review of a Common NSAID AE, i.e., UGI Bleeding

Gastroenterology 2014 Oct 147:730 had an article on Upper Gastrointestinal Bleeding from NSAIDs Combined with Other Drugs. I realized that "complacency" might cause me to overlook potential problems, and so I thought it was...

  • 8 days ago

Tom Simpson P. Antibiotic Stewardship Can Be Valuable in Community Settings - But Only if Ongoing

A study published online October 10th showed that an intervention to reduce inappropriate antibiotic prescribing was effective - but only as long as audit and feedback to clinicians was in place. Antibiotics are the most...

  • 8 days ago

Tom Simpson P. Flu Season Isn't the Only Time For Vaccinations

Yes, you should be making sure your patients are getting flu shots - now's the time. This also gives you a chance to interact with them to be sure everyone in their family is up-to-date with their vaccinations. The majority...

  • 10 days ago

Tom Simpson P. Fibromyalgia - A New Use for Memantine (Namenda)?

OTC pain relievers (APAP, NSAIDs) provide pain relief for some people with this disease. Many require more - e.g., an antidepressant like duloxetine (Cymbalta et al.) or the FDA-approved pregabilin (Lyrica). A new study...

  • 11 days ago

Tom Simpson P. What Do We Know About Anaphylactic Reactions? Surprisingly Little

Medications are the leading cause of anaphylaxis-related deaths, especially among older individuals and blacks, according to a study published online September 30 in the Journal of Allergy and Clinical Immunology. ...

  • 18 days ago