healthcare

Why are we questioning Opiate Replacement Medication and Naltrexone for Opioid Dependence?

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A very important question that should be asked would be what medication replacement options are available for overcoming opioid addiction. A lot of questions have been raised about replacing opioid problems with the use of another medication. Visit at: www.sdrugs.com


Most of the problems faced when struggling with opioid addiction to either heroin or pain medication are almost nonexistent when struggling with smoking problems. Several Nicotine Replacement Therapies are available to help you through quitting smoking. Some of the popular treatments deemed to be effective for quitters are; nicotine gum, nasal spray, lozenge, nicotine patch and other available medication.


These available medication are sometimes covered by your insurance company and a lot of other available means of quitting like the nicotine patch, nicotine gum or lozenges are very easy to come by and are quite cheap. Whereas getting Opiate Replacement Medication has proven to be quite difficult.

Most Opiate Replacement Medication would likely not be covered by your insurance company and are very expensive to purchase. Another problem is getting a doctor willing to prescribe these medications or getting a place to purchase them.

Several fringe benefits are even available for those willing to quit smoking. Some states provide hot-lines for quitters where you can get replacement options and some free nicotine patches.


There are several Food and Drug Administration approved treatment for opioid addiction which are backed up with evidences of their effectiveness. These treatment options ensure long term recovery and reduces the rate of overdose. Despite these available treatment that can be trusted, there are a lot of reservations by people including doctors in recommending the treatment just because it seems like you are replacing one drug addiction with another drug.

A lot of doctors have not been brought up to date about the effectiveness of Opiate Replacement Medication and this has increased the likelihood of not offering these medication as a treatment method for opioid dependence. Some medical care practitioners would likely advice against them and create a negative outlook to Opiate Replacement Medication.


Dependence on Opioids has led to overdose which has become a leading cause of death of people younger than fifty years and continues to rise each year. The increase of opioid addiction in the country is quite alarming and addiction is not only limited to the young but can extend to seniors who are most likely getting opioid prescriptions to treat pain related conditions.


Finally, with quite a large number of Nicotine Replacement Therapies available to help combat smoking addiction, creating a general awareness and training for the use of Opiate Replacement Medication should be widely embraced. The number of people on pain medications continually increase and with it the possibility of addiction. Getting access to these mode of treatment, for example; injections which reduces use by blocking the effect of opiates, will help in significantly reducing opioids addicts. Not only should doctors be ready to provide suitable advice for these treatment methods, insurance companies should also have plans that cover such medications.

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Little pharma: The medication of U.S. children

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In 2014, a study was carried out courtesy of IMS health. In this research, it was discovered that 25% of children in the U.S are on regular medications. "IMS is a pharmaceutical marketing brand whose job is to keep the $800 billion per year global pharmaceutical industry on a continued pattern of growth", source www.ndrugs.com. Hopefully these consultants accomplished something quite different this time around. Hopefully they provided our citizens with an overdue wake-up call.

It was noticed in the research that one in every four children residing in the U.S suffered from chronic prescriptions of medications. This research did not take in cognizance all the prescriptions that are written to treat acute illness, or the use and administration of over-the-counter products. This is indeed an outstanding number. After a careful look at the data from the research, we can conclude that either we have the sickest pediatric populations in the world or there is something that is causing the series of complaints generated from the way the therapies are driven in our healthcare system.

In their article, WSJ went ahead to discuss some of the very significant concerns generated on the situation such as how difficult it was for people to run clinical studies on children and also how trustworthy the pharmaceutical data could be, including the side effects and dosing. Some of these results were drawn from the adult population and applied to the case of children. This reason alone calls for a situation to doubt the authenticity of the results produced since it is quite confusing.


In the U.S, one in four children is on chronic medications!


Data generated from the research carried out by the IMS Health has revealed that 6.5 million children are on antipsychotics, 10 million on antidepressants, 24 millions on ADHD and 45 million are suffering from asthma. There are also some figures showing children that suffer from or use medications for sleep aids, antihypertensives, Type 2 diabetes and high cholesterol, and the list keeps getting more and more complex.

At this juncture, it will be normal if we pause to ask ourselves some vital questions;

  • Is there a need to doubt the integrity of the diagnostic criteria used in reaching these conclusions? No.
  • Do we have any reason to question the prescription of these medications know if they are really designed for the condition or not? Yes.
  •  Is it true that the doctors rely on the diagnosis and treatment free of bias and conflict of interests? NO.
  • Is there any way our third party insurers reimburse the psychologists and physicians in a manner that mood disorders, attentional conditions and other medical conditions in the psychoeducational realm are likely to be evaluated and controlled by the most appropriate professionals? NO.

A careful look at the situation at hand revealed to us that, most of the children are benefiting from the long term medications. These medications can be life changing for the child in question.

 

Conclusion

If we must take a careful look at the ongoing healthcare debate in the country, then there is a great need to take a close look at their consequences too. This is because these data from the pharmaceutical industry shows the degree to which we medicate our children’s way to health.

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Giving Newborns Medicine is a Dangerous Guessing Game. Can we make it safer?

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Medication for newborns is rapidly becoming a growing concern globally. About ninety percent of drugs administered to newborns (premature and full term infants less than twenty eight days old) are not approved by the Food and Drug administration (FDA). This means that medication given to infants have not been tested for correct dosage, safety and ho effective they are.

This is mainly caused by the fear of testing drugs on babies and the hesitation of parents to enlist their newborns for drug testing. Pharmaceutical companies while trying to avoid the risk of liability which may result from fatal mistakes in the tested babies are also reluctant to invest huge amounts of money into researching about drugs for infants because it is such a thin market.

Dr. Jonathan Davis, chief of newborn medicine, Tufts Medical Center says that admitted infants to the neonatal intensive care unit receive about sixty medication in their first month of life. Dr. Davis is presently conducting several clinical trials on newborns in his NICU. The FDA also launched two global efforts to encourage clinical trials in infants.

Most treatment prescribed by doctors for infants are usually done based on experience and how these drugs have been administered to adults. They simply dilute the dose and give it to babies which has led to disasters in the past.
The way infants absorb, metabolize and excrete drugs are different from the way adults absorb, metabolize and excrete drugs. This means prescribing drugs based on how it has worked in adults should be totally avoided when it comes to prescribing them to babies. This technique has led to several deaths in both premature and full term babies.

The Pediatric Research Equity Act of 2003 and the Best Pharmaceutical for Children Act of 2002 are two large legislative efforts to increase pediatric drug studies and were made permanent laws in 2012 with the passage of the FDA safety and Innovation Act.
These Acts have improved further studies into pediatric drugs and resulted in six hundred and fifty one drugs with revised labelling for pediatric patients.
These laws have still not been adequate enough to cover new born babies, only twenty four drugs had their labels revised which either showed that they were not to be used for infants or there were safety issues. These drugs do not fall into the category of recently used drugs according to an analysis of the NICUs carried out in the United States in 2017.

Despite the urgency and criticality of these issues, there has been no major change or research into finding medicine that have been proven to be safe for newborns. The National Institutes of Health initiative invested largely into a study that covers drugs in children but recently ran out of funds while other pharmaceutical companies avoid such studies because of constraints such as; limited blood samples, fragility and the possibility of causing permanent injury in the tested newborns.
With continued awareness and sensitivity to the issue, doctors would still have to continue based on guesswork in administering medication until an alternative arrives.

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Read This before You Use an Online Pharmacy

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Internet drug stores have proven to be a viable option in saving cash or getting rid of unnecessary stress. However, the use of an online drug store can possibly raise convoluted situations that will one way or the other creates health problems for you. Read the information below before embarking on a journey of dealing on the internet for medications. More info: www.wdrugs.com


Compromised Privacy


Lots of consumers are mainly on the internet drug store because they are peculiar about keeping their privacy intact, this is because they do not want to have to share their health problems with the physician or discuss about their choice of medication. “Getting in line to begin a conversation like that seems so hard however; the next choice of action may be even more dangerous” argues the director of the alliance for safe online pharmacies Libby Baney.

Most of the time online drug store that are outside the soil of the United States promises to give patients medicine without asking for prescription. That genuinely speaks danger. Medications bought on the internet without the need for prescription is lacking authenticity. These medications are mostly without an active ingredient or many times they may even contain more dangerous ingredients, says Baney.

A report stated by National Association of Boards of pharmacy argues that 96% of the various internet drug stores are not in line with the federal and state laws required for the adequate safety of users and or patients. The report clearly stated that the medications shopped for on the internet are found wanting when we talk about originality.

To add to the danger that comes with shopping online for drugs there are laws that actually bind against shopping medications online outside the United States of America. It is against the law to:

·        Purchase controlled medications without a written prescription given by a medical doctor that knows your medical history and have previously have you assessed. Medications like sleeping pills, stimulants and narcotic painkillers are all illegal to purchase online from stores outside the U.S.

·        Purchase medications that do not have the approval of the Food and drug administration (FDA) while you are on the United States soil, no matter how legal it is in the purchasing country.

Standard internet drug store will request for prescription for any medication being ordered. A safe transaction of medication online should be from a verified pharmacy and should require a prescription.


The mail order drug store alternative


Prescribed medications are often expensive says the 24% of people that consumes prescribed medications, a report by Kaiser Family Foundation. So there are no surprises that consumers are looking for ways to buy cheap drugs.

It’s possible to get good prices online however; there are other ways to cash saving and convenience.

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Lifestyle Changes vs Medication When Each Is Right

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At one point or the other, people decide to get serious with their health and require help with . But after making assessments in the usual manner, it is often easy to find that they aren't serious, committed or even motivated. While they may not seem like it, you often find that they miss medications even when they know they have chronic disease risk factors. For some they may have not tolerated the medications well and would need to explore other options.


 

The other options for such patients are quite readily available as different Associations and Organizations all recommend lifestyle changes such as weight control, exercise and diet as the first approach to lowering cholesterol. Such method is referred to as therapeutic lifestyle changes, TLC.

 

An emphasis has been placed on TLC by the American Diabetes Association for both the management and prevention of diabetes. Although medication is often used in the case of management. TLC has also been recommended by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure as the first and best methods for managing elevated blood pressure.

 

Even the American Cancer Society recommends TLC and it's evident that the dietary recommendations of these groups overlap. The emphasis in these recommendations is on foods that minimally processed, close to nature and rich in nutritional value. Foods like beans, fruits, nuts, vegetables, whole grains and many more. Weight control, regular physical activity at a moderate level that is one of the gradual results of being active and eating well are also part of the recommendations.

 

There is ample evidence to the fact that this basic approach really works when religiouslg followed. The Diabetes Prevention Program showed that TLC was about twice as effective as the use of the drug metformin in trying to prevent diabetes in high-risk individuals and essentially reducing its occurrence by 58%.

 

This shows that there is nothing radical at all in patients who are reticent about taking medications if they try to modify cardiometabolic risk using a lifestyle intervention. When you do this with the assistance of your doctor, the results are usually gratifying. You could lose credible weight by making sustainable and sensible changes to your physical activity patterns and diet. It is possible that the weight loss experienced at first may not reflect the gain of muscle and loss of body fat if you're exercising vigorously.

 

TLC usually won't work due to lack of follow through but works well enough when adopted well.

 

There is really no question in the scientific literature that body fat loss can seriously be more than weight loss in people who are exercising and gaining muscle. TLC works in a slower fashion when compared to statins or antihypertensives but at the end it is safer and more potent. Lifestyle can help to reduce chronic disease risk by almost 80% and no single drug can come close to that. But of course, medication should be used when TLC isn't bringing results as expected for any reason.

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How to live in the USA without a good medical insurance

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National programs and insurance are the major factors that make it possible for most citizens of the USA to buy medicines they need because these medicines are often quite expensive. Almost all American citizen endeavors to buy a good medical insurance or join one special government-sponsored scheme or another. One scenario would be that of a middle-aged patient with a typical set of age diseases such as gastritis, high cholesterol levels, diabetes, arterial hypertension or arthritis who needs to pay an average of 500 USD every month without social programs or a medical insurance.

 

Taking into account an average salary of about $2500 - $4000 each month, it will be almost unavoidable for this patient not to buy cheap medicines every month or try to save on the quality of drugs. These expenses made in a bid to maintain his/her health would have a significant impact on the patient's wallet. While some medicines will still be bought, the government provides pensioners who are over 65 years with most medicines that they need for free, and this means they have better conditions.

 

People living in the USA and do not have a good medical insurance will experience difficulties in taking care of themselves health-wise due to the high relatively high cost of medical products. There are different options for medical insurance. Those who cannot afford a good and expensive medical insurance can decide to buy a standard package that will offer only a medical service.

 

There are so many people who live in the USA that try to save up to buy a good medical insurance, but they often don't get to even save up to the needed amount before spending on something else entirely. Others try not to take vacations while others even take microloans at high interests just so they can buy expensive insurance. These expenses are usually not worth it because everyone cannot get to buy drugs from online pharmacies rx.

 

Online drugstores function just like normal retail pharmacies with pharmacists and a wide range of medical products. Their drugs are also certified and meet international standards. Another thing is, the drugs are a whole lot cheaper in these online pharmacies.

 

The price difference between drugs in an online pharmacy and a local retail pharmacy could be as much as 300%. This is because retail pharmacies factor in salaries, pharmacy upkeep, and taxes into the cost of the drugs that they sell. Price markup for retail pharmacies in the USA is always 2-3 times higher than online stores because of the high taxes on pharmaceutical products sold in retail drugstores.

 

Online pharmacies especially Canadian online pharmacies sell drugs without taxes. There are drugs sold in Canadian online pharmacies at the manufacturer's cost. If there was a monthly estimate of about $500 - $800 for medical products in a retail pharmacy, buying from an online pharmacy could beat down the estimate to about $250 - $350. This essentially will be a serious relief in the patient's wallet or budget as it were.

 

The advent of online pharmacies now allow people living in the USA without expensive medical insurance get access to medicines without prescription, and at competitive prices. Question now is, why will you want to stretch yourself to overpay for drugs when you can easily buy them from an online pharmacy.

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GENERIC DRUG PRICING AND THE END GAME

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Generic drugs have been hailed for the impact they have had on the United States healthcare industry. These group of medicines has ensured that Americans have access to affordable yet qualitative prescription medicine, thereby ensuring improved healthcare delivery.

At its most basic, a generic drug is a copy or replica of a brand-name drug, dispensed with the same dosage, intended use, effects and side effects, route of administration, risks, safety, and strength as the original (patented) drug. Unlike the original medication, a generic drug enters the market at much less a cost compared to that for a brand name due to lower production costs and less stringent regulatory approval routes/paths.


These characteristics of a generic drug mean that the market teems with a lot of producers of this brand of medicine. That many players mean that competition is steep in the generic drug market. And this competition is put putting downward pressure on the pricing of generic drugs in the market. The latest quarterly results of two leading generic drug manufacturers, Impax and Perrigo, lay credence to the fact. These companies missed revenue expectations by at least 20 percent. Overall, the generic drug sector anticipates that prices will fall by as much as 9 percent in the current year. Some enthusiasts also opine that generic drug prices will continue to experience accelerated deflation in the first half of 2017.


This brings us to the question of why is the case with the pricing mechanism of generic medicine in the United States and the rest of the world.


Reasons


It is important to note that US Food and Drug Administration (FDA) has made generic medicine production/facilitation as well as market price equalization, one of its key focuses. So if generic drugs receive such enormous official goodwill, why does a downward spiral in price still occur?

We may need to look at the kind of generic medications that obtain regulatory approval in the first place. The number of Abbreviated New Drug Applications (ANDAs) which are termed ‘first timers’ has steadily decreased over the years. A first time ANDA is a generic medicine made from an original that had no copies before. In other words, the FDA is approving more generics in a market already brimming with similar copycats and fewer approvals going out for innovator generic medicines. Simple Economic logic shows that the more available a product/service is, the lower the cost of the product/service in question.

Another factor in falling generic drug pricing borders on the activities of wholesalers. These actors wield influence by engaging in a pricing war, by offering better pricing to pharmacies, rather than to national supply chains. At the same time, these wholesalers also arm twist drug manufacturers into giving them better bargains on drug pricing.


A way out?


A plausible solution to stemming the tide of falling generic drug pricing might lie in innovation. But that seems highly unlikely given the nature of the generic drug industry. A more practical (workable) solution looks to be generic drug manufacturers coming together to consolidate the market. This consolidation could eventually make the market attractive and profitable enough for investors to provide additional funding and improved capacity.

 

 

 

 

Generic Drugs Differences and Benefits

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Generic drugs are usually cheaper than their brand name counterparts and that's one of the reasons why people sometimes like to settle for it. Generic medications are designed and structured to function the same way as an approved brand named drug.

 

They work the same way in terms of safety, strength, stability, dosage form, performance characteristics, quality, and route of administration. Both generic drugs and brand name drugs use the same active ingredients and so they have the same benefits and risks. So in essence, a generic medicine is a brand name drug that uses a different name so it's safe to say they work just the same as Brand name medicines.

 

 

Differences between generic drugs and brand name drugs

 

Slight differences are allowed between generic drugs and brand name drugs as far as they is no change in the way the generic drugs work or its safety when used. Visit to: ndrugs.com

 

There might be changes in their inactive ingredients and the way it looks but its underlying active ingredients are preserved. Therefore, Generic drugs could differ in how it is packaged and its labeling because it does not affect how the drug works.

 

It can also vary from its brand name counterpart when it comes to color and shape. Another major area where generic drugs can be found to be dififrom brand name drugs are in the inactive ingredients used such as in preservatives and flavoring.

 

However, the FDA must have approved these inactive ingredients as as safe before it can be allowed in a generic drug. Although generic drugs might also have a different expiration date when compared to brand name drugs, it must be shown that it can keep its effectiveness before it reaches its expiry date just like the brand name product.

 

 

 

Benefits of generic drugs

 

  • Generic drugs are less expensive

    Like we said earlier, one of the subtle but major reasons why so many people buy generic drugs is because they are way cheaper than Brand name drugs.

    The reason why this possible is because generic drugs do not have to do all the testing and research that brand name drug manufacturers usually do before they get approved. They only need to copy the drug formula that already exists and this saves them the cost and by extension allowing the drug price to stay low.

  • They are bioequivalent and have the same quality

    When it comes to the biological composition of the drugs, generic drugs must be bioequivalent to the brand name drug. FDA has strict guidelines concerning the quality of composition for generic drugs and generic drug manufacturers must show that the drug is bioequivalent.

    In essence, this means that the same dosage of active ingredients of the generic drug that is delivered to the body at the same time can be used by the body just in the same way as the brand name drug

    Before any generic drug can be approved by the FDA, there are a set of stringent guidelines that must be met as well as other research that must be done to prove the bioequivalence with its brand name counterpart.

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"Vegetable"

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human beings

He never asked for anything,

Because he couldn't, he was mute,

But everyone would speak for him,

They would make demands 

About what he wanted,

Without really ever knowing,

And I always wondered why,

If he could communicate for real,

Then why didn't they teach him 

To read, type, blink, or sign,

And I decided that maybe

They liked him just as he was,

And I could never decide whether or not

That was good or bad,

But I still always think about him,

And more often in the winter,

The season of the year when he died,

Because in his death,

His life surely came full circle.

 

Cold.

 

 

.......

 

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