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Breaking News

APhA DrugInfoLineClinical

›› Extended-duration enoxaparin thromboprophylaxis beneficial for some acutely ill medical patients – In a recent trial, extending enoxaparin prophylaxis for an additional 28 days after an initial 10-day course of therapy reduced the incidence of VTE. However, this beneficial effect was only seen in subgroups of patients with level 1 immobility, those older than 75 years, and women. Extended-duration enoxaparin was also associated with an increased risk of major bleeding events.
›› Delipidated HDL for acute coronary syndrome – In a first-in-man study, serial autologous delipidated HDL plasma infusions were clinically feasible and tolerated and safely increased HDL levels in patients suffering from acute coronary syndrome.
›› Meta-analysis: Statins do not decrease all-cause mortality – In a recent meta-analysis, statin therapy did not reduce all-cause mortality in high-risk patients who had no history of cardiovascular disease.

Pharmacy Today Practice

›› OIG exclusions list: Sounding alarm for awareness – Stiff penalties can threaten affected parties
›› Voltaren Gel: First FDA-approved topical prescription treatment for osteoarthritis – Efficacy and safety of NSAID diclofenac sodium topical gel proven in patients suffering from osteoarthritis pain of the hands and knees.
›› Nilotinib approved for chronic myelogenous leukemia – Approval of nilotinib offers new hope for patients with chronic myeloid leukemia resistant or intolerant to other therapies.

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New Drugs

›› Liraglutide (Victoza—Novo Nordisk) – Glucagon-like peptide-1 receptor agonist for treating adult patients with type 2 diabetes, as an adjunct to diet and exercise
›› Dalfampridine (Ampyra—Acorda Therapeutics) – Potassium channel blocker for improving walking in patients with multiple sclerosis
›› Tocilizumab (Actemra—Genentech) – Recombinant, humanized monoclonal antibody for adults with moderately to severely active rheumatoid arthritis who have had inadequate response to tumor necrosis factor-alpha blockers
›› Telavancin (Vibativ—Astellas) – Lipoglycopeptide antibacterial agent for treating adult patients with complicated skin and skin structure infections caused by susceptible gram-positive bacteria
›› Peramivir (BioCryst for CDC) – Neuraminidase inhibitor for treating specific adult and pediatric patients with suspected or laboratory-confirmed H1N1 influenza

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FDA Watch

›› Sipuleucel-T (Provenge—Dendreon) approved for treating advanced prostate cancer
›› New device approved for adults with severe and persistent asthma
›› Initiative launched to reduce infusion pump risks
›› Boxed warning added to propylthiouracil label: Information about reports of severe liver injury and acute liver failure
›› Recall of Stud Capsule For Men (Kanec USA): Product contains undeclared drug ingredient (sildenafil)

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Educational Resources

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›› New Therapeutics Bulletin: Ranexa
›› New Product Bulletin: Bystolic
›› New Therapeutics Bulletin: Protonix – Pantoprazole oral suspension is a new dosage form that offers clinicians an additional treatment option for the management of gastroesophageal reflux disease (GERD) and erosive esophagitis. The availability of an alternative dosage form is convenient, and in elderly patients who may have dysphagia or for patients receiving enteral feeding, it offers a clear clinical benefit.

Product Selection Update

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›› Perspectives on the Management of Chronic Pain by Primary Care Providers
›› Parkinson’s Disease: Moving Forward With Treatment Modalities – Recent research has elucidated the biologic underpinnings of Parkinson’s disease (PD). It is now clear that PD extends beyond its hallmark motor symptoms, with nonmotor symptoms representing the earliest signs of disease and continuing throughout the disease course. Early recognition and intervention provide an opportunity to maintain maximal function and quality of life. Advances have also been made in the development of treatments for PD and in provision of overall care.
›› COPD: Expanding the Key Role of the Pharmacist

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›› A Pharmacist’s Guide to Fiber and Digestive Health – Fiber is associated with a number of important health benefits, including normal laxation. Most Americans fall far short of these recommendations. It has been estimated that the average adult consumes only 14 to 15 g of dietary fiber each day.
›› A Pharmacist’s Guide to the Role of Protein in Successful Weight Management – At any given time in the United States, approximately 50% of women and 33% of men are trying to lose weight. Excess weight usually represents an energy imbalance: more calories are being consumed than are being expended in daily activities. People who want to lose weight generally are advised to create an energy deficit of about 500 to 1,000 kcal/day, preferably through a combination of reduced calorie intake and increased physical activity.
›› A Pharmacist’s Guide to Food and Drug Interactions With MAO-B Inhibitors in the Treatment of Parkinson's Disease – Selective monoamine oxidase (MAO)-B inhibitors are useful treatments for Parkinson’s disease (PD). Selegiline and rasagiline are approved as adjuncts to levodopa/carbidopa therapy for patients with PD who exhibit motor fluctuations. Rasagiline is also approved for use as initial monotherapy. Selegiline is available as capsules and orally disintegrating tablets (ODT), and rasagiline is available in tablet form. Pharmacists and their patients should be aware of potential dietary concerns and interactions between MAO-B inhibitors and other medications.