Druggist For The People

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 Summary:  What’s happening on the other side of the prescription counter?  Probably more than you think.  Safety and appropriateness of the drug regimen is an ongoing process, and it may slow down the speed with which you get your medication, but it’s essential in making sure the drug is safe and efficacious.  The importance of being a good teammate in your own healthcare is what this, and all episodes, is aboutl.

 Topics:

·       Five Safety Checks 02:15

·       Clinical Review by Pharmacist 04:00

·       Best Treatment Evolving 06:45

·       Provide Complete and Accurate Medication Profile 11:15

·       Be a Good Teammate on Healthcare Team 12:00

·       It’s For You 13:00

·       Medication Counseling – Use It 13:254

·       Journaling (determine Cause & Effect) 14:30

·       Work WITH Your Healthcare Providers 15:00

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 Summary:  Paying $75,000 dollars for a car because you want to have a back massage between home and work is one thing, but to face exorbitant costs because you want to live a healthy and longer life is a tough pill to swallow.  Discussion of the risks and benefits of any medication with your healthcare provider is essential, and the costs of that therapy should be included in that conversation.  

Topics:

·       Most Common Med Indications 03:30

·       Top 10 Most Prescribed Medications 04:00

·       Most Common Meds by Cost 05:30

·       Pharmacy Benefit Manager (PBM) 10:30

·       Managing Cost 12:15

·       Pharmacoeconomics 13:00

·       Risk-Benefit

·       GoodRx 14:00

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 Summary:  neffy® nasal spray received fast track approval from the FDA on August 9, 2024 for the emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients who weight at least 66 pounds.  This may be a gamechanger in that it provides emergency epinephrine treatment for anaphylaxis without needles.  But, as with all medications, correct use and monitoring is necessary.  

Topics

·       Fast Track Approval 01:30

·       $$$                          03:15

·        Minimum Weight 66 pounds 04:15

·       Approval Process 06:00

·       Pharmacokinetics & Pharmacodynamics 07:00

·       Epi Mechanism of Action 08:00

·       How to use neffy 10:45

·       Storage 13:00

·       Gamechanger? 15:00

·       risk – BENEFIT 16:20

·       Dosing (1/2 Life) 18:25

·       Storage 22:15

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Summary:  Previous podcasts (July 2023) have covered The Pill and the newly approved, progestin only, OTC oral contraceptive – the Opill.  The Opill is on the shelves and available online now.  This episode provides a brief overview.  For more detailed information about the Opill, consider listening to the July 2023 podcast:  Opill – the OTC Pill.   

Topics:

·      Opill-Antibiotics Interaction (Rifampin) 02:00

·      How to Take 02:40

·      Reminder July 2023 Podcasts:  The Pill and The Opill 03:10

·      Missed Doses 04:20

·      Opill Drug Interactions 07:15

·      Brief History of Oral Contraception 09:00

·      Opill Contraindications 12:20

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Summary:  There are more ways to change your chemistry than taking drugs.  Kindness.  Being helpful, generous, and considerate – without expecting anything in return – has positive effects upon both the body and mind.  But here’s the rub:  you must be kind without expecting anything in return.  So don’t be kind to be healthy…simply be kind.  It’s all easier said than done.  This episode also addresses the need for kindness in healthcare, from the healthcare professionals to the patient, and from the patient to the doctors, nurses, pharmacists, therapists – all who are trying to help. 

 Topics:

·       Kindness Definition 01:15

·       Body Benefits 01:30

·       Mind Benefits 02:00

·       Safe & Efficacious 06:00

·       Trust 09:30

·       Doctor-Patient Relationship 11:00

·       Kickstart Kindness (Mayo Clinic) 13:00

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Summary: Chemical and Physical Restraints are frightening terms, and yet the use of one or the other is sometimes necessary.  This episode discusses the appropriate use of chemical restraints to treat agitation, as well as what may be the inappropriate use of medications to chemically restrain a person.   

Topics:

·       Agitation 02:00

·       Danger to Self/Others 02:30

·       AMA 02:50

·       Respect the Person 05:45

·       Informed Consent 10:15

·       Detox (Klonopin/Librium/Ativan/Valium)  10:45

·       Risperdal/Seroquel/Xyprexa 11:15

·       Nonpharmacologic Interventions 12:30

·       Rexulti 16:30

·       Participate 18:45

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Summary:  To get the maximum benefit and minimize the risks of your meds, stay involved.  Monitor, journal and communicate with your healthcare team to make sure your meds include only those that you actually need.  Avoid the Prescription Cascade.

Topics:
* Polypharmacy 01:15
* Prescription Cascade 0410
*Therapeutic Duplication 06:00
* Monitor, Journal & Communicate 07:15
* Cause & Effect 07:50
* Communicate Changes Between MD's 10:00
* Max Benefit & Minimize Risk 11:30
* Use Your Pharmacist 11:45

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Summary:  If it’s a hard pill to swallow, you’re not alone.  In this episode we discuss why not to crush or break certain medications and possible techniques to help in overcoming pill dysphagia.  As usual, consult your pharmacist.

 Topics:

·       Pill Dysphagia Definition 02:30

·       Prevalence 04:30

·       What Not to Crush and Why 05:40

·       Drug Formulation Abbreviations 09:30

·       Narrow Therapeutic Window 11:15

·       Toprol XL, Sinemet CR – Exceptions 12:30

·       Pill Dysphagia Techniques 13:00

·       Applesauce 14:00

·       Mayo Clinic 19:30

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Summary:  SPF and Broad Spectrum Protection From UV Rays – A more detailed discussion of protecting your skin from the damaging effects of UVA and UVB radiation.

Topics

·       Chemical &Physical Sunscreens 02:00

·       UVB & UBA 03:00

·       Skin Types 04:00

·       Ozone 05:00

·       EPA – Atmosphere Warnings 05:20

·       Broad Spectrum Protection 07:45

·       Physical = Blocker; Chemical = Absorber 09:30

·       UV Radiation and Vitamin D 10:40

·       Photosensitivity by Drugs 11:50

·       Apply Liberally & Often 13:25

·       Sprays 14:00

·       Babys and Children 17:00

·       Sensitive Skin = Physical 18:00

·       Chemical Sunscreen Absorption? 18:30

·       Bug Repellant & Sunscreen? 19:15

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Summary: Just a little reminder about the negative (and positive) effects of Ultraviolet Radiation (both A & B), the options for managing those negative effects, and the drugs that may cause photosensitivity.

 Topics:

·       Out of Sight, Out of Mind 01:00

·       UV Protection 01:30

·       UBV & UVA Radiation 02:00

·       Chemical Sunscreens 02:40

·       Physical Sunscreens 03:20

·       Broad Spectrum Protection 04:00

·       Apply Liberally & Often 04:40

·       Children 05:30

·       UV Radiation, Cholesterol & Vitamin D 06:30

·       Photosensitivity Drugs 07:30

·       Nothing on Skin but Shade? 08:00

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