Pro Pharma Talks

By Pro PharmaHealth & Fitness

Pro Pharma Talks episodes

January 23, 2020 Medical Devices
Medical Devices
- BP meters, blood glucose monitors
- The basic regulatory requirements that manufacturers of medical devices distributed in the U.S. must comply with are:
       - Establishment registration,
       - Medical Device Listing,
       - Premarket Notification 510(k), unless exempt, or Premarket Approval (PMA),
       - Investigational Device Exemption (IDE) for clinical studies.
- MEDICAL Devices
       - Diagnostic equipment includes medical imaging machines, used to aid in diagnosis. Examples are ultrasound and MRI machines, PET and CT scanners, and x-ray machines. Treatment equipment includes infusion pumps, medical lasers and LASIK surgical machines.
- Home Use Devices
       - Safety & Efficacy
       - Medical devices that are authorized by the FDA for over-the-counter purchase that are not otherwise restricted and are appropriately described and labeled, such as:
               - Adhesive bandages
               - Crutches
               - Eyeglass frames
               - Otoscopes
               - Personal Sound Amplification Products (PSAPs)
               - Sharps containers
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Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
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Podcast: https://anchor.fm/pro-pharma-talks
26 min
January 16, 2020 Healthcare In 2020
What you need to know about Healthcare in 2020.
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Email: [email protected]
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Podcast: https://anchor.fm/pro-pharma-talks
32 min
December 12, 2019 The Importance of Handwashing
Topic: Washing Hands
- Goal – Prevention of infections and spreading disease
- How – water 100 degF or 38 degC, soap (?) for 20 seconds
- When
          - Preparing food
          - Using toilet or changing a diaper
          - Blowing nose, coughing, sneezing
          - Treat wounds or caring for a sick person
          - Handling garbage
          - Handling pets and their food
- Hand Sanitizer
          - Must have >= 60% alcohol
          - Antibacterial sanitizer is OK when hands are not dirty
- Antibiotic resistance
          - Global health threat
          - Need standard treatment guidelines
          - Misuse and overuse of antibiotics
          - Use hand washing prevention

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Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
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Twitter: https://twitter.com/ProPharma/
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Podcast: https://anchor.fm/pro-pharma-talks
16 min
December 05, 2019HIV / AIDS
Update on HIV/AIDS
HIV-1 is a more dangerous virus than HIV-2: AIDS developed in 54% of people with HIV-1 and 43% of people with HIV-2. After eight years, half of those with HIV-1 had died. In comparison, after 15 years, half of those with HIV-2 had died.

The Food and Drug Administration (FDA) recently announced the approval of Dovato, the first complete two-drug HIV treatment regimen for people who previously have not been on antiretroviral therapy. Why is Dovato significant? It offers the potential for these people to take their two-drug regimen in one single tablet. PrEP:

Truvada is a brand-name prescription medication that's used for treating HIV infection. It's also used for preventing HIV infection in people who have a high risk of getting HIV. This use, in which the treatment is given before the person may be exposed to HIV, is called pre-exposure prophylaxis (PrEP).

Antiretroviral therapy may soon be obsolete, as scientists have successfully used immune cells to kick the dormant form of HIV out of its hiding place and destroy it. The findings may soon lead to an HIV vaccine.
Main Points:
PrEP works

HIV can be detected within weeks

Late testing can be lethal

Undetectable viral load can be an effective HIV prevention

Repeated exposures increase the risk of an activity

Not every HIV exposure leads to an infection

Rectal fluid can transmit HIV

People aren’t using condoms correctly

People with AIDS can have a near-normal life expectancy

Prepare for an aging HIV epidemic
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Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
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Twitter: https://twitter.com/ProPharma/
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Podcast: https://anchor.fm/pro-pharma-talks
31 min
November 21, 2019 Children's Health
Childhood Issues
• Storage
      o Keep out of reach
      o Products not prescriptions
      o Child-resistant packaging
• Safety
      o Administer as prescribed or labeled
      o Use dosing device (teaspoon, tablespoon, measuring cup, etc.)
      o Write clear instructions to caregivers
      o Share info with babysitters, family, friends
• Destruction
      o Clean out used or expired medications
      o Put in sealable bag and bring to pharmacies
• Safe Administration
      o Teach about always given by adult
      o Rx not candy
      o Drug use – storage, read drug label and facts, follow dosing instructions
• Poisoning
      o Have Poison Help number by phone (1-800-222-1222)
      o 24/7/365
      o How to take Rx and how to treat poisoning
• Special cases
      o Childhood obesity
      o Injury
      o Lice
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Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
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Twitter: https://twitter.com/ProPharma/
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Podcast: https://anchor.fm/pro-pharma-talks
30 min
November 14, 2019 Medication Compliance
Compliance – Easy to talk about, but hard to do!

o Drug Compliance – definition
      o Same as compliance with doctor visits, lab draws, device use, BP measurements, BG measurements
      o Take medications as prescribed by your doctor
      o The best drug taken for the right reasons is no good, if it is not taken
      o Education is primary method
o History
      o A problem for decades
      o No general solution
      o Unintentional non-adherence
             o https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-98
             o 62% forgot
             o 37% ran out of medications
             o 23% careless about taking medications
o Barriers
      o Why?
             o Low perceived need
             o Affordability
             o Worse self-rated health
             o Youth
      o Prescriber/Pharmacists
             o Cost
             o Self-reporting
             o Time to track pill counts
             o Refill messages
             o Time for education
o Scheduling
      o 1-2x/day > 3-4x/day
      o Devices
              o Memory
              o Calendars
              o Automation – tops of medication bottles, app alerts
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Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
Facebook: https://www.facebook.com/propharmainc
Twitter: https://twitter.com/ProPharma/
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Podcast: https://anchor.fm/pro-pharma-talks

20 min
November 06, 2019 Diabetes
Statistics
      o >30 million people in US, 1 in 4 don’t know they have it
      o 84 million US adults have prediabetes, and 90% don’t know they have it
      o 7th leading cause of death in US
      o Type 2 diabetes accounts for 90% to 95% of all diagnosed cases
      o # of adults diagnosed with diabetes has doubled with age and overweight/obese
Risk factors
      o Overweight
      o >= 45 y/o
      o Parent, brother, or sister with T2D
      o Physically active < 3x/week
      o Gestational diabetes (diabetes w/pregnancy) or given birth to baby weighing > 9 pounds
      o African Americans, Hispanic/Latino Americans, American Indians, Alaska Natives, Pacific Islanders, and some Asian Americans have higher risk for prediabetes and T2M
Leading cause of in 2019
      o Chronic kidney disease
      o Lower-limb amputations
      o Adult-onset blindness
Risk Factors -- independent
      o Diet
      o Over-weight
      o Lack of exercise
      o Smoking – 30-40% more likely to develop type 2 diabetes than non-smokers
      o Non-compliance with medications, weight loss, diet
Medications
      o Large armamentarium of drugs
      o Look for A1c lowering
      o Risk factors are independent and can still cause end-organ disease
      o Compliance with monitoring blood sugar – proxy for end-organ disease
      o Compliance with medication
      o Compliance with Insulin is approximately 50% across US
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Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
Facebook: https://www.facebook.com/propharmainc
Twitter: https://twitter.com/ProPharma/
Instagram: https://www.instagram.com/propharmainc/
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Podcast: https://anchor.fm/pro-pharma-talks
21 min
October 30, 2019 Care Transitions
Topic: Care Transitions
What are care transitions?
       -Acute to home or chronic care/step down
       -Example: Hospital to home
Concern
       -Don’t want patient to return to the hospital within 30 days for same problem
      - Medicare refusal to pay for certain conditions to promote prevention
Issues
       -Understand discharge orders
       -Comply with discharge orders
       -Drug coordination from pre-hospital, to in hospital, or post-hospital regimen
       -Labs and services to follow up
Examples
       -Pneumonia & Serious infections – injectable to oral antibiotic, antibiotics compliance, monitor for symptoms (temperature, swelling, pain, GI symptoms, dizzy/confused, etc.)
       -Heart Failure – monitor weight everyday, comply with medicines
       -COPD/Emphysema – arrange for O2, use FiO2 to expand vital capacity, correct use of inhalers
       -Asthma – correct use of inhalers
       -Heart Attack – BP, lipid, ACEI regimen of medications – promote compliance
       -DVT – transition from injectable-to-oral anticoagulants – promote compliance, alert notification if bleed
       -Pain management – CDC recommendations
Support
       -Nurse case managers
       -Pharmacists
       -Home – rest, anabolic diet, hydration
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Make sure to subscribe to get the latest episode.
Contact Us:
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Email: [email protected]
Website: http://www.propharmaconsultants.com/
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Twitter: https://twitter.com/ProPharma/
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Podcast: https://anchor.fm/pro-pharma-talks
27 min
October 23, 2019 Value & Ethics in Drug Pricing
Value & Ethics in Drug Pricing
      1. What is the argument between high prices and value?
      2. How is value determined?
             a. ICER
             b. NICE
             c. Cochran Reviews
      3. How is pricing determined?
      4. What is the ethical question?
             a. Support prescription and prescriber’s plan
             b. 20% of standard Rx are for off-label
             c. 50% of cancer treatment is off-label or unapproved
      5. Actions to bridge value to price
             a. Value-based purchasing
             b. Non-inferiority trials
             c. Objective review of the literature
             d. Committee reviews, e.g., tumor boards, P&T Committees
      6. Outstanding question
             a. Cost vs. affordability
______
Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
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Facebook: https://www.facebook.com/propharmainc
Twitter: https://twitter.com/ProPharma/
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Podcast: https://anchor.fm/pro-pharma-talks
34 min
October 16, 2019Over the Counter Medications (OTC)
Outline for OTC Talk
What are OTC’s?
Authorized for safety, not efficacy

Many OTC were once prescription so effectiveness is ensured
How should they be used?
Oral – symptomatic

Topical – low severity problems
Cost-Benefit
No doctor visit unless the condition does not improve

No labs

Buy generics if available

Caution when paying for store-brand or private label as they cost similar to a brand
Information Resource
Pharmacists – them most educated in medication physiology, pharmacology and clinical effects
Request OTC Formulary: https://www.123formbuilder.com/form-4856229/
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Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: [email protected]
Website: http://www.propharmaconsultants.com/
Facebook: https://www.facebook.com/propharmainc
Twitter: https://twitter.com/ProPharma/
Instagram: https://www.instagram.com/propharmainc/
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Podcast: https://anchor.fm/pro-pharma-talks
YouTube: https://www.youtube.com/user/ProPharmaEducation
22 min

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Welcome to Pro Pharma Talks, where we bring clarity to a variety of healthcare topics -- from pharmacy to medical insurance, and more!

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