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GLG News by Pediatric Allergist Physicians in the U.S.

Mark Vandewalker, MD, Allergy Specialist and Partner
Allergy & Asthma Consultants Of The Ozarks Ltd
Analysis of: FDA: Long-Acting Asthma Drugs Increase Asthma Risks (online.wsj.com)
The use of long-acting beta-agonists (LABAs) in the treatment of persistent asthma has become one of the most controversial issues of respiratory disease management during this decade. Both salmeterol and formoterol have been shown in numerous clinical trials of asthma to dramatically improve pulmonary...
Mark Vandewalker, MD, Allergy Specialist and Partner
Allergy & Asthma Consultants Of The Ozarks Ltd
Analysis of: Investigational Anti-IgE Antibody Promising as Extracorporeal Allergy Therapy (www.medscape.com)
This recent report characterizes a newly discovered anti-IgE monoclonal antibody (mAb12) which appears dramatically more potent than omalizumab (Xolair) in its ability to reduce systemic IgE levels. If further studies confirm this enhanced reduction of IgE and IgE-bearing cells, mAb12 has significant...
Analysis of: FDA investigates suicide with Merck drug (www.physorg.com)
The FDA is investigating Merck's Singulair for a possible link to suicidal thought and action.  With over 28 million prescriptions last year and a 12 year record of safety in children and adults, the evidence must be evaluated closely before coming to any conclusion. Of note antihistamines, including...
August 9, 2007
Concierge or Snobs
Analysis of: MDs offer new services, for $3,600 yearly fee (www.boston.com)
The continued trend of concierge medicine will serve to further segregate and fragement our over burdened health care system.  It remains to be seen then long effect of this practice model.
Analysis of: Japan study finds coffee may prevent colon cancer (news.yahoo.com)
This seem dubious at best -- drinking coffee can prevent cancer.            
Analysis of: Blue Cross cuts causing pain (www.latimes.com)
Not surprisingly the BLues are cutting reimbursement to physicians yet their rates continue to rise and their employee compensation continues to rise. It is time for employeers to demand that the highly paid executives of the Blues justify their excessive salaries and efficiencies of the Blues be fixed....
Analysis of: MedImmune Announces Interim Phase 1 Study Results for Potential Asthma Therapy (www.pipelinereview.com)
Medimmunes novel mAb to the Il5 receptor represents a novel way to decrease eosinophils. While this represents a potentially important therapeutic modality in asthma mangement, previous attempts with mepolizumab ( anti IL 5 ) proved disaapointing. Mepolizumab like medimmune's new agent was able to decrease...
Mark Vandewalker, MD, Allergy Specialist and Partner
Allergy & Asthma Consultants Of The Ozarks Ltd
Analysis of: AstraZeneca Launches New Advance In Asthma Treatment - Symbicort Maintenance And Reliever Therapy (Symbicort SMART) (www.medicalnewstoday.com)
Symbicort is AstraZeneca's answer to Advair, presently the number one combination ICS/LABA in the U.S. for treating moderate to severe asthma. Symbicort will not, however, have an indication for quick relief of bronchospasm as it does in many European countries. Nevertheless, Symbicort appears to be...
Analysis of: FDA Approves XYZAL(R) (Levocetirizine Dihydrochloride) Tablets For The Relief Of Seasonal And Year Round Allergies, And Chronic Hives (www.medicalnewstoday.com)
Yet another antihistamine in a saturated market with less expensive alternatives. Antihistamines are not the drug of choice for significant allergic rhinitis
February 23, 2007
Cause for Concern
Analysis of: FDA Orders Black Box Anaphylaxis Warning for Omalizumab (Xolair) (www.medpagetoday.com)
The black box warning is a real concern to physicians who prescribe Xolair and patients who are taking it.  It highlights a risk that has always been there but is apparently more common than previously thought.

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