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GLG News by Synagis Prescribers (US)

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August 13, 2008
Let's Try to be Selective in What we Test for and Treat
Analysis of: Panel Urges End to Prostate Screening at Age 75 | www.nytimes.com
Author: GLG Expert Contributor
Finally, a recommendation that an available test and treatment NOT be used, under circumstances where there is little to be gained and much to be lost.
August 13, 2008
Another Item Which Patients "Want", and Cost be Damned
Analysis of: Majority of Patients Want Doc to use EHRs: Study | www.modernhealthcare.com
Author: GLG Expert Contributor
Just like expensive, do-everything end-of-life care, like unlimited imaging studies, like newest drugs, patients want it all. This is one of the attitudes which causes the US to spend far more than other developed countries for far less efficient and cost-effective health care.
August 5, 2008
TANSTAAFL
Analysis of: Just Sitting Back to Get in Shape: Two Pills Do teh Work of Exercise | online.wsj.com
Author: GLG Expert Contributor
(There ain't no such thing as a free lunch.) Just like the electronic devices which claim to stimulate constant muscle contractions, these pills seem to produce increased muscle metabolic activity, making the muscle "think" that it has been exercising. The animals in the study had increased endurance...
August 5, 2008
Good Documentation of Common Knowledge
Analysis of: Associations Between Exposure To Traffic-Related Air Pollution And The Onset Of Allergic Diseases In Children Shown By New Research | www.medicalnewstoday.com
Author: GLG Expert Contributor
There is not much new here for those involved in clinical care of children, but it is good to have statistical support for what we have always taught about pollution and allergic disorders, especially asthma.
July 28, 2008
A Good Intermittent and Intermediate Treatment
Analysis of: Intermittent tacrolimus Ointment therapy Helps Prevent Relapse Of Stabilized Atpoic Dermatitis | www.medscape.com
Author: GLG Expert Contributor
Treatment of atopic dermatitis has always been frustrating. Flare-ups, which are all too common, can be treated with topical steroids, but these cannot be used for prolonged periods without significant downside. And lubrication of the skin, the mainstay of maintenance therapy, is not always effective...
July 24, 2008
Poor Economic Conditions Affect All Sectors
Analysis of: Patients Curb Prescription Spending | online.wsj.com
Author: GLG Expert Contributor
While the need for urgent care does not disappear during tough economic times, patients are far more selective about when they consider themselves sick enough to require medical care. With higher copayments, often $25-50, patients think twice before going to a physician for minor complaints--they might...
July 21, 2008
Potential Side Effects May Take Years to Become Visible
Analysis of: Drugs to Build Bones May Weaken Them | www.nytimes.com
Author: GLG Expert Contributor
As in so many other instances, some potential side effects will only show up once the number of patients has grown far beyond the number studied in pre-marketing studies.
July 18, 2008
Starting Younger Every Day
Analysis of: 8-Year-Olds on Statins? A New Plan Quickly Bites Back | www.nytimes.com
Author: GLG Expert Contributor
While I am sure that there are a few children with hereditary lipid disorders which should be treated aggressively and early with statins, the data is certainly not available to support routine treatment of every child with elevated lipid values.
July 1, 2008
No Point to This at All
Analysis of: Taro Receives Final FDA Approval For RX Cetirizine Hydrochloride Syrup ANDA | www.medicalnewstoday.com
Author: GLG Expert Contributor
If the same drug is available OTC, insurances won't cover the rx form, and patients will (continue to) self-treat with OTC meds, without even needing to see their doctor.
June 30, 2008
Who cares?
Analysis of: Taro Receives Final FDA Approval For RX Cetirizine Hydrochloride Syrup ANDA | www.medicalnewstoday.com
Author: GLG Expert Contributor
Taro just got approval for Rx cetirizine - big whoop!  Zyrtec has been OTC in all forms (tablet, chewable and syrup) since 11/07.  Do you know anyone who will write a prescription for an OTC drug or an insurance company that will cover it?

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