Category: Meds

How drug prices are manipulated

I wondered whether to recommend Nuedexta for my elderly relative with worsening Alzheimer’s disease and daily spontaneous crying. Often she would deny feeling sad and couldn’t account for her sobbing.   Avanir Pharmaceuticals released Nuede…

Do we need to temper our expectations of Paxlovid?

The twice-vaxxed, twice-boosted First Lady, Dr. Jill Biden, tested negative for COVID after taking Paxlovid. And then she rebounded, just like her husband did weeks ago or like Director of the National Institute of Allergy and Infectious Diseases (NIAI…

We must disrupt harm

In the mid-1980s, with the AIDS epidemic on the horizon, austere conservative Margaret Thatcher sanctioned the first needle exchanges in the U.K. to prevent the budgetary burden that HIV might otherwise have become on the National Health Service. Nearl…

We must disrupt harm

In the mid-1980s, with the AIDS epidemic on the horizon, austere conservative Margaret Thatcher sanctioned the first needle exchanges in the U.K. to prevent the budgetary burden that HIV might otherwise have become on the National Health Service. Nearl…

Cancer of the future: diagnosis, treatment, and impact on the health care system and patients 

While cancer has been around for decades, the fight for survival and treatment options are still very top of mind. Treatment is simply playing catch up. We continue to try and get rid of the disease that has already infiltrated one’s body rather than c…

Protect the rights of licensed health care workers to take buprenorphine

Early in my addiction medicine fellowship, I met a patient for the second time while shadowing another physician in their practice. The patient was a former nurse with opioid use disorder on maintenance therapy with buprenorphine (commonly called Subox…

Novavax may be able to provide equitable access to another vaccine alternative

On June 7th, 2022, the Novavax COVID-19 vaccine was approved for use in adults by the Vaccine Advisory Committee of the United States Food and Drug Administration. The vaccine has already been authorized in many other nations, including Indonesia, the …

The promise of in silico drug development to improve patient outcomes

In the last two years, pharmaceutical companies have become increasingly interested in the possibilities in silico technologies bring to the world’s multi-billion-dollar drug development market. Among the factors that have been reported as driver…

Allow patients to continue their opioid of choice while starting microdoses of buprenorphine

Twenty-six hours into the shakes, sweats, crawling anxiety, and gripping nausea of opioid withdrawal, Faye caves in and takes a couple of fentanyl tabs. She knows that she must tough out a couple of days without fentanyl to start Suboxone (buprenorphin…

Automatic refill and 90-day fill programs don’t improve medication adherence

Health care has fooled us into believing a number of myths that—taken at face value—sound logical and true. Here’s one of the most pervasive and dangerous myths: Pharmacy’s value comes from convenience and access. And here’s another one: 90-day fills, …