Treating Hypertension

Treating HypertensionAn estimated 50 million American adults (or 25% of the adult population) have high blood pressure. Left untreated, hypertension can lead Ш m to heart disease and stroke, and it can cause damage to blood vessels and other organs. Angiotensin-converting enzyme (ACE)-inhibitors widen the blood vessels and lower blood pressure by blocking the production of angiotensin II.

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Welcome, Dr. Greengold

Dr. GreengoldIt has come to our attention—and we hope yours too—that there is a lot of great talent on our editorial board. Thus, we have decided to add a new recurring feature—which we hope will be informative without coming across as inordinately self-promotional—designed to let you get to know these people a little bit better. For those of you who gaze admiringly at the listing of our editorial board members every month and wonder (a) what do these titles and affiliations really mean? (b) what do these people have to do with P&T committees? and (c) why did these people decide to join our editorial board?, we hope that this monthly spotlight will satisfy your curiosity. (It’s also a chance to see a snapshot of a person without having to wade through his or her 30- or 50-page CV.)

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Advocating Health: part 2

Health Advocate can send its medical directors and expert nurses to accompany patients while they are petitioning managed care organizations for therapies that may have been previously denied. Ironically, Dr. Liebowitz was formerly the chief medical officer of U.S.

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Advocating Health

Has anyone among our readers been a patient in the hospital recently? Has anyone been to a staff meeting in any hospital-based department when key members were absent because of the need to care for sick children or aging parents? I believe that we all go through sequential stages of fear, confusion, and exasperation as consumers of health care, regardless of the setting or our geographic locale. I am sure that P&T committee members can identify with the aforementioned circumstances. With that in mind, I would like to share some details about a new firm that is trying to tackle the difficulties that many of us face at various life stages.

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What’s Going to Happen to Brave Surgeons and Patients

Brave SurgeonsWhat’s going to happen to me?” he asked. “The lung doctor says I’m not in good enough shape to be operated on. What chance do I have of beating lung cancer if they don’t operate?”

If the question had appeared on a medical board exam, it would have been quite simple: a 60-year-old male who had smoked two packs of cigarettes a day for 40 years and who suffers from emphysema presents with an inoperable 3-centimeter tumor of his left lung. What are his chances of being cured?

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Atomoxetine: CLINICAL EFFICACY

The effectiveness of Atomoxetine generic in the treatment of ADHD was established in six randomized, double-blind, placebo-controlled studies in children, adolescents, and adults who met the criteria for ADHD, as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Of these six studies, four were used to assess the drug’s clinical efficacy in children and adolescents and two of the studies were used to evaluate its efficacy in adults.

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Atomoxetine: DOSING

Atomoxetine generic is supplied as capsules, in strengths of 10, 18, 25, 40, and 60 mg. For children and adolescents weighing up to 70 kg, the recommended initial dose is 0.5 mg/kg. After a minimum of three days, the dose should be increased to a targeted daily dose of 1.2 mg/kg. The targeted daily dose may be given once in the morning or in evenly divided doses in the morning and evening or late afternoon. No clinical benefits from doses higher than 1.2 mg/kg have been observed in clinical trials.

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