Tag Archives: Drugs

The Tragedy of the Commons – Drug Shortages and Our Patients’ Health

  There has been, rightfully, a great deal of controversy related to the EpiPen pricing issue1; a preparation sold for $83 by Merck (Rockville, Md) a decade ago is now priced at $600. The fury directed at the company now marketing this drug-delivery device – Mylan (Canonsburg, Pa) – came from patients, families, and legislators; […]

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Joseph S. Alpert

A Sticky Problem: Dealing with Industry Under Unpleasant Circumstances

  In this issue of the American Journal of Medicine, Dr Leonard Fromer appropriately calls for easier access to potential lifesaving therapy, the epinephrine auto injector, for patients with severe allergic reactions. The editor and the staff of the AJM strongly support the concept that epinephrine auto injectors should be made affordable and easily accessible for patients who are […]

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Why Are Drug Prices Higher in the US?

On 1000-Fold Pharmaceutical Price Markups and Why Drugs Cost More in the United States than in Mexico On July 15, The Washington Post’s Wonkblog posted a story titled “This $153,000 Rattlesnake Bite Is Everything Wrong with American Health Care,”1 accompanied by a striking photograph depicting ascending hemorrhagic lymphangitis and an image of the associated hospital bill, which included […]

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social media

Using Text Messages to Improve Medication Adherence

One-way Versus Two-way Text Messaging on Improving Medication Adherence: Meta-analysis of Randomized Trials Two-way text messaging (reminder plus patient reply) improves medication adherence by 23%, while one-way text messaging (reminder only) has little or no effect. Abstract Background Mobile telephone text messaging is a simple potential solution to the failure to take medications as directed. […]

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cycling

Exercise Is Just as Important as Your Medication

“They who are accustomed to daily labor, although even weak or old, endure it more easily than the robust or young who are unaccustomed to it.” Hippocrates Aphorisms1   I tell all my patients that frequent exercise is just as important as their medication in controlling their cardiovascular disease.2 In addition, I tell them that they […]

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