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Issue:  April 2011 •  Archive  •  Subscribe •  Unsubscribe
In This Edition Featured Article Featured CE
•  Editor's Notebook
•  Counseling Pearls
•  It's the Law
•  Clinical Corner
•  Consult Your Pharmacist
•  Educational Spotlight
•  Quick Poll
    - Pharmacist Dress Code
  Photo Conjunctivitis
Treatment differs for the allergic, viral, and bacterial forms of this inflammatory eye disease.
  Photo An Overview of Uveitis and Its Management
Significant vision loss can occur in more than one-third of patients with this condition.

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Editor's Notebook
We Are Not Alone

Pharmacists must be vigilant about enforcing HIPAA privacy regulations.
Counseling Pearls
Photo Macular Degeneration and the Age-Related Eye Disease Study

This disorder is a major cause of vision loss in people aged 60 years and older. Only patients with intermediate disease in one or both eyes or advanced disease in one eye will benefit from the AREDS supplement formula.
Photo Understanding Diabetic Retinopathy

By facilitating timely medical interventions, regular ophthalmic screenings can help reduce the risk of this progressive eye disease, which is the primary cause of blindness in adult Americans.
It's the Law
Throwing Bombs: Discontent in Academia

Squabbling between two professors at a college of pharmacy escalates into a major lawsuit.
Clinical Corner
Photo Drug-Induced Optic Neuropathy

Many commonly prescribed medications have been reported to cause this condition, including phosphodiesterase type 5 inhibitors, amiodarone, linezolid, ethambutol, and isoniazid.
Photo Treatment of Endophthalmitis Resulting From Traumatic Eye Injury

Prompt treatment of this rare but severe disorder is essential to prevent vision loss. Patients not responsive to initial treatment should be considered for additional antimicrobial or surgical intervention.
Consult Your Pharmacist
Nonprescription Products for Minor Eye Conditions

A host of items are available to safely treat conditions such as dry eye, redness, and allergic conjunctivitis.
Educational Spotlight
The Prevention and Treatment of Whooping Cough

Pertussis continues to be poorly controlled despite national immunization programs.
Clinical Updates on Bone-Sparing Therapies for Cancer-Related Bone Disease and Osteoporosis

Loss of bone mass, which leads to fracture and other complications, is increasingly recognized as a major health care dilemma.

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Probiotic May Reduce Rate of Recurrent UTIs in Women
Seattle, Washington— A trial conducted at the University of Washington found that replenishing Lactobacillus crispatus—a depletion of which is associated with urinary tract infections (UTIs)—may be beneficial for recurrent UTIs. In the trial, 100 women with a history of recurrent UTIs received antibiotics for acute UTIs, then were randomized to receive either an L crispatus intravaginal suppository probiotic or placebo for 5 days, then once weekly for 10 weeks. Seven of the 50 patients taking the probiotic had at least one UTI, versus 13 in the placebo group. Study author Ann Stapleton, MD, noted: "Larger efficacy trials of this novel preventive method for recurrent urinary tract infections are warranted to determine if use of vaginal Lactobacillus could replace long-term antimicrobial preventive treatments.”
Corticosteroid Creams Safe for Kids With Eczema
Sydney, Australia— Long-term use of topical corticosteroids to treat eczema in children causes no major side effects, according to a study from the University of Sydney. Concerns among some parents and health care providers that corticosteroid creams or lotions cause effects such as thinning of the skin can result in undertreatment of eczema in children. In the study, 70 children were treated with enough of the topical corticosteroids to keep them virtually free of eczema; 22 controls did not receive the medication. There were no differences in corticosteroid-related side effects between medicated subjects and controls. "Normal routine use of topical corticosteroids does not cause skin thinning, and parents should be reassured. We hope that our work will give them the confidence to use topical corticosteroids safely and effectively," said study leader Gayle Fischer.
Mounting Evidence for Link Between Calcium Supplements and Heart Problems
Auckland, New Zealand—New research published in the British Medical Journal adds to previous findings that calcium supplements increase the risk of cardiovascular events (CVEs) in older women and suggests that their use in managing osteoporosis be reassessed. Data from the Women’s Health Initiative (WHI) trial were reanalyzed to provide the best current estimate of the effects of calcium supplements, with or without vitamin D, on the risk of CVEs. Among women who were not taking personal calcium supplements at the start of the trial, those assigned to combined calcium and vitamin D supplements were at increased risk for CVEs, especially heart attack. Combined calcium and vitamin D supplements did not alter CVE risk in women who were taking personal calcium supplements at the start of the trial. The abrupt change in blood calcium levels after taking a supplement may be responsible for the adverse effect.
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