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Issue:  April 2012 •  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
   – Co-pay Coupons
  Photo Treatment Options for Vitiligo
This chronic, progressive disorder poses significant cosmetic and psychosocial challenges for patients.
  Photo Recent Advances in the Treatment of Psoriasis
There is presently no cure for this autoimmune disorder, and so the search continues for effective therapies.

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Editor's Notebook
Disney’s Pharmacy Solution

Pharmacies would do well to adopt the principles of this institution’s successful, people-centered management style.
Counseling Pearls
Photo Atopic Dermatitis in the Pediatric Population: Pathogenesis, Treatment, and Quality of Life Issues

This skin disorder is also known as eczema. Although various agents can help relieve the pain, itching, and inflammation, there is no cure for this condition.
Photo Shining the Light on Sunscreen

The large number of available products makes it hard for consumers to comprehend label information and what constitutes adequate protection. Pharmacists can help clarify this information for patients.
It's the Law
Corporate Social Responsibility: Justice Without Due Process?

The DEA’s expectations for policing pharmacies and their patients who request controlled substances remain unclear.
Clinical Corner
Photo Management of Crohn’s Disease in Children and Adolescents

This disorder is on the rise in pediatric patients of varying ages, making it a significant chronic disease in this population. Despite this, most patients are able to lead productive lives.
Photo Drug-Induced Skin Disorders

Acute or chronic adverse dermatologic reactions caused by medication exposure are common. Both immune and nonimmune mechanisms may be involved.
Consult Your Pharmacist
Causes and Treatment of Dry Skin

Xerosis may result from a serious medical condition, but usually commonplace factors, such as the climate and bathing habits, are responsible.
Educational Spotlight
Acute Bacterial Meningitis

This infection is a medical emergency, and prompt recognition and treatment are imperative.
Managing Heart-Related Complications in Patients With Diabetes

Cardiovascular problems are common and a major cause of death in patients with this metabolic disorder.
Deep Brain Stimulation Surgery for Parkinson’s Disease

This procedure can improve symptoms of tremor, rigidity, bradykinesia, and dyskinesia.
Fentanyl Patch Can Be Deadly to Children
Silver Spring, MD — The FDA has issued a safety alert regarding the dangers of accidental exposure to and improper storage and disposal of the fentanyl patch, based on the number of young children who have died or become critically ill after exposure to the powerful pain reliever. There have been 26 cases of accidental exposure to fentanyl since 1997, mostly in children younger than 2 years, that resulted in death in 10 cases and hospitalization in 12 others. Children can be exposed to fentanyl by ingesting a discarded or improperly stored patch or sticking it onto their skin. Children are particularly susceptible to fentanyl overdose because they have not been previously exposed to this type of potent medication and are more vulnerable to its effects.
Large Vitamin C Doses May Reduce Blood Pressure
Baltimore, MD Taking big doses of vitamin C may modestly lower blood pressure, according to an analysis of data from 29 previously published clinical trials. The trials, comprising years of research, all reported systolic and/or diastolic blood pressure values and compared vitamin C intake with placebo. Scientists at Johns Hopkins University School of Medicine found that, in the short term, blood pressure was reduced by nearly 4 mm Hg (nearly 5 mm Hg in subjects with hypertension) in subjects taking an average of 500 mg of vitamin C daily. This amount of vitamin C is about five times the recommended daily requirement. The scientists say that more research is needed before vitamin C is recommended as a treatment for high blood pressure.
Metformin May Lower Parkinson’s Risk in Diabetes
Taipei, Taiwan, and Melbourne, Australia — A 12-year study of a large Taiwanese population cohort has discovered that the risk of Parkinson’s disease, which is increased by diabetes and increased further by the sulfonylureas used to treat diabetes, is reduced when metformin is included in the therapy. “Metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism,” stated lead study author Professor Mark Wahlqvist. “This means it may also be considered a relevant therapy for the prevention of dementia as well.” While the mechanism of action remains to be elucidated, it is likely that metformin causes the regulation of energy metabolism in cells, including the brain, to be reset.
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