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Issue:  May 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
   – New Drug Class
  Photo Opiate Education: Key Points for the Pharmacist
Dependence and abuse are rising, with 5% of the population taking an opioid pain reliever for nonmedical purposes.
  Photo Fibromyalgia and the Pharmacist's Role
Widespread pain, tenderness, and fatigue are the main diagnostic criteria for this chronic disorder.

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Editor's Notebook
Ethics and Honesty Are Top Priority

As exhibited by the annual Gallup poll, rising above other professions in ethics and honesty is a top priority for pharmacists.
Counseling Pearls
Photo The Pharmacist's Role in Managing Pain Associated With Ocular Trauma

The pain associated with an eye injury can be particularly debilitating. As a result, it is common for patients to consult pharmacists about OTC or home remedies in an attempt to self-medicate before they are able or willing to seek further medical attention from a physician or eye care specialist.
Photoweb exclusive Disordered Eating in Type 1 Diabetes: Insulin Omission and Diabulimia

Young adults with diabetes are at increased risk for developing psychiatric comorbidities, including eating disorders, because of the complex nature of chronic disease management as well as the effects of chronic disease on psychosocial functioning.
It's the Law
DEA Continues Corporate Responsibility Drive

Another chain-store pharmacy is being investigated for distributing "too much" oxycodone.
Clinical Corner
Photo Opioid-Induced Hyperalgesia: An Emerging Treatment Challenge

Management of chronic pain with medications such as opioids is a common strategy, but chronic pain can persist or worsen despite aggressive opioid therapy. This article aims to shed light on the phenomenon of opioids that are prescribed to treat pain but cause new or paradoxically worsening pain.
Photo Chronic Tumor-Related Pain

Typically ongoing and unmitigating irrespective of cancer stage, this type of pain necessitates long-lasting, round-the-clock coverage. Although cancer pain can be debilitating, appropriately prescribed pharmacologic therapy plays an important role in easing this burden while minimizing adverse effects.
Consult Your Pharmacist
Treating Minor Ear Problems

Pharmacists can suggest self-treatment for earwax impaction and water-clogged ears.
Educational Spotlight
Recent Advances in the Treatment of Psoriasis

There is presently no cure for this autoimmune disorder, and so the search continues for effective therapies.
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.
Routine PSA Tests Not Recommended
Rockville, MD — The U.S. Preventive Services Task Force is recommending that men of all ages no longer be routinely screened for prostate cancer with the prostate-specific antigen (PSA) blood test. The task force concluded that PSA screenings may only help one man in every 1,000 to avoid dying from prostate cancer, and that screening results in overdiagnosis of prostate cancer and unnecessary treatment that can cause impotency, incontinence, and persistent anxiety. Critics of the task force's decision said the group underestimated the PSA test's benefits and overestimated its harms.
At-Home HIV Test Backed by FDA Panel
Rockville, MD An FDA advisory panel has recommended approval of the first HIV test that can be administered in the privacy of one's own home. Oraquick detects the presence of HIV in oral fluid within 20 minutes. The test is already used by medical professionals at hospitals and physician offices. Its overall accuracy is similar to that of a blood test, although it is slightly less accurate. Experts have expressed concern about the lack of counselor support for newly identified HIV-positive individuals taking the at-home test. The FDA usually follows the recommendations of its advisory panels.
Osteoporosis Drugs Linked to Thigh Fractures
Geneva, Switzerland — A new study published in the Archives of Internal Medicine has found a link between bisphosphonates and atypical thigh fractures. Physicians at the University Hospitals of Geneva in Switzerland examined the records of 477 patients treated at the hospital for broken legs between 1999 and 2010, and discovered that of 39 patients who had the more unusual thigh breaks in which the thigh snaps apart with minimal or no trauma, 32 had taken a bisphosphonate. Although this type of break is very rare, these new findings add to evidence suggesting patients should reconsider taking these osteoporosis medications after 3 to 5 years of use.
To subscribe to e-Connect, send your name, address, and email address to us by clicking here. U.S. Pharmacist is a monthly journal dedicated to providing the nation's pharmacists with up-to-date, authoritative, peer-reviewed clinical articles relevant to contemporary pharmacy practice in a variety of settings, including community pharmacy, hospitals, managed care systems, ambulatory care clinics, home care organizations, long-term care facilities, industry and academia. The publication is also useful to pharmacy technicians, students, other health professionals and individuals interested in health management. Pharmacists licensed in the U.S. can earn Continuing Education credits through Postgraduate Healthcare Education, LLC, accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.