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Newsletter

August 
2006

Volume 1, No 11

New Vaccine for Cervical Cancer  
 

August 5, 2006

Proper name: Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine
Tradename: GARDASIL
Manufacturer: Merck & Co., Inc., West Point, PA, License #0002
Indication for Use:
Vaccination in females 9 to 26 years of age for prevention of the following diseases caused by (HPV) Types 6, 11, 16, and 18:

1.  Cervical Cancer
2.  Genital Warts (Condyloma Acuminata)
     and the following precancerous or
     dysplastic lesions:

     Cervical adenocarcinoma in situ (AIS)
     Cervical intraepithelial neoplasia (CIN)
          grade 2 and grade 3
     Vulvar intraepithelial neoplasia (VIN)
          grade 2 and grade 3
     Vaginal intraepithelial neoplasia (VaIN)
          grade 2 and grade 3
     Cervical intraepithelial neoplasia (CIN)
          grade 1

Approval date August 6, 2006
Source:  Center For Biologics and Research of the FDA

http://www.fda.gov/cber/products/hpvme
r060806.htm

    

  • New Vaccine for Cervical Cancer.....................................1
  • New Med for Parkinson's Disease....................................1
  • Medication Errors.......................................1
  • Psychological Effects of
    Ecstasy....................................2
  • What Is a Proteome.................2
  • OB Patient Death Leads To
    Procedure Changes in WI........2
  • Sudden Children Deaths with
    Dexadrine................................2
  • Carbon Monoxide Dangers
    In Boating...............................2


                

 

 

 

 

 

 

New Med for Parkinson's Disease


The Food and Drug Administration today approved Azilect (rasagiline), a new molecular entity, for the treatment of Parkinson's disease. The drug is a monoamine oxidase type--B (MAO-B) inhibitor that blocks the breakdown of dopamine, a chemical that sends information to the parts of the brain that control movement and coordination.

"This is a welcome development for the more than 50,000 Americans who are each year diagnosed with Parkinson's disease, " said Dr. Steven Galson, Director of the Center for Drug Evaluation and Research. "Parkinson's is a relentless disease with limited treatment options, and each new therapy is an important addition to the physicians' treatment options."

Parkinson's disease is a chronic, progressive neurodegenerative condition caused by the destruction of the brain cells that produce dopamine. As the level of this chemical declines,  messages from the brain telling the body how and when to move are delivered more slowly, leaving a person incapable of initiating and controlling movements in a normal way.

Azilect may be associated with hypertensive crisis if patients also consume tyramine-rich foods, beverages (such as cheese and red wine) or dietary supplements or amines contained in many cough/cold medications. Therefore, patients will need to avoid these sources of tyramine and amines when taking Azilect. As with most other medications for Parkinson's, Azilect has the potential to cause involuntary movements (dyskinesias), hallucinations and lowered blood pressure.  These side effects are described in the product labeling.

During development, melanoma was diagnosed in a small number of patients treated with Azilect.  Although the FDA has concluded that the available data do not establish that Azilect is associated with an increased risk for melanoma, it appears that compared to the general population, patients with Parkinson's disease have an increased risk for this form of skin cancer.  In order to address the question of whether or not Azilect itself increases such risk, the drug's manufacturer will perform a Phase 4 (postmarket) study. The product labeling will recommend that patients undergo periodic dermatologic examinations.

Source:USFDA

http://www.fda.gov/bbs/topics/NEWS/
2006/NEW01373.html
 

Medication Errors Injure 1.5 Million People and Costs Billions of Dollars Annually

Medication errors are among the most common medical errors, harming at least 1.5 million people every year, says a new report from the Institute of Medicine of the National Academies. The extra medical costs of treating drug-related injuries occurring in hospitals alone conservatively amount to $3.5 billion a year, and this estimate does not take into account lost wages and productivity or additional health care costs, the report says.

The committee that wrote the report recommended a series of actions for patients, health care organizations, government agencies, and pharmaceutical companies. The recommendations include steps to increase communication and improve interactions between health care professionals and patients, as well as steps patients should take to protect themselves. The report also recommends the creation of new, consumer-friendly information resources through which patients can obtain objective, easy-to-understand drug information. In addition, it calls for all prescriptions to be written electronically by 2010 and suggests ways to improve the naming, labeling, and packaging of drugs to reduce confusion and prevent errors.

Co-chair J. Lyle Bootman, dean and professor, College of Pharmacy, University of Arizona, Tucson, said, "Our recommendations boil down to ensuring that consumers are fully informed about how to take medications safely and achieve the desired results, and that health care providers have the tools and data necessary to prescribe, dispense, and administer drugs as safely as possible and to monitor for problems. The ultimate goal is to achieve the best care and outcomes for patients each time they take a medication."

Source:  EMTALA and Healthlaw Resources

http://www.medlaw.com/healthlaw/Drugs_
Pharmacy/4_1/iom-medication-errors-inj.shtml

 


 

 

 

 


 

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  PAGE 2
 

Psychological Effects of MDMA (Ecstasy) Such as Confusion, Depression, and Sleep Problems Can Occur Days or Weeks After Taking the Drug

 MDMA (3-4 methylenedioxymethamphetamine) is a synthetic, psychoactive drug chemically similar to the stimulant methamphetamine and the hallucinogen mescaline. Street names for MDMA include Ecstasy, Adam, XTC, hug, beans, and love drug. MDMA exerts its primary effects in the brain on neurons that use the chemical serotonin to communicate with other neurons. The serotonin system plays an important role in regulating mood, aggression, sexual activity, sleep, and sensitivity to pain. Psychological effects of the drug can include confusion, depression, sleep problems, drug craving, and severe anxiety. These problems can occur during and sometimes days or weeks after taking MDMA.

Source:  NIH http://www.nida.nih.gov/Infofacts/ecstasy.html

Do You Know What
A Proteome Is?

Proteomics is the study of the proteins in a cell, tissue or organism.

Only a small percentage of the thousands of proteins in human cells have been sequenced or identified.

Proteomics technology is being explored for potential use in cancer diagnosis and treatment. This research involves searching for proteins that may serve as biomarkers of early disease, responsiveness to therapy, or the likelihood of relapse after treatment.

A high priority of current research efforts is the application of proteomics technology to
improving patient care.

There is no validated proteomic technology currently available for the clinic.

Source:  National Cancer Institute
http://www.cancer.gov/cancertopics/
factsheet/proteomicsqa

OB Patient Death Leads To Procedure Changes in Madison, WI


The July 5, 2006 death of patient, Jasmine Grant, in Madison's St. Mary's Hospital has led to changes, including color-coded medications and possible new types of tubing for infusions. Grant died after receiving an epidural anesthetic intravenously, according to the Wisconsin State Journal.

Staff members at the hospital are receiving new training on the hospital's medication bar coding system, which was not used during the incident. Checking patient identification is another area of focus.

http://www.medlaw.com/healthlaw/HOSPITAL/6
_2/ob-patient-death-leads-to.shtml






 
Reports of Sudden Deaths With Dexadrine At Usual Doses In Children and Adolescents

 

Posted 08/21/2006] The FDA and GlaxoSmithKline notified healthcare professionals of changes to the BOXED WARNING, WARNINGS and PRECAUTIONS sections of the prescribing information for Dexedrine (dextroamphetamine sulfate), approved for the treatment of Attention-Deficit Hyperactivity Disorder and narcolepsy. The warnings describe reports of sudden death in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems.

Source:  Food and Drug Administration

For a copy of the letter: please
contact me:  Unable to link to the letter, itself.

l

Carbon Monoxide Dangers
in Boating

In August 2000, the National Park Service, through the Department of the Interior, requested assistance from the National Institute for Occupational Safety and Health (NIOSH) and the US Coast Guard to evaluate visitor and employee carbon monoxide (CO) exposures from generators and propulsion engines on houseboats. This initial investigation characterized CO poisonings through epidemiologic data gathering and the measurement of severely hazardous CO concentrations on houseboats at Lake Powell . Since that initial investigation, over 600 boating-related poisonings in 35 states have been identified with over 100 of these poisonings resulting in death. Over 250 of the poisonings occurred on houseboats, with more than 200 of these poisonings attributed to generator exhaust alone.

Initial investigations conducted by NIOSH industrial hygienists and engineers showed very high concentrations of CO on and around houseboats using gasoline-powered generators. Following these investigations, NIOSH worked with major houseboat and generator manufacturers to evaluate novel engineering controls to reduce CO concentrations in occupied areas on houseboats. This work led to collaborations with external partners to evaluate new engineering technologies designed to reduce CO poisonings on many other types of recreational boats (including ski boats and express cruisers). Since the start of this project, new catalyst-based low CO emission generators and stern-drive engines have been developed by manufacturers to help address this issue. This work has been conducted since 2002 under a continuing Interagency agreement with the U.S. Coast Guard.

Source:  National Institute for Occupational Safety and Health

http://www.cdc.gov/niosh/topics/coboating/
 

 

 


 

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