Does your generic opiate meds not work very well anymore ?

Recently a pt share this hyperlink https://www.drugs.com/comments/acetaminophen-hydrocodone/for-pain.html?status=1 A couple a years ago Barb had a “no efficacy ” with her C-II , when we had it fill at the Winn Dixie close to our FL condo.  It was made by Rhodes – which at the time was owned by Purdue Pharma. I talked to the […]

If you are not vocal about your under/untreated pain YOU ARE INVISIBLE

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PBM Specialty Pharmacy Requirement Hurting Patients, Specialists Say

PBM Specialty Pharmacy Requirement Hurting Patients, Specialists Say https://www.medpagetoday.com/pharmacy/pharmacy/100359 Hassles with prior authorization, delivery make it harder to dispense needed medications Pharmacy benefit managers (PBMs) are requiring more and more patients to use specialty pharmacies to obtain their drugs — especially for cancer and other chronic illnesses — and medical specialty groups are saying that […]

15M Medicaid enrollees risk coverage loss when COVID-19 health emergency ends, HHS reports

15M Medicaid enrollees risk coverage loss when COVID-19 health emergency ends, HHS reports https://www.healthcaredive.com/news/Medicaid-lose-coverage-hhs-aspe-public-health-emergency/630266/ About 17% of enrollees in Medicaid and the Children’s Health Insurance Program, or 15 million people, could lose their coverage when states resume regular eligibility checks once the COVID-19 public health emergency ends, HHS projected in a report from the Office of […]

IV acetaminophen has been a tremendous disappointment when compared to opioids in terms of both efficacy and reducing opioid-related side effects

Two equally bad ways of treating acute pain in elderly ED patients? https://www.pharmacyjoe.com/two-equally-bad-ways-of-treating-acute-pain-in-the-elderly/ In this episode, I’ll discuss an article comparing IV acetaminophen with IV hydromorphone for acute pain in elderly ED patients. “Episode 740: Two equally bad ways of treating acute pain in elderly ED patients?” The Elective Rotation pharmacyjoe.com | Critical Care | […]

why I often post about politicians: Healthcare Has Always Been Political

Healthcare Has Always Been Political https://www.daily-remedy.com/healthcare-has-always-been-political/ The Hippocratic Oath is not what you think it is. It was never intended to define the responsibilities of a physician. Rather, it was written by students of Hippocrates to distinguish their training from other physicians who were trained elsewhere. Think of it like antiquity’s version of branding. It […]

Pharmacogenomics and what it can mean for high acuity pts and their medications

Over the last year or more, I have been talking and promoting the use of PGx (pharmacogenomics) DNA testing.  We ran a PGx test that our PCP recommended only to discover that it did not cover opiates –  in discussing this test with our PCP – he was under the false impression that it did.  […]

Most good pain advocates work “off the radar/behind the scene” and not always seeking to be the center of attention

Here we go again: Before We Push the New Omicron Vaccine, Let’s See The Data

When the first COVID-19 vaccines, came to market… two were made with a – what I considered – a process that was too new and too untested… that was the Pfizer & Moderna based on the mRNA process and the third one was being produced by J&J/Jansen using a process that we had used to […]

When stores, like pharmacies, can’t stay open as promised, it’s time to shop elsewhere

When stores, like pharmacies, can’t stay open as promised, it’s time to shop elsewhere https://www.blueridgemuse.com/node/64327 Often, Floyd’s CVS Pharmacy is closed, without notice, for days at a time . They’re not alone. A lot of Floyd County residents found themselves without access to needed prescription medications because the pharmacy at CVS on Main Street in […]