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50. Kobelt G. Comparative data for all countries. In: Jonsson B, Krieglstein G, eds. Primary Open-Angle Glaucoma: Differences in International Treatment Patterns and Costs. Oxford, England: Isis Medical Media Ltd; 1998: 116-120. 51. Alm A. A five-year safety follow-up of latanoprost as adjunctive treatment for glaucoma: a multicenter study in Sweden, Great Britian, The Netherlands, Australia, and Belgium. Presented at: International Congress of Ophthalmology ICO April 2002; Sydney, Australia. 52. Stewart WC, Day D, Stewart J, et al. The efficacy and safety of latanoprost 0.005% once daily versus brimonidine 0.2% twice daily open-angle glaucoma or ocular hypertension. J Ophthalmol. 2001; 131: 631-635. Kampik A, Arias-Puente A, O'Brart DPS, et al. Intraocular pressure-lowering effects of latanoprost and brimonidine therapy in patients with open-angle glaucoma or ocular hypertension: a randomized observer-masked multicenter study. J Glaucoma. 2002: 11: 90-96. Einarson TR, Kulin NA, Tingley D, et al. Meta-analysis of the effect of latanoprost and brimonidine on intraocular pressure in the treatment of glaucoma. Clin Ther. 2000; 22: 1502-1515. O'Donoghue EP, UK & Ireland Latanoprost Study Group. A comparison of latanoprost and dorzolamide in patients with glaucoma and ocular hypertension: a 3 month, randomized study. Br J Ophthalmol. 2000; 84: 579-582. Emmerich KH, German Latanoprost Study Group. Comparison of latanoprost monotherapy to dorzolamide combined with timolol in patients with glaucoma and ocular hypertension. A 3-month randomized study. Graefe's Arch Clin Exp Ophthalmol. 2000; 238 1 ; : 19-23. 57. Garcia SJ. Efficacy and side effects of latanoprost monotherapy compared to adding dorzolamide to timolol in patients with glaucoma and ocular hypertension a three-month randomized study. Spanish Latanoprost Study Group. Eur J. Ophthamol. 2000; 10 3 ; : 198-204. 58. Gandolfi S, Simmons S, Sturm R, et al. For the bimatoprost study group 3. Three-month comparison of bimatoprost and latanoprost in patients with glaucoma and ocular hypertension. Advan Therapy. 2001; 18 3 ; : 110-121. 59. DuBiner H, Cooke D, Dirks M, et al. Efficacy and safety of bimatoprost in patients with elevated IOP. A 30-day comparison with latanoprost. Surv Ophthalmol. 2001; 45 suppl 4 ; : S353-360. 60. Netland P, Landry T, Sullivan EK, et al. Travoprost compared with latanoprost and timolol in patients with open-angle glaucoma or ocular hypertension. Amer J Ophthalmol. 2001; 132 4 ; : 472-484. 61. FDA Center for Drug Evaluation and Research CDER ; . Approval Package: Travatan ; Travoprost ; Ophthalmic Solution. Company: Alcon. Application No.: 21-257. Approval Date: 3 16 2001: Medical Review s ; , Part 1. Available at: : fda.gov cder foi nda 2001 21257 Travatan medr P1 . Accessed May 15, 2003. 62. Aung T, Chew P, Yip C, et al. A randomized double-masked crossover study comparing latanoprost 0.005% with unoprostone 0.12% in patients with primary open-angle glaucoma and ocular hypertension. J Ophthalmol. 2001; 131: 636-642. Susanna R, Giampani J, Borges A, et al. A double-masked, randomized clinical trial comparing latanoprost with unoprostone in patients with openangle glaucoma or ocular hypertension. Ophthalmology. 2001; 108: 259-263. Tamada Y, Taniguichi T, Murase H, et al, Intraocular pressure-lowering efficacy of latanoprost in patients with normal-tension glaucoma or primary open-angle glaucoma, J Ocular Pharmacol. 2001; 17 1 ; : 19-25. 65. Saito M, Takano R, Shirato S. Effects of latanoprost and unoprostone when used alone or in combination for open-angle glaucoma. J Ophthalmol. 2001; 132: 485-489. Noecker RS, Dirks MS, Choplin NT, et al. A six-month randomized clinical trial comparing the intraocular pressure-lowering efficacy of bimatoprost and latanoprost in patients with ocular hypertension or glaucoma. J Ophthalmol. 2003; 135 1 ; : 55-63. 67. Data on file. Parrish PK, Palmberg P, Sheu W-P, for the XLT Study Group. Pharmacia Corporation. 68. Patelska B, Greenfield DS, Liebmann JM, et al. Latanoprost for uncontrolled glaucoma in a compassionate case protocol. J Ophthalmol. 1997: 124 3 ; : 279-286. 69. Shin DH, McCracken MS, Bendel RE, et al. The additive effect of latanoprost to maximum-tolerated medications with low-dose, high-dose, or no pilocarpine therapy. Ophthalmology. 1999: 106: 386-390. Susanna R, Nicolela T, Oga E. Additive effect of latanoprost to the combination of timolol and dorzolamide. J Glaucoma. 2000; 9: 183-186. Diestelhorst M, German Latanoprost Study Group. The additive intraocular pressure-lowering effect of latanoprost 0.005% daily once and pilocarpine 2% t.i.d.in patients with open-angle glaucoma or ocular hypertension. A six-monthrandomized, multicenter study. Graefe's Arch Clin Exp Ophthalmol. 2000; 238: 433-439.
1 Harris R, Lohr KN. Screening for prostate cancer: an update of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 2002; 137: 91729. United States, Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute. SEER Cancer Statistics Review, 19731998. Ries LAG, Eisner MP, Kosary CL, et al., eds. Bethesda: National Cancer Institute; 2001. 3 Mikolajczyk SD, Marks LS, Partin AW, Rittenhouse HG. Free prostate-specific antigen in serum is becoming more complex. Urology 2002; 59: 797802. Bruun L, Bjrk T, Lilja H, Becker C, Gustafsson O, Christensson A. Percent-free prostate specific antigen is elevated in men on haemodialysis or peritoneal dialysis treatment. Nephrol Dial Transplant 2003; 18: 598602. Oesterling JE, Jacobsen SJ, Klee GG, et al. Free, complexed and total serum prostate specific antigen: the establishment of appropriate reference ranges for their concentrations and ratios. J Urol 1995; 154: 10905. Harris R, Lohr KN, Beck R, Fink K, Godley P, Bunton AJ. Screening for prostate cancer. Systematic evidence review no. 16. Rockville, MD: Agency for Healthcare Research and Quality; 2001. 7 Bjrk T, Piironen T, Pettersson K, et al. Comparison of analysis of the different prostate-specific antigen forms in serum for detection of clinically localized prostate cancer. Urology 1996; 48: 8828. Christensson A, Bjrk T, Nilsson O, et al. Serum prostate specific antigen complexed to 1-antichymotrypsin as an indicator of prostate cancer. J Urol 1993; 150: 1005. Danisman A, Kili S, Kukul E, et al. Do renal failure and hemodialysis have any effect on the elimination of free and total prostate-specific antigen? Eur Urol 2000; 37: 57981. Douville P, Tiberi M. Effect of terminal renal failure and hydroxyzine, for example, asacol 800. In a 4-year trial on 130, 471 chinese, those who were given a selenium-spiked table salt showed a 3 1% reduction in primary liver cancer, compared with the group given salt without selenium added. Appetite Stimulants Cachexia, Wasting Syndrome 11 aprepitant .3 APRESOLINE .5 APTIVUS .10 ARALEN PHOSPHATE .10 ARAVA.10 ARICEPT .3 ARICEPT ODT.3 ARIMIDEX .11 aripiprazole .4 ARISTOCORT HP .6 ARIXTRA .8 ARMOUR THYROID .8 AROMASIN .11 ASACOL .11 ASENDIN .3 aspirin caffeine butalbital .11 ASTELIN .3 ASTHMA .3 ATARAX.3 atazanavir sulfate .10 atenolol .4 atenolol chlorthalidone .4 ATIVAN .3 atorvastatin calcium .5 ATRIPLA .11 atropine sulfate .8 ATROVENT .3, 11 ATROVENT HFA .3 AUGMENTIN.9 AUGMENTIN ES .9 AUTONOMIC NERVOUS SYSTEM DISORDERS .3 AVANDIA .7 AVC .13 AVELOX .9 AVELOX ABC PACK .9 AVINZA .12 AVONEX .11 AVONEX ADMINISTRATION PACK.11 AXID .12 AYGESTIN.9 AZASAN .9 azathioprine .9 azelastine hcl .3, 8 AZILECT .12 azithromycin .9 AZMACORT .3 AZOPT .8 AZULFIDINE .11 bacitracin .8 bacitracin polymyxin b sulfate .8 baclofen .12 BACLOFEN .12 BACTRIM DS .9 BACTROBAN .6 BACTROBAN NASAL .11 balsalazide disodium .11 Barbiturates .4 BD NEEDLES .7 BD SYRINGES .7 becaplermin .7 beclomethasone dipropionate .3 BEHAVIORAL HEALTH ANTIDEPRESSANTS .3 BEHAVIORAL HEALTH - OTHER .3 Belladonna Alkaloids .12 belladonna alkaloids phenobarb .12 BENEMID .8 BENICAR .4 BENICAR HCT .4 Benign Prostatic Hypertrophy Micturition Agents .13 BENTYL .13 BENZAC AC .6 BENZACLIN .6 BENZAMYCIN .6 BENZAMYCINPAK .6 benzoyl peroxide .6 benztropine mesylate .12 Beta-Adrenergic Agents .3 Beta-Adrenergic and Glucocorticoid Combinations .3 Beta-Adrenergic Blocking Agents .4 BETAGAN .8 betamet diprop prop gly.6 betamethasone dipropionate .6 betamethasone valerate .6 BETAPACE .4 BETAPACE AF .4 betaxolol hcl .8 bethanechol chloride .13 BETIMOL .8 BETOPTIC .8 BETOPTIC S .8 bexarotene .6, 11 BIAXIN .9 BIAXIN XL .9 bicalutamide .11 Bile Salt Sequestrants .5 Bile Salts.11 BILTRICIDE .10 and clavulanic. Litime MH, Pointis G, Breuiller M, Cabrol D, Ferre F: Disappearance of beta-adrenergic response of human myometrial adenylate cyclase at the end of pregnancy. J Clin Endocrinol Metab 1989, 69: 1-6. Nantel F, Bouvier M, Strosberg AD, Marullo S: Functional effects of long-term activation on human beta 2- and beta 3-adrenoceptor signalling. Br J Pharmacol 1995, 114: 1045-51. Rouget C, Breuiller-Fouche M, Mercier FJ, et al.: The human nearterm myometrial beta3-adrenoceptor but not the beta2adrenoceptor is resistant to desensitisation after sustained agonist stimulation. Br J Pharmacol 2004, 141: 831-41. Hakak Y, Shrestha D, Goegel MC, Behan DP, Chalmers DT: Global analysis of G-protein-coupled receptor signaling in human tissues. FEBS Lett 2003, 550: 11-7. van Baak MA, Hul GB, Toubro S, et al.: Acute effect of L-796568, a novel beta 3-adrenergic receptor agonist, on energy expenditure in obese men. Clin Pharmacol Ther 2002, 71: 272-9.

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Assistance. And what we found was providing some assistance and guidance to those community coalitions has meant an enormous difference and some of the folks are here from the "No Drugs Coalitions" which exist now in the 17 different neighborhoods and I would applaud their work. These are efforts on a day-in-day-out basis are doing evening forums are reaching out to parents and providing those critical support groups for families that are trying to figure out what the next steps are and I applaud the Mayor's vision in terms of supporting those and making sure that those grassroots efforts are able to do the work that they are doing. And finally I just wanted to say, for more than nine years I've had the honor of working for Mayor Menino and heading up the City of Boston's Health Department and have appreciated the opportunity to work on issues like substance abuse services. And, as I said, in April I'll be starting as the State's Health Commissioner and I'll have the honor of working for the Patrick Administration and for Secretary JudyAnn Bigby. Both of those leaders really understand the issue of substance abuse and when I was interviewing for the job, I heard very clearly that this is a top priority for this administration that they want us to work diligently to get more money into treatment, to be more creative and resourceful about the ways of tackling these epidemics. And so in closing, I want to make a pledge to those of you who in the audience who are either in recovery yourselves or have a family member or a loved one or a friend that is struggling with the issue of substance abuse, I pledge to you that the Department of Public Health is going to do everything it can to make the issue of substance abuse a top priority. And we're going to do everything we can to creatively tackle this epidemic so we apply the science of fighting substance abuse, the creativity of the marketing campaigns that need to occur, the tools like Jeanne's tools, we will use well the resources that Senator Tolman and the other legislators give us. We will make this a top priority for the Commonwealth of Massachusetts and the Department won't rest until we see a significant decrease in the epidemics of substance abuse. Thanks very much. Applause. As a result of a $1 million supplemental appropriation approved during a special legislative session, the Public Employees Insurance Agency added 21 prescription drugs to its "preferred list." Beginning September 1, prescriptions on this list carry a $15 co-payment as opposed to the previous $40. The drugs added to the plan included Synthroid, Asacol, Nitrostat, Avandia, Dilantin, Ultram, Tamaoxifen, Zyprexa, Fosamax, Humalog, Neuronin, Depakote, Accolate, Aricept, Lanoxin, Risperdal, Coumadin, Actos, Proscar, Premarin Cream, and Minitran. Another change which will go into effect November 1, 1999, allows state employees to use local pharmacists to fill maintenance drug prescriptions rather than PCS Health System's mail order pharmacy. Under a benefits plan implemented July 1, copayments for a 90-day supply of maintenance drugs were less when ordered from a mail order pharmacy than if a local pharmacy filled the prescription. This directive enables state employees to have prescriptions filled locally if the pharmacist accepts the same reimbursement levels as the mail order pharmacy and irbesartan!


Long-Term Opioid Contract Use for Chronic Pain Management in Primary Care Practice. A Five Year Experience. Hariharan J et al. Journal of General Internal Medicine 2007; 22 4 ; : 485-90. Background: The use of opioid medications to manage chronic pain is complex and challenging, especially in primary care settings. Medication contracts are increasingly being used to monitor patient adherence, but little is known about the long-term outcomes of such contracts. Aims purpose: To describe the long-term outcomes of a medication contract agreement for patients receiving opioid medications in a primary care setting. Methods: Retrospective cohort study. All patients placed on a contract for opioid medication between 1998 and 2003 in an academic General Internal Medicine teaching clinic. Demographics, diagnoses, opiates prescribed, urine drug screens, and reasons for contract cancellation were recorded. The association of physician contract cancellation with patient factors and medication types were examined using the Chi-square test and multivariate logistic regression. Results: A total of 330 patients constituting 4% of the clinic population were placed on contracts during the study period. Seventy percent were on indigent care programs. The majority had low back pain 38% ; or fibromyalgia 23% ; . Contracts were discontinued in 37%. Only 17% were cancelled for substance abuse and noncompliance. Twenty percent discontinued contract voluntarily. Urine toxicology screens were obtained in 42% of patients of whom 38% were positive for illicit substances. Author Conclusions: Over 60% of patients adhered to the contract agreement for opioids with a median follow-up of 22.5 months. Our experience provides insight into establishing a systematic approach to opioid administration and monitoring in primary care practices. A more structured drug testing strategy is needed to identify nonadherent patients. Importance for Internists: Concerns about the safety of long-term use of opioids necessitate "systems approaches" such as this one for close therapeutic monitoring, because aacol urine. 9.4.7 Prior and Concomitant Therapy Prior to checkin for the study, the subjects were instructed to avoid prem 'bed medications other than contraceptives ; for at least 7 days prior to dosing or any over-the-counter medications for 72 hours prior to dosing . The subjects were not allowed to use any topical dermatological drug therapy including topical corticosteroids ; on the flexor surface of the ventral forearms within 30 days of dosing, other than that used for screening, or any other creams, gels, - lotions, emollients, ointments or similar products for 24 hours prior to dosing. None of the subjects reported using any of the restricted items during and avodart.
Table A-3.10 Availability of services for prevention of mother-to-child transmission of HIV AIDS Percentage of facilities offering any services for prevention of mother-to-child transmission PMTCT ; of HIV AIDS, and, among these, percentage with the indicated program components, by background characteristics, Kenya HIV AIDS SPA 2004 Percentage of facilities reporting they offer the indicated PMTCT services ARV therapeuPre and tic treatNumber of Number of ment for All four post test facilities sites offercounseling ARV proHIV + Family items for Number offering and HIV phylaxis to ing women All items Infant planning minimum PMTCT PMTCT and of testing for prevent feeding counseling package 1 2 facilities services children PMTCT + services services MTCT counseling or referral PMTCT 28 125 20, for instance, axacol dosing.

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Early termination by menarini - l this agreement shall become effective in all respects as at the date of execution and shall continue thereafter in accordance with its terms, subject to termination under the provisions of clause 18 provided always that this agreement may at the sole option of menarini be terminated by notice ex-1 11 7th page of 63 toc 1st previous next bottom just 7th -6- in writing served by menarini on glycyx in the event that the results of the clinical trials shall not have established the clinical superiority of the product in comparison with the asac0l brand of 5- asa as currently marketed within the territory and elsewhere ; upon the criteria and basis set out in appendix 1 to this agreement: such notice to be served by menarini within 30 days of receipt by menarini of the results of the clinical trials and dutasteride.
Type 2 diabetes can be managed by diet and exercise alone, at least in its early stages. The purpose of a diet is to reduce energy input in order to promote weight loss, and hence insulin sensitivity. However, type 2 diabetes is a progressive disease. Nearly all patients require oral glucose-lowering drugs after some time, and most patients eventually need insulin in order to maintain satisfactory blood glucose levels. Insulin cannot be taken orally, and must therefore be given by injection, usually through the subcutaneous route. The aim of insulin treatment is to achieve the best possible control of blood glucose levels while avoiding hypoglycaemia. There are various types of insulin and possible schedules. The three main types of insulin are classified by the speed of action. Short-acting insulin has a relatively rapid onset of action, for example for use immediately following a meal, and includes soluble insulin, insulin lispro and insulin aspart. Intermediate-acting insulin is used when longer periods of action are required and includes isophane insulin and insulin zinc suspension. The action of the third type of insulin is slow in onset and lasts for long periods, for example crystalline insulin zinc suspension. There are four main groups of oral glucoselowering drugs currently listed in the British National Formulary BNF ; .8.

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Anexsia .22 ANGIOTENSIN CONVERTING ENZYME INHIBITORS .26 ANGIOTENSIN II RECEPTOR ANTAGONISTS.27 ANTABUSE .24 ANTHELMINTICS .6, 7 anthralin.32 ANTIACNE DRUGS. 31, 32 antiben.35 antibiotic ear .35 ANTICHOLINERGIC ANTISPASMODICS .61 ANTIDEMENTIA DRUGS.19 ANTIDIARRHEAL DRUGS .40 ANTIDYSRHYTHMIC DRUGS.27 ANTIGLAUCOMA DRUGS .56 ANTIHISTAMINES .59 ANTIINFECTIVES . 6, 7, 14, ANTIMANIA DRUGS .19 ANTINEOPLASTIC IMMUNOSUPPRESSANT DRUGS . 14, 15, 16, ANTIPARKINSON ANTICHOLINERGIC DRUGS 19 ANTIPLATELET DRUGS.48 ANTIPRURITIC DRUGS .32 ANTIPSORIASIS AND ANTIECZEMA DRUGS.32 ANTIPSYCHOTIC DRUGS .19 antipyrine benzocaine.36 ANTIRETROVIRALS & PROTEASE INH .7, 8 ANTITHYROID DRUGS .37 ANTITUBERCULOSIS DRUGS . 8 ANTIULCER DRUGS .41 ANTIVERTIGO AND ANTIEMETIC DRUGS .20 ANXIOLYTICS .21 APOKYN.24 apri.53 APTIVUS. 7 ARALAST .61 aranelle .53 ARANESP .42 ARICEPT, ODT .19 ARIMIDEX.14 ARIXTRA.51 AROMASIN.14 ASACOL.41 asp 300 200 20.46 a-spas.40 aspirin butalbital caffeine cod .23 aspirin codeine . 22, 46 ASTELIN .37 ATACAND . 27, 30 ATACAND HCT .30 atamet .24 atenolol . 1, 5, 27, atenolol chlorthalidone .30. 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A The age of the patient at the first history note was 88 years. The medical history is incomplete. However, an early note in the chart indicates that the patient had had urinary retention complaints for many years unspecified duration ; . b ND, not done. c NA, not available. d BPH, benign prostatic hypertrophy. e COPD, chronic obstructive pulmonary disease and mesalazine.
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