Sunday, January 1, 2012

Attention Deficient Drugs Are Short in Supply As DEA Issues Quotas - Generics Are Exhausted First Leaving Only Expensive Name Brand Drugs Available

I didn’t know there were quotes on these drugs but as you read the article below many college students use them to get through school as it helps focus for imagestudying, but the DEA is involved here as the drugs can become addictive as they give a feeling of being high if abused and crunched and snorted, kind of like cocaine in essence.  The number of ADD drugs prescribed has risen dramatically.  On college campuses the drugs can go for $5 to $10 a pop. 

As quotas from the DEA come in to play, this is where the generics are exhausted first and then the name brands, which are are lot more expensive remain available.  The FDA states the DEA is too strict with the quotas and asks the question as to why are the shortages created, to increase pharmaceutical profits?  The DEA comes back and says there’s plenty available, but that may not include price issues.  Prescribing and supply are not being met.  image

Adderall and Ritalin come to mind as the most popular ADD drugs and this shortage is a bit circumstantial I would say as there seems to be more behind the scenes that meets the eyes, but long and short of it is there is a shortage and doctors can’t always switch patients between products easily.   This is a much different story than the shortages on other drugs and seems some collaboration and coordination might work to get more generics available for patients, give them bigger quotas is what first pops into mind which the DEA did in December but we don’t know how much so in the meantime the shortages of Adderall for both students and children, as well as seniors may still continue.  One other benefit touted is that some patients lose weight with Adderall too.  BD

Medicines to treat attention deficit hyperactivity disorder are in such short supply that hundreds of patients complain daily to the Food and Drug Administration that they are unable to find a pharmacy with enough pills to fill their prescriptions.

The shortages are a result of a troubled partnership between drug manufacturers and the Drug Enforcement Administration, with companies trying to maximize their profits and drug enforcement agents trying to minimize abuse by people, many of them college students, who use the medications to get high or to stay up all night.

Caught in between are millions of children and adults who rely on the pills to help them stay focused and calm. Shortages, particularly of cheaper generics, have become so endemic that some patients say they worry almost constantly about availability.

Novartis, for instance, makes both branded and generic versions of Ritalin; Shire Pharmaceuticals does the same for Adderall XR. In both cases, the companies have ensured that supplies of branded drugs are adequate while allowing generic versions to go wanting.

Ms. Whitton said she had recently gone to more than a dozen pharmacies in Westport and New York City before finding one that would partially fill Ritalin prescriptions for her and her 18-year-old son, who also has the disorder.

Shortages of amphetamine-based drugs like Adderall became so endemic that many doctors switched patients to methylphenidate-based drugs like Ritalin, creating shortages among those medicines as well, according to the F.D.A.

http://www.nytimes.com/2012/01/01/health/policy/fda-is-finding-attention-drugs-in-short-supply.html?_r=1

Mini-Mental State Examination Authors Cry Copyright Foul and Sweet 16 From Harvard is Now Also Removed from the Web–Copyrights on Steroids? One More Reason Not to Censor

This is really an odd story when it comes to mental health evaluations as the MMSE as it is called has been around for 25 years and now all of a sudden wants to enforce it’s copyright.  Harvard came up with a tool to replace but due to the fact imagethat some of the information is in the MMSE, they had to take down their website toll called “Sweet 16”.  The test is used to screen patients and help doctors diagnose problems without any specialized training.  Now the test is getting harder to find and much less use, along with the forms. 

Now you have to pay for the test since it has been licensed by PAR.  This should be open source for anyone to use.  BD 

For twenty five years, doctors and psychologists made use, free of charge, of the of the Mini–Mental State Examination, a 30 item list of questions used to cognitively screen patients for different mental tasks. It was used in textbooks, in medical schools, and a number of other applications. That’s because it was incredibly useful for doctors to use in order to diagnose certain ailments, even without specialized training.

In 2000, however, the authors of the MMSE started to enforce their copyright – for the first time since its initial publication in 1975. They granted a license to the company Psychological Assessment Resources, which now charges for use of the MMSE. As a result, the MMSE is now being used in fewer and fewer textbooks and other applications.

In response to the loss of a useful diagnostic tool, a group of researchers from Harvard developed the “Sweet 16″ in March of 2011. The Sweet 16 is comprised of 16 questions, used for the same cognitive screening tasks as the MMSE. Not only that, it performed as well or better than the MMSE, and the researchers made it freely available to anyone who wanted it.

However, because the Sweet 16 form uses some parts of the MMSE, PAR has demanded that the Sweet 16 be taken down from the Internet. This request has been complied with and the tool is no longer available for download.

The bottom line, according to Grimmelmann, is that the authors of the Sweet 16 pretty much “did everything right” by ensuring that the expressive portions of their test were different. And where those questions are similar to the MMSE, they’re not copyrightable. Nor, for that matter, are the forms used to administer the Sweet 16. Now, if the authors of the Sweet 16 were to copy portions of, say, a diagnostic manual explain the best way to administer the test, that probably (and rightly) would be a violation of copyright.

http://www.forbes.com/sites/alexknapp/2011/12/31/medical-diagnostic-test-taken-down-by-copyright-claim/

Junk Free January

Last year, Matt Lentzner organized a project called Gluten Free January, in which 546 people from around the world gave up gluten for one month.  The results were striking: a surprisingly large proportion of participants lost weight, experienced improved energy, better digestion and other benefits (1, 2).  This January, Lentzner organized a similar project called Junk Free January.  Participants can choose between four different diet styles:
  1. Gluten free
  2. Seed oil free (soybean, sunflower, corn oil, etc.)
  3. Sugar free
  4. Gluten, seed oil and sugar free
Wheat, seed oils and added sugar are three factors that, in my opinion, are probably linked to the modern "diseases of affluence" such as obesity, diabetes and coronary heart disease.  This is particularly true if the wheat is eaten in the form of white flour products, and the seed oils are industrially refined and used in high-heat cooking applications.

If you've been waiting for an excuse to improve your diet, why not join Junk Free January?

Natural cure for an un-healthy person

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