Drug not to be combined with nitrates – Cardiology MCQ
Drug which should not be taken within 24 hours of nitrate intake and vice versa:
a) Beta blocker
b) Calcium channel blocker
c) Alpha blocker
d) Sildenafil
Correct answer: d) Sildenafil
Administration of nitrates by any route to those who have taken sildenafil during the past 24 hours can result severe hypotension. Any such inadvertent occurrences should be treated with fluid resucitation and alpha adrenergic agonists.
In case of angina in a person who has taken sildenafil during the past 24 hours, antianginal agents other than nitrates have to be considered, to avoid this interaction. Sildenafil is a phosphodiesterase 5 in...
Source: Cardiophile MD - May 10, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
The Single Senior STD Epidemic
If you think your retired parents who have settled into a low-key retirement home or senior living community are spending their time playing checkers and watching soaps, think again! They may be running around having sex just like college kids let loose in a dorm for the first time. Senior citizens, contrary to popular belief, are often still sexually active. And they are spreading sexually transmitted diseases (STDs).
According to the Center for Disease Control, since 2007, the incidence of syphilis among seniors, those 65 and over, is up by 52 percent, and the number of chlamydia cases has risen 32 percent. The rapid inc...
Source: Disruptive Women in Health Care - April 27, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Aging Source Type: blogs
Who needs Viagra?
Yes, erectile dysfunction can reverse with the Wheat Belly lifestyle. But why and how?
Erectile dysfunction, ED, and thereby erections, are fairly complicated phenomena. But the capacity to mount an erection parallels arterial health elsewhere in the body, particularly in the heart, since penile erections are a blood flow regulation phenomenon. In my cardiology practice, for instance, it was virtually the rule to see ED coupled with coronary disease, since coronary disease is essentially an expression of poor arterial function and health, also. If you have coronary disease, you likely have ED; if you have ED, you likely ha...
Source: Wheat Belly Blog - February 21, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle erectile dysfunction fish oil grains omega-3 sex sexual vitamin D Source Type: blogs
Feedback : Beware of Suspect Medicines
LV writes in
Dear MMR,
I am a medical student studying at The University of Sydney, Australia. My brother is using the medicinal product made in Malaysia called Kian Pee Wan, until we read on your site that Kian Pee Wan is
adulterated with scheduled poison. We are currently very confused and worried about this… Could you please indicate the name of the poisonous substance in Kian Pee Wan, please? Thank you so much.
Hi LV
I believe you are referring to this 2007 article Beware of suspect medicines which mentioned:
The official also warned the public against taking several herbal preparations that had been adulterated...
Source: Malaysian Medical Resources - January 21, 2015 Category: Global & Universal Authors: palmdoc Tags: - CAM watch - Feedback Chinese Herbs TCM Source Type: blogs
Spam, Spam, Spam, Spam...Lovely Spam, Wonderful E-mail and Telemarketing Spam...
We've all likely had about a hundred calls from "Rachel" at "Cardholder Services". This telemarketing-robocalling scam has been around for years. Several of the vermin perpetrating this garbage were shut down, but others have taken up the call, so to speak, and "Rachel" lives on. Apparently there are quite a few idiots out there who will give out their credit card number to the piece of excrement cold-calling their phone. There is indeed a sucker born every minute.I've reported every instance to the FTChttps://complaints.donotcall.gov/complaint/complaintcheck.aspxand of course all of my phones are listed with the Do Not Ca...
Source: Dalai's PACS Blog - December 30, 2014 Category: Radiologists Source Type: blogs
The Case History of Everyman
This article is meant to educate. It is not intended to diagnose or treat. Anyone with a problem related to the issue discussed in this article should consult a qualified health care provider. (Source: Blog, MD)
Source: Blog, MD - November 4, 2014 Category: Oncologists Authors: Admin Tags: Uncategorized Source Type: blogs
Don't Delay: FDA Finalizes Guidance on "Circumstances that Constitute Delaying, Denying, Limiting, or Refusing Drug Inspection"
An FDA inspection consists of a “careful, critical, official examination of a facility to determine its compliance with certain laws and regulations administered by the FDA.” The Food Drug and Cosmetics Act gives FDA the authority for inspections—FDA employees may enter and inspect facilities under the jurisdiction of the Act. While FDA inspections are not known for being pleasant experiences, facilities violate the Act if they refuse to cooperate in the ordeal. In fact, drugs are deemed “adulterated” if the manufacturer or facility owner delays, denies, or limits an inspection, or refuses to permit entry or insp...
Source: Policy and Medicine - October 27, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Viagra Versus the Pill
<p>Given that continuing controversy surrounding insurance coverage for how contraceptives, I want to point out another drug that also targets sexuality and reproduction yet does not generate the nearly same degree of controversy. In fact, insurance companies began covering it immediately upon approval by the FDA with no fanfare. I’m referring to erectile dysfunction drugs. The public’s different responses to female contraceptives and male sexuality medications has been discussed in academic circles as well as in the media. Here I want to present some feminist perspectives on this topic. </p>
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Source: blog.bioethics.net - August 19, 2014 Category: Medical Ethics Authors: Hayley Dittus-Doria Tags: Health Care Reproductive Medicine gender Gender Disparities syndicated Women's Reproductive Rights Source Type: blogs
When the cuddle hormone turns nasty - oxytocin linked with violent intentions
For many years, the hormone oxytocin was caricatured as the source of all human goodness - trust, altruism, love, and morality. Among the findings that contributed to this picture were the discovery that sniffing oxytocin increases people's trust and generosity in financial games; that it aids face recognition; and that its release is associated with maternal bonding; and with orgasm.However, the picture has grown a lot more complicated of late, with findings showing that oxytocin has a "dark side" - for example, boosting envy and shadenfreude. Now a team of researchers led by Nathan DeWall has further sulli...
Source: BPS RESEARCH DIGEST - July 30, 2014 Category: Psychiatrists and Psychologists Authors: Research Digest Source Type: blogs
What’s In Our Medicine Cabinets?
By HANS DEUVEFELT, MD Recently published statistics show that the top-grossing medication in the U.S. for 2013 was the antipsychotic Abilify (aripiprazole) with over $6 billion in sales, narrowly beating out the previous few years’ winner, Nexium. The past decade’s dominating pharmaceuticals have been Lipitor (atorvastatin) for high cholesterol and Nexium (esomeprazole) for acid reflux. Nexium […] (Source: The Health Care Blog)
Source: The Health Care Blog - June 20, 2014 Category: Consumer Health News Tags: THCB Abilify Drug sales Medicalization Nexium Pharmaceutical sales Viagra Source Type: blogs
Orphan Radiopharmaceuticals And Other Libations
It has been a few years since I've made it to the Society of Nuclear Medicine annual meeting, so long actually that the Society has since changed its name, and is now called the Society of Nuclear Medicine and Molecular Imaging, I personally think this was prompted by the unfortunate amusement among the puerile (like yours truly) related to the original title's initials. SNMMI just doesn't have the same ring to it, but they don't ask me about these things. The exhibit hall is about 1/50th the size of the massive trade show at the RSNA, but most of the big players have a presence.Herr Großkopf, the huge animated head,...
Source: Dalai's PACS Blog - June 14, 2014 Category: Radiologists Source Type: blogs
Study Suggests Link Between Viagra And Melanoma
In recent years researchers have uncovered a potentially important pathway whereby PDE5A inhibitors (which include sildenafil– Viagra– and other drugs used to treat erectile dysfunction and pulmonary hypertension) could potentially increase the risk of developing melanoma. Now a new study provides early evidence showing an association between sildenafil and melanoma, though, like all observational studies, it is unable to demonstrate a cause-and-effect relationship. … Click here to read the full post on Forbes. (Source: CardioBrief)
Source: CardioBrief - April 8, 2014 Category: Cardiology Authors: Larry Husten Tags: Prevention, Epidemiology & Outcomes Cialis erectile dysfunction Levitra melanoma PDE5A inhibitors Viagra Source Type: blogs
Phase 4 Actelion Study Misses Primary Endpoint
Actelion announced today that a phase 4 study with its blockbuster drug bosentan (Tracleer) had failed to meet its primary endpoint. The COMPASS-2 trial was a prospective, randomized, double-blind, placebo-controlled trial evaluating the effect of bosentan on the time to first confirmed event in patients with symptomatic pulmonary arterial hypertension (PAH) already receiving treatment with sildenafil. … Click here to read the full post on Forbes. (Source: CardioBrief)
Source: CardioBrief - March 17, 2014 Category: Cardiology Authors: Larry Husten Tags: Heart Failure Policy & Ethics Prevention, Epidemiology & Outcomes Actelion Bosentan Pulmonary hypertension Tracleer Source Type: blogs
Hospital Quality Measures: Value Based Purchasing 2.0 (The Funny Version).
For years, hospital quality measures have been tracked by private and government insurance programs to try and improve the healthcare services received by their beneficiaries. The most recent example is the Value-Based Purchasing Program (VBP) initiative by The Centers For Medicare & Medicaid Services (CMS). How does CMS describe VBP?"Under the Program, CMS will make value-based incentive payments to acute care hospitals, based either on how well the hospitals perform on certain quality measures or how much the hospitals' performance improves on certain quality measures from their performance during a basel...
Source: The Happy Hospitalist - March 14, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
How Viagra used ecommerce to take on the counterfeiters
Last month, Stephen Whiteside of WARC attended the ePharma Summit in New York City. Over the next few weeks, you'll see some of the insights he captured from the event.How Viagra used ecommerce to take on the counterfeitersAs the subject of more than 20 million online searches a year, Viagra – Pfizer's erectile dysfunction drug – generates a level of web traffic that would make many brands jealous. Less enviable is the fact a third of these inquiries lead consumers to sites selling copies of the product, not the real thing.While elaborating on this problem, Lauren Ljubicich, Pfizer's director of marketing, told delega...
Source: ePharma Summit - March 10, 2014 Category: Medical Marketing and PR Tags: Buying pharmaceuticals online ePharma ePharma Summit Viagra online sales Source Type: blogs
