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Prescription Drugs

Personal health: Sticker shock at pharmacy

My recent sinus infection came on suddenly and painfully. After diagnosing it, my physician e-prescribed me an antibiotic.

cohdra_100_9279This is tricky territory for me. I’m sensitive to some antibiotics. Years ago, I took a couple of varieties to treat similar infections, and wound up with oral thrush in one case and C. difficile in another. Both were 100 times worse than the original ailment.

My physician knew this history. He prescribed a two-week supply of doxycyline hyclate, a dependable antibiotic that he felt I could tolerate well, partly because I had handled it well in the past.

So I headed to my pharmacy to pick up the “doxy.”

“It’s one seventeen,’’ said the clerk, in an oddly sheepish way.

I pulled a dollar from my wallet and extracted some change from my pants pocket.

She looked at the money and said, “No. It’s a hundred and seventeen dollars.’’

“Whoa,’’ I said. “$117?” full story

Drug thefts rise after pill mill crackdown

A tall man wearing a green baseball cap recently entered a CVS pharmacy in Oakwood, intent on robbery.

The man was not looking for cash. Instead, according to police, he demanded that the pharmacist give him Lortab and Percocet painkillers.

He then grabbed drug bottles and prescription bags belonging to customers before fleeing the store, police said.

The same man is being sought in a similar robbery at a Flowery Branch pharmacy.

iStock_000017543934SmallPharmacy officials say such robberies are occurring with greater frequency in Georgia. Ironically, the officials link the increase to the state’s recent success in cracking down on the scourge of “pill mills’’ in the state.

Pill mills are clinics or doctor’s offices that prescribe oxycodone and other powerful narcotics without a legitimate medical purpose. Their customers are often addicts or even drug dealers.

Georgia became a pill mill magnet after neighboring states, including Florida, passed tougher laws regulating pain clinics.

But last year, the Georgia General Assembly passed legislation to get rid of pill mills, requiring pain clinics to be licensed by the state medical board and owned by physicians. The state also launched a prescription drug monitoring program, aiming to cut down on the abuse of opioid painkillers. full story

Feds seek harder line on hydrocodone

The fictional “Nurse Jackie,” in the Showtime series of the same name, is a very competent nurse in a busy emergency room.

She’s also addicted to prescription painkillers: Percocet, Vicodin, OxyContin.

This portrayal of addiction is jarring, but it’s not wildly unrealistic.

Drug abuse among people in the health professions is reportedly about at the same level as among the general population. And abuse of painkillers, the specific problem depicted on the program, is rampant, reaching all segments of U.S. society.

Prescription painkiller Vicodin

Prescription painkiller Vicodin

Last week, the FDA recommended tighter controls on how doctors prescribe the most commonly used narcotic painkillers.

The move follows a long debate over whether the drugs, which contain the narcotic hydrocodone, should be controlled as tightly as more powerful painkillers such as OxyContin.

The drugs at issue contain a combination of hydrocodone and an over-the-counter painkiller like acetaminophen or aspirin and are sold either as generics or under brand names like Vicodin or Lortab.

Rick Allen, director of the Georgia Drugs and Narcotics Agency, said Monday that he believes the switch could help decrease overdoses and addictions to painkillers.

Hydrocodone “is probably the No. 1 forged prescription,’’ Allen said. New rules could help keep “so many large quantities out of the hands of patients,’’ he added. “It’s a pretty big problem.’’ full story

Drug shortages, price spikes affecting care

The young male patient had a diagnosis of chlamydia.

Fran Beall, a nurse practitioner in Athens, prescribed a seven-day supply of doxycycline, a dependable antibiotic that’s long been generic and inexpensive.

medicines and drugsShortly thereafter, a pharmacist called Beall and asked if she could prescribe another antibiotic for the young man, because he had no insurance.

“Why?” Beall asked. “He can’t afford $5?”

“It’s not $5,’’ the pharmacist replied. “It’s $157.’’

Beall called another pharmacist she knew. The cost there was $135. “There’s a big shortage of doxycycline,’’ the pharmacist told her.

Those high prices for doxycycline hyclate stunned Beall, who has been a nurse practitioner for 38 years. She told GHN that for a long time, the drug was easily available and typically cost $4 or $5. In fact, she said, “just a year ago it was even free at the local Publix pharmacy.”

Doxycycline is not the only drug in short supply. Shortages of dozens of critical drugs have persisted in the United States in recent years, with manufacturing problems cited as a major reason. Some of the drugs in limited supply include anesthetics, chemotherapeutic agents, antibiotics, painkillers and intravenous solutions. full story

WellStar joins forces with Walgreens clinics

WellStar Health System and Walgreens announced an agreement Tuesday to collaborate on treating patients who seek care in eight health clinics run by the pharmacy chain in the northwest suburbs of Atlanta.

WellStar said it will help handle patients’ health conditions that require a higher level of care than the Walgreens clinics provide.

image005“We’re interested in expanding our footprint into retail medicine,’’ said Chris Kane, senior vice president of strategic business development for WellStar, which operates five hospitals in Cobb, Douglas and Paulding counties.

Walgreens said Tuesday that it has similar agreements with health systems in New Orleans, Baton Rouge, Orlando, Indianapolis and other markets. full story

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