Antibiotic-associated diarrhea and colitis is affecting more of you, given the widespread use of antibiotics. Clostridium difficile (C. diff) is the organism that causes antibiotic-associated colitis; this happens because the bacteria is allowed to overgrow in the intestine when the normal intestinal flora is changed due to antibiotics. C. diff can release toxins that bind to receptors on intestinal epithelial cells causing inflammation (colitis) and diarrhea. See More
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Antibiotic resistance is a big problem. You’ve all heard about Methicillin-Resistant Staph Aureus (MRSA) causing skin and soft tissue infections but now there is a growing group of resistant bacteria. What this means is many folks may face treatment with an intravenous antibiotic or older more toxic antibiotic to treat common infections like E. Coli urinary tract infections. This is because the bacteria have gotten smart and know how to resist penicillins, ciprofloxacin and Bactrim among others. See More
In the states most affected by Lyme disease, there have been shortages of doxycycline, resulting in panic and high costs. If you are unlucky enough to contract Lyme disease this year you may pay a ton for your doxycycline, if you can find it. But I think I can help.
Doxycycline is used for the treatment of early Lyme disease and as a result, there is a shortage in states like Maine where Lyme disease is common. See More
One of the most glaring examples of random pricing of medications is the varying price of capsules vs tablets. Most physicians and pharmacists know that the same medication will work just as well in a capsule or tablet form, but many don’t know there is such a huge price difference. Listen up.
Aside from some obvious differences (capsules can’t be crushed or split while tablets often can) here are some surprises in the capsule vs tablet discussion. See More
Medications that increase health care costs without improving care are silly, and doctors love to hate ‘em. “PharManure” is the brilliant term used to describe these medications. Here is a list my colleagues and I love to hate:
Here are some commonly prescribed meds for acne that cost big bucks , along with some secrets to help you save money. First, meet the players in the fight against acne: topical (to rub on your face) Retin-A derivatives, topical antibiotics and oral antibiotics.
Retin-A Derivatives (Topical Retinoids):
Topical retinoids are a compelling option for maintenance therapy of acne instead of oral antibiotics. See More