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Archive for the ‘Medical’ Category

« Older Entries

Klein’s Pharmacy Tip of the Month

Wednesday, May 1st, 2013
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Blood pressure is typically recorded as two numbers, written as a ratio.  The top number is the “systolic” reading.  It measures the pressure in the arteries when the heart beats or is contracting.  This number is the higher of the two numbers.  The bottom number is the “diastolic” reading.  It measures the pressure in the arteries between heartbeats when the muscle is resting. A blood pressure level of 140/90 mmHg or higher is considered high.  Adopting healthy lifestyle habits is an effective first step in both preventing and controlling high blood pressure. If lifestyle changes alone are not effective in keeping your pressure controlled, it may be necessary to add blood pressure medications

Types of Blood Pressure Medications 

Here’s a rundown on the main types of drugs and how they work. Often, two or more drugs work better than one.

Diuretics-“water   pills” work in the kidney and flush excess water and sodium from body.
Beta-blockers-   Reduce nerve impulses to the heart/blood vessels.  This makes the heart beat slower and with   less force. This drops blood pressure and the heart works less.
ACE inhibitors-prevent the formation of a hormone called angiotensin II,   which normally causes blood vessels to narrow.  The ACE inhibitors cause the vessels to   relax and blood pressure goes down.
Angiotensin antagonists- shield blood vessels from angiotensin II.  As a result, the vessel widens and blood   pressure decreases.
Calcium channel blockers (CCBs) - keep calcium from entering the muscle cells of the   heart/blood vessels.  This will help   blood vessels relax and the pressure will go down.
Alpha-blockers- reduce nerve impulses to blood vessels, blood can pass   thru more easily and the blood pressure will decrease.
Vasodilators-   open blood vessels by relaxing the muscle in the vessel walls so the blood   pressure will go down.

Follow your health care provider’s recommendations to modify, treat,   or control possible causes of high blood pressure.  As always, if you have any questions about   your medications your Klein’s Pharmacist is ready to help!

 

 

 

 

 

Tags: Blood Pressure, Diuretics, Hypertension, Vasodialators
Posted in Blood Pressure, Medical, Pharmacy | Comments Off

April Pharmacy Tip of the Month

Monday, April 1st, 2013
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Tip of the Month

Foot Care and Diabetes

For most people small foot injuries like calluses or blisters are just minor aggravations.  Your feet may feel sore but often times these minor problems will heal properly but for people with diabetes, these small wounds can grow into devastating problems.  “The average person will unconsciously change the way they walk to minimize that callus forming, because for many people it hurts,” explains Marc House, DPM in Indianapolis. “With diabetes, you don’t feel it, so you continue to walk on the area.”  Many people with diabetes develop nerve damage in the feet so their sensation is diminished.  Diabetes can also narrow arteries in the legs, which in turn causes poor blood flow to the feet.  This decrease in blood flow decreases the ability for wounds to heal properly and infections are readily found.  If you can’t feel your feet, you may not even know a problem is developing!

Tips for People with Diabetes

  1.  Inspect your feet daily
  2.  Never walk barefoot
  3.  Keep your feet warm
  4.  Get a check-up of your feet at every health care provider visit
  5.  Wear the right shoes and socks
  6.  Control your blood sugar
  7.  Don’t smoke

If you have diabetes, it’s very important to take care of your feet and the rest of your body.  Remember your Klein’s Pharmacist is always willing to answer any questions you may have.

 

 

Tags: Diabetes, Diabetic Foot Care, Foot Care, Foot Health
Posted in Diabetic Foot care, Medical, Pharmacy, Uncategorized | Comments Off

Klein’s Pharmacy Tip of the Month for March

Friday, March 1st, 2013
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Klein’s Pharmacy Tip of the Month

Help When You Decide to Quit!

When you smoke a cigarette, nicotine enters your body through your lungs and travels to your brain. Nicotine replacement therapy (NRT) works by substituting the source of nicotine to “replace” the nicotine you inhale when you smoke. For people who are quitting smoking, NRTs can help by delivering a safer alternative source of nicotine than cigarettes. They also can reduce or eliminate the symptoms of withdrawal, making it easier for some people to quit. NRTs have been extensively tested and used by millions of people, and considered safe and effective ways of quitting smoking.

Unlike cigarettes, which contain thousands of harmful chemicals, nicotine medications contain small doses of nicotine alone to combat urges to smoke. The amount of nicotine is decreased gradually over time until nicotine replacement is no longer needed. Because the dose of nicotine is much lower than what a person would receive by smoking a cigarette, NRTs are considered an effective way to help someone who smokes quit for good.

When choosing a nicotine replacement therapy, think about which method best fits your lifestyle and pattern of smoking. The points below highlight the main differences between NRTs.

  • Nicotine gums, lozenges, and inhalers allow you to control your dosage of nicotine to help keep cravings under control.
  • Nicotine nasal spray works quickly to combat cravings when you need it.
  • Nicotine inhalers allow you to mimic the use of cigarettes by puffing and holding the inhaler.
  • Nicotine patches are convenient and only have to be applied once a day.
  • Both inhalers and nasal sprays require a doctor’s prescription.
  • Some people may not be able to use patches, inhalers, or nasal sprays due to allergies or other conditions.

Not all nicotine replacement therapies are right for everyone. Be sure to discuss the option of nicotine replacement therapy with your health care prescriber or Pharmacist. REF: www.determinedtoquit.com

Tags: Nicotine Replacement Therapy, Smoking
Posted in Asthma, Medical, Pharmacy | Comments Off

Klein’s Pharmacy Tip of the Month

Friday, February 1st, 2013
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For years, doctors thought the connection between mental health and heart health was strictly behavioral – such as the person who is feeling down seeking relief from smoking, drinking or eating fatty foods. That thinking has started to change. The biological and chemical factors that trigger mental health issues also could influence heart disease. “The head-heart connection should be on everyone’s radar,” said Barry Jacobs, Psy.D., a clinical psychologist.  “It’s not just being unhappy.  It’s having biochemical changes that predispose people to have other health problems, including heart problems.”

Many forms of mental health issues can affect heart disease.  There’s the temporary state of depression or a more severe, clinical case.  The varying levels of anxiety and stress are just a few of the most well-known problems.

Research does not firmly link stress and heart disease, but there’s a growing belief that is an additional risk factor, and maybe even more dangerous than some others.

Prevention starts with everyone.  Protect yourself and your loved ones from heart disease and stroke by understanding the risks and taking these steps:

  • Get up and get active by being physically active for at least 30 minutes on most days
  • Know your ABCS:

A-     Ask your doctor if you should take an Aspirin every day

B-      Find out if you have high Blood pressure

C-      Find out your Cholesterol level

S-   If you Smoke, get help to quit

  • Make your calories count by eating a heart-healthy diet high in fresh fruits and vegetables
  • Take control of your heart by following your doctor’s prescription instructions.

Take care of the most important organ in your body!

http://www.heart.org/heartorg/conditions/more/myheartand strokenews/mental-health-and-heart-health_UCM_438853_article.jsp

 

Tags: Blood Pressure, cholesterol, Heart Disease, Stroke Prevention
Posted in Blood Pressure, Glucose and Cholesterol, Medical, Pharmacy | Comments Off

Earwax Basics

Wednesday, January 2nd, 2013
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Earwax. Great table topic, right? Maybe not, but earwax is a natural, normal part of your body. It helps clean and lubricate your ears. Without it, your ears would become dry and itchy and pretty uncomfortable.

Earwax forms in glands located in the skin of the outer part of your ears. It traps dust and dirt, and gradually transports these “invaders,” along with skin cells, to the ear opening. There, it flakes and falls out or gets washed out by you. When all goes well, you don’t even need to clean your ear canals. Just wash your outer ears with soap and water when taking a shower or bath.1,2

But if earwax builds up, it’s time to take action. You may have symptoms such as a feeling of fullness, ringing, discharge, itching, odor, or partial hearing loss.1 Here’s another clue: Your family members have started teasing, “Didn’t you hear me? Get the wax outta your ears!”

Start by cleaning the external ear with a cloth, but don’t insert anything, such as a cotton-tipped applicator, bobby pin, piece of paper or even your finger into your ear canal. This does just the opposite of what you intend: It pushes wax deeper into your ear canal and can cause infection. You can also damage the ear canal or eardrum.2 Whatever you do, don’t try a product called ear candles for extracting earwax. These involve inserting a cone-type device into the ear canal and setting the other end on fire! They can cause serious injury. 1,2

What if you still have symptoms? In most cases, home treatments to soften wax work just fine. I can direct you to some possible options in our store.

At home, lie on your side and deposit a few drops of one of these products in your ear. If this alone doesn’t work, you can try ear syringing. This involves suctioning the wax out of year ears. Again, I can help you find these ear syringes here in our store. They work best if you put water, saline, or wax dissolving drops in the ear canal about 15 to 30 minutes beforehand.1

Before trying any of these products, it’s best to discuss it with your doctor.2 If you have diabetes, a weakened immune system, perforated eardrum, or tube in your eardrum, a doctor should manually remove any built-up earwax, using special devices such as graspers and suction. A special ear, nose, and throat doctor called an otolaryngologist may be the best person for the job, especially if you have a narrow ear canal. 1 Occasionally, you may also need antibiotic eardrops for an infection.2

New nickname, Shrek? No worries. Some people make more earwax than others.2 If needed, you can see your doctor for preventive cleaning as often as every 6 to 12 months. 1

Nothing herein constitutes medical advice, diagnosis or treatment, or is a substitute for professional advice. You should always seek the advice of your physician or other medical professional if you have questions or concerns about a medical condition.

Sources:

1. American Academy of Otolaryngology Head and Neck Surgery: “Earwax.” Available at: http://www.entnet.org/HealthInformation/earwax.cfm. Accessed April 18, 2012.

2. Nemours Foundation: “Dealing With Earwax.” Available at: http://kidshealth.org/parent/general/eyes/earwax.html?tracking=P_RelatedArticle. Accessed April 18, 2012.

Tags: Ear Care, Ear Wax, Earwax, Hearing Loss
Posted in Medical, Pharmacy | Comments Off

Klein’s Pharmacy Tip of the Month- Influenza- A seasonal Viral Infection

Monday, December 3rd, 2012
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Influenza, often referred to as the “flu”, is a contagious viral infection that circulates each year from October to May.  Symptoms usually last 7 to 10 days and can resemble the common cold. In addition to the sore throat, runny nose, and nasal congestion seen with a cold, a person suffering with the flu can have a fever, body aches, headache, fatigue and a cough.  People with the flu are more likely to have more symptoms and feel more ill than those with a cold.

The goal of treatment is to ease symptoms and speed recovery.  General recommendations include bed rest and lots of fluids. Acetaminophen or non-steroidal anti-inflammatory drugs can relieve fever, headache and body aches.  Decongestants and expectorants are used for cough and congestion.  Many nonprescription cold and flu symptom relievers contain multiple drugs, so it is important to talk to your pharmacist to avoid taking more than the recommended dose of the same medication in two or more products.  There are also some antiviral medications approved by prescription for the prevention or treatment of the flu that reduce the severity of symptoms, shorten the illness period, and help prevent complications.  These products are not to be used as a substitute for the vaccine as they may not protect against all the flu viruses.

Complications that may develop from the flu include bronchitis, pneumonia, and sinus or ear infections.  These complications are often bacterial and should be treated with an antibiotic.  If symptoms of the flu begin to improve and then worsen, a bacterial infection may be the cause and the patient should seek medical care for evaluation. (Jobson Medical Information LLC, 2012)

 

Tags: flu, flu symptoms, infection, influenza, viral
Posted in Flu Shots, Medical, Pharmacy | Comments Off

FDA and CDC has linked a Meningitis Outbreak to the New England Compounding Center(NECC)

Wednesday, October 24th, 2012
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The CDC released data on October 5th 2012 stating that 17,676 vials of Tainted methylprednisolone  acetate steroid injections were shipped to 75 clinics in 23 states from the New England Compounding Center(NECC).     If you or a loved one may have potentially received one of these injections please go to the following website from the CDC for information on what you should do.

http://www.cdc.gov/hai/outbreaks/patients/what-should-patients-do.html

What is compounding ??

Pharmacy compounding is the art and science of preparing personalized medications for patients. Compounded medications are “made from scratch” – individual ingredients are mixed together in the exact strength and dosage form required by the patient. This method allows the compounding pharmacist to work with the patient and the prescriber to customize a medication to meet the patient’s specific needs.

Why is compounding needed??

Millions of patients have unique health needs that off-the-shelf, manufactured medications cannot meet. For these patients, personalized medication solutions – prescribed by licensed practitioners and prepared by trained, licensed pharmacists – are the only way to better health.

Working with a physician, a compounding pharmacist can meet individual needs of children, adults and animals. Whether it’s an allergy to a dye or ingredient, a need for a different strength, or a preference for a different dosage form, compounding pharmacists provide patients with solutions to their medication needs.

Klein’s Pharmacy

In the wake of this tragedy many people are asking if there compounding pharmacy is safe or if they should be concerned.   Klein’s pharmacy did not associate with or buy any materials from NECC.  Also Klein’s Pharmacy is a proud member of PCCA(Professional Compounding Centers of America) and receives many of our ingredients from this company as well as pharmacy compounding testing and support.  PCCA released a statement on October 5th stating that none of their products were used in this outbreak nor was there lab used for testing of any of these preparations.

Klein’s Pharmacy does not prepare sterile compounds such as injections and eye drops due to the increased safety risks with these compounds as well as the increased cost in maintaining adequate facilities for sterile compound.  Also Klein’s will only make a compound for you based on a prescription from a doctor for an individual compound.   We do not mass produce compounds for sale to doctors or clinics.

 

Hopefully this answers some if not all of your questions.  If not or you have any other concerns feel free to contact me, Dr. Bradley John Sanderson by email at BSanderson@kleinsrx.com

Tags: compound medications, compounding, meningitis, NECC
Posted in Compounding, Medical, Pharmacy | Comments Off

October Mastectomy Fitting Events!

Monday, October 1st, 2012
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Tags: Breast Cancer, Breast Prosthesis, Mastectomy, Mastectomy bras
Posted in Mastectomy, Medical, Uncategorized | Comments Off

Cholesterol and Treatment Options

Thursday, August 30th, 2012
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Klein’s Pharmacy Tip of the Month

If you have blood results showing you have high cholesterol the first line of treatment is lifestyle change; however, for some people life style changes aren’t enough, therefore your doctor can prescribe cholesterol lowering medications.

Your doctor will look at not only your blood work, but look to see if you have other risk factors.  The more heart disease risk factors, the lower your LDL cholesterol needs to be.

There are 5 major types of cholesterol medication:

Statins                                         Nicotinic acid                Cholesterol absorption inhibitors

Bile acid sequestrants              Fibrates

They may be prescribed individually or in combination with other drugs. Your doctor will determine the best drug or combination for you.

Treatment of high cholesterol can control your cholesterol but will not cure high cholesterol.   Medications need to be continued for keeping cholesterol levels controlled.

If the doctor prescribes one of these medications, the patient must still follow a cholesterol-lowering diet, be more physically active, lose weight if (if the patient is overweight), and control or stop all of the other risk factors for heart disease (including high blood pressure, diabetes, and smoking).

Taking all these steps together may lessen the amount of medication an individual needs or make the medication more effective, remember that your healthcare provider and pharmacist are your best sources of information. It’s important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects. Never stop taking a medication and never change your dose or frequency without first consulting your doctor.

Your Klein’s Pharmacist is always ready to answer your questions and help explain your medication to you.

 

Tags: cholesterol, LDL, statins
Posted in Glucose and Cholesterol, Medical, Pharmacy | Comments Off

Biofreeze

Monday, August 27th, 2012
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Biofreeze is now available at Klein’s Orthopedic and Medical Equipment, Klein’s Medical West and Klein’s website www.kleinsrx.com.

We are happy to announce that the Biofreeze company is now reaching out to DME providers to make Biofreeze more accessable to customers who need it.

Biofreeze is a pain relieving gel that uses Menthol as it’s active ingredient but it is a counter irritant effect that gives it a boost in effective pain relief!  Find out more on how it works here.

Video and marketing material coming soon!

Tags: Arthritis, Biofreeze, joint pain, sprains, strains
Posted in Arthritis, Medical, Pain Relievers, Uncategorized | No Comments »

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