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Formulary, A peer-reviewed drug management journal for managed care and hospital decision-makers
e-News
January 21, 2011
Formulary
In This Issue
Dronedarone safety alert
Vancomycin 750-mg dosage approved
Rifaximin for IBS
Morphine sulfate oral solutions dosage confusion
NSAID use tied to higher cardio risks

Combo therapy may drop BP

AEDs may increase the nontraumatic fracture risk

Medication adherence low by elderly after MI
Survey
With healthcare reform creating an FDA approval pathway for 'biosimilar' agents in the United States, what do you see as the primary implications of this from a managed care perspective in the next 3 years?

1) No impact, as I don't see any changes occurring soon

2) Limited savings with only a small number of products and small number of manufacturers

3) Moderate savings with the introduction of a several products at moderate discounting to innovator brands

4) Significant savings with several biosimilar options, significant discounts and enhanced rebating from innovator brands

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Severe liver injury associated with dronedarone use

Severe liver injury, including 2 cases of acute liver failure leading to liver transplant in patients treated with the medication, has been associated with the use of dronedarone (Multaq), according to an FDA Drug Safety Communication announcement. Read full article.

FDA approves ready-to-use 750-mg dosage of vancomycin

FDA has approved the premix formulation of vancomycin injection, USP (750 mg/150 mL) (Baxter). Vancomycin is an antibiotic used to treat severe infections caused by susceptible strains of methicillin-resistant Staphylococcus aureus and/or treat patients who are penicillin-resistant. Read full article.

Top 5 Web Stories
  1. First-time generic approvals December 2010
  2. Focus on 2010: A year of novel pharmacologic agents in review
  3. Dabigatran etexilate (Pradaxa): An oral direct thrombin inhibitor
  4. Study finds acetaminophen increases blood pressure in patients with coronary artery disease
  5. Focus on Azilsartan: A next-generation angiotensin II receptor blocker for the treatment of hypertension
Rifaximin could be treatment course for IBS

A 2-week course of rifaximin (Xifaxan, Salix Pharmaceuticals) relieved bloating and other symptoms of irritable bowel syndrome for more than 2 months after treatment ended, according to research published January 6 in the New England Journal of Medicine. Rifaximin is the first treatment that targets the underlying cause of IBS, rather than just treating the symptoms, researchers said. Read full article.

Potential confusion in morphine sulfate oral solutions dosage prompts label alteration

FDA and Roxane Laboratories are warning of serious adverse events and deaths as a result of a mistake in dosage of morphine sulfate oral solutions. Read full article.

NSAID use tied to higher risk of cardiovascular events

Commonly used nonsteroidal anti-inflammatory drugs may increase the risk of heart attack, stroke, and death, according to a meta-analysis published January 11 in British Medical Journal, HealthDay News reported. Read full article.

Patients see greater BP drop with combination therapy at the start

A combination drug therapy given initially appears to result in better blood pressure control in individuals compared with those who are treated with monotherapy, according to research published online January 13 in The Lancet, HealthDay News reported. Those who underwent the 2-drug treatment after taking the single-drug therapy also experienced better blood pressure outcomes, though not at the same level as those who began with the combination treatment. Read full article.

Risk of nontraumatic fractures may rise with use of antiepileptic drugs

Antiepileptic drugs (AEDs) may increase the risk of nontraumatic fractures in patients aged 50 years and older, according to a study published in the January issue of the Archives of Neurology, HealthDay News reported. Read full article.

Medication adherence by elderly after MI is low

Elderly patients have difficulty with long-term adherence to medications following myocardial infarction, and this is significantly worse among those with kidney dysfunction, according to a study published online January 13 in the Clinical Journal of the American Society of Nephrology, HealthDay News reported. Read full article.

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