Archive for September, 2007

3rd day on accutane bought online 10mg

I am on my third day of 10mg of accutane. I bought accutane 10 mg over the
internet without a doctor.
I have my tubes cut, tied, and burnt so I
know I can’t get pregnant. my acne is mild but always there. I
usually end up mopping my face full of oil 5 or more times a day.
I’m a couple months away from being 30 and im so tired of having
constant breakouts. I am getting married at the end of may 2005 so I
think I am only going to take accutane for two months,then quit. Has
anyone taken 10mg for a short period of time and had it work for
them? what about tanning beds when you are done with the medication?
If anyone has any answers or advice please let me know. thanks!!!

Binge Eating Disorder

You’ve just returned to your table from your third trip to the buffet
line. You’ve had more than your fill of meat, pasta, vegetables and
salads.

The load of food is sitting a little heavy in your stomach and you’re
feeling just a touch guilty for gorging.

Yet you’re still contemplating going back because that lemon meringue
pie looks too good to pass up — and you’d like just a taste or two of
the chocolate cake, maybe with a small scoop of ice cream.

You think for a minute that maybe you have a problem. Then you loosen
your pants and feel a little better.

You may have gone overboard — binged, if you will. But does that make
you a binge eater?

Probably not.

Binge eating is one thing — binge eating disorder is another.

“Everyone overeats at Thanksgiving. It’s nothing to be alarmed about,”
says Ron Saxen, who suffered from binge eating disorder for most of
his adult life. “But when it starts to become a big issue in your
life, you can tell it kind of takes you over — it’s what you think
about when you wake up, what you think about before you go to bed at
night. Especially when you start doing the bingeing and you’re hiding it.”

Saxen — author of The Good Eater, a book that chronicles his battle
with binge eating — used food to deal with anxiety. It was not unusual
for him to put down a couple of hamburgers, a large order of fries and
a chocolate shake, then go to another fast food restaurant and order
half a dozen burritos before finishing the first meal.

“Then I would go to a place where I could get three king-sized candy
bars. Usually the coup-de-grace would be to finish it off with a
sundae — like a half-gallon of ice cream, a pound of M&M’s and a pint
of hot fudge. You couldn’t always finish that because you can only put
so much into your stomach.”

Saxen’s first bout with binge eating happened when he was 11. His
parents were members of a fundamentalist Christian denomination. His
father — who would return home from work late at night — frequently
beat him and his two brothers.

“My mom would leave a notepad [for my father] with all the things we
had done wrong. And she said ‘I’m going to give this to your dad and
he’s going to wake you up and whip you guys.’ One night, I got sweaty
palms and sweaty feet. There happened to be a candy sale [at our
school]. I had 20 pounds of chocolate in my closet and I got up during
the night and ate one five-ounce chocolate candy bar and it took me
away. But as soon as the candy bar’s gone reality comes back. So I
kept doing that.”

By the time he stopped, he had eaten three pounds of chocolate. Saxen
learned that food could cure his fears, at least temporarily.

Binge eating disorder affects 3.5 per cent of women and 2 per cent of
men at some point in their lives, according to a study published in
February 2007 by researchers at McLean Hospital, a psychiatric
hospital in Massachusetts affiliated with Harvard University. Or to
put the statistics another way, 40 per cent of people who suffer from
binge eating are men.

The survey on eating disorders found that binge eating disorder is far
more common than either anorexia nervosa or bulimia nervosa. Anorexics
starve themselves, while bulimics eat to excess but then try to purge
their systems by vomiting. People with binge eating disorder don’t
normally try to rid themselves of the extra calories they take in,
although some over-exercise.

Saxen’s cycle was generally characterized by starving himself during
the day, followed by hours of working out and then bingeing at night.
By the age of 21, he had trimmed down to 179 pounds and landed himself
a one-year modelling contract. But when he was told to lose five
pounds two weeks before an underwear shoot, he responded by going on
an extended binge and putting on weight. He ate his way out of a
modelling career.

According to the Toronto-based National Eating Disorder Information
Centre, you may be suffering from binge eating disorder if you:

* Eat large amounts of food frequently and in one sitting.
* Feel out of control when you eat and can’t stop eating.
* Eat quickly and in secret.
* Eat to the point where you are frequently uncomfortably full.
* Feel guilty and ashamed of your binges.

Many binge eaters may also have a history of going on diets and
failing. An estimated 20 per cent of obese people are also believed to
be binge eaters.

The Harvard study labelled binge eating disorder a “major public
health burden.”

“Everybody knows about anorexia and bulimia; however, binge eating
disorder affects more people, is often associated with severe obesity
and tends to persist longer,” lead author James Hudson said.

“The consequences of binge eating disorder can be serious, including
obesity, diabetes, heart disease, high blood pressure and stroke. It
is imperative that health experts take notice of these findings.”

Saxen got over his binge eating, but it took him more than 20 years to
do it.

“In the book, I would have loved to have said ‘here are the seven
things I did to get it under control.’ But it wasn’t like that. For
me, it was a traumatic event — my sister getting into an automobile
accident and almost dying. She was my one amigo — it got me. And then,
a person who I ran into about 10 years ago became my friend and later
my wife. It was that support and wanting to be a better man and
getting sick and tired of this endless cycle that said I need to do
something about it for myself and for those around me.”

He also got professional help, but that came late in the process.

“Nobody wants to get help, nobody wants to admit they have a problem.
But trying to do it on your own is impossible. When I finally went
down that path to getting better, it was like, I wondered what I was
waiting for because I knew there was something wrong, and I probably
should talk to somebody.”

Today Saxen’s down to a healthy weight and he’s learned to deal with
his anxieties in ways that don’t involve huge quantities of food.

“Most schools in the medical fields say you always have to be vigilant
like with alcoholism. There are others who say you can be recovered
forever. For me, I feel that if you’ve crossed this line of behaviour
a thousand times and you think that you will never do it again, that
seems kind of bold. I’m the best I’ve ever been and do I think I will
go back to those dark days? Never.”

“It gets way, way, way easier as time goes on. It feels pretty close
to effortless now.”

Pharm D Degree in 7 days!

Speaking of Certificates that do not mean anything, except you paid
for it….I found a place you can get a Doctor Degree in Pharmacy in
just 7 days. Looks like you can purchase the degree for less than our
pretend to be national organization NPTA charges for their “IV
Certificate.”

Why should NPTA be making all the money!

Joe Medina, CPhT

—————-

Here is some info on it:

“…Students seeking admission in our online Doctorate degree
program are required to have at least 8 years of work or life
experience relevant to their desired major.

If you want to get your PHD degree online on the basis of prior life
experience, the eligibility requirements for a Doctorate degree may be
satisfied in any of the following ways:

• Prior job experience in any field
• Previous educational achievements
• Employer-sponsored training and attendance of workshops
• Participation in organizations, both professional and non - professional
• Personal goals, lifestyle, hobbies, and travel
• Participation in volunteer activities and community service
• Independent reading, viewing, listening or writing

If you have the required work or life experience, click below to apply
for a work experience college degree in your desired major and get it
in just 7 days!…”

Yeast infection or Not?

Only one in every four women who seeks treatment for persistent yeast
infections actually has one, a new study suggests.

Women will frequently treat suspected yeast infections themselves with
over-the-counter (OTC) products, but the findings show that most of
the time this won’t help. In fact, using such medications repeatedly
may even cause harm, Dr. Susan Hoffstetter, the co-director of the
SLUCare Vulvar and Vaginal Disease Clinic at Saint Louis University,
told Reuters Health.

“We treat ourselves because we want our problems to go away quickly,”
Hoffstetter pointed out, adding that this isn’t only the fault of
patients. “We in medicine also do a lot of treating over the phone
just to keep women from having to come in.”

Hoffstetter and her colleagues looked at the medical records for 150
women visiting the clinic for the first time who reported persistent
yeast infections.

Lab tests showed that only 26 percent of the women were infected with
Candida — the fungus responsible for yeast infections. Other causes
of vaginal itching can include sexually transmitted infections, dry
skin, or inflammation, Hoffstetter noted, which won’t respond to OTC
antifungals and could even be aggravated by these products.

Overuse of OTC yeast infection remedies can alter the normal flora of
the vagina, which can lead to other health problems, the researcher
pointed out. And, she added, drug-resistant strains of Candida are
becoming increasingly common.

If a woman experiences pain during sex, burning sensations in the
vaginal area, a thick white discharge, and pain during urination, she
may indeed have a yeast infection, Hoffstetter said. And it’s probably
okay for women to self-treat if they experience these symptoms rarely,
and they get better with OTC medication, she added.

But women who think they are suffering from yeast infections that
never go away are likely to have some other problem, Hoffstetter said.
In such cases, she advised, it’s important for a woman to actually see
a doctor or nurse practitioner and have a pelvic exam and lab tests,
if necessary, rather than just getting medical advice over the phone.

Ample Supply of Flu Vaccine This Year - but is it the right one?

Come one, come all: After years of shortages and confusion, this fall
promises plenty of flu vaccine to go around — up to 132 million doses,
more than the nation has ever produced.

The ample supplies have the government urging vaccinations not just
for people at highest risk of dying from influenza, but for anyone who
wants to avoid a week of aching misery.

“Flu is a formidable foe,” Dr. Julie Gerberding, head of the Centers
for Disease Control and Prevention, said Wednesday. “It is not an
illness we should be complacent about.”

But new CDC data show only a fraction of people who need flu shots the
most get them, including just one in five babies and toddlers. And
there’s wide geographic variation, with Rhode Island reporting the
most high-risk adults vaccinated and Nevada the fewest.

Shots aren’t the only option. Wednesday, the government ruled that
it’s safe for younger kids than ever before to try a nasal-spray
vaccine called FluMist. Once only an option for people ages 5 to 49,
FluMist now can be used by children as young as 2.

Flu usually peaks in February, so a winter vaccination isn’t too late.
Still, Gerberding advised seeking vaccine early in case flu begins
striking before the usual November.

Indeed, there already are reports of sick schoolchildren in Hawaii,
although the geographic distance makes it impossible to predict if
that signals an unusually early flu season for the rest of the country.

Perhaps of more concern, CDC is closely monitoring whether a new
strain that emerged near the end of Australia’s flu season will cause
illness here — a strain that this year’s vaccine doesn’t specifically
target.

Each year’s vaccine contains protection against three influenza
strains — two Type A strains, an H1N1 and an H3N2 version, plus a
milder Type B — that experts predict will cause the most illness. The
vaccine isn’t always a perfect match, and this year’s contains a
different H3N2 version than the newly emerging one, nicknamed
H3N2/Brisbane-like.

Get vaccinated anyway, Gerberding stressed. The other two strains in
the vaccine are causing illness around the world, and even if the
newer one travels here, too, the vaccine should provide some
cross-protection.

Every year, flu infects up to 20 percent of the population, causes the
hospitalization of 200,000 people and kills 36,000.

Who’s at highest risk? Anyone over 50 or under 5; people of any age
who have asthma, heart disease, weakened immune systems or other
chronic illnesses; and pregnant women.

Vaccine also is particularly recommended for relatives and caregivers
of those people, and health care workers — people who may be robust
enough to recover themselves, but could infect the more vulnerable
before they realize they’re ill.

“The day before you become sick, you’re already excreting the virus,”
warned Dr. William Schaffner of Vanderbilt University, vice president
of the National Foundation for Infectious Diseases.

That equals 218 million people who should be vaccinated each year.
Nowhere near that many seek vaccine. Last year, about 18 million of
the nearly 121 million doses produced weren’t used and had to be
thrown away.

But the CDC’s new estimates of how many high-risk patients get
vaccinated, gleaned from public-health surveys, shed new light on the
most troubling gaps.

People 65 and older are most likely to get vaccinated, 69 percent
during the 2005-2006 flu season, the latest count available.

But that’s still well under the national goal of vaccinating 90
percent of seniors — even though Medicare provides them flu shots for
free.

Just over a third of 50- to 64-year-olds are getting vaccinated, and
just 30 percent of high-risk younger adults, CDC found.

Flu vaccine is a little more complicated for young children, because
they need two doses a month apart the very first year they’re
inoculated. Just 21 percent of youngsters ages 6 months to 2 years
were fully vaccinated, and just over one in 10 who needed two doses
got both, CDC reported.

If a young child missed that necessary second dose last year, health
officials are recommending that he or she make it up this year with
two shots.

ADD medication gaining popularity as weight-loss drug

In a society where chronic obesity runs rampant, life is becoming
faster and faster-paced, and medication is the solution to almost
everything, Adderall is becoming a prevalent off-label diet pill for many.

Adderall contains four different types of amphetamines and is often
called amphetamine mixed salts. It is normally prescribed to those
diagnosed with attention deficit disorder - with or without
hyperactivity - and narcolepsy.

Adderall may help develop focus amd concentration, as well as decrease
fatigue, but the side effects include loss of appetite, weight loss
and insomnia.

“After six hours after taking the drug, I would feel slightly groggy,
the way I sometimes get in the early afternoon when my morning coffee
wears off. But when I’d lie down for an afternoon nap, I couldn’t (go
to) sleep,” said Joshua Foer, a freelance writer for Slate Magazine
who took Adderall as an experiment.

Although the purpose of a drug may be to help someone focus, people
are taking the medication to experience the side effects.

“Amphetamines classically reduce hunger,” said professor Dee
Shepherd-Look, who has been teaching psychology since 1970 and works
at the parent-child interaction program at CSUN in Monterey Hall.
“People notice that many drugs have desirable side effects and start
using them for reasons that are not intended. This is called off-label
use.”

At the children’s clinic where Shepherd-Look does her practice, the
number two drug prescribed is Adderall, one position shy from Ritalin.

Adderall is FDA-approved for children with attention-deficit
disorders. It has not, however, been clinically tested for the use of
weight loss. Still, some physicians across the nation do prescribe the
drug to, in part, assist with weight loss.

“In my personal view point, there is overuse of Adderall,”
Shepherd-Look said. “It is over-prescribed and overused. Sometimes you
use the drug to treat something that should be treated with
psychological methods and not simply medication.”

According to CSUN dietician Ellen Bauersfeld, at least 50 percent of
students come in to lose weight. Hundreds of students visit the Klotz
Student Health Center hoping to be prescribed drugs that can help shed
pounds.

“There are many that have done crash diets, nutritionally inadequate
and not feeling well,” Bauersfeld said. “There is so much nutrition
misinformation out there. … Students who try pills are driven for a
quick fix.”

She said that chronic dieters and patients who have a tendency to have
an eating disorder may resort to taking diet pills.

Shepherd-Look expressed concerns about a society that overuses drugs
for a quick fix.

“Whether hyperactive or overweight, people need to find out how to
cope with the issues without just popping a pill,” she said.

Amphetamines may initially help with weight loss, but data suggests
that when they are not taken anymore, the weight can come back, and
generally at a faster rate prior to the drug use.

Confused, advice?

I am back in the market for a Tech job since leaving Wal-Mart and
taking a scholarship for a semester. My license expired in May and I
did not renew it because here is what it says: (copied from website)

2007-2008 Pharmacy Technician Permit Renewal
IMPORTANT! - Unless you are currently employed in a licensed Oklahoma
pharmacy and under the immediate and direct supervision of a licensed
Oklahoma pharmacist, the Board will not renew your technician permit.
You may apply for reinstatement of your technician permit upon re-
employment in a licensed Oklahoma pharmacy

SO MY PROBELM IS THIS:

I was passed up for a job because my license was not “current” they
require you to already obtain a license. The catch is that I had a
license but let it lapse since I was not working as a tech. So, since
I am not under the immediate and direct supervision of a pharmacist,
how do I go about getting job that requires me to have a license?
Doesn’t make any sense to me. I tried explaining this to the hiring
supervisor and he didn’t catch on.

RX Fraud?

Hello everyone. I was wondering how much RX fraud you run into as a
tech? We have relief pharmacists that work once in awhile when my boss
is gone. It seems like everytime my boss is gone, the criminals come
in. Just last week, I recongized a lady that came in with a rx as one
we have to really watch. I alerted the pharmacist and she called the
doctor from a back phone. This lady altered the rx. There is another
lady that has tried everything. She will steal rx pads from the doctors
offices. She alters written rx’s. The last time she called in her own
rx pretending to be a nurse at the doctors office. This lady has worked
the whole area around where I live. She has been caught several times
and seems to always get out again. I have a memory for faces and names
of these people. I don’t forget. How do you handle rx fraud?

Pharmacist royal treatment

HI everyone,
I was just wondering if any other techs get the treatment that our
techs do concerning pharmacist. I know that pharmacist have gone to
school for years to receive their degree, but it seems as though the
techs do all of the work, without any recognition. Pharmacist get all
the praise and glory for filling a stat med or handling a problem that
the tech originally solved. To make things worse pharmacist get all
this responsibility for narcotics and signing of important documents
and they are the ones who make the mistakes of not correcting
discrepancies in the OMNICELL or narcotic log.(One pharmacist actually
lost a Morphine PCA, and still has a job). Let that had been a tech, we
would have lost our jobs and the DEA would have been on our backs.
My point being pharmacist get placed upon this pedestal as being
superior and without flaws, but in reality they are the ones making most
of the mistakes.
Just wanted to vent a little, does anyone else feel similar to this ?

OTC Erectile Drugs Come With Health Risks

Dr. Andrew Kramer recently looked over the medical history of one of
his patients who had been in the emergency department complaining of
chest pains.

Kramer was surprised by what he read: The patient had been taking
three to four dietary supplements for erectile dysfunction — every day.

“I would have never given him Viagra,” said Kramer, a urologist at the
University of Maryland Medical Center. “He was on the cardiac
transplant list.”

Heart patients are potentially at risk for a heart attack and an early
death when they combine erectile dysfunction drugs, such as Viagra,
with heart medications that contain nitrates, like nitroglycerine.

Both drugs lower blood pressure and together can lower it to deadly
levels.

Normally doctors won’t prescribe Viagra or Levitra to these men, but
they can look elsewhere — specifically, the Internet, where herbal
supplements of all sorts are available for sale.

While some of these supplements may contain harmless ingredients, many
are indeed as potent as the real thing.

A recent Food and Drug Administration study showed that some of these
herbal remedies actually contained the active compound in prescription
brands as Viagra, Levitra and Cialis, making them potentially deadly
compounds.

The FDA issued a health advisory last week against these supplements.

“These products are promoted and sold on Web sites as ‘dietary
supplements’ for treating erectile dysfunction and enhancing sexual
performance, but they are in fact illegal drugs that contain
potentially harmful undeclared ingredients.”

“These companies are promoting medications that we would never give to
men with heart disease,” said Dr. Dragan Djordjevic, an internist
specializing in male sexual health at Rush University Medical Center
in Chicago.

The FDA specifically targeted the herbal supplements Zimaxx, Libidus,
Neophase, Nasutra, Vigor -25, Actra-Rx and 4EVERON, all of which do
not list the prescription ingredients on their labels.

For this reason, a patient may not realize the risks.

Erectile Dysfunction Common Among Older Men

“If they are not eligible for one of the classic drugs, they may go to
the supplements, and for this reason, it’s more poignant to let the
patient know that they can be harmful,” said Dr. Yair Lotan, an
assistant professor of urology at the University of Texas Southwestern
Medical Center in Dallas. “They may buy the supplement and not know
they are in danger.”

Doctors can’t estimate how many men have suffered from this drug
interaction because many patients don’t reveal that they are on
supplements.

In many cases, erectile dysfunction and heart disease are linked. Both
are caused by decreased blood flow due to buildup in the arteries.

“A person can come in with severely low blood pressure and die of a
heart attack, and not know they should have reported taking
supplements,” said Dr. Ira Sharlip, a clinical professor of urology at
the University of California at San Francisco and spokesman for the
American Urological Association.

Given that a large majority of Americans have erectile dysfunction,
however, doctors estimate that there are many who have taken or are
using these supplements.

It affects about 30 million U.S. men, including more than half of men
older than 40, according to Dr. Dominic Carbone, assistant professor
of surgery in urology at Wake Forest University Baptist Medical Center
in North Carolina.

May Help Some Men, However

Carbone estimates that he has at least six to 10 patients per month
ask him about supplements for erectile dysfunction.

They wonder whether the supplements are just as good as Viagra, he said.

He also recalls a patient coming in who had erectile dysfunction for
years without treatment and was taking eight to 10 supplements per day.

“The guy buying the supplements in a gas station is probably not
taking the recommended dose,” Carbone said.

Doctors say that some male patients feel forced to turn to the Internet.

Often they are still shy about bringing up the subject with their
doctors and prefer the anonymity of buying online.

Also, at about $10 a pill, Viagra can be too expensive for some men,
whereas supplements can go for a variety of prices, usually for less
than prescription drugs.

That isn’t always a bad thing, one doctor noted.

“The other side of the coin is we have made these drugs unavailable to
the poor. Medicaid does not cover Viagra. If something is off market
and is cheap, it may meet a need,” said Dr. Robert Davis, professor of
urology at the University of Rochester.

Many doctors agree, however, that the advisory is important to public
health.

“Not everyone on nitrates will see the sky fall when they take [these
supplements], but enough will to warrant an advisory,” Davis said.

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