Discover and read the best of Twitter Threads about #pharmacy

Most recents (21)

#NIFTY bottom for the year 2022 is near 15400 - 15100

Mostly will get achieved in month on MAY 2022 only.

After #bottom out #TOP for the year 2022 is near 19100 - 19500 which i am expecting before NOVEMBER 2022

For SECTORAL OUTLOOK check out the thread 🧵
Read 12 tweets
Scott Morrison made an announcement about reducing PBS Medicines. Trouble is he INCREASED them on Jan 1st, 2022, during a Pandemic

affordablemedicines.com.au/home/ #auspol @Mark_Butler_MP Image
Anyone see the Irony here. On the same day Morrison announces cheaper medication and healthcare - He cuts Heart scans, ECG’s from #Medicare Rebates. #LNPCutsToHealth

themandarin.com.au/187973-electio… ImageImage
The moment Liberals Distracted Voters, while they Cut #MRI’s, sleep apnea, #spinal fusion, skin lesion treatments and #Allergy Testing in 2018.
#LNPHealthCuts @RACGP @gedkearney #Medicare #auspol2022 Image
Read 11 tweets
FYI: A clarification 🧵on a misleading new @medicarepayment chart of brand-name drugs in #Medicare Part D.

Many have misunderstood these data & misrepresented the findings, which say nothing about net drug prices.

Read on for my explanation of what’s really going on.

1/14
Background: MedPAC seemed to show that in Part D, brand-name drug prices “net of rebates” grew by 7.5% per year from 2010 to 2020

But this chart is not what it appears to be…

drugch.nl/3Kq5j5S

2/14
Summary: Contrary to some claims, we can't conclude anything about net prices from the chart above.

In fact, Medicare Part D's "net brand-name drug prices" (as defined by MedPAC) can be increasing, while net prices received by manufacturers can be decreasing.

Here's why.

3/14
Read 14 tweets
An exciting story of Doctor turned Entrepreneur💯

A thread🧵on Medplus #IPO 👇

#sundayvibes #stockmarkets Image
"Find your passion & do it for a living"

Excellent advice, only problem is that it reminds people to narrow down their passion to a marketable skill & focus on that🤦‍♂️

Not so for 𝗚𝗮𝗻𝗴𝗮𝗱𝗶 𝗠𝗮𝗱𝗵𝘂𝗸𝗮𝗿 𝗥𝗲𝗱𝗱𝘆

Fitting in a box that limits who u are, not his cup of☕
It all began in 2006 when a doctor by profession & a #MBA in healthcare management from @thewhartonschool was assigned a class project📝
Read 11 tweets
What is the best treatment for this patient ? 🤔
Hello, #IDtwitter !!! For this patient with mild tularemia, the first line of treatment is ciprofloxacin! Thank you for participating in our weekly trivia. #IDFellowship #IDboards #MedTwitter #InfectiousDiseases #Medicine #Microbiology #Pharmacy #TwitteRx #IDMedED Image
Read 3 tweets
Ex. tempore #Covid street survey in the #Helsinki downtown. The most densely populated area in #Finland | Aug 10, (1/7)
netmaps.net/wp-content/upl… Image
1/7. Bank: The front desk, cashier and familiar security guard say no bank staff have had infections, no forced #vaccinations, but almost everyone wear a #mask.
fonecta.fi/kartat/60.1703…
2/7. 2. #Stockmann Department Store #Pharmacy:
#Masks in use. No one has fallen ill, many have taken the voluntary #vaccine.
duckduckgo.com/?q=Stockman+Ap…
Read 9 tweets
According to the #pharmacy council @OfficialSAPC over 90 #pharmacies have been destroyed and looted beyond revival, with KZN being the hardest hit. @SECTION27news @HealthZA @kznhealth @molelekwa98
Among the looted items are #COVID19 #vaccines and scheduled medicines, which when used without proper pharmacist counselling on storage and dosage may result in harm to one’s health. @CovidCommsSA @CovidSupportSA @HastSig @PHMSA1 @CovidCoalition @MSF_southafrica @RHAPnews
The @OfficialSAPC urge those who looted these #medicines to not use them or give to others but rather return them to their nearest pharmacy for proper disposal. We caution the public to only source medicines from legitimate health establishments such as pharmacies.
Read 3 tweets
PSA: #Pharmacists are doing everything possible to accommodate ppl with the vaccinations. They get a limited supply of mRNA vaccines (100/wk of Moderna & 150/wk of Pfìzer) & cannot meet demand without more supply from govt. Pharmacies get about 12% of overall prov supply /1
#Pharmacists, like the public, are dealing with constant changes in eligibility criteria & managing ⬆️ in demand without corresponding ⬆️ in supply. Please be patient & understanding. Pharmacy can do more vaccinations with more supply & want to continue stepping up to help. /2
Use online booking of a pharmacy & visit: Ontario.ca/pharmacycovidv… to find a participating #pharmacy. Starting Mon you can get a 2nd dose of AZ-AZ or AZ-PorM at 8 wks & many ppl qualify for an mRNA-mRNA at the 4 wk mark. Guidance is changing as more data becomes available. /3
Read 3 tweets
@NATCOPharmaLtd concall Q2fy21
Increase in other expenditure due to covid related employee expenses,increments,litigation issues & setting up REMS about 3 to 4 products

Approval received for Pomalyst,Eugia & Natco both got approvals,$ 1bn sales,also settled related litigation
Weak domestic sales due to drop in Hepatitis C sales , covid caused less patients to seek cancer Rx

Good build in Tamiflu sales,1st to get into Brazil,received govt orders from Canada ,profit share recognized after sales confirmed by Alvogen,benefits to accrue in Q3,Q4
Launched a portfolio of products in Agrochemicals
Chemo sales 70-75% of normal
Cardio & diabetology sales done well
One time expense setting up REMS for Revlimid
REMS setting up takes $ 2 to 3 mn cost upfront
As of Sep'20 cash equivalents is 1065 cr & debt 431 crs
#Nifty
Read 6 tweets
WHAT HAPPENED TO LAXMI VILAS BANK?

A #THREAD

@dmuthuk @RBI @FinKrypt @Rishikesh_ADX @DividendGrowth Image
The banking sector, in India, has been under stress for several years now.

Both the NBFCs and banking institutions (predominantly, public sector banks) have seen substantial deterioration in their asset quality.

#banknifty #nifty50 #nifty #NASDAQ #writerslife #writing
Over the past two years, we have seen many well-known names within these sectors.

The latest in the series being is the 93-year old #LakshmiVilasBank

#StockMarket #stockstowatch #sharemarket #Zomato
Read 12 tweets
.@headsUPmigraine spoke w/ a rural #PCP hounded out of the profession by relentless pressure to stop rxing #opioids. She was the only PCP in +100 miles willing to accept patients on opioid therapy. Most were over 70. 2018 #AMA statement shows many share her frustration. >thread
In 2018, #AMA passed a resolution against “misapplication” of the CDC Guideline by “pharmacists, health insurers, pharmacy benefit managers, legislatures, & governmental & private regulatory bodies in ways that prevent or limit patients’ medical access to #opioid analgesia.” 2/
#AMA: "physicians should not be subject to professional discipline, loss of board certification, loss of clinical privileges, criminal prosecution, civil liability, or other penalties or practice limitations solely for prescribing #opioids" above CDC's recommended dose. 3/
Read 13 tweets
Is there any other class of medications that are routinely reduced by a #pharmacy/ #pbm? It just baffles me how discriminatory policies that put barriers in place are allowed to continue. How do Mds feel about being second-guessed constantly by these companies? #DEACenteredCare
It makes sense for a #PharmD to call an MD for a script that THEY (using the years of schooling and clinical judgment that results) deem questionable. What doesn’t make sense is mandating this and using it as an excuse to deny patients their RXs. It’s cruel.
Also, what you don’t see here is once the PA is sent in, it will automatically be rejected. And when the second one is sent, that one will also be rejected. They will give different reasons each time. The process starts all over again when the appeal to the actual ins. co begins.
Read 8 tweets
I took many pictures at Bolsa Chica this afternoon including many of terns diving for food and a fire that erupted a few minutes after our group left the environs of a WWII gunnery emplacement. Until I get to that part of the queue, you are stuck with various experiments.
I am very fond of #DoctorWho, so I have a small selection of action figures and a TARDIS. Attempts to photograph my tiny collection haven't given me results that I like until I use one of the #sfx filters installed in my Nikon Coolpix W150.
Read 7 tweets
Made a silly mistake today. A new pt was being discharged with palliative meds. Completely missed that the buprenorphine (butrans) directions were incorrect. Had been Rxed as every 3 days, rather than every 7. Wouldn’t have caused harm, but not right
I really beat myself about mistakes (I think it’s the nature of the job). So wanted to tweet it out to try and help. I think it happened for lots of different reasons, as is also the nature of errors. 1) there were other errors with the discharge (and inpt chart) which I spotted
Haloperidol has been prescribed without a frequency. On the inpatient side some wacky oramorph prescribing had happened. And when the real CD prescription actually arrived the doctor had asked for 9 of the butrans patches, which caught my eye more than the directions. I had
Read 10 tweets
OK! As promised, here’s my very first #Tweetorial on #ketamine. It comes to you in 6 parts:
1 Mechanism
2 Intermittent bolus dosing
3 Procedural sedation
4 Low dose IV infusion
5 High dose IV infusion
6 Contraindications/warnings
#medtwitter #pharmacy #FOAMed #FOAMcc
Because I’m a hospital pharmacist, we’re going to focus on IV ketamine. Ketamine has other modes of administration (looking at you nasal-spray-for-depression) so feel free to add your own experiences below!
PART 1: MECHANISM
When an injury occurs, the dorsal horn releases glutamate which binds to the NMDA receptor. In some patients, this signals a cascade which eventually leads to the nervous system being stuck in a state of “high reactivity."
Read 35 tweets
Patients with autoimmune diseases, such as #lupus and #RheumatoidArthritis, are having trouble filling their prescriptions since Trump touted their medicine as an experimental treatment for #Covid19. /thread news-journalonline.com/news/20200405/…
“The hasty and inappropriate interpretation of the literature by public leaders has potential to do serious harm" write 2 rheumatology experts in the Annals of Internal Medicine. annals.org/aim/fullarticl…
FL pharmacists report "nearly all of the new prescriptions for #hydroxychloroquine are being issued for the prescribing practitioners themselves or family members of the prescribing practitioners." Some drs are prescribing it to healthy people as a #Covid19 preventative.
Read 12 tweets
Pharmacy education post***

Why are the benzodiazepines Lorazapem, Oxazepam, and Temazepam recommended in the elderly?

Benzodiazepines are metabolized either through Phase 1 or Phase 2 metabolism
Phase 1 metabolism includes for example oxidation or reduction and turns the parent molecule into a more polar compound and eventual inactivation of the drug. Phase 1 metabolism involves the enzymes CYP2C19 and CYP3A4 and are responsible for benzos that undergo Phase 1..
Phase 2 metabolism involves conjugation of charged compounds and makes it more water soluble facilitating it into the bile or urine. So Phase 1 metabolism tends to decrease in the elderly and Phase 2 metabolism is for the most part preserved..
Read 5 tweets
So yesterday we may have saved a life in the local community pharmacy yesterday.
#MentalHealth

THREAD...
It was an extremely busy afternoon in the normally quiet pharmacy. I was checking nomad trays in the back breaking off every 5 minutes to check waiting prescriptions.
Whilst in the checking room, my counter assistant approached me asking if I could see this patient as she was a little unsure as to what to do. The patient had mentioned to her that they had been suffering from anxiety and wished to buy something for it.
Read 18 tweets
Very interesting! 👉 Team found (in mice) that #fever alters surface proteins (integrins) on #immune cells such as lymphocytes + macrophages ☝️ These changes allow such cells to better travel via #blood vessels to reach sites of infection.
And yet, if you walk into a USA #pharmacy, most medications for flu, colds, inflammation, injuries etc deliberately “knock down” #fever to temporarily palliate symptoms 👉 How do such #medications then impact long-term immunity, pathogen persistence and #microbiome health??
This same trend (medications that treat the #immune response as an “enemy” vs. an “ally”) are also “standard of care” for chronic disease 👉 But as such “#autoimmune”/inflammatory conditions are increasingly tied to #microbiome dysbiosis does that paradigm still make sense??
Read 4 tweets
This all started because the #MetPolice & #LBRUT couldn't do their day jobs properly & decided to take the law into their own hands. It started as a small cover up 12 years ago but has turned into British State Persecution.

#Skynews #BBCNews #DailyMail #Guardian #Euronews
My company was raided. It should have been a straightforward matter. But the #MetPolice & #LBRUT forgot to seize my computer & came back to do a 2nd raid. The search warrant didn't permit a second entry, however, #LBRUT entered unlawfully

#Guardian #Telegraph #DailyMail #GMB #UK
Complaints were then made to my MP #VinceCable. He liaised with the #Metpolice & #LBRUT. And then weeks later, the search warrant was completely changed & was passed off as the search warrant executed on the day of the raids.

#DailyPolitics #Libdems #Conservatives #labour #bbcdp
Read 147 tweets
This all started because the #MetPolice & #LBRUT couldn't do their jobs properly & then decided to take the law into their own hands. The result of this decision has led to events stranger than fiction

#BBCNews #Skynews #Itvnews #Channel4News #ThisMorning #TheresaMay #UKGov #LBC
My company was raided. It should have been a straightforward matter. But the #MetPolice & #LBRUT forgot to seize my computer & came back to do a 2nd raid. The search warrant didn't permit a second entry, however, #LBRUT entered unlawfully

#Guardian #Telegraph #DailyMail #GMB #UK
Complaints were then made to my MP #VinceCable. He liaised with the #Metpolice & #LBRUT. And then weeks later, the search warrant was completely changed & was passed off as the search warrant executed on the day of the raids.

#DailyPolitics #Libdems #Conservatives #labour #bbcdp
Read 145 tweets

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