Choosing an antifungal cream

antifungal creamOne cream to treat them all

Over the weekend, I discovered I had a minor case of athlete’s foot. I’m no athlete, but note to self: wear flip-flops when taking a shower at the gym!

I couldn’t find a tube of antifungal cream in my medicine cabinet—it’s been years since anyone in my family has needed it—so I went out to buy one.

A large number of options confronted me. As always, I thought to myself, “How do ordinary consumers decide which of these fifty tubes of antifungal creams they need?”

Most manufacturers market the creams (or ointments, powders or … Continue reading

Baby boomers and HCV screening

harvoni and hcv screeningDon’t get health advice from commercials!

While nursing my cold last weekend, I was watching TV and one prescription drug commercial caught my eye. (One of oh so many. FTC—please make these go away!)

Actually, the ad didn’t mention any drug by name, but it was sponsored by Gilead Sciences, the makers of the new hepatitis C drug, Harvoni.

The commercial was aimed at baby boomers, who were advised to get tested for the hepatitis C virus (HCV).

One in 30 baby boomers could have HCV and not know it, the voice over said, “…because Hep C can hide Continue reading

Use over-the-counter sleep aids with caution

over-the-counter sleep aidsNot safe for everyone

I’ve had problems sleeping most of my adult life. And I admit over the years I’ve tried using Benadryl (diphenhydramine) as a sleep aid now and then.

So I was interested when Consumer Reports recently published a warning that too many people are too frequently turning to over-the-counter sleeps aids.

A 2015 Consumer Reports national survey of 4,023 adults found a troubling trend: Of the 20 percent who took an OTC medication within the past year to improve sleep, almost 1 in 5 respondents, or 18 percent, said they took it on a daily basis. Most

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Even nurses get the flu

Flu is epidemic in Washington

Flu has claimed almost 80 lives in my state, and thousands of people have been sick with the flu or other upper respiratory illnesses.

Last week I succumbed, as well.

And boy, was it a loooong week. And I mentally kicked myself many times, because I probably could have avoided my ordeal if I had just WASHED MY HANDS more frequently.

I don’t know if I had an official influenza virus. I didn’t see a doctor and wasn’t tested. I did get my flu vaccination in October, but those are never 100% effective. A … Continue reading

Stay healthy this holiday season

And save money, too

With both Thanksgiving and Black Friday over and done, the holiday season is in full swing!

But so is the cold-and-flu season :/

Want to stay healthy and save some money? Here are some of my favorite cold-prevention, money-saving posts.

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Budget-busting prescription drugs

Taxpayers footing the bill

I watched this on my local news the other night: Runaway drug price hikes squeeze Washington’s budget.

Our state is one that expanded Medicaid under the Affordable Care Act (ACA), so I knew we were spending a lot. But I had no idea now much. Through the first 9 months of 2016, my state has spent $1.1 billion on prescription drugs.

Not total medical care. Just prescription drugs.

And Washington is not the only state facing a fiscal nightmare because of skyrocketing drug costs.

Almost half of that spending is for the really high-priced specialty … Continue reading

Choosing Wisely – Use less healthcare

My goal for 2017? Use as little healthcare as possible

How will healthcare change under a new president and political party?

That’s a question I can’t answer. As I wrote in my last post, both candidates had multiple-point plans to tweak/improve/repeal/replace the Affordable Care Act, aka the ACA or Obamacare.

But I don’t know what will change or when.

What I know for sure is that for 2017 my premiums will be 20% more expensive, my co-insurance and co-pays will be higher, and my current primary care doctor will no longer be in-network.

I can and will shop around … Continue reading

“Bridge Over Diagnosis”

I’m going with an overdiagnosis theme this week.

Here’s the latest healthcare parody video from pharmacy professor James McCormack, as he continues his much-appreciated effort to raise awareness of overscreening, overdiagnosis, and overtreatment in this country.

As usual, this video is full of supporting statistics and excerpts from leading healthcare journals, so take time to pause the video and really understand the information being shared.

As I said in a previous post, overdiagnosis and the resulting unnecessary treatments cost hundreds of billions of dollars every year.

Equally bad, if not worse, I think, is … Continue reading

An EpiShell for your EpiPen

The EpiShell will protect your investment

I recently saw a news story about a local family that came up with a brilliant invention—the EpiShell.

What is the EpiShell? It’s a small insulated tube that provides climate control for your EpiPens.

epishell

Why is this a great idea? Like most medications, epinephrine is best kept at room temperature. Temperature extremes speed up deterioration of the product.

Anyone who needs an EpiPen is counseled to carry it with them at all times. If a child has a life-threatening allergy, that means having multiple EpiPens for school, daycare, a backpack, the family car, … Continue reading

National Prescription Drug Take Back Day

What’s in your medicine cabinet?

I admit it.

I have a few old pill bottles stashed in a kitchen cupboard. These are mostly leftover pain meds dating back several years to when my son had his wisdom teeth removed, or my husband had his thyroid taken out.

I need to get rid of them.

drug take back dayLuckily, this Saturday, October 22, from 10 am to 2 pm, is the semi-annual National Prescription Drug Take Back Day sponsored by the Drug Enforcement Agency (DEA).

On Saturday, local law enforcement agencies will partner with the DEA to act as drop-off sites for unused … Continue reading

Do you know your drug formulary?

drug formularyThe shrinking drug formulary

Insurance companies have several ways to cut their costs.

We are all familiar with higher premiums, higher co-pays, increased deductibles, and narrower provider networks. These will all be apparent when we look at our policies for 2017.

A lesser-known strategy is to remove high-cost drugs from the drug formulary—the list of medications that insurance will cover.

Insurance companies typically work with a pharmacy benefits manager, or PBM, which acts as the middleman to negotiate drug prices with drugmakers.

Exploding drug costs

The Affordable Care Act made it mandatory that health insurance plans offer prescription drug … Continue reading

Kids’ health – Avoid medication errors

The right medication at the right dose

The journal Pediatrics recently published a study that showed about 85% of parents make mistakes when measuring out doses of liquid over-the-counter medications.

That reminded me of this short video from Nationwide Children’s Hospital in Ohio talking about medication errors made by parents or other caregivers.

Using over 10 years of data from the National Poison Center, researchers found that children under the age of 6 are exposed to a medication error every 8 minutes: too much, too little, or the wrong drug altogether.

Most often, they found … Continue reading

Drug commercials do more harm than good

I think it was a mistake to allow prescription drug commercials on TV. In my humble opinion, at least.

But I’m not alone in disliking these commercials, or direct-to-consumer (DTC) ads, as they’re called.

The news website Vox recently released a video that explains more about how DTC ads came to be ever present on our TVs. They attempt to be fair and present both sides of the debate, but it seems to me they lean negative. What do you think?

One of my objections to DTC ads is that these multi-billion dollar campaigns are … Continue reading

Parents – Don’t use FluMist this flu season

Kids need flu shots!

Pediatricians recommend all children over the age of 6 months get a yearly flu shot.

In previous years, a nasal spray version of the flu vaccine, FluMist, has been available to parents who wanted to avoid subjecting their children to another needle jab.

But for the last 3 years FluMist has not been nearly as effective as the standard flu shot. So for the 2016-2017 flu season, the Centers for Disease Control (CDC) and the American Academy of Pediatricians (AAP) are recommending against FluMist for flu prevention.

For the 2016-2017 flu season, the Advisory Committee on

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Outrageous cost of EpiPens finally getting some attention

Wow. Talk about timing.

I just posted a few weeks ago about my dread of renewing my EpiPen prescription because of its cost—over $700 without insurance, and still over $600 with my insurance!

It seems other healthcare advocates, the media, Congress and even the presidential nominees are at last realizing how insane it is to charge that much for literally a few cents worth of epinephrine.

EpiPens are not even new to the market, like so many other high-priced drugs. It’s been around for a long time, so Mylan pharmaceuticals can’t claim it’s trying to recoup R&D costs. In fact, … Continue reading