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Alongside the growing prevalence of chronic pain and prescription opioid use, drug-related overdose continues to claim the lives of 17,000 Americans each year...Deaths from unintentional opioid overdose have increased 56% since 2010. In 2013, 83% of the opioid overdoses were unintentional...In 2010, there were approximately 136,000 emergency room visits related to opioid-induced respiratory depression and overdose. Needless to say, opioid overdoses are...drastically increasing health care costs...When naloxone is administered by first responders outside an institutional setting, it can improve outcomes for emergency opioid reversal prior to a patient reaching the emergency department. There are currently 2 FDA-approved naloxone formulations for take-home use: the auto-injector...and the new intranasal formulation...

• Who Should Receive Take-Home Naloxone?
• The Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression (RIOSORD)
• Risk Factors Associated with OSORD (opioid-induced respiratory depression)
• How Can I Use RIOSORD in a Community Pharmacy?
• Risk Mitigation and Patient Education
• Conclusion

With the availability of naloxone for take-home use, no one should lament over the loss of a loved one because a life-saving medication was not easily accessible...We can’t agree that naloxone availability will end opioid overdose deaths, but it certainly is our professional responsibility to ensure that we’ve taken every step to reduce risks...Pharmacists, physicians, and student clinicians have an excellent opportunity to mitigate opioid overdose risks by employing the validated RIOSORD tool. RIOSORD can aid opioid prescribers in identifying at risk patients, and it can also help encourage a candid dialogue among pharmacists, patients, and caregivers to reduce patient harm.

ASHP today announced that it will release a comprehensive suite of its…drug information databases, including AHFS Drug Information®, in early 2016. Recruitment for beta testers will begin during ASHP’s 50th Midyear Clinical Meeting this week in New Orleans…The new product, AHFS® Clinical Drug Information, will provide clinicians with easy access to detailed drug information, including real-time drug and safety updates, direct links to more than 60,000 supporting evidence sources, and in-depth coverage of off-label uses… AHFS Clinical Drug Information will be available via Web browser as well as iOS and Android apps. Individual pricing will begin at $10 per month. The user interface will also integrate into clinical workflow solutions in hospitals and ambulatory care settings.

Before…Theranos suspended use of its finger-prick blood draws in September because of Food and Drug Administration concerns, the company tangled with Arizona lab regulators over testing instruments and lab practices…Theranos, which operates retail locations inside 40 Walgreens stores across metro Phoenix, did not always meet lab regulations before taking corrective steps, according to inspection reports…After an April 2 survey of the company's Scottsdale lab, Arizona Department of Health Services inspectors noted four "deficiencies" at the lab...The state inspectors conducted the survey on behalf of the federal Centers for Medicare and Medicaid Services, which regulates laboratory testing…The four issues concerned proficiency testing, validation of instruments used to analyze blood samples, humidity levels outside of acceptable ranges for some lab instruments and how blood-sample collections were dated…In September, state lab inspectors said that Theranos did not meet proficiency testing standards for certain substances, including toxicology and four other regulated substances.

…code-named ‘T-Rex’...Safeway Inc. spent about $350 million to build clinics in more than 800 of its supermarkets to offer blood tests by startup Theranos Inc…But the tests never began, the clinics are now used largely for flu shots and travel-related vaccines, and the two companies have been negotiating to officially dissolve their partnership…Safeway executives said Theranos missed deadlines for the blood-testing rollout…article reported that the proprietary lab instrument developed by Theranos as the anchor of its growth strategy handled just a small fraction of the tests sold to consumers at the end of 2014…also…some of the startup’s former employees were leery about the machine’s accuracy.

In time for the quit smoking New Year resolutions that are anticipated at the end of this month, the International Pharmaceutical Federation has outlined the wide variety of different ways in which pharmacists can reduce the use of tobacco through a new publication. The briefing document, "Establishing tobacco-free communities: A practical guide for pharmacists", gives a number of examples from around the world, showcasing pharmacists’ value in performing health promotion, triage and referral as well as other interventions.

Years before Theranos…came under harsh public scrutiny in October, a military official raised concerns that the secretive company was violating federal law…E-mail correspondence obtained by the Post reveals that an official evaluating Theranos’s signature blood-testing technology for the Department of Defense sounded the alarm in 2012 and launched a formal inquiry with the Food and Drug Administration about the company’s intent to distribute its tests without FDA clearance — a problem that has resurfaced this year, leading Theranos to temporarily stop offering almost all of its tests...In October, a Wall Street Journal investigation revealed the company was running most of its tests on devices made by other firms instead of its own “breakthrough” technology. The Journal reported that former Theranos employees and executives of Safeway had questioned the accuracy of the tests.

Take that, Theranos!..Clearly determined to offer direct-to-consumer lab testing through pharmacies, grocery chain Safeway seems to be shaking off the reported demise of a partnership with the not-so-revolutionary-after-all testing company (Theranos)… Sonora Quest Laboratories, a joint venture of Quest Diagnostics and Phoenix’s Banner Health, has opened its first testing center at a Safeway in...Scottsdale, Arizona. A second one will open next week in an upscale part of Phoenix...

Pharmacists should learn how to properly diagnose foreign-acquired diseases in order to optimize outcomes for infected patients...these diseases are rarely seen in US emergency departments, health-system pharmacists might nevertheless encounter them during their careers...It’s important to recognize these diseases and know what you need to help them, [but] you don’t need to be an expert...Pharmacists can also play a role in preventing these diseases by reminding patients that they must follow their entire prescribed regimen when taking drugs prior to travel...The following are some exotic diseases primarily coming from Southeast Asia that pharmacists should know:

• Malaria
• Dengue Fever
• Typhoid Fever

Drug Store News recently had an opportunity to sit down with Alissa Hsu Lynch, VP sales strategy, operations and global capabilities at Johnson & Johnson Consumer to discuss how J&J is optimizing its health-and-wellness position in retail. Hsu Lynch leads the strategic development of key retail initiatives across J&J's $6 billion portfolio of consumer brands…

• How is J&J delivering value within the health-and-wellness space to its retailer customers?
• What core consumer segments do you see as key to your health-and-wellness strategy?
• How is the Affordable Care Act affecting your growth plans?
• How is technology changing the way you engage with patients and consumers?
• How are you aligning your company’s assets to match the go-to market strategy of large integrated retail healthcare providers?
• What key insight do you want your retail partners to know about the future of health care?

California and Oregon…will soon make access to birth control easier for millions of women by allowing them to obtain contraceptives from pharmacists without a doctor’s prescription…Most Western countries require a doctor’s prescription for hormonal contraceptives…but starting sometime in the next few months, women in California and Oregon will be able to obtain these types of birth control by getting a prescription directly from the pharmacist who dispenses them, a more convenient and potentially less expensive option than going to the doctor…Pharmacists will be authorized to prescribe contraceptives after a quick screening process in which women fill out a questionnaire about their health and medical histories…pharmacists’ organizations, plan to lobby for it across the country…One unanswered question, however, is whether insurers will pay for the time pharmacists spend reviewing women’s questionnaires or helping evaluate options. To cover that cost, some pharmacists may charge fees...The laws in Oregon and California differ in some ways. California’s has no age restriction; the Oregon law requires that teenagers under 18 obtain their first contraceptive prescription from a doctor. In California, pharmacists will also most likely have to take women’s blood pressure for contraceptives containing estrogen.