Is “natural” sugar better for you than added sugar?

July 25th, 2010

–from Consumer Reports Health Blog

If you mean the sugar that occurs naturally in fruits, dairy products, and other foods, then yes. That’s not because it’s inherently healthier but simply because it comes with all the vitamins, minerals, and other nutrients those foods contain.

But brown or raw sugar is just as nutritionally bereft—and has just as many calories—as white sugar or high-fructose corn syrup. “Organic” sugar is made from sugar cane or beets that are grown without chemical fertilizers or synthetic pesticides, which probably poses less of a threat to the environment. But it’s doubtful if that translates directly into significant health benefits. Honey and maple syrup may taste great but they contain few if any nutrients. Blackstrap molasses does have some calcium and iron, but also has a strong, distinctive flavor.

So choose your sugar based on flavor, texture, recipe, and perhaps your politics. But don’t expect the decision to have much impact on your health.

Tylenol, to much is a dangerous thing

July 18th, 2010

by: Michael Rea, PharmD

Tylenol (generic name: acetaminophen) is regarded by healthcare professionals all over the world as a safe over the counter drug to use for most people.  It is one of the few drugs given an “A” rating for pregnant and lactating women, is recommended for everything from aches and pains to fever, and is used in age ranges from newborns to those 100+ years old.  So what could possibly make this drug dangerous?

Like most medications, to much of something can be a bad thing.  It is a more and more common reality, especially for those people taking painkillers.  In one recent case, the end result was the loss of life.

Tylenol, or acetaminophen, is one of, if not the most common drug used by society today.  It is available over the counter, and is also in a slew of different prescription pain medications as a secondary ingredient.  The problem arises when a person takes to much of the drug, typically from several different sources.  For most people, this amount is 4,000mg per day depending on age, health factors, and liver function.  By going over this amount, the body is taxed heavily, especially the liver.  Ultimately this can lead to acute liver failure, and even death.

In a recent case, a senior citizen with minor aches and pain was taking tylenol over the counter at a rate of 650mg per dose and up to 4 doses per day. When they went in to the surgical suite for a minor surgery, they were discharged with Vicodin (vicodin has 5 mg of hydrocodone and 500mg of acetaminophen per pill) 5/500 up to 8 tablets daily.  The final blow came when due to the uncontrolled pain from the surgery, and ER visit put the on another combination medication with 325mg of tylenol up to 4 times daily.  This adds up to 7,900 mg of tylenol in 24 hours!

In this particular case, both the doctor and pharmacist were found liable and should have caught the problem prior to the deadly outcome.  It is also important to watch your medication list and beware of any duplicates.  Be alert to what you’re on, keep a list, and ask lots of questions.  Be your own advocate and protect yourself today!

Sleep woes linked to middle aged pudge

July 11th, 2010

-An article from Reuters

Women, try not to think of this if you lie awake at night: having trouble sleeping means you’re likely to gain weight.

As if simply getting older weren’t hard enough, new research shows that middle-aged and older women who have trouble falling or staying asleep may pack on more pounds than their well-rested contemporaries.

A number of studies have found that sleep-deprived children and adults are more likely to be overweight than those who usually get a full night’s rest. But many of those studies assessed people at one point in time, so it was hard to know which came first, the sleep problems or the excess pounds.

A few studies have followed people over time, but they’ve disagreed about whether poor sleep is linked to expanding waistlines.

The new findings, reported in the International Journal of Obesity, strengthen the evidence that sleep problems are related to weight gain. In this case, the study design allowed the researchers to show that sleep problems came before substantial weight gain in some participants.

Finnish researchers followed more than 7,300 40- to 60-year-old adults for seven years. They found that women who reported significant sleep problems at the outset generally put on more weight over time than women who slept well.

Roughly one-third of women with frequent sleep problems gained at least 11 pounds, versus about a fifth of women with no sleep difficulties at the outset.

Should You take a cholesterol lowering Statin drug, even if you don’t have high cholesterol?

July 4th, 2010

Recently, the use of “statin” drugs, the class of medications used primarily to reduce cholesterol levels, have been gaining positive attention for some other desirable health outcomes.  We have heard benefits on everything from increased lung function in asthma patients to lowering your chance for heart attack. This weeks article from Consumer Reports poses a good question, should you take a statin even if you don’t have high cholesterol? Read more below.

Earlier this year the Food and Drug Administration approved rosuvastatin (Crestor), a drug usually used to lower LDL (bad) cholesterol, for use even in some people who have normal LDL levels. Why? Because it turns out that the drug (and probably other statins), also appear to lower levels of C-reactive protein, which can help indicate inflamed coronary arteries. And inflammation can contribute to heart disease by damaging the arteries and encouraging the growth of clot-forming plaque deposits.

So is it time to get your CRP measured and possibly take a statin if that level is high, even if your LDL isn’t? Probably not. Here’s why.

To read the full article from Consumer Reports, visit http://blogs.consumerreports.org/health/2010/06/statins-for-high-cholesterol-should-people-without-high-cholesterol-take-a-statin-best-buy-drugs.html

Melatonin action and use as a sleep aid in older adults

June 27th, 2010

by Michael Rea, PharmD

Melatonin is a naturally occurring substance that is made in your body to help control sleep function.  It is released from the pineal gland about 2 hours before your normal bedtime, and helps control your bodies circadian rhythm, or sleep and wake cycles.  As we age, the function of the gland can decrease by as much as 40%, leaving many seniors and baby boomers more sleep deprived and not as cognitively sharp as they may otherwise be.

There are several ways to combat this potential sleep problem, one being the supplementation of melatonin.  Supplementing your body with melatonin may give your body a boost in falling, and maintaining a proper sleep schedule.  It is not for everyone, but may be a good option for those who have had these levels checked by their doctor and have found to be low. If you have trouble sleeping, or don’t feel as sharp as you used to be because of your problems sleeping, talk with your doctor about this possible treatment.  It is available over the counter at most pharmacies at very low costs.

If you have further questions, comments, or would like more information, feel free to contact one of the pharmacists from Rx Savings Solutions at pharmacist@rxsavingsllc.com.

‘Summer Colds” may not be just that

June 20th, 2010

By Elizabeth Landau, CNN

You dread this: Runny nose, scratchy throat, maybe a cough. And worse, it’s 80 degrees outside.

Most of us know it as the summer cold. But in fact it’s probably not.
A true cold is a virus with symptoms that last up to 10 days, with the first two to three days being the most contagious. These viruses exist year-round, but are more common in the colder months.

Allergies to tree and grass pollens and outdoor molds can cause cold-like symptoms in the summer. Congestion, itchy eyes, scratchy throat and runny nose are common complaints.

“If you tend to get those same symptoms every year around the same time, allergy is the probable cause,” said Dr. Peter Greenspan, pediatrician with MassGeneral Hospital for Children in Boston, Massachusetts.

Young children are more susceptible to cold viruses because they have not had previous exposure to them, Greenspan said. They are also in contact with other children a lot, and may not take the same hand-washing, sneeze-covering precautions as adults.

They are too young to take over-the-counter medications, but the symptoms go away on their own, Greenspan said.

For adults who want sinus relief, a doctor may recommend saline irrigations through the nose — such as the neti pot — nasal steroid sprays or antihistamines, said Dr. Alexander Chiu, associate professor of otorhinolaryngology at the University of Pennsylvania School of Medicine in Philadelphia.

But such treatments are for relieving symptoms, not curing them, Greenspan said. Colds go away on their own and allergies subside when the offending pollen diminishes with the season.

This spring was particularly nasty for allergies, doctors said. The pollen counts are going down now, however, and the next major allergy season won’t start until fall, Chiu said.

Doctors use the term “vasomotor rhinitis” to describe the cold-like symptoms that many people get not because of allergies or a virus, but for some unknown cause, Chiu said.

Some people are naturally sensitive to dramatic temperature changes and may get the sniffles from going in and out of air-conditioned and warm environments, said Chiu.

But such temperature shifts do not promote cold viruses, so don’t blame the air conditioning, Greenspan said. For allergy sufferers, air conditioning may help alleviate symptoms.

“Some people may feel better or worse in different kinds of environments,” he said. “It’s a very individual kind of thing.”

From his pediatrics practice, Greenspan has noticed that a cold virus has been going around, with coughs that last several weeks, Greenspan said.

But Chiu, based in Philadelphia, said people who have sinus symptoms this time of year probably do not have colds.

The Sun Protection Factor (SPF), What You need to Know!

June 13th, 2010

Each year, as the temperatures warm and the sunlight intensifies over the Northern Hemisphere, sunscreen hits the shelves in all of our local pharmacies, big box, and grocery stores.  It is for good reason, as skin cancer is the most common form of cancer in the United States each year, affecting over 2 million people!  And because 20% of all Americans will develop skin cancer in some form over the course of their lifetime, it is worth taking a close look at some of the facts, and ways you can protect yourself from being a statistic!

When scouring the shelves for a sunscreen, the choices can be overwhelming. Brand names vs. store brands, lotions vs. creams vs. sprays, and SPF values ranging from 1 to 100.  We’ve come up with a few tips that we feel are most important when buying sunscreen to help get the best bang for your buck!

  • SPF stand for Sun Protection Factor.  The ranges of 1 to 100 are important to note, but are a bit deceiving.  A good example of this can be seen when comparing an SPF 15, 30, and  50 lotion.  The lotion with SPF 15 blocks 93% of the suns UVB rays, the lotion with SPF 30 blocks 97%, and the SPF 50 lotion blocks 98%.  So although higher SPF may give higher amounts of protection, there is a diminishing point of return.
  • UVB rays cause redness and pain, UVA rays do not.  They do, however, cause skin damage deep within the skin layers.  While UVB rays are more intense during the Summer months, UVA rays have the same intensity throughout the year, and it is important to protect yourself!
  • There is much debate about what works better, lotions, creams, or sprays.  And although there is some evidence from which to draw conclusions, the most important point to remember is to use it, every time you are in the sun and to reapply it often!

Our recommendation:  Find a sunscreen to your liking that you are most likely to apply often (this could be a cream, lotion, or spray) with an SPF rating of at least 30, and be sure it has protection against both UVA and UVB rays.  If you’re in doubt, ask a pharmacist to help you select one that meets this criteria.

For more information, check out the skincancer.org website. http://www.skincancer.org/understanding-uva-and-uvb.html

Study Suggests the ‘Alert’ Feeling From Drinking Coffee May Not Be Real

June 6th, 2010

As a nation that consumes a large amount of caffeine, we thought this article from WebMD by Tim Locke, was fitting and applicable for many of our readers.  After reading, let us know what you think.  Is your caffeine fix essential to your everyday function at a high level?

–Can’t start your day without a coffee? It’s all in your mind, according to University of Bristol, U.K. researchers who’ve found the stimulating effects of caffeine may be just an illusion.

Their study involved 379 brave volunteers who went coffee “cold turkey” for 16 hours before being given a caffeine capsule or a placebo capsule containing corn flour.

They were then tested for a range of responses, but there was little variation between the real- caffeine group and the placebo group in levels of alertness.

Around half of the study participants were non-coffee drinkers or low consumers. The rest were medium to high consumers of coffee.

They were asked to rate their personal levels of anxiety, alertness, and headache before and after their drink — which was either the caffeine or the placebo.

They were also given a series of computer tasks to test memory, attentiveness, and vigilance.

The medium/high caffeine consumers who had the placebo caffeine reported a decrease in alertness and an increase in headache, neither of which were reported by those who received caffeine.

However, their post-caffeine levels of alertness were no higher than the non/low consumers who received a placebo, suggesting caffeine only brings coffee drinkers back up to “normal.”

The researchers also found people with a gene variant linked with anxiety tended to consume slightly larger amounts of coffee than those without the variant, suggesting that a mild increase in anxiety may be a part of the pleasant “buzz” caused by caffeine.

The study shows that frequent coffee drinkers develop a tolerance to both the anxiety-producing effects of caffeine that can put you on edge and the stimulating ones.

Heavy coffee drinkers may feel they are made alert by coffee, but the evidence suggests that this is just the reversal of the effects of acute caffeine withdrawal, which cause fatigue.

The researchers say that given the increased risk of anxiety and raised blood pressure brought on by caffeine, there is no net benefit to be gained.

Study researcher Peter Rogers, from the University of Bristol’s department of experimental psychology, says in a news release: “Our study shows that we don’t gain an advantage from consuming caffeine — although we feel alerted by it, this is caffeine just bringing us back to normal. On the other hand, while caffeine can increase anxiety, tolerance means that for most caffeine consumers this effect is negligible.”

What about decaf? Rogers tells WebMD by email: “Decaf wouldn’t work — without the caffeine one would get caffeine withdrawal (feelings of fatigue and headache) for a few days. In our study we gave pure caffeine in a capsule, with the placebo being corn flour in a capsule.”

And does the researcher follow his study’s findings?

“I’m a decaf coffee and tea consumer these days.”

The New Consumer, Frugal like Never Before

May 30th, 2010

As the recession slows (and hopefully ends), a new consumer is emerging unlike one thats been seen since the days of WWII.  Saving rates are going up, consumption down, and even those with good, high paying jobs are bargain hunting.  As shoppers maintain focus on making efficient, cost saving choices in their everyday life, its no doubt the pharmacy chains and grocery stores are competing hard for your business.

As a consumer, this competition can be a Great thing!  Cost conscious spenders are the new norm, and retailers, as well as drug stores, are taking notice.  When shopping for prescription medications, the same rules apply.  There are deals to be had, but only if you know where to look and do your homework.  We routinely see people paying over $300 for a 90 days supply of medication “A,” when they could have found it at 5 different places for $10.

As you navigate through this prescription pricing maze, use the tools at Rx Savings Solutions to help you out.  We have our Medication List available to for over 500 of the most widely used and deeply discounted generics, as well as our board certified pharmacists, ready to assist.  If you’d like to get in contact with one of them, send us an email  info@rxsavingsllc.com.

Don’t wait, get on your way to saving today!

Genetic Testing Kits, What Information do You Want to Know?

May 23rd, 2010

In early May, Walgreens Pharmacy had announced its plan to distribute and sell an over the counter genetic testing kit made by Pathway Genomics, Inc that gives results based on a simple saliva collection.  Originally touted as an empowering move, giving consumers more insight on genetic predisposition to a host of particular disease states, it came under intense fire from the FDA just 2 days before it was to be released.  Ultimately, because it did not have FDA approval, Walgreens decided not to sell the product until further investigation had been completed.

The idea of genetic testing, and the actual testing itself is not new, and has been taking place for many years.  Whats new, is the idea of mass marketing the results of an individuals genetic predisposition to certain disease types.  On one hand, a person who finds out they possess a particular gene say to breast cancer and are doomed to die from it early in their life.  They may even take precautionary actions like a mastectomy.  On the other hand, a person may find out they do not possess a particular gene predisposing them to skin cancer, and may therefore not take the normal precautions when in the sun.

Although genetic testing can be a very useful tool for doctors, it may not be in the best interest of each and every individual to know.  It is important to take care of yourself and protect yourself, regardless of what genes may be in your DNA.  And if it is imperative that you know, using a doctor who can fully discuss what the results mean is an invaluable tool that should be used.

What do you think, should the tests be available to the masses?