Shows
Druggist For The PeopleTulsi Gabbard, Hillary Clinton & Psycho-Emotional ProblemsSend us a textSummary: Slinging ugly, triggering words – like “psycho-emotional problems” - is an effort to awaken stigmas in the public against a person. Reject it. Mental Health, like our physical health, is an ever-changing dynamic. Though we expect mental and emotional health and stability in our leaders, the assessment of that issue should be objective and based on the best medical practice, and not on some sloppy reference intended to fan the flames of hate.Topics:· Psycho-Emotional Problems 01:00· Unconrtrolled Fits 03:30· Heavy Tranquilizers 04:30· Stigma of Menta...2025-07-3113 minDruggist For The PeopleVaccines Tricking Your Immune System - the Benefits and RisksSend us a textSummary: This episode attempts to clarify how vaccines are made, how they are intended to interact with the immune system, and how important it is to obtain an unbiased source of information about the risks and benefits of a vaccine. Utilize your healthcare team. Topics:· Polio Vaccines 01:00· Risk-Benefit 02:00· Vaccines-Autism 03:00· Modern Medicine 04:15· Autism – DSM 06:00· Immune System (learning what is you) 08:00· Innate & Acquiered Immunity 11:00· Chicken Pox Exposure and Shingrix 13:30· Types of Vaccines 14:45· Live Attenuated Vacci...2025-07-2527 minDruggist For The PeopleMAHAhahaSend us a text Summary: When the president of the United States told his candidate for Secretary of Health and Human Services to “go wild” on health, food and medicines, I’ll bet he went and celebrated his pick with a McDonald’s cheeseburger and a Diet Coke. This podcast discusses the danger of placing politics and ideology into the healthcare system, the participants of which currently embrace the practice of Evidence-based medicine. This is the practice wherein the best available science is combined with the healthcare professional's clinical experience and the patient's values to arrive at the...2025-06-1733 minDruggist For The PeopleNicotine for Weight Loss, Energy, Long COVID, & Autoimmune Disease?Send us a textSummary: I received a question about the possible therapeutic pharmacologic benefits of Nicotine, specifically the idea of cutting the Nicotine Patch for help with energy, autoimmune issues, and weight loss. Answering this question lead into a discussion of new drugs that may emerge from anecdotal evidence. In this case, how certain elements of Nicotine’s activity might lead to the development of new drugs with neuroprotective and anti-inflammatory effects, without the risks associated with Nicotine use. Topics: · Nicotine History 01:20· Nicotine Patches, Side Effects 03:00· Mus...2025-06-1021 minDruggist For The PeopleConstipation - The OTC OptionsSend us a textSummary: Not all laxatives are created the same. Discussed in this episode are the nonpharmacologic options to relieve constipation, and the OTC Laxative options available should nonpharmacologic efforts fail. Included is a brief explanation of the peristaltic movement that is pooping, and how the different laxative options affect that process. Though there is often a silly poop joke or phrase lurking nearby i.e. dropping the kids off at the pool, a healthy and properly functioning bowel is essential for your overall health. Please consult your healthcare providers for any questions and g...2025-02-0520 minDruggist For The PeopleThoughts, Feelings, Food, Drugs and Your Holiday ChemistrySend us a textSummary: The chemistry of your mind and body are almost always changed by the medications you take. But there is more to it than that. These changes are changing, in response to both your medications and in response to your thoughts, feelings, food, exercise, and sleep. About the medications, we focus on the benefit you might receive, and the possible risks associated with a potential drug therapy. And we keep track of it. This is always a good idea. But what about how you think and eat and sleep and move? Let's ta...2024-12-1718 minDruggist For The PeopleThe Patient is a Person - Removing Healthcare Prejudice (Bias)Send us a textSummary: Preconceived notions within healthcare professionals about what another person might be, before we have a direct, open and genuine interaction with them, can derail the best treatment for that person. To provide the best treatment, efforts to effectively communicate continue by healthcare; but the person – the patient – must also make efforts to express themselves openly and honestly regarding their healthcare. Shared decision making: this episode is about getting in there, establishing an understanding of your options, and working WITH your healthcare team, including your pharmacist! Topics: · S...2024-11-1923 minDruggist For The PeopleAn Orange & Red Bloodsucker (with six legs) – Bedbugs!Send us a text Summary: Why have bedbugs reemerged? What to do if bitten? And how to manage and prevent possible bedbug infestation. Topics:· Sleep Tight 01:30· Bedbugs 02:00· DDT 03:45· Antihistamine, Topical Steroid Tx 06:15· DDT & Auto-Immune Disease? 06:45· DDT Risk Benefit (Africa) 08:15· Prevention 09:00· Permethrin 10:15Questions and comments to druggistforthepeople@gmail.com2024-10-3015 minDruggist For The PeopleMeds and Good People in a Disaster Zone: Hurricane HeleneSend us a textSummary: This episode recounts the experience of Hurricane Helene in North Carolina, from its arrival to the continued recovery. Being smart about what's fact or fiction, being there for your neighbors, and being prepared for a potential disaster (which we were not) are discussed here. Also discussed is a possible cure for the stress in this situation...go help someone. Questions and comments to druggistforthepeople@gmail.com2024-10-1523 minDruggist For The PeopleFilling a Prescription – Why Is This Taking So Long?Send us a text Summary: What’s happening on the other side of the prescription counter? Probably more than you think. Safety and appropriateness of the drug regimen is an ongoing process, and it may slow down the speed with which you get your medication, but it’s essential in making sure the drug is safe and efficacious. The importance of being a good teammate in your own healthcare is what this, and all episodes, is aboutl. Topics:· Five Safety Checks 02:15· Clinical Review by Pharmacist 04:00· Best Treatment Evolving 0...2024-09-1816 minDruggist For The PeopleMoney, Money, Money…and MedicationsSend us a text Summary: Paying $75,000 dollars for a car because you want to have a back massage between home and work is one thing, but to face exorbitant costs because you want to live a healthy and longer life is a tough pill to swallow. Discussion of the risks and benefits of any medication with your healthcare provider is essential, and the costs of that therapy should be included in that conversation. Topics:· Most Common Med Indications 03:30· Top 10 Most Prescribed Medications 04:00· Most Common Meds by Cost 05:302024-09-0419 minDruggist For The Peopleneffy® nasal spray– emergency epi without a needleSend us a text Summary: neffy® nasal spray received fast track approval from the FDA on August 9, 2024 for the emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients who weight at least 66 pounds. This may be a gamechanger in that it provides emergency epinephrine treatment for anaphylaxis without needles. But, as with all medications, correct use and monitoring is necessary. Topics· Fast Track Approval 01:30· $$$ 03:15· Minimum Weight 66 pounds 04:15· Approval Process 06:00· Pharmacokinetics & Pharmacodynamics 07:00· Epi Mechanism of Action 08:00· How to use neffy 10:45...2024-08-2023 minDruggist For The PeopleOpill Update – It’s Out There NowSend us a textSummary: Previous podcasts (July 2023) have covered The Pill and the newly approved, progestin only, OTC oral contraceptive – the Opill. The Opill is on the shelves and available online now. This episode provides a brief overview. For more detailed information about the Opill, consider listening to the July 2023 podcast: Opill – the OTC Pill. Topics:· Opill-Antibiotics Interaction (Rifampin) 02:00· How to Take 02:40· Reminder July 2023 Podcasts: The Pill and The Opill 03:10· Missed Doses 04:20· Opill Drug Interactions 07:15· Brief History of Oral Contraception 09:002024-08-1316 minDruggist For The PeopleBody and Mind and Being Kind – Another DrugSend us a textSummary: There are more ways to change your chemistry than taking drugs. Kindness. Being helpful, generous, and considerate – without expecting anything in return – has positive effects upon both the body and mind. But here’s the rub: you must be kind without expecting anything in return. So don’t be kind to be healthy…simply be kind. It’s all easier said than done. This episode also addresses the need for kindness in healthcare, from the healthcare professionals to the patient, and from the patient to the doctors, nurses, pharmacists, therapists – all who are trying to...2024-08-0615 minDruggist For The PeopleChemical RestraintsSend us a textSummary: Chemical and Physical Restraints are frightening terms, and yet the use of one or the other is sometimes necessary. This episode discusses the appropriate use of chemical restraints to treat agitation, as well as what may be the inappropriate use of medications to chemically restrain a person. Topics:· Agitation 02:00· Danger to Self/Others 02:30· AMA 02:50· Respect the Person 05:45· Informed Consent 10:15· Detox (Klonopin/Librium/Ativan/Valium) 10:45· Risperdal/Seroquel/Xyprexa 11:15· Nonpharmacologic Interventions 12:30· Rexulti 16:30· Partic...2024-07-2320 minDruggist For The PeopleThe Prescription CascadeSend us a textSummary: To get the maximum benefit and minimize the risks of your meds, stay involved. Monitor, journal and communicate with your healthcare team to make sure your meds include only those that you actually need. Avoid the Prescription Cascade.Topics:* Polypharmacy 01:15* Prescription Cascade 0410*Therapeutic Duplication 06:00* Monitor, Journal & Communicate 07:15* Cause & Effect 07:50* Communicate Changes Between MD's 10:00* Max Benefit & Minimize Risk 11:30* Use Your Pharmacist 11:45Questions and comments to druggistforthepeople@gmail.com2024-07-1612 minDruggist For The PeoplePill Dysphagia, Sister Hildegard and Candy...It Can Be a Hard Pill to SwallowSend us a textSummary: If it’s a hard pill to swallow, you’re not alone. In this episode we discuss why not to crush or break certain medications and possible techniques to help in overcoming pill dysphagia. As usual, consult your pharmacist. Topics:· Pill Dysphagia Definition 02:30· Prevalence 04:30· What Not to Crush and Why 05:40· Drug Formulation Abbreviations 09:30· Narrow Therapeutic Window 11:15· Toprol XL, Sinemet CR – Exceptions 12:30· Pill Dysphagia Techniques 13:00· Applesauce 14:00· Mayo Clinic 19:30 Questions and comments to druggistforthepeopl2024-07-0925 minDruggist For The PeopleSPF & Broad Spectrum Protection - Understanding Sunscreens - A Brief DiscussionSend us a textSummary: Just a little reminder about the negative (and positive) effects of Ultraviolet Radiation (both A & B), the options for managing those negative effects, and the drugs that may cause photosensitivity. Topics:· Out of Sight, Out of Mind 01:00· UV Protection 01:30· UBV & UVA Radiation 02:00· Chemical Sunscreens 02:40· Physical Sunscreens 03:20· Broad Spectrum Protection 04:00· Apply Liberally & Often 04:40· Children 05:30· UV Radiation, Cholesterol & Vitamin D 06:30· Photosensitivity Drugs 07:30· Nothing on Skin but Shade? 08:00Questions and comments to druggistfor2024-06-2509 minDruggist For The PeopleSunscreens, Sun blockers, Chemical Sunscreens and Physical Sunscreens–What's Up With That?Send us a textSummary: SPF and Broad Spectrum Protection From UV Rays – A more detailed discussion of protecting your skin from the damaging effects of UVA and UVB radiation.Topics· Chemical &Physical Sunscreens 02:00· UVB & UBA 03:00· Skin Types 04:00· Ozone 05:00· EPA – Atmosphere Warnings 05:20· Broad Spectrum Protection 07:45· Physical = Blocker; Chemical = Absorber 09:30· UV Radiation and Vitamin D 10:40· Photosensitivity by Drugs 11:50· Apply Liberally & Often 13:25· Sprays 14:00· Babys and Children 17:00· Sensitive Skin = Physical 18:00· Chemical Sunscreen Absorption? 18...2024-06-2520 minDruggist For The PeopleIs My Generic Drug Actually Equivalent?Send us a textSummary: This episode discusses what makes a generic drug equivalent to a brand name drug, according to the FDA, and why some variability is okay - and unavoidable. Also discussed is the importance of monitoring your response to the generic medication, use of Pill Identifiers, participating in the FDA Medwatch program, and utilizing your pharmacist for questions about generic substitutes, including the excipients that may be different from one manufacturer to another. Topics:· Changing Generic Companies 02:30 · Sertraline (Zoloft) 04:002024-06-1819 minDruggist For The PeopleVraylar – A ‘Lift’ for Treating Major DepressionSend us a textSummary: If you’re watching your TV, we’re seeing what you see: Drug Ads. In this episode, we take a look at Vraylar as an add-on to your current antidepressant. So bottom line, what is it, this Vraylar? Topics:· To Begin With: 00:45988 is the Suicide and Crisis Hotline, offering 24/7 call, text and chat access to trained crisis counselors who can help people experiencing suicidal, substance use, and/or mental health crisis, or any other kind of emotional distress 1-800-FDA-1088 or...2024-06-0422 minDruggist For The PeopleProton Pump Inhibitors & DementiaSend us a textSummary: The Proton Pump Inhibitors (PPI’s), which include Prilosec, Prevacid, Protonix, Aciphex, and Nexium, are a very effective group of drugs to treat heartburn and reflux, but as with every other drug, there might be side effects and adverse effects, both short and long-term. In this episode, we discuss the possible link between the long-term use of PPI’s and dementia, as reported in the press and medical journals. Topics:· Proton Pump Inhibitors (PPI’s) 01:30· H2 Blockers (Tagamet, Pepcid) 02:00· Prevacid, Prilosec, Protonix, Nexium, Aciphex… 03:40· Cause & Correla...2024-05-2823 minDruggist For The PeoplePoison Ivy - Facts, Fiction & Remedies (OTC & Rx)Send us a textSummary: If you have poison ivy, can you spread it to someone else? If the poison ivy is dead, can you still have a reaction if you touch it? Where else can you get poison ivy, besides touching the plant? This episode addresses these questions, and in so doing, touches on the prevention and treatment of the contact dermatitis caused by poison ivy, poison oak, and poison sumac. Topics:· Urushiol Oil 01:50· Contact Dermatitis 02:15· Spread? 02:55· Dogs/Cats/Clothes/Tools 04:30· Inflammation 06...2024-05-1417 minDruggist For The PeoplePanic Attack Meds: Paxil, Prozac, Effexor XR, Xanax, KlonopinSend us a text Summary: When the panic attack comes from what’s inside, where do you hide? It’s thought that a panic attack is physiologically very much like a flight or fright response, comparable to encountering a Grizzly bear on a trail. In this episode we discuss the current medications available for treating panic attacks and panic disorder and how these medications work. We also discuss other non-medication options such as psychotherapy (talk therapy), exercise, yoga, and acupuncture. Options:· Panic Attack 01:45· Fight or Flight Response 02:15· Quality of Life 03:25· Pa...2024-05-0728 minDruggist For The PeopleBlood Thinners – Aspirin to XareltoSend us a textSummary: Blood clot formation and breakdown happens all the time. It’s when the body potentially forms clots where they aren’t needed (AFib) that we run into problems: strokes and heart attacks. In this episode we make the distinction between antiplatelet drugs and anticoagulants and their roles in preventing unwanted clots. How they work? Once again, we’re just tinkering with a natural process in our bodies. Topics:· Balance of Clot Formation and Breakdown 02:15· Tissue Plasminogen Factor 02:45· Blood Thinner = Antiplatelet & Anticoagulant 03:40· Side Effects = Bleeding 05:302024-04-3027 minDruggist For The PeopleXeljanz & Opzelura – What the Flip is a JAK Inhibitor?Send us a text Summary: The drug ads float images of happy people across the room, with a voiceover discussing the mechanism of actions of the drug (JAK inhibitor) along with an undercurrent of warnings and side effects of the drug. One of the newer drug groups are these JAK inhibitors, an oral form of targeted immunotherapy. This episode attempts to explain this drug group, and also discusses to whom exactly the drug companies are directing their ads. Topics:· Drug Ads 01:20· Opzelura 02:00· Targeted Immunotherapy 02:45· Monoclonal Antibodies (MABs) 03:15· JAK Inhibito...2024-04-1625 minDruggist For The PeopleAnticholinergics - Over 600 Meds Cause This Type of Side EffectSend us a textSummary: This episode introduces a phrase uttered thousands of times every day regarding medications: anticholinergic side effects. A brief discussion follows about how and why these side effects may occur, what these side effects are, the drugs that may cause them, and the importance of discussing these possible side effects with your pharmacist and physician. Having a side effect of a medication is not unusual, but it shouldn’t it be unusual for you to understand the benefits of your medication and at the same time manage the side effects, by working with your d...2024-03-2613 minDruggist For The PeopleRescheduling and Legalizing Marijuana - Understanding the DifferenceSend us a textSummary: Marijuana is currently considered by the government to have the same abuse and dependency potential as heroin (Schedule 1), and yet 27 states have legalized marijuana either for medicinal and/or recreational use. This makes no sense. This episode addresses this disconnect and delves into the issues created by a few U.S. Senators who want to deschedule and legalize marijuana. Legalizing marijuana may address the changing attitudes toward marijuana and its place in society, but de-scheduling it fails to make a distinction between marijuana’s use as a recreational drug and its use as a m...2024-03-1920 minDruggist For The PeopleED - The Ups & Downs of Drugs and SexSend us a textSummary: The complex dynamics of sexual dysfunction is beyond the scope of this episode, but what we can discuss is the effect that drugs, both prescription and OTC, can have on causing sexual dysfunction (in this podcast, primarily ED in men). The importance of education and clear communication between a patient and their healthcare team is essential, to determine if the sexual dysfunction may be due to a side effect of a medication or is it a symptom of some other physiologic or psychological cause. Moving forward, using your physician to address these pro...2024-03-1227 minDruggist For The PeopleInsomnia…Symptom or Side Effect?Send us a textSummary: Knowing when a “symptom” is actually a side effect can save you a lot of trouble. By participating, by providing your physician and pharmacist an accurate accounting of when medications were started - and when possible side effects occurred – any changes to your medications will be based on a more accurate picture. It’s a process. And it can be complicated, but the accurate and timely sharing of your observations, whether they be signs, symptoms or side effects, is how you can work with your physician to provide the best treatment for you....2024-02-2725 minDruggist For The PeopleGas Station Heroin (Zaza, Tianna Red, Neptune's Fix) & ED Pills (Rhino)Send us a textSummary: I think people trust that if a product is displayed in nice bright packaging beneath the bright white lights of the gas station, that it must be okay, it must be meeting some king of standard. Not necessarily. This episode addresses two types of “gas station drugs”: gas station heroin and ED pills. Those pills may well have gotten to those shelves and the FDA had no idea about it. Since there is a disclaimer stating the FDA has not evaluated any claims and that the product is not intended to treat, cure or pr...2024-02-2020 minDruggist For The PeopleBig PharmaSend us a textSummary: The big pharmaceutical companies have always had a choice: whether to place their focus on the patient or on profits. Every pharmaceutical company (Eli Lilly has determined that they are a “medicine company’) will attempt to present as being there for the people, and they will have a business plan that is about profits and the “health” of the company. But Big Pharma is not in the clothing or automobile business…they are in the “health of the people” business. So why develop a drug that – due to its price – may be out of reach for the av...2024-02-0629 minDruggist For The PeoplePreventing Medication Errors - Part 1Send us a text Summary: The goal is always to have zero medication errors, and yet they occur. This episode takes a look at what is considered a medication error (missed doses count), how often medication errors occur, how often they cause harm to the patient (who is actually a person), and the importance of a team-approach (pharmacists, physicians, nurses, patients, and anyone who is part of the person's healthcare) to preventing medication errors. Topics:· Medication Errors – Commission & Omission 04:30· Med Error Prevention: Team Approach 04:45· Flexeril Dose 06:45· Beers Criteria Medication List...2024-01-2421 minDruggist For The PeoplePreventing Medication Errors – Part 2Send us a textSummary: The discussion of medication errors continues here, with a focus on the opportunities to prevent medication errors. Not all prescription medications are created equal. Regarding medication errors, this means that the potential adverse events that might occur, with an error, are more severe with high-risk medications. Are you on a high-risk med? Once again, a person who is familiar with their drugs, and motivated to participate in their own care, with their healthcare team, is essential to medication management, including preventing medication errors. And finally, a reminder: you are not on an island...2024-01-2427 minDruggist For The PeopleWhy Three Drugs for One Problem?Send us a textSummary: To be more involved in your healthcare - your medications in particular - and to be able to participate in a conversation with your pharmacist or doctor, you might need to become your own detective. And to that end, this episode briefly reviews the different drug classes in order to help you to realize the “whys” of your drug regimen, and in turn to more actively participate in your care, with your healthcare team. Topics:· Allergic Reaction – Chemical Class 03:30· Sulfa and Sulfur – the Difference 04:20· Therapeutic Class = Ind...2024-01-0914 minDruggist For The PeopleIngrezza and Austedo for Tardive DyskinesiaSend us a textSummary: The relatively recent release of Ingrezza and Austedo (2017) offer an option for the treatment of the abnormal involuntary movements associated with Huntington’s Disease and Tardive Dyskinesia (TD), a condition associated with the use of neuroleptics. This episode addresses the multiple activities of dopamine, how neuroleptics work by blocking dopamine receptors, and how this may result in TD. In turn, the presumed activity of Ingrezza and Austedo are discussed, potentially easing the distressing symptoms of TD.Topics:· Involutary Movement 01:20· AIMS 02:00· Tardive Dyskinesia TD 02:30· Risk-Ben...2024-01-0228 minDruggist For The PeopleEvidence Based Practice Includes You -- Get in There!Send us a textSummary: Any job is made easier – or possible – by having the right tool for the job. The same goes for getting the most benefit out of your drug(s) and minimizing the risks of your medication. The right tool for this is at your fingertips…actually, it includes your fingertips: it’s you, being a drug detective. Topics:· The Right Tool 01:00· Get in the Game 01:55· Evidence Based Medicine 02:25· Patient Values 03:00· Utilize Your Pharmacist 03:45· Drug Detective – Journal 04:35· Deep Dive 05:50 Questions and com2023-12-2607 minDruggist For The PeopleTrazodone for Insomnia – Off Label Drug UseSend us a textSummary: This episode looks at the relatively widespread use of Trazodone for insomnia, an off-label drug use of this antidepressant. Currently, there is some disagreement in the medical community on Trazodone’s place in the treatment of insomnia, but that does not necessarily make its use wrong or inappropriate. While that discussion goes on, what can you do about it’s off-label use now? Listen. Topics:· Twenty Rx FDA Approved Meds for Insomnia 02:30· Trazodone not a DEA Controlled Substance 03:00· Benzodiazepine Use History 03:30· 1987-1996 Trazodone Use Up, Benzo Us...2023-12-1913 minDruggist For The PeopleA Prostate Cancer DiscussionSend us a textSummary: A listener shares his experience with the treatment of his Prostate Cancer, from the initial diagnosis, research into the best treatment for himself, his strict adherence to this treatment, and his continuing follow-up as he is now seven years cancer-free. This discussion attempts to clarify some of the terminology encountered in this listener’s journey. Topics:· Treatment Options 01:50· Wait and Watch· Surgery· Hormone Therapy· Radiation Therapy· Immunotherapy· Do Research – Support Groups 04:00· Questions When Told You Have Prostate Cancer 05:00· Si...2023-12-1223 minDruggist For The PeopleAdjusting the Drugs to You: Lisinopril, Losartan, Lithium and Table SaltSend us a text Summary: Sometimes when you start a medication, you first might have to adjust to the idea of taking a drug every day, and then to the reality of its effects upon your body and mind. But this episode is about another step that you might want to add to this scene: monitoring and then communicating with your healthcare provider. When was the last time your doctor called to see how you were feeling? It’s you who has to start this communication, and with this interaction, you might just find the drugs be...2023-12-0512 minDruggist For The PeopleWhy Gut Health Matters and How Your Drugs Might Affect ItSend us a textSummary: The balance of the flora in the gut is essential to maintaining a healthy barrier between what’s in your GI tract and what’s in your bloodstream. This episode addresses how broad-spectrum antibiotics can cause C. Diff, the dramatic effects of this and how it is treated. Also discussed is how diet, alcohol and some drugs may affect the balance and diversity of the microbiome in your, thereby causing Leaky Gut (allowing contents of gut into the body), which in turn may cause or aggravate a variety of conditions, from autoimmune disorde...2023-11-2834 minDruggist For The PeopleOzempic-Wegovy & Victoza-Saxenda: Understanding the Risk of Serious Side EffectsSend us a text Summary: Headlines are meant to grab your attention, whether it’s about politics or sports or medicine. And so it goes for Semaglutide (Ozempic and Wegovy) and Liraglutide (Victoza and Saxenda), whose attributes have been trumpeted for weight loss, and whose possible serious side effects have recently been noted in the press. This episode attempts to take some of the sensationalism out of the headlines and advertisements by examining Relative Risk and what it means for your actual and Absolute Risk. Topics:· Incretins 03:20· Gliptins 04:30· Ozempic Headlines 05:102023-11-2122 minDruggist For The PeopleSame Stuff, Different Packaging - ZepboundSend us a textSummary: Like it’s never happened before, the FDA approval of a new weight loss drug grabbed the headlines, but here’s another headline: Same Stuff, Different Packaging – Zepbound. This episode is a review of this very effective and very popular group of new drugs: the Ozempic-like drugs, the Incretin Mimetics, which act like the gut hormones secreted in response to food. The idea here is to provide a broader perspective on this group of drugs, so you might understand what is happening now, and perhaps you will not be surprised by what may happen...2023-11-1422 minDruggist For The PeopleEchinacea, Vitamin C & ZincSend us a textSummary: Do Echinacea, Vitamin C and Zinc have a place in the prevention and treatment of viral infections such as the common cold or the flu? What should be a straightforward discussion about risks and benefits is complicated by the lack of regulation by the FDA, and therefore the uncertain content of some herbal supplements. Topics:· Cold, Flu and COVID-19 02:30· Virus-Living or Not? 03:20· Echinacea 06:45· Echinacea History 07:50· Echinacea Quality of Products 09:00· Germany 10:40· Talk With Your Doctor· Contraindication with Echinacea 12:50...2023-11-0730 minDruggist For The PeopleOral Phenylephrine No Better Than A Skittle?Send us a textSummary: For decades the FDA told us phenylephrine worked, that it was safe and effective, and now we hear that it is safe, but maybe not so effective? This episode addresses the oral phenylephrine situation specifically, including possible options for when/if oral phenylephrine is pulled from the shelves. We also take a look at the FDA process for establishing the status of drugs, and where concerned citizens are able to participate in this process. Topics:· Decongestant Pharmacology 01:45· Oral Phenylephrine 02:00· Phenylephrine vs. a Skittle 03:20· GRASE 03...2023-10-2425 minDruggist For The PeopleI’ve Forgotten How to Sleep: Belsomra, Dayvigo, & QuviviqSend us a textSummary: I’ve forgotten how to sleep. Try harder? No. Trying to sleep is like trying to forget something: the more you try the more you lie awake, remembering what you are trying to forget. The treasured good-night’s sleep evades so many of us, so here is a brief discussion of a relatively new group of drugs for insomnia, with a reminder to consider utilizing cognitive behavior therapy to help you on your sleepy way.Topics:· Nonpharmacologic Stuff 01:55· Cognitive Behavior Therapy 02:00· Sleep Hygiene 02:15· Belsomra, Day...2023-10-1713 minDruggist For The PeopleChildren’s Mental Health Trends and Treatment: A Discussion With A Pediatrician – Part 2 of 2Send us a textSummary: The rising number of children and teens suffering with mental health issues, primarily anxiety and depression, is not a blip, but rather a real trend. Anxiety or depression has grown by thirty percent in children aged 3 to 17, between 2016 and 2020. The Covid-19 pandemic certainly had an effect, but prior to Covid-19 mental health disorders in children and teens was already on the rise. According to Health and Human Services, between 2009 and 2019 high school students who reported persistent feeling of sadness or hopelessness increased by forty percent. The “People” in this episode is a Pediatric...2023-10-1020 minDruggist For The PeopleChildren’s Mental Health Trends and Treatment: A Discussion With A Pediatrician – Part 1 of 2Send us a text Summary: The rising number of children and teens suffering with mental health issues, primarily anxiety and depression, is not a blip, but rather a real trend. Per a Health and Human Services Study, anxiety or depression has grown by thirty percent in children aged 3 to 17, between 2016 and 2020. The Covid-19 pandemic certainly had an effect, but prior to Covid-19 mental health disorders in children and teens was already on the rise. According to Health and Human Services, between 2009 and 2019 high school students who reported persistent feeling of sadness or hopelessness increased by forty percent. The “P...2023-10-0320 minDruggist For The PeopleZurzuvae: Fast-Acting Help for Postpartum DepressionSend us a textSummary: A new option is coming for an often-underreported condition: postpartum depression. The FDA Fast Tracked the review of Zurzuvae, thereby acknowledging that this new drug may fill an unmet medical need. We discuss how this drug works, how quickly it can have an effect, and (as usual) the importance of actively participating in the risk-benefit discussion and subsequent monitoring with your healthcare professional. Topics:· Fast-Tracked 01:05· Incidence of Postpartum Depression 06:00· Postpartum Depression 07:10· Previous Drug Options 08:00· Zulresso IV 08:30· Cost/Insurance? 09:00· Causes of Depress...2023-09-2630 minDruggist For The PeopleThe Right Tool for Anxiety: Escitalopram (SSRI) or Meditation? Or Both?Send us a textSummary: Another option for treating anxiety might be laying in the bottom of your toolbox, resting beneath the handful of drug options – Xanax, Buspirone, Escitalopram, Sertraline, Propranolol… It’s Meditation. This episode looks at a comparison of the effectiveness of Escitalopram (an SSRI) versus Mindfulness Meditation for the treatment of anxiety, and though the results are impressive, this does not serve as a recommendation, but rather an indication that another possible option might be there for you. As always, work with your healthcare team to determine the best course of treatment for you. Participate...2023-09-1924 minDruggist For The PeopleOn Your Mark, Get Set – Sleep! Lunesta, Ambien and Sonata.Send us a textSummary: This episode is in response to a listener’s question about the Rx sleep-aid Lunesta, and the discussion includes the close relatives Ambien and Sonata, which share the same mechanism of action. Like every other drug, the risks-benefits of this group of meds should be discussed with your doctor prior to use, and the discussion should continue as you monitor your sleep patterns and use of Lunesta. Topics:· Non-Med Options 02:30· Sleep Hygiene 03:15· Risk-Benefit of Lunesta 04:35· Ambien 05:15· Mechanism of Action of Lunesta 05:50· ...2023-09-0520 minDruggist For The PeopleAdding Abilify for DepressionSend us a textSummary: Why an antipsychotic drug for depression? This powerful group of drugs – the atypical neuroleptics -- and specifically Abilify, represent a useful tool in the treatment of Bipolar Depression. A thorough review of precautions and possible side effects, a risk-benefit discussion with your physician, along with continued monitoring, drug journaling and utilizing your pharmacist are all important to ensuring the safe and effective use of this drug-tool. Topics:· Abilify (aripiprazole) = Atypical Antipsychotic/Neuroleptic 03:30· Autism Spectrum, Tourette’s Syndrome, Bipolar I Disorder 04:20· Exact Mechanism of Action of Antipsychotics...2023-08-2224 minDruggist For The PeopleOpill - The Otc PillSend us a textSummary: Lots of drugs have moved from prescription to OTC status: proton pump inhibitors (Prilosec), Histamine 2 blockers (Prevacid), antihistamine eye drops, Hydrocortisone 1% cream…. For this to happen, the question that must be answered is this: can the drug be used safely and effectively, relying only on the drug labeling? The above-mentioned drugs have passed this test. This episode will discuss another switch, the first OTC oral contraceptive: Opill. Topics· Monitor Your Meds 03:40· Progestin Only 04:20· Reduce Barriers to Access 05:00· Relying on Drug Labeling 06:10· Progestin = Nor...2023-08-1515 minDruggist For The PeopleIs Off-Label Drug Use Dangerous?Send us a textSummary: Off-label drug use rings of risk, of a doctor gone rogue, of an unknowing patient in danger. But this issue - using drugs approved for one indication for a completely different use - is more common than you would think, and the reasons for this are simple and sensible. This is a look at how an FDA-approved drug may launch in a trajectory for an intended indication, but may find itself in a different orbit: off-label drugs. Topics:· Off Label Drug Use (OLDU) 02:00· Approved Indications 02:45· Benefit...2023-08-0824 minDruggist For The PeopleOsteopenia & A Script For Alendronate - You're Not Alone!Send us a text Summary: Your bones, like everything else in your body, are part of a dynamic system: in this case calcium is stored or released, depending on the needs of your body and the amount of calcium consumed. Bone mineral density, which measures calcium and other minerals, provides a picture of the strength of your bones. Naturally – or maybe not so naturally – when there is a low bone mineral density (osteopenia or osteoporosis) there are drugs designed to affect this building and breakdown of bone. This episode discusses alendronate – a common drug in the bisphosphonate class, desi...2023-08-0126 minDruggist For The PeopleThe Pill - Effects Upon the Body of a Woman and Her CommunitySend us a textSummary: Though “the Pill” is ubiquitous with oral contraceptives, it refers to many different combinations, dosages, and packaging of the hormones contained therein: forms of Estrogen and Progesterone. This episode looks at the history of The Pill, at the actions of the pill within the body of the woman, and at the actions of the pill within the body of the community. And finally, at the continuing importance of every woman considering the risks and benefits of the pill as it applies to her. Topics:· Progestin 02:05· Pill History 02:45...2023-07-2524 minDruggist For The PeoplePutting Our Good Dog to Sleep: Telazol and PentobarbitalSend us a textSummary: This episode is about what I didn’t know about: when and how do we put our dog to sleep? Discussed here is the difficult decision-making process, the drugs used the day of the event, and the peace that comes with being thankful for the time we had together and that we have done the right thing in the right way. Topics:· Decision-Making Process 02:55· Tylenol PM – NO 03:30· Celebrating Bam Gobbles 04:00· Respect and Reverence 04:30· Sedative = Telazol IM 04:45· Pentobarbital IV 06:00 Questions and comme...2023-07-1808 minDruggist For The PeopleChronic Stress and CortisolSend us a textSummary: The instant-to-instant changes that occur in you, be they responses to a change in the weather, seeing beauty where you had forever missed it, or worries that just won’t go away, all might result in changes to your chemistry, to the balance that is a healthy you. Generally, pharmacy is about chemistry, specifically in the form of a drug, that is added to your body, to try and establish a healthier chemical balance in you. But this episode addresses the private pharmacy that exists in each of us, put into action by ou...2023-07-1117 minDruggist For The PeopleMood Stabilizers: Lithium, Carbamazepine, Lamotrigine, and ValproateSend us a text Summary: Mood Stabilizers seems like too casual a term for this group of drugs…what could go wrong starting a mood stabilizer? Plenty. Mood Stabilizers might suggest to a person that they just take it when they need it, when the fact is these meds require regularly-scheduled dosing. How about we refer to this class of drugs as Neurodown-regulators, or maybe Neuronal-firing reducers? It’s what they do. This episode will touch on the role of mood stabilizers in the treatment of bipolar disorder, the importance of a person’s attitude and behavior regarding the...2023-07-0426 minDruggist For The PeopleKetamine - The Increasing Use and AbuseSend us a text Summary: Prescription drugs are so often approved for what they can do for you, and abused for where they can take you…and so it goes for Ketamine. Valued for its ability to provide sedation and analgesia while maintaining cardiorespiratory stability, its abuse lies in its dissociative and hallucinogenic actions. This episode is a brief discussion of the history of ketamine, what it is, how it might work in the brain, possible new indications as a prescription medication, and possible adverse effects of long-term ketamine abuse. Recent studies indicate these troubling long-term effects may inc...2023-06-2718 minDruggist For The PeopleHelp For Hot Flashes - VeozahSend us a textSummary: The medical term is vasomotor symptoms (VMS); the more common term is hot flashes and night sweats; the term used by my wife is Sweaty Betty. And that’s as nice as she can be about it. Recently the FDA issued a Priority Review for Veozah, due to its unique non-hormonal action and if approved, the potential significant improvements it might provide for moderate to severe hot flashes, compared to standard applications. This May it was approved. In this episode we introduce Veozah as a new option in the treatment of hot flashes...2023-06-2020 minDruggist For The PeopleA Heart Attack and a Bag Full of Drugs… How Did I Get Here?Send us a textSummary: To discover how you got here, you must care enough to ask the question. This episode is not about peeling away the layers to discover what’s at the mysterious center of your med regimen; rather, it's simply about starting with the drugs which address your most urgent health needs – in this case, your heart. We will follow that trail of drugs (one often leads to another), and then move on to other medical conditions i.e., comorbidities. Ultimately, achieving a balance of the right drugs, doses, and schedules, by monitoring your meds and...2023-06-1326 minDruggist For The PeopleAtorvastatin, Fluvastatin, Lovastatin, Pravastatin, Rosuvastatin, Simvastatin...and Statin AlternativesSend us a text Summary: Time to talk about the number one prescribed drug in the United States. Xanax? Ozempic? Adderall? Nope. Atorvastatin (Lipitor)! You fasten your seatbelt to prevent possible harm, and people do the same with the statins, the possible harm being a stroke or heart attack. It’s all about oil in water. It’s all about cholesterol and triglycerides (fats) in your blood (92% water). Why you have cholesterol in your blood, and why you might start, why you might continue, and why you might possibly have to stop Statins. And should they fall short in lowerin...2023-06-0622 minDruggist For The PeopleWhy Sertraline For Me?Send us a textSummary: Why Sertraline for me? Why any drug for you? Research and development of new drugs doesn’t travel in a straight line. If luck is where preparation meets opportunity, there’s plenty of luck on that winding trail in the pharmaceutical industry. This episode traces the development of antidepressants, including new emerging possibilities, ultimately answering a listener’s question: why sertraline for me? Topics:· Gone Fishing 01:05· Why Sertraline for me? 02:00· MAO Inhibitors (Nardil) 02:27· Tri-Cyclic Antidepressants 03:30· Serotonin Specific Reuptake Inhibitors (SSRI’s) 04:25(Prozac, Celexa, Zolof...2023-05-3014 minDruggist For The PeopleOpioids for Opioid Addiction: Methadone and Suboxone.Send us a textSummary: Alcohol for alcohol addiction? Nope. Opioids for opioid addiction? Yep. Why? And for how long? The addiction to opioids digs in deep and doesn’t want to let go. Discussed here, to better understand treatment for opioid addiction, is a brief history of how we got here, the principles of how opioids work in the body, and how the opioids for treatment are supposed to work. Also discussed is the opioid addict’s lifeline: naloxone. Topics:· Pain Management 01:41· Oxycodone-Morphine Comparison 04:10· Heroin 05:07· Compassion, Respect and Opioids 05:512023-05-2333 minDruggist For The PeopleWatch Your Step - Drugs That Can Trip You UpSend us a textSummary: A little understanding of the culprit drugs can go a long way in preventing them from becoming gang members and doing harm by causing a fall. There are usually several factors that contribute to a fall, from a difficult-to-navigate environment (extrinsic cause) to the things going on inside your mind and body (intrinsic cause), including your condition and the effects of drugs. Here, we hope to change the question from ‘why did he fall?’ to ‘how do we prevent him falling?’ Topics:· Where Most Falls Occur 02:31· Intrinsic Causes 02:50...2023-05-1622 minDruggist For The PeopleAcetaminophen vs. Ibuprofen & Generic vs. Trade NameSend us a textSummary: Hundreds of OTC products, with nuanced combinations of medications, presented with bold colors and appealing claims, cloud what could be a clear picture of which product would be best for you. In this podcast, we address the oral over-the-counter options for pain, one ingredient at a time, for indications such as fever, pain, inflammation, and hang-overs. In the search for OTC pain meds at the grocery or drug store, the question of trade name versus generics presents another question. Are they the same? Topics:· Acetaminophen vs NSAIDS 01:45· Ac...2023-05-0920 minDruggist For The PeopleThe Unintended Effects of Amlodipine, Lisinopril, and GolfSend us a textSummary: Who - or what - does just what it’s supposed to do? That’s got to be a small club. Actively participating in the management of your meds by having an idea of the intended effect, the incidence of possible side effects, and then following up with your pharmacist and doctor goes a long way to dealing with a drug’s unintended effects. Figuring out golf, on the other hand, is like trying to lasso a cloud. This episode explains why some side effects occur and how they can be managed, while at th...2023-05-0215 minDruggist For The PeopleGet In The Game - Talking Drugs With Your DoctorSend us a textSummary: Pharmacists are instructed on how to talk with people about their medications: communicate verbally, communicate non-verbally, establish trust, listen, ask questions, show empathy and encouragement, remain clinically objective…. But where are the instructions for the patient on how to talk about their medications with the pharmacist or the doctor? That is what this podcast is about. Topics:· Laws Mandating Pharmacist Counseling 02:06· Being an Active Participant 04:24· Shared Decision Making 05:33· The Right Drug Question 06:32· Risk-Benefit of Not Taking the Meds 07:10· Monetary Risk 07:40· ...2023-04-2514 minDruggist For The PeopleSupplements - the Good, the Bad, and the UglySend us a textSummary: The thinking that “it’s just a supplement” can lead to some serious problems, possibly due to the actual activity of the supplement and/or possibly due to interactions with other supplements and medications. So it's important to have some respect for the possible effects of the supplement, but that said, the claims made on the bottle of the supplement must be followed by the following: “This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.” So where does that leave you? Thi...2023-04-1823 minDruggist For The PeopleDrug Mad Men - Rx AdvertisingSend us a textSummary: Most of the world doesn’t work this way: drug companies splashing their products across your television screen with catchy jingles and bright color combinations that, hard as you try, you can’t forget. The drug companies wouldn’t keep advertising this way if it wasn’t working. But it hasn’t always been this way. This episode takes a closer look at prescription drug advertising in the United States, with the focus on the person who will make the informed and shared drug decision with the doctor – you. Topics:· FDA 198...2023-04-1118 minDruggist For The PeopleADDerall and Ritalin - the Use and AbuseSend us a textSummary: Why give an amphetamine to someone who can’t sit still? And why has there been a shortage of Adderall? And what happens when someone drinks with Adderall? This episode addresses these questions, beginning at the molecular level with how these drugs have their effect, to why on the societal scale there has been an increase in the usage of Adderall. And finally, what happens when Adderall is taken with alcohol, and why this is a bad idea. In addition, the discussion also addresses the positive effect of these drugs for those in need...2023-04-0424 minDruggist For The PeopleDrugs Gone Bad...Epi-PensSend us a textSummary: This episode is in response to a listener’s question about his expired Epi-Pen: how long is it still good to use? The potential life-saving action of the Epi-Pen puts it into the must-have-on-hand medication group, but the price and waste can be a financial and frustrating stressor. What is stability, and why are these expiration dates assigned? Drug shortages and the high cost of medications may be changing how the stability dates of specific medications are assigned. Get caught up on expiration dates. Topics: · Epi-Pen 01:52· FDA 03:05· ...2023-03-2820 minDruggist For The PeopleOzempicSend us a text Summary: Ozempic usage recently skyrocketed due in part to high-profile people using it for the off-label use of weight loss, and due in part to social media picking up on this. Is this the magic injection people have been looking for to lose weight? The positive actions of this drug, which mimics a hormone, are discussed along with some of the possible adverse reactions. In the course of this discussion, the idea of this being a “magic medication” revolves around who is using it and why. A brief look at the off-label use of other d...2023-03-2120 minDruggist For The PeopleDrug Interactions: When Does It Matter?Send us a textSummary: It’s happening, almost always happening - drug interactions. But is the drug-drug interaction significant? And is it intended, using the primary mechanism of action or side effects of one drug along with another drug’s effects to achieve the desired result? Or is it a potential problem, the risks and benefits assessed, with monitoring in place, to guide the management of the drug-drug interaction? What the body does to the drugs and what the drugs do to the body is where these drug-drug and drug-nutrient interactions occur. This episode provides an overview o...2023-03-1421 minDruggist For The PeopleMonoclonal Antibodies for Covid to Cancer to Osteoarthritis, Asthma and more. What they are & How they workSend us a textSummary: In this episode we discuss monoclonal antibodies (the generic drug name ends in -mab), how do they work, and why can antibodies be used for so many different indications? These indications include being used as an antiviral (against Covid till the virus mutated), a cancer treatment, against many autoimmune diseases, asthma, osteoarthritis, organ rejection and many other conditions. Drugs made from living organisms are called biologics - these monoclonal antibodies fall into this category and are specifically targeted therapies that represent a powerful, new and evolving tool in medicine. Topics Covered:2023-03-0717 minDruggist For The PeopleLactation and MedicationSend us a textSummary: This podcast is about what most men know nothing about: Breastfeeding (let’s leave it at that). And in particular, it’s about how to determine what medications it’s okay to take and to continue to breastfeed. Also addressed is the essential component of forming a team to guide a mother through deciding about lactation and medication. To be effective, this trio of Mother/Pediatrician-MD/Pharmacist must have open communication channels amongst them and be anchored by an Empowered Mom. Topics Covered: · Breastfeeding Recent Trends 02:12· Parlodel (Bromocriptin...2023-02-2816 minDruggist For The PeopleAlzheimer's - Attitude, Aricept and LeqembiSend us a textSummary: Alzheimer’s. Anyone who has dealt with this disease knows the pain and frustration of losing a loved one, while their heart still beats. Discussed here is an overview of the drugs that have long been available, the drugs that are new for the treatment of Alzheimer’s, and the avenues being explored for the development of future medications and treatments. Tying this together is the very real effect of attitude and expectation, taught to me by my Dad. Topics Covered:· Unwarranted Optimism 01:30· Aricept 03:00· Exelon, Reminyl and M...2023-02-2113 minDruggist For The PeopleI Forgot How To Sleep - OTC RemediesSend us a textSummary: Trying to sleep? It’s like trying to forget something: the harder you try, the more you remember. There can be no “trying” to it. There are some over-the-counter sleep aids, designed for short-term use, but they too have their drawbacks. Melatonin, Tylenol PM (diphenhydramine), Nyquil are discussed, with a brief look at Ambien (will be discussed at length in future podcast). Discussing OTC sleep aids with your doctor and pharmacist is always a good idea. Long-term solutions such as sleep hygiene and relaxation are also addressed. Topics Covered:· Forget...2023-02-1417 minDruggist For The PeopleAlbuterol InhalersSend us a textIn this episode, the question at hand is “What is this stuff?” It’s albuterol, a beta-2 selective drug, used as a rescue inhaler. And the question remains: “What is this stuff?” When it was invented, why it works and when is too much too much. And why communicating with your physician about your Albuterol use is so important. Everything is connected, and so we also spend a couple of minutes talking about Epi-Pen, another rescue medication. Topics Covered:Albuterol. What the hell is this stuff? 1:08Snake 1:50Fight or Flight 2:22Selective Drug 3:10...2023-02-0712 minDruggist For The PeopleRude DrugsSend us a textIn this introductory episode, Donald Schoeff, RPh, with over 40 years of experience as a Clinical Pharmacist in a variety of Pharmacy settings, will discuss information to help people better understand their medications, what questions to ask their doctor or pharmacist and why it is important to participate in this shared decision making with your physician (consider when to take medications). This podcast is for consumers who don’t necessarily have a medical background. The podcast also takes a look at evolving medical information and medications. Poison or prescription? Balance in the body? Topics...2023-02-0724 min