Guest guest Posted November 17, 2004 Report Share Posted November 17, 2004 Family nurse practitioner Gail Vanark, ARNP, of the Center for Preventative Medicine in Amherst uses compounds to treat a wide variety of chronic infections. " More and more we are seeing people - especially children - with chronic infections, such as strep or ear infections, " she said. " Common prescription antibiotics are filled with chemicals and sugar and dyes. " This presents several problems for patients, Vanark said. " Sugar compromises the immune system; it decreases the number and efficiency of white blood cells, " she said. " Most antibiotics (prescribed for children) are filled with sugar, such as amoxicillin. In addition, the prescription can upset the balance in a child's stomach, which can lead to a chronic yeast overgrowth. Then, the child needs an anti-fungal medication, which is also filled with sugar. " http://www.nashuatelegraph.com/apps/pbcs.dll/article? AID=/20041116/STYLE/111160003 & SearchID=73190171240082 Custom made Compounds meet some patients' needs By JENNIFER HORN, Telegraph Correspondent Published: Tuesday, Nov. 16, 2004 ENLARGE PHOTO Staff photo by us Wingate Pharmacy compounding technician Maura Riley formulates a chewable medicinal tablet for a veterinary prescription. Order this picture A man stands at a counter mixing powders and other ingredients with a pestle in a marble bowl. He measures and weighs, mixes and sifts. This is not the typical scene at a chain pharmacy, where pills are counted and bottled. Instead, it is a compounding pharmacist, filling a prescription for a custom medicine. Compounds are the precursors to modern pharmaceuticals. In the days before major drug companies, pharmacists made medications " from scratch, " much like Grandma used to make oatmeal raisin cookies. In recent years, compounding pharmacists or fully trained pharmacists who also offer compounding services, are making a comeback on the medical scene. According to Professional Compounding Centers of America, an accrediting association for compounding pharmacists, there are more than 3,000 such pharmacists in the United States, Canada, Australia, Europe and New Zealand. Compounding has earned respect throughout the medical and governmental communities. In 2001, the Food and Drug Administration relied on the PCCA for information about a pediatric dosage for doxycycline, a drug that can be used to treat anthrax. Compounding pharmacists, however, most often offer hope to individuals and families. According to Nashua pharmacist Wingate, owner of Wingate Pharmacy on Main Street in Nashua, more and more families are turning to compounds to address their unique medicinal needs. A compound, Wingate said, is a customized formulation for a specific patient, for a specific disease state, which might not be commercially available. MORE INFORMATION If you believe you could benefit from a compounding pharmacist, talk to your doctor, or contact the International Academy of Compounding Pharmacists at 1-800-927-4227 or go to www.iacprx.org. To learn more about compounding pharmacists, go to www.pccarx.com. Common compounding applications include, but are not limited to: - Bioidentical hormone replacement therapy. - Hospice care. - Pediatric conditions. - Dermatology. - Chronic pain management. - Neuropathies. - Infertility. - Wound therapy. - Gastroenterology. " What we do is take bulk chemicals, and then from these we actually formulate a lot of medicines, " said Wingate recently, as he gave a tour of the compounding room at the pharmacy. " There are individual workstations, a sterilization room . . . everything is made right here. " If you've never heard of compounding, the reason may be cultural, according to Dr. Boris Golosarsky of St. ph's Family Medical Center. " Compounding prescriptions are severely underutilized in the United States, " he said. " Compound medicines are used widely in Europe, especially in Germany, and have been for over 100 years. There is a culture here to just pop a pill to make everything better. " There are multiple circumstances that might require a compound rather than a traditional prescription, according to Wingate, such as patients who are allergic to preservatives or dyes that are present in many commercially available medications. A compounding pharmacist can customize the strength of a particular medication to suit a patient with a specific need, such as an infant who would need a lesser dosage than normally available. " For example, Ranitidine, prescribed for an infant with gastric reflux, where you don't have the right strength, the right flavor and you have too much alcohol in the commercially made product. That's an example where you need a certain dosage, and without the alcohol. " Family nurse practitioner Gail Vanark, ARNP, of the Center for Preventative Medicine in Amherst uses compounds to treat a wide variety of chronic infections. " More and more we are seeing people - especially children - with chronic infections, such as strep or ear infections, " she said. " Common prescription antibiotics are filled with chemicals and sugar and dyes. " This presents several problems for patients, Vanark said. " Sugar compromises the immune system; it decreases the number and efficiency of white blood cells, " she said. " Most antibiotics (prescribed for children) are filled with sugar, such as amoxicillin. In addition, the prescription can upset the balance in a child's stomach, which can lead to a chronic yeast overgrowth. Then, the child needs an anti-fungal medication, which is also filled with sugar. " ENLARGE PHOTO Staff photo by us Wingate Pharmacy compounding technicians Havey and Maura Riley work on formulas for customers. Order this picture The answer, according to Vanark, is to order a compound prescription that is free of sugars and dyes. The bonus is that a compounding pharmacist can create such a medication in nearly any flavor. Golosarsky estimates that as many as 10 percent of the prescriptions he writes for pain medications are for compounds. " Patients who are dealing chronic pain but can not take opiates, for example, because they need to stay alert during the day, can benefit from a transdermal compound, " he said. " The medication is rubbed on the skin and goes directly to the muscle without going through the liver. " For some patients, the effect can be dramatic. " There are many patients who are reluctant to take certain medications or the medication gives them side effects, " Golosarsky said. " A compound can offer the exact mix of medicines in a form the patient can manage. " Women's health, and menopause in particular, is another circumstance when compounding pharmacists can make a difference. According to Wingate, more than 60 percent of women who are treated with commercially available hormone replacement therapies experience some level of failure in their treatments within a year; patients treated with compounds experience a 90 percent success rate. " We sit down with the women and have a private consultation, a confidential survey of their unique symptoms, and we'll develop a customized formula for her so we're able to give her the chemical which is exactly bio-identical to what your body produces, " he said. " And that's the difference; over there (in traditional prescriptions), it's a commercially produced product where the progesterone is synthetic. The other commercial option is from a female horse, which has all these horse estrogens and it's probably too much estrogen for most women. " A compounding pharmacist uses chemicals that start out from plant derivatives such as soy and yam. In the lab they are modified into a final product that is exactly the same chemical that your ovaries and adrenal cortex produce, Wingate said. " We can match it exactly to your needs, " he explained. According to Vanark, a simple saliva test can help determine exactly what bioidentical hormones are needed. " The test tells us exactly what is going on in a woman's cycle, " she said. " We can see if she is estrogen or progesterone deficient. Compounds allow us to address a woman's exact needs without using synthetic progestins, which is especially important since recent studies indicate multiple harmful side effects to the progestins commercially used. " Wingate never treats a patient directly. " There's always that triad, " he said. " Patient, physician, pharmacist. If a patient isn't satisfied with their prescription or the results, they can come to us and we will contact their physician and work together to find the best solution for a particular patient. " This is the best part of it, sitting face to face with a patient, talking about their situation for as long as we need to and helping them find the solution that works best for them . . . just like they did it in the old days, " he continued. It seems even in medicine, everything old is new again. Subscribe to The Telegraph. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2004 Report Share Posted November 17, 2004 Thank you for the article.... Dr. Atkins has said the same years ago when he started his campaign against adding sugar in a diet... Of course sugar comes in many forms just as unhealthy as the white granular... I lost 40 pounds since giving up all sugar and restricting intake of anything with added sugar... And my allergies have improved.. kenneth gibala ================= ----- Original Message ----- From: tigerpaw2c<mailto:tigerpaw2C@...> <mailto: > Sent: Tuesday, November 16, 2004 9:56 PM Subject: [] Sugar compromises the immune system Family nurse practitioner Gail Vanark, ARNP, of the Center for Preventative Medicine in Amherst uses compounds to treat a wide variety of chronic infections. " More and more we are seeing people - especially children - with chronic infections, such as strep or ear infections, " she said. " Common prescription antibiotics are filled with chemicals and sugar and dyes. " This presents several problems for patients, Vanark said. " Sugar compromises the immune system; it decreases the number and efficiency of white blood cells, " she said. " Most antibiotics (prescribed for children) are filled with sugar, such as amoxicillin. In addition, the prescription can upset the balance in a child's stomach, which can lead to a chronic yeast overgrowth. Then, the child needs an anti-fungal medication, which is also filled with sugar. " http://www.nashuatelegraph.com/apps/pbcs.dll/article?<http://www.nashuatelegraph\ ..com/apps/pbcs.dll/article?> AID=/20041116/STYLE/111160003 & SearchID=73190171240082 Custom made Compounds meet some patients' needs By JENNIFER HORN, Telegraph Correspondent Published: Tuesday, Nov. 16, 2004 ENLARGE PHOTO Staff photo by us Wingate Pharmacy compounding technician Maura Riley formulates a chewable medicinal tablet for a veterinary prescription. Order this picture A man stands at a counter mixing powders and other ingredients with a pestle in a marble bowl. He measures and weighs, mixes and sifts. This is not the typical scene at a chain pharmacy, where pills are counted and bottled. Instead, it is a compounding pharmacist, filling a prescription for a custom medicine. Compounds are the precursors to modern pharmaceuticals. In the days before major drug companies, pharmacists made medications " from scratch, " much like Grandma used to make oatmeal raisin cookies. In recent years, compounding pharmacists or fully trained pharmacists who also offer compounding services, are making a comeback on the medical scene. According to Professional Compounding Centers of America, an accrediting association for compounding pharmacists, there are more than 3,000 such pharmacists in the United States, Canada, Australia, Europe and New Zealand. Compounding has earned respect throughout the medical and governmental communities. In 2001, the Food and Drug Administration relied on the PCCA for information about a pediatric dosage for doxycycline, a drug that can be used to treat anthrax. Compounding pharmacists, however, most often offer hope to individuals and families. According to Nashua pharmacist Wingate, owner of Wingate Pharmacy on Main Street in Nashua, more and more families are turning to compounds to address their unique medicinal needs. A compound, Wingate said, is a customized formulation for a specific patient, for a specific disease state, which might not be commercially available. MORE INFORMATION If you believe you could benefit from a compounding pharmacist, talk to your doctor, or contact the International Academy of Compounding Pharmacists at 1-800-927-4227 or go to www.iacprx.org. To learn more about compounding pharmacists, go to www.pccarx.com. Common compounding applications include, but are not limited to: - Bioidentical hormone replacement therapy. - Hospice care. - Pediatric conditions. - Dermatology. - Chronic pain management. - Neuropathies. - Infertility. - Wound therapy. - Gastroenterology. " What we do is take bulk chemicals, and then from these we actually formulate a lot of medicines, " said Wingate recently, as he gave a tour of the compounding room at the pharmacy. " There are individual workstations, a sterilization room . . . everything is made right here. " If you've never heard of compounding, the reason may be cultural, according to Dr. Boris Golosarsky of St. ph's Family Medical Center. " Compounding prescriptions are severely underutilized in the United States, " he said. " Compound medicines are used widely in Europe, especially in Germany, and have been for over 100 years. There is a culture here to just pop a pill to make everything better. " There are multiple circumstances that might require a compound rather than a traditional prescription, according to Wingate, such as patients who are allergic to preservatives or dyes that are present in many commercially available medications. A compounding pharmacist can customize the strength of a particular medication to suit a patient with a specific need, such as an infant who would need a lesser dosage than normally available. " For example, Ranitidine, prescribed for an infant with gastric reflux, where you don't have the right strength, the right flavor and you have too much alcohol in the commercially made product. That's an example where you need a certain dosage, and without the alcohol. " Family nurse practitioner Gail Vanark, ARNP, of the Center for Preventative Medicine in Amherst uses compounds to treat a wide variety of chronic infections. " More and more we are seeing people - especially children - with chronic infections, such as strep or ear infections, " she said. " Common prescription antibiotics are filled with chemicals and sugar and dyes. " This presents several problems for patients, Vanark said. " Sugar compromises the immune system; it decreases the number and efficiency of white blood cells, " she said. " Most antibiotics (prescribed for children) are filled with sugar, such as amoxicillin. In addition, the prescription can upset the balance in a child's stomach, which can lead to a chronic yeast overgrowth. Then, the child needs an anti-fungal medication, which is also filled with sugar. " ENLARGE PHOTO Staff photo by us Wingate Pharmacy compounding technicians Havey and Maura Riley work on formulas for customers. Order this picture The answer, according to Vanark, is to order a compound prescription that is free of sugars and dyes. The bonus is that a compounding pharmacist can create such a medication in nearly any flavor. Golosarsky estimates that as many as 10 percent of the prescriptions he writes for pain medications are for compounds. " Patients who are dealing chronic pain but can not take opiates, for example, because they need to stay alert during the day, can benefit from a transdermal compound, " he said. " The medication is rubbed on the skin and goes directly to the muscle without going through the liver. " For some patients, the effect can be dramatic. " There are many patients who are reluctant to take certain medications or the medication gives them side effects, " Golosarsky said. " A compound can offer the exact mix of medicines in a form the patient can manage. " Women's health, and menopause in particular, is another circumstance when compounding pharmacists can make a difference. According to Wingate, more than 60 percent of women who are treated with commercially available hormone replacement therapies experience some level of failure in their treatments within a year; patients treated with compounds experience a 90 percent success rate. " We sit down with the women and have a private consultation, a confidential survey of their unique symptoms, and we'll develop a customized formula for her so we're able to give her the chemical which is exactly bio-identical to what your body produces, " he said. " And that's the difference; over there (in traditional prescriptions), it's a commercially produced product where the progesterone is synthetic. The other commercial option is from a female horse, which has all these horse estrogens and it's probably too much estrogen for most women. " A compounding pharmacist uses chemicals that start out from plant derivatives such as soy and yam. In the lab they are modified into a final product that is exactly the same chemical that your ovaries and adrenal cortex produce, Wingate said. " We can match it exactly to your needs, " he explained. According to Vanark, a simple saliva test can help determine exactly what bioidentical hormones are needed. " The test tells us exactly what is going on in a woman's cycle, " she said. " We can see if she is estrogen or progesterone deficient. Compounds allow us to address a woman's exact needs without using synthetic progestins, which is especially important since recent studies indicate multiple harmful side effects to the progestins commercially used. " Wingate never treats a patient directly. " There's always that triad, " he said. " Patient, physician, pharmacist. If a patient isn't satisfied with their prescription or the results, they can come to us and we will contact their physician and work together to find the best solution for a particular patient. " This is the best part of it, sitting face to face with a patient, talking about their situation for as long as we need to and helping them find the solution that works best for them . . . just like they did it in the old days, " he continued. It seems even in medicine, everything old is new again. Subscribe to The Telegraph. FAIR USE NOTICE: This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: http://www.law.cornell.edu/uscode/17/107.shtml.<http://www.law.cornell.edu/uscod\ e/17/107.shtml.> If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2004 Report Share Posted November 17, 2004 Thank you for the article.... Dr. Atkins has said the same years ago when he started his campaign against adding sugar in a diet... Of course sugar comes in many forms just as unhealthy as the white granular... I lost 40 pounds since giving up all sugar and restricting intake of anything with added sugar... And my allergies have improved.. kenneth gibala ================= ----- Original Message ----- From: tigerpaw2c<mailto:tigerpaw2C@...> <mailto: > Sent: Tuesday, November 16, 2004 9:56 PM Subject: [] Sugar compromises the immune system Family nurse practitioner Gail Vanark, ARNP, of the Center for Preventative Medicine in Amherst uses compounds to treat a wide variety of chronic infections. " More and more we are seeing people - especially children - with chronic infections, such as strep or ear infections, " she said. " Common prescription antibiotics are filled with chemicals and sugar and dyes. " This presents several problems for patients, Vanark said. " Sugar compromises the immune system; it decreases the number and efficiency of white blood cells, " she said. " Most antibiotics (prescribed for children) are filled with sugar, such as amoxicillin. In addition, the prescription can upset the balance in a child's stomach, which can lead to a chronic yeast overgrowth. Then, the child needs an anti-fungal medication, which is also filled with sugar. " http://www.nashuatelegraph.com/apps/pbcs.dll/article?<http://www.nashuatelegraph\ ..com/apps/pbcs.dll/article?> AID=/20041116/STYLE/111160003 & SearchID=73190171240082 Custom made Compounds meet some patients' needs By JENNIFER HORN, Telegraph Correspondent Published: Tuesday, Nov. 16, 2004 ENLARGE PHOTO Staff photo by us Wingate Pharmacy compounding technician Maura Riley formulates a chewable medicinal tablet for a veterinary prescription. Order this picture A man stands at a counter mixing powders and other ingredients with a pestle in a marble bowl. He measures and weighs, mixes and sifts. This is not the typical scene at a chain pharmacy, where pills are counted and bottled. Instead, it is a compounding pharmacist, filling a prescription for a custom medicine. Compounds are the precursors to modern pharmaceuticals. In the days before major drug companies, pharmacists made medications " from scratch, " much like Grandma used to make oatmeal raisin cookies. In recent years, compounding pharmacists or fully trained pharmacists who also offer compounding services, are making a comeback on the medical scene. According to Professional Compounding Centers of America, an accrediting association for compounding pharmacists, there are more than 3,000 such pharmacists in the United States, Canada, Australia, Europe and New Zealand. Compounding has earned respect throughout the medical and governmental communities. In 2001, the Food and Drug Administration relied on the PCCA for information about a pediatric dosage for doxycycline, a drug that can be used to treat anthrax. Compounding pharmacists, however, most often offer hope to individuals and families. According to Nashua pharmacist Wingate, owner of Wingate Pharmacy on Main Street in Nashua, more and more families are turning to compounds to address their unique medicinal needs. A compound, Wingate said, is a customized formulation for a specific patient, for a specific disease state, which might not be commercially available. MORE INFORMATION If you believe you could benefit from a compounding pharmacist, talk to your doctor, or contact the International Academy of Compounding Pharmacists at 1-800-927-4227 or go to www.iacprx.org. To learn more about compounding pharmacists, go to www.pccarx.com. Common compounding applications include, but are not limited to: - Bioidentical hormone replacement therapy. - Hospice care. - Pediatric conditions. - Dermatology. - Chronic pain management. - Neuropathies. - Infertility. - Wound therapy. - Gastroenterology. " What we do is take bulk chemicals, and then from these we actually formulate a lot of medicines, " said Wingate recently, as he gave a tour of the compounding room at the pharmacy. " There are individual workstations, a sterilization room . . . everything is made right here. " If you've never heard of compounding, the reason may be cultural, according to Dr. Boris Golosarsky of St. ph's Family Medical Center. " Compounding prescriptions are severely underutilized in the United States, " he said. " Compound medicines are used widely in Europe, especially in Germany, and have been for over 100 years. There is a culture here to just pop a pill to make everything better. " There are multiple circumstances that might require a compound rather than a traditional prescription, according to Wingate, such as patients who are allergic to preservatives or dyes that are present in many commercially available medications. A compounding pharmacist can customize the strength of a particular medication to suit a patient with a specific need, such as an infant who would need a lesser dosage than normally available. " For example, Ranitidine, prescribed for an infant with gastric reflux, where you don't have the right strength, the right flavor and you have too much alcohol in the commercially made product. That's an example where you need a certain dosage, and without the alcohol. " Family nurse practitioner Gail Vanark, ARNP, of the Center for Preventative Medicine in Amherst uses compounds to treat a wide variety of chronic infections. " More and more we are seeing people - especially children - with chronic infections, such as strep or ear infections, " she said. " Common prescription antibiotics are filled with chemicals and sugar and dyes. " This presents several problems for patients, Vanark said. " Sugar compromises the immune system; it decreases the number and efficiency of white blood cells, " she said. " Most antibiotics (prescribed for children) are filled with sugar, such as amoxicillin. In addition, the prescription can upset the balance in a child's stomach, which can lead to a chronic yeast overgrowth. Then, the child needs an anti-fungal medication, which is also filled with sugar. " ENLARGE PHOTO Staff photo by us Wingate Pharmacy compounding technicians Havey and Maura Riley work on formulas for customers. Order this picture The answer, according to Vanark, is to order a compound prescription that is free of sugars and dyes. The bonus is that a compounding pharmacist can create such a medication in nearly any flavor. Golosarsky estimates that as many as 10 percent of the prescriptions he writes for pain medications are for compounds. " Patients who are dealing chronic pain but can not take opiates, for example, because they need to stay alert during the day, can benefit from a transdermal compound, " he said. " The medication is rubbed on the skin and goes directly to the muscle without going through the liver. " For some patients, the effect can be dramatic. " There are many patients who are reluctant to take certain medications or the medication gives them side effects, " Golosarsky said. " A compound can offer the exact mix of medicines in a form the patient can manage. " Women's health, and menopause in particular, is another circumstance when compounding pharmacists can make a difference. According to Wingate, more than 60 percent of women who are treated with commercially available hormone replacement therapies experience some level of failure in their treatments within a year; patients treated with compounds experience a 90 percent success rate. " We sit down with the women and have a private consultation, a confidential survey of their unique symptoms, and we'll develop a customized formula for her so we're able to give her the chemical which is exactly bio-identical to what your body produces, " he said. " And that's the difference; over there (in traditional prescriptions), it's a commercially produced product where the progesterone is synthetic. The other commercial option is from a female horse, which has all these horse estrogens and it's probably too much estrogen for most women. " A compounding pharmacist uses chemicals that start out from plant derivatives such as soy and yam. In the lab they are modified into a final product that is exactly the same chemical that your ovaries and adrenal cortex produce, Wingate said. " We can match it exactly to your needs, " he explained. According to Vanark, a simple saliva test can help determine exactly what bioidentical hormones are needed. " The test tells us exactly what is going on in a woman's cycle, " she said. " We can see if she is estrogen or progesterone deficient. Compounds allow us to address a woman's exact needs without using synthetic progestins, which is especially important since recent studies indicate multiple harmful side effects to the progestins commercially used. " Wingate never treats a patient directly. " There's always that triad, " he said. " Patient, physician, pharmacist. If a patient isn't satisfied with their prescription or the results, they can come to us and we will contact their physician and work together to find the best solution for a particular patient. " This is the best part of it, sitting face to face with a patient, talking about their situation for as long as we need to and helping them find the solution that works best for them . . . just like they did it in the old days, " he continued. It seems even in medicine, everything old is new again. Subscribe to The Telegraph. FAIR USE NOTICE: This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: http://www.law.cornell.edu/uscode/17/107.shtml.<http://www.law.cornell.edu/uscod\ e/17/107.shtml.> If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. Quote Link to comment Share on other sites More sharing options...
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