Guest guest Posted March 24, 2000 Report Share Posted March 24, 2000 The companies web site is http://www.actos.com/ actos >From: comerci@... > >Can anyone tell me the dangers/benifits of actos? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 We usually see our diabetics quarterly so we do urine dips at every visit and educate patient of risk v benefitRockySent from my iPhone4 What are people doing about Actos? I get a couple of calls or texts or questions a week. Seeing the add from lawyers on TV usually triggers it. I even just had one patient I sent to surgeon/ortho for bad ankle sprain/chip fracture who likes to pretend he is Family doctor. Took down the list of his 20 drugs and then hand checked them in a book for drug interactions and told him to get off the Actos immediately. (They had to keep asking him what to do about the ankle. I am telling patients there is a risk but it’s low and bladder cancer is easily treatable. It’s at the higher dose. And many of them are smokers so I remind that that is a big risk for bladder cancer right there. Considering doing annual U/A for hematuria for screening. I don’t know of any official recommendations. What are you doing? Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing = Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 I think you're spot on: the increased risk from Actos is small but real. I might consider it (along with metformin, where possible) in somebody with NAFLD and no significant history of heart failure, but otherwise I'd probably just avoid it--especially in smokers. My preferred second line agent for DM after metformin is a basal insulin, with a very strong preference for Levemir over Lantus. Ken > What are people doing about Actos? I get a couple of calls or texts or > questions a week. Seeing the add from lawyers on TV usually triggers it. > I even just had one patient I sent to surgeon/ortho for bad ankle > sprain/chip fracture who likes to pretend he is Family doctor. Took down > the list of his 20 drugs and then hand checked them in a book for drug > interactions and told him to get off the Actos immediately. (They had to > keep asking him what to do about the ankle. > > > I am telling patients there is a risk but it's low and bladder cancer is > easily treatable. It's at the higher dose. And many of them are smokers so > I remind that that is a big risk for bladder cancer right there. > Considering doing annual U/A for hematuria for screening. I don't know of > any official recommendations. > > > What are you doing? > > > Kathy Saradarian, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 Ok, you got me. What is NAFLD? Eads, MD Pinnacle Family Medicine Colorado Springs, CO www.PinnacleFamilyMedicine.com From: [mailto: ] On Behalf Of Ken Stone Sent: Wednesday, February 22, 2012 7:41 AM To: Subject: Re: Actos I think you're spot on: the increased risk from Actos is small but real. I might consider it (along with metformin, where possible) in somebody with NAFLD and no significant history of heart failure, but otherwise I'd probably just avoid it--especially in smokers. My preferred second line agent for DM after metformin is a basal insulin, with a very strong preference for Levemir over Lantus. Ken On 2/22/12, Kathy Saradarian wrote: > What are people doing about Actos? I get a couple of calls or texts or > questions a week. Seeing the add from lawyers on TV usually triggers it. > I even just had one patient I sent to surgeon/ortho for bad ankle > sprain/chip fracture who likes to pretend he is Family doctor. Took down > the list of his 20 drugs and then hand checked them in a book for drug > interactions and told him to get off the Actos immediately. (They had to > keep asking him what to do about the ankle. > > > I am telling patients there is a risk but it's low and bladder cancer is > easily treatable. It's at the higher dose. And many of them are smokers so > I remind that that is a big risk for bladder cancer right there. > Considering doing annual U/A for hematuria for screening. I don't know of > any official recommendations. > > > What are you doing? > > > Kathy Saradarian, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 non alcoholic fatty liver disease or non alcoholic steatohepatitis (NASH)highly correlative of cardiovascular risk Rakesh C. Patel, M.D.Twitter: @drrcpatelwww.facebook.com/azsunfmwww.medleyhealth.com/rakeshpatelwww.azprevention.comArizona Sun Family Medicine, P.C. and Nexlev Health and FitnessSpecializing in Diabetes, Heart Attack and Stroke Prevention633 E. Ray Road #101Gilbert, AZ 85296www.azsunfm.com and www.nexlev.com To: Sent: Wednesday, February 22, 2012 8:23 AM Subject: RE: Actos Ok, you got me. What is NAFLD? Eads, MD Pinnacle Family Medicine Colorado Springs, CO www.PinnacleFamilyMedicine.com From: [mailto: ] On Behalf Of Ken Stone Sent: Wednesday, February 22, 2012 7:41 AM To: Subject: Re: Actos I think you're spot on: the increased risk from Actos is small but real. I might consider it (along with metformin, where possible) in somebody with NAFLD and no significant history of heart failure, but otherwise I'd probably just avoid it--especially in smokers. My preferred second line agent for DM after metformin is a basal insulin, with a very strong preference for Levemir over Lantus. Ken On 2/22/12, Kathy Saradarian wrote: > What are people doing about Actos? I get a couple of calls or texts or > questions a week. Seeing the add from lawyers on TV usually triggers it. > I even just had one patient I sent to surgeon/ortho for bad ankle > sprain/chip fracture who likes to pretend he is Family doctor. Took down > the list of his 20 drugs and then hand checked them in a book for drug > interactions and told him to get off the Actos immediately. (They had to > keep asking him what to do about the ankle. > > > I am telling patients there is a risk but it's low and bladder cancer is > easily treatable. It's at the higher dose. And many of them are smokers so > I remind that that is a big risk for bladder cancer right there. > Considering doing annual U/A for hematuria for screening. I don't know of > any official recommendations. > > > What are you doing? > > > Kathy Saradarian, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 Bladder U/S x 1 and U/A's each visit. To: 'Clinical Procedures' Cc: Sent: Wednesday, February 22, 2012 8:44 AMSubject: Actos What are people doing about Actos? I get a couple of calls or texts or questions a week. Seeing the add from lawyers on TV usually triggers it. I even just had one patient I sent to surgeon/ortho for bad ankle sprain/chip fracture who likes to pretend he is Family doctor. Took down the list of his 20 drugs and then hand checked them in a book for drug interactions and told him to get off the Actos immediately. (They had to keep asking him what to do about the ankle. I am telling patients there is a risk but it’s low and bladder cancer is easily treatable. It’s at the higher dose. And many of them are smokers so I remind that that is a big risk for bladder cancer right there. Considering doing annual U/A for hematuria for screening. I don’t know of any official recommendations. What are you doing? Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 Thanks – hadn’t seen an acronym for it before. Eads, MD Pinnacle Family Medicine Colorado Springs, CO www.PinnacleFamilyMedicine.com From: [mailto: ] On Behalf Of Rocky Patel Sent: Wednesday, February 22, 2012 9:00 AM To: Subject: Re: Actos non alcoholic fatty liver disease or non alcoholic steatohepatitis (NASH) highly correlative of cardiovascular risk Rakesh C. Patel, M.D. Twitter: @drrcpatel www.facebook.com/azsunfm www.medleyhealth.com/rakeshpatel www.azprevention.com Arizona Sun Family Medicine, P.C. and Nexlev Health and Fitness Specializing in Diabetes, Heart Attack and Stroke Prevention 633 E. Ray Road #101 Gilbert, AZ 85296 www.azsunfm.com and www.nexlev.com From: Eads To: Sent: Wednesday, February 22, 2012 8:23 AM Subject: RE: Actos Ok, you got me. What is NAFLD? Eads, MD Pinnacle Family Medicine Colorado Springs, CO www.PinnacleFamilyMedicine.com From: [mailto: ] On Behalf Of Ken Stone Sent: Wednesday, February 22, 2012 7:41 AM To: Subject: Re: Actos I think you're spot on: the increased risk from Actos is small but real. I might consider it (along with metformin, where possible) in somebody with NAFLD and no significant history of heart failure, but otherwise I'd probably just avoid it--especially in smokers. My preferred second line agent for DM after metformin is a basal insulin, with a very strong preference for Levemir over Lantus. Ken > What are people doing about Actos? I get a couple of calls or texts or > questions a week. Seeing the add from lawyers on TV usually triggers it. > I even just had one patient I sent to surgeon/ortho for bad ankle > sprain/chip fracture who likes to pretend he is Family doctor. Took down > the list of his 20 drugs and then hand checked them in a book for drug > interactions and told him to get off the Actos immediately. (They had to > keep asking him what to do about the ankle. > > > I am telling patients there is a risk but it's low and bladder cancer is > easily treatable. It's at the higher dose. And many of them are smokers so > I remind that that is a big risk for bladder cancer right there. > Considering doing annual U/A for hematuria for screening. I don't know of > any official recommendations. > > > What are you doing? > > > Kathy Saradarian, MD Quote Link to comment Share on other sites More sharing options...
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