The Consultant Pharmacist

IN THIS ISSUE

March 2017 | Volume 32 | Number 3

Advancing Our Decision Making

Editor-in-Chief, H. Edward Davidson, PharmD, MPH, gives a brief commentary on this issue of the journal and current new items of interest to consultant pharmacists.

Antibiotic Stewardship: New Frontier, Familiar Journey

Recent changes in regulations by the Centers for Medicare & Medicaid Services require long-term care facilities to meet specific requirements on antibiotic stewardship, promoting the appropriate use of antibiotics and antimicrobials. The goal is to decrease the spread of infections caused by multi-drug-resistant organisms. Consultant pharmacists can help facilities implement policies and procedures for effective antibiotic stewardship, assist prescribers and facility staff, find appropriate resources, and provide facility personnel with feedback on their stewardship efforts.

Chad Worz: The Antipharmacist

Chad Worz, PharmD, is president and founder of Medication Managers, LLC, a consulting practice that serves nursing facilities and long-term care pharmacy clients across the country.

Retained Skeletal Effects of Zoledronic Acid Following Discontinuation of Treatment: A Review of the Literature

A single zoledronic acid infusion has been shown to decrease bone turnover markers and improve bone mineral density for at least 12 months after infusion. Patients may experience continued benefit beyond this period, but there is concern that this long-term effect may lead to severe bone-turnover suppression, increased bone fragility, and increased risk of fractures. Additional studies should be conducted to determine the long-term effects of discontinuing zoledronic acid therapy on bone health.

A Review of Suvorexant, Doxepin, Ramelteon, and Tasimelteon for the Treatment of Insomnia in Geriatric Patients

Older individuals experience insomnia with a high prevalence. Current therapy with benzodiazepines, nonbenzodiazepine hypnotics, and antihistamines are associated with rebound insomnia, withdrawal, and tolerance, and put elderly patients at increased risk for cognitive decline, falls, and fractures. It is crucial that alternative therapies are attempted in this patient population.

Pharmacist Counseling and the Use of Nonsteroidal Anti-Inflammatory Drugs by Older Adults

NSAID use by older adults continues to be an issue in the health care community. Patients who are counseled on appropriate NSAID use are more likely to use NSAID therapy appropriately. NSAID use can be improved through pharmacist intervention and counseling when inappropriate use is identified. In this study, following counseling on NSAIDs, the number of inappropriate users decreased by 48.7%.

Use of an Ambulatory Prescribing Guidance Tool to Improve Patient Safety in the Geriatric Population

This study evaluated the effectiveness of a clinical decision support tool to decrease the prescribing of glyburide in the ambulatory setting of an academic medical center. The overall prescribing rate of glyburide in elderly patients was significantly lower in the months following implementation of the tool.

Congress Continues to Focus on Drug Pricing

An update on health care policy from ASCP's director of policy and advocacy.

READ THE JOURNAL

The Consultant Pharmacist® is the official monthly peer-reviewed journal of the American Society of Consultant Pharmacists (ASCP). It is the only journal dedicated exclusively to the medication therapy needs of seniors. ASCP members receive The Consultant Pharmacist® as a member benefit. All articles (2004 to present) are free online for members.




Nonmembers can access online abstracts to journal articles. Full articles are available for $35.00 each.


Content can be tailored and customized to fit your marketing and promotional needs and can be delivered via print or electronic format. For more information, contact:
Matt Neiderer
Matt.neiderer@sheridan.com
800-635-7181 ext. 8265


Editorial Office
H. Edward Davidson, PharmD, MPH
Insight Therapeutics, LLC
142 W. York Street, Suite 605
Norfolk, VA 23510
757-625-6040; Fax 757-625-4538
edavidson@inther.com


Individual Subscriptions
Individuals who want to receive access to The Consultant Pharmacist but are prohibited from joining the Society, can now subscribe to the journal. Subscription options include print and online combo, print-only, and online-only.
Subscribe as an Individual

Institutions and Libraries
Libraries or other institutions may receive unlimited access to the journal both in print and online for $405 annually. Online only is available for $305 annually. Pay-per-view, individual articles ordered from the online version only, are $35 per article. Single issues of previous years are offered for sale subject to availability at $55. Subscription rates are in U.S. dollars and are subject to change.
Subscribe as an Institution

The American Society of Consultant Pharmacists (ASCP)
1321 Duke Street, Alexandria, VA 22314
© 2016-2017 ASCP | Contact Us | Privacy Policy
ASCP Foundation | BCGP