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Early Antibiotic Use Increases Risk of Allergies & Asthma

May 29, 2011 | Filed under: Drugs,General Interest,Kids

In a study of over 1,400 children, children who received antibiotics by 6 months were between 59% and 89% likely to have asthma by age 6, depending on family history. These children were also 59% more likely to have a “positive allergy blood or skin test.”  Read more about the study here.

U.S. Government Declares Prescription Drug Overuse a “Crisis”

May 13, 2011 | Filed under: Drugs,General Interest

In a May 4 release to the media, the American Chiropractic Association (ACA) applauded federal efforts to curb prescription drug abuse following the U.S. government’s announcement in late April that the problem had reached crisis level. ACA encouraged patients and health care providers to explore drug-free, conservative approaches to pain management as a first-line defense against painkiller abuse.

The government’s report, “Epidemic: Responding to America’s Prescription Drug Abuse Crisis,” notes that while the use of some illegal drugs has diminished, the abuse of prescription medications has sharply increased, particularly prescription opioid pain relievers such as Oxycontin and Vicodin. The report reveals that unintentional opioid overdoses—once almost exclusively limited to heroin abusers—is today increasingly caused by prescription painkiller abuse.

“This new report shows that while sometimes the use of these powerful drugs may be necessary, their overuse and abuse can lead to deadly consequences. The chiropractic profession offers non-drug interventions for pain relief,” said ACA President Dr. Rick McMichael. “We urge health care providers, whenever possible, to recommend drug-free conservative care interventions for their patients before prescribing medications that may be associated with harmful side effects. It’s critical that patients know their options.” To read the government’s full report, click here.

If you are looking for drug-free, effective, and efficient results contact Dr. Andrew Cohen at ProActive Chiropractic in San Francisco. Call 415-762-8141.

Read this before reaching for your child’s fever medication

March 1, 2011 | Filed under: Drugs,General Interest,Kids

Oftentimes, a parent’s concern about their child’s fever causes them to quickly reach for medication.  A new report from the American Academy of Pediatrics (AAP)  in the journal Pediatrics offers some advice and information that every parent should know:

  • fevers are the body’s way of fighting off illness – it is a sign that the immune system is kicking in.
  • “The focus should be on comfort and not on absolute temperature.” — lead author Dr. Janice Sullivan
  • newly published guidelines for the administration of fever-reducing drugs:  the recommended dosage for acetaminophen is 10 to 15 mg/kg every 4 to 6 hours, and 10 mg/kg for ibuprofen.
  • Dosage is based upon weight, not age or height.  Be sure to use the proper dosage devices (not kitchen teaspoons, which vary in size).
  • These medications can be toxic when given in large doses or over long periods of time
  • Be aware that some cough syrups and cold medicines already contain fever-reducing acetaminophen or ibuprofen – don’t give a double dose to your child.
  • It is not necessary to wake your child up in the middle of the night to give them a fever reducing medication – if they are sleeping, there is no sign of discomfort.
  • Although fever alone is not a cause for alarm, parents should monitor their child closely for signs of serious illness and make sure their child is properly hydrated.

Read more from the article here, or talk to Dr. Cohen at his San Francisco office if you have any questions.

FDA wants to limit the amount of acetaminophen in prescription painkillers

January 17, 2011 | Filed under: Drugs,General Interest,Pain Management

The Food and Drug Administration said on January 13th that prescription painkillers such as Tylenol 3, Percocet, and Vycodin have high doses of acetaminophen that could potentially cause liver damage, according to an article in the LA Times.

The FDA is asking the manufacturers to reduce the amount of acetaminophen to a maximum of 325 milligrams per dose; many contain as much as 750 milligrams.

Half of all liver failure cases are caused by overdose of acetaminophen, according to Dr. Gerald Dal Pan.  Many people take different combinations of drugs, not realizing that there is acetaminophen in them.  The article states that people should “read labels carefully to ensure that they take no more than 4,000 mg per day, that they do  not take two products containing acetaminophen simultaneously and that they do not consume alcohol while taking such products.”

NSAIDs and your heart

January 12, 2011 | Filed under: Drugs,General Interest,Heart Health,Pain Management

NSAIDs, nonsteroidal anti-inflammatory drugs such as ibuprofen, as well as COX-2 inhibitors, are suggested to put patients at increased risk of cardiovascular events when compared to placebo results.  Naproxen, researchers note, seems to be the least potentially harmful drug of those analyzed in the study.  The researchers caution that more studies are needed, but that doctors should take cardiovascular risk into account when prescribing painkillers.

Read the Med Page Today article or the Reuters article for more detailed information.  Talk to Dr. Cohen at his San Francisco Financial District office about safer alternatives to painkillers.

Could statins be over-prescribed? What they don’t say on the commercials.

January 3, 2011 | Filed under: Drugs,General Interest,Heart Health

A new study questions whether statins, a cholesterol reducing drug, are over-prescribed.  The study indicated that measuring calcium levels (via CT scan) instead of CRP (C-reactive protein) levels may be a better way of understanding whether a patient needs a statin treatment.  However, CRP tests are much cheaper than CT scans, and CT scans increase exposure to radiation, so more research and testing is needed.  Read more from the MSNBC Health article here.

What Do I Do With The Pain Medications I Don’t Need Now Because Dr. Cohen Helped Me?

September 23, 2010 | Filed under: Drugs,General Interest

This is a legitimate question. Flushing medications down the toilet contaminates our drinking water supply and harms marine wildlife. Leaving them in your medicine cabinet increases the likelihood of taking the wrong medication, or worse, gives teens the opportunity to steal the prescription drugs and sell them for recreational use at school, which is a growing problem. Now the DEA has launched a campaign to dispose of the medications properly. I hope there is a good response.

FOR IMMEDIATE RELEASE
September 15, 2010
Contact: DEA Public Affairs
Number: 202-307-7977

Over 3,400 sites join DEA Nationwide Effort
to Take-Back Prescription Drugs On Sept
. 25

SEP 15 WASHINGTON, D.C. – Less than a month into the Drug Enforcement Administration’s prescription drug “Take-Back” campaign, over 3,400 sites nationwide have joined the effort that seeks to prevent increased pill abuse and theft. Government, community, public health and law enforcement partners will be collecting potentially dangerous expired, unused, and unwanted prescription drugs for destruction at these sites all across the nation on Saturday, September 25 th from 10 a.m. to 2 p.m. local time. The service is free and anonymous, no questions asked.

This initiative addresses a vital public safety and public health issue. Many Americans are not aware that medicines that languish in home cabinets are highly susceptible to diversion, misuse, and abuse. Rates of prescription drug abuse in the U.S. are increasing at alarming rates, as are the number of accidental poisonings and overdoses due to these drugs. Studies show that a majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet. In addition, many Americans do not know how to properly dispose of their unused medicine, often flushing them down the toilet or throwing them away – both potential safety and health hazards.

“The National Prescription Drug Take-Back campaign will provide a safe way for Americans to dispose of their unwanted prescription drugs,” said Michele M. Leonhart, Acting Administrator of the Drug Enforcement Administration. “This effort symbolizes DEA’s commitment to halting the disturbing rise in addiction caused by their misuse and abuse. Working together with our state and local partners, the medical community, anti-drug coalitions, and a concerned public, we will eliminate a major source of abused prescription drugs, and reduce the hazard they pose to our families and communities in a safe, legal, and environmentally sound way.”

“With this National Prescription Drug Take-Back campaign, we are aggressively reaching out to individuals to encourage them to rid their households of unused prescription drugs that pose a safety hazard and can contribute to prescription drug abuse,” said Acting Deputy Attorney General Gary G. Grindler.  “The Department of Justice is committed to doing everything we can to make our communities safer, and this initiative represents a new front in our efforts.”

“Prescription drug abuse is the Nation’s fastest-growing drug problem, and take-back events like this one are an indispensable tool for reducing the threat that the diversion and abuse of these drugs pose to public health,” said Director of National Drug Control Policy Gil Kerlikowske. “The Federal/state/and local collaboration represented in this initiative is key in our national efforts to reduce pharmaceutical drug diversion and abuse.”

Other participants in this initiative include the White House Office of National Drug Control Policy; the Partnership for a Drug-Free America; the International Association of Chiefs of Police; the National Association of Attorneys General; the National Association of Boards of Pharmacy; the Federation of State Medical Boards; and the National District Attorneys Association.

Collection sites in every local community can be found by going to www.dea.gov (and below). That site is continuously updated with new take-back locations.
AL CASCIATO SOUTHERN POLICE STATION 850 BRYANT STREET SAN FRANCISCO CA, 94133 1 mi. Map
AL CASCIATO CENTRAL POLICE STATION 766 VALLEJO STREET SAN FRANCISCO CA, 94133 1 mi. Map
AL CASCIATO TENDERLOIN POLICE STATION 301 EDDY STREET SAN FRANCISCO CA, 94102 2 mi. Map
AL CASCIATO NORTHERN POLICE STATION 1125 FILLMORE STREET SAN FRANCISCO CA, 94115 3 mi. Map
AL CASCIATO MISSION POLICE STATION 630 VALENCIA STREET SAN FRANCISCO CA, 94110 4 mi. Map
AL CASCIATO PARK POLICE STATION 1899 WALLER STREET SAN FRANCISCO CA, 94117 3 mi. Map
AL CASCIATO RICHMOND POLICE STATION 461 6TH AVENUE SAN FRANCISCO CA, 94118 4 mi. Map
AL CASCIATO BAYVIEW POLICE STATION 201 WILLIAMS STREET SAN FRANCISCO CA, 94124 5 mi. Map
OAKLAND POLICE DEPARTMENT OAKLAND POLICE DEPARTMENT 455 7TH STREET OAKLAND CA, 94607 6 mi. Map
ANTHONY BATTS ANTHONY BATTS
CHIEF OF POLICE
OAKLAND POLICE DEPARTMENT455 7TH STREET OAKLAND CA, 94607 6 mi. Map
AL CASCIATO INGLESIDE POLICE STATION 1 JOHN YOUNG LANE SAN FRANCISCO CA, 94112 6 mi. Map
AL CASCIATO TARAVAL POLICE STATION 2345 24TH AVENUE SAN FRANCISCO CA, 94116 7 mi. Map
KENSINGTON POLICE DEPARTMENT KENSINGTON POLICE DEPARTMENT 217 ARLINGTON AVE. BERKELEY CA, 94707 11 mi. Map
BERKELEY POLICE DEPARTMENT SAN PABLO PARK 2800 PARK ST. BERKELEY CA, 94704 11 mi. Map

Another Reason to Consider Dr. Cohen Before Reaching for Drugs

September 17, 2010 | Filed under: Drugs,General Interest

It is well known that even over-the-counter (OTC) pain killers are associated with potential  side effects, including ulcers and stomach bleeding. Growing research now reveals additional side effects, suggesting that high doses of non-steroidal anti-inflammatory drugs (NSAIDs) and COX-2 inhibitors can increase the risk of heart attack. Of particular danger in the study are ibuprofen and diclofenac. People taking taking these medications for pain are encouraged to take the smallest effective dose, and to take it for the shortest length of time. The study was published in the British Medical Journal (Reuters, June 1, 2006). Furthermore,  NSAIDs also slow the healing time of soft tissue. Keep this in mind before you accept the medications your co-worker offers when you say you’re in pain.

If you are tired of merely managing pain by temporarily masking it with drugs, and want a drug-free, non-invasive option which will get to the root of the problem, call ProActive Chiropractic at 415-762-8141.

(FCER)

Does Your Blood Pressure Medication Increase Your Risk of Cancer? Chiropractic Reduces Blood Pressure without Side Effects.

June 14, 2010 | Filed under: Dr Cohen,Drugs,Heart Health

HiDoc-on-white

A new study,  published in the journal The Lancet Oncology, analyzes the results of a host of studies of popular blood pressure medicines and found that these “drugs in the class known as angiotensin-receptor blockers showed patients were 1.2 percent more likely to be diagnosed with a new cancer over four years than others who did not take the drugs.”(1)

“…Dr. Steven Nissen, a cardiologist at the Cleveland Clinic, said in a commentary the findings were ‘disturbing and provocative, raising crucial drug safety questions for practitioners and the regulatory community,’” reports Reuters.

This does not surprise me. Many times every month we hear that Drug A causes horrible side effects and may have to be removed from the market. Despite this pattern, the cycle repeats itself because people ask the wrong follow-up question. Instead of asking how to get off the drugs, we ask what drug will be developed or what competitor’s drug will fill the void. So then Drug B is marketed as the new and improved Drug A, only to cause a separate series of side effects – shoot, who knows – maybe enough to finally remove that drug from the market.

The sad thing is that society is going to keep repeating the mistake.

Not to get preachy, but when will people realize that DRUGS, all drugs, affect the biochemistry of the body and therefore change a process within the body? By definition, any chemical alteration will have side effects. When we address the symptom of a problem without treating the cause, we will create additional, new, unnecessary problems.

Here is what I, as a patient, would ask: why is my blood pressure high? What can I do to lower my blood pressure? If there is no option other than a pill (which, by the way, is not the case), what will happen if we suddenly lower my blood pressure with a magic pill?

Apparently, the answer is that I increase my risk of cancer.

Wouldn’t you want to know that? Wouldn’t you think twice about the pill if you knew that?

There are other options for addressing high blood pressure: deep breathing, exercise…and…

Chiropractic has been shown to decrease blood pressure within one visit and have lasting effects without the side effects of pharmaceuticals.And it certainly does not increase your risk of cancer.

Why is the media not talking more about this? Could it be that the billions of dollars the pharmaceutical companies pour into television, magazines and newspaper ads might influence the quality of the reporting of non-pharmacological treatments?

So, since the drug options for lowering blood pressure cause cancer and chiropractic lowers blood pressure without the cancer side effects…does that mean chiropractic can reduce your risk of cancer???

Kids Are Sharing Prescription Drugs, and Sharing the Side Effects

December 19, 2009 | Filed under: Drugs,General Interest,Kids

8/12/09 Graph

“We interviewed 594 adolescents throughout the United States. One in five reported sharing prescription medication. Of these, less than half received instructions, many delayed professional care, few informed providers, and a third reported experiencing side effects. Efforts to reduce medication sharing prevalence and risks among adolescents may be justified.”

In this study the researchers interviewed almost 600 adolescents throughout the US and found 1 in 5 reported sharing prescription medication.

This should be addressed:

Why is there so much sharing going on?
Easy access?
Feels safer than illicit drugs?
Money/lack of health insurance?
Are they borrowing drugs to get high or to manage conditions that could be better managed through conservative care, or at least a proper prescription that is being monitored?