Volume 8

CHEM RX

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Niacin Niacin is available in several forms including prescription strength, Over-the-Counter and Dietary Supplement. Both the American Heart Association and the American Pharmacists Association have stated that “dietary supplement niacin must not be used as a substitute for prescription niacin,” nor is it an effective tool for lowering cholesterol.

Dietary Supplement Niacin is primarily intended to address niacin as a nutritional deficiency.

Prescription niacin, such as Niaspan ERthat can lower the risk of recurrent nonfatal myocardial infarction in

patients with high cholesterol or who have previously experienced a heart attack. This drug is also used for patients with Type 2 Diabetes or metabolic syndrome who require tighter control of triglycerides and

or HDL-C, as a single agent or in combination with a statin.ER tablets have been shown to cause 78% fewer flushing episodes as

compared to immediate release niacin. In addition, Niaspan lowers triglycerides and increases HDL (good cholesterol) better thas well as achieving modest decreases in LDL (bad cholesterol). Niaspan is covered by Medicaid and 95% covered by Part D Plans.

Influenza Vaccine The FDA has approved the influenza vaccine formulation for the 2011-2012 season that will be producesix US licensed manufacturers. Shipping has already begun and no shortages are expected.

CHEM RX TABLET

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Find Chem Rx on Facebook and Twitter.

forms including prescription strength, Counter and Dietary Supplement. Both the American Heart

Association and the American Pharmacists Association have stated that “dietary supplement niacin must not be used as a substitute for

cin,” nor is it an effective tool for lowering cholesterol.

Dietary Supplement Niacin is primarily intended to address niacin as

Prescription niacin, such as Niaspan ER, is an FDA monitored drug nt nonfatal myocardial infarction in

patients with high cholesterol or who have previously experienced a also used for patients with Type 2 Diabetes

or metabolic syndrome who require tighter control of triglycerides and

, as a single agent or in combination with a statin. Niaspan ER tablets have been shown to cause 78% fewer flushing episodes as

compared to immediate release niacin. In addition, Niaspan lowers triglycerides and increases HDL (good cholesterol) better than statins as well as achieving modest decreases in LDL (bad cholesterol). Niaspan is covered by Medicaid and 95% covered by Part D Plans.

1- Niacin

1- Influenza Vaccine

2- Generic Expansion

2- Recipe of the Month

3- Seminars

4- Chem Rx Client Events

4- Ask

5- Amazing Foods

6- Word Search

The FDA has approved the influenza vaccine formulation for be produced and distributed by

six US licensed manufacturers. Shipping has already begun and

August 2011

Register for our Seminars and Dinner Programs at www.chemrx.net.

INDEX

Niacin

Influenza Vaccine

Generic Expansion

Recipe of the Month

Seminars

Chem Rx Client Events

Ask the RPh

Amazing Foods

Word Search

Chem Rx Tablet

RECIPE OF THE MONTH

INGREDIENTS: 6 TBS. butter, 1 Cup selfgranulated sugar, 1 ½ TBS. ¼ Cup (separately) unsweetened cocoa powder, ½ Cup milk (2% or whole), 1 Tsp. vanilla extract and 1 ½ Cups boiling water.

DIRECTIONS: Pre-heat oven to 350 degrees. Melt butter in an 8medium bowl, stir together the flour, ¾ Cup sugar, and 1 ½ TBS. cocoa powder. Stir in vanilla and milk until smooth. Spoon this batter ovethe remaining Cup of sugar and ¼ Cup cocoa powder. Sprinkle over the batter. Slowly pour boiling water on top of the mixture. Bake for 30 minutes until set. Best served warm.

Adapted from www.allrecipes.com

Expansion of Generics to Lower

Over the next year, generic versions of seven top selling drugs are set to be released, which will significantly lower the costs to facilities, agencies and residents. These generic releases are expected expirations of the brand counterparts. The drugs expected to be released

generically are as follows:

BRAND GENERIC

Lipitor Atorvastatin

Lexapro Escitalopram

Plavix Clopidogrel

Singulair Montelukast

Diovan Valsartan

Lovaza Omega-3 Acid

Source: Associated Press

2

RECIPE OF THE MONTH

Chocolate Cobbler

INGREDIENTS: 6 TBS. butter, 1 Cup self-rising flour, ¾ Cup and 1 Cup (separately) granulated sugar, 1 ½ TBS. ¼ Cup (separately) unsweetened cocoa powder, ½ Cup milk (2% or

and 1 ½ Cups boiling water.

heat oven to 350 degrees. Melt butter in an 8” x 8” baking dish. In a medium bowl, stir together the flour, ¾ Cup sugar, and 1 ½ TBS. cocoa powder. Stir in vanilla and milk until smooth. Spoon this batter over the melted butter in the baking dish. Stir together the remaining Cup of sugar and ¼ Cup cocoa powder. Sprinkle over the batter. Slowly pour boiling water on top of the mixture. Bake for 30 minutes until set. Best served warm.

ENJOY!

Expansion of Generics to Lower Costs

Over the next year, generic versions of seven top selling drugs are set to be significantly lower the costs to facilities, agencies and

residents. These generic releases are expected to coincide with the patent expirations of the brand counterparts. The drugs expected to be released

INDICATIONS PATENT EXP.

High Cholesterol 11/2011

Depression 3/2012

Clot Prevention 5/2012

Asthma/Allergies 8/2012

High Blood Pressure 9/2012

3 Acid High triglycerides 3/2013

August 2011

RECIPE OF THE MONTH

rising flour, ¾ Cup and 1 Cup (separately) granulated sugar, 1 ½ TBS. ¼ Cup (separately) unsweetened cocoa powder, ½ Cup milk (2% or

x 8” baking dish. In a medium bowl, stir together the flour, ¾ Cup sugar, and 1 ½ TBS. cocoa powder. Stir in vanilla

r the melted butter in the baking dish. Stir together the remaining Cup of sugar and ¼ Cup cocoa powder. Sprinkle over the batter. Slowly pour boiling water on top of the mixture. Bake for 30 minutes until set. Best served warm.

Over the next year, generic versions of seven top selling drugs are set to be significantly lower the costs to facilities, agencies and

to coincide with the patent expirations of the brand counterparts. The drugs expected to be released

PATENT EXP.

Common

Drug

Confusion

Neurontin

and

Noroxin

Chem Rx Tablet

2011 Seminar Schedule

Chem Rx Long Beach

All seminars to take place at Leonard’s

of Great Neck (Great Neck, New York)

Fall Seminar: Wednesday, September 14

(Addiction Treatment, Mental Health,

HIV and Disease State)

Winter Seminar: Thursday, December 1

Chem Rx Albany

Wednesday, October 12: “Medication

Safety” (Desmond Hotel)

Chem Rx New Jersey

Thursday, September 15 (The Imperia in

Somerset, NJ)

Wednesday, December 7th (Forsgate

Country Club)

All dates subject to change.

REGISTER ONLINE AT

www.chemrx.net

3

All seminars to take place at Leonard’s

of Great Neck (Great Neck, New York)

Wednesday, September 14

(Addiction Treatment, Mental Health,

Winter Seminar: Thursday, December 1

Wednesday, October 12: “Medication

Thursday, September 15 (The Imperia in

(Forsgate

REGISTER ONLINE AT

Chem Rx Albany Dinner Series

licensed health care professionals only)

Please join us on September 15PM at Sperry’s (Saratoga Springs, NY). The topic is treating COPD in the LongTerm Care setting, presented by Dr. Albert Riddle (President and CEO Riddle Consulting Group). Please contact Kenn Brown at kbrown@chemrx.net

information.

Chem Rx NJ Dinner Series

health care professionals only)

Please join us on September 21PM at Maggiano’s Little Italy (Hackensack, NJ). The focus is An Interactive Discussion on the Antiepileptic Drug Vimpat. Please contact Corrine Yakabouski at cyakabouski@chemrx.netinformation.

Live Videoconference Series

“Dementia Disease State Clinical Connect,” presented by Novartis will run through 11/2011. Visit www.dementiacc.com“Schedule” to register.

August 2011

Chem Rx Albany Dinner Series (for

licensed health care professionals only):

Please join us on September 15th at 6:00 PM at Sperry’s (Saratoga Springs, NY). The topic is treating COPD in the Long-Term Care setting, presented by Dr. Albert Riddle (President and CEO Riddle Consulting Group). Please contact Kenn Brown at

for further

Chem Rx NJ Dinner Series (for licensed

health care professionals only):

Please join us on September 21st at 6:00 PM at Maggiano’s Little Italy (Hackensack, NJ). The focus is An Interactive Discussion on the

eptic Drug Vimpat. Please contact Corrine Yakabouski at cyakabouski@chemrx.net for further

Live Videoconference Series

“Dementia Disease State Clinical Connect,” presented by Novartis will

gh 11/2011. Visit www.dementiacc.com and use code “Schedule” to register.

Chem Rx Tablet

WORTHY EVENTS

It is our privilege to support our clients and participate in their fundraising efforts.

9/3 – SCO Family of Services

Speranza 5K Run to Help the Children

9/8 – Peconic Landing Annual “Pay to

Play Fun Classic” (Island’s End Golf & Country Club, Greenport, NY)

9/15 – AHRC Margiotta Memorial Golf

Outing (The Muttontown Club, East Norwich, NY)

9/18– Eger Health Care and Rehabilitation Center: “Taste of Staten Island” (On Site, Staten Island, NU

9/23 – Andrus Children’s Center Light Up the Night (On Site, Yonkers, NY)

9/24 – Norwegian Christian Home and Health Center Annual Fundraising Event (On Site, Brooklyn, NY) 9/26 – St. Catherine of Siena Annual

Golf Classic (St. George’s Golf Club, Setauket, NY)

9/26 – National Foundation for Human

Potential 20th Annual Golf & TennTournament (The Creek, Locust Valley, NY) To have your event posted, please send an eto shanna@chemrx.net.

4

WORTHY EVENTS

Ask the PharmacistQ: Do antidepressant drugs cause weight gain?

A: Most antidepressants and mood

stabilizers do have weight gain as a side effect,

although this may not occur at the beginning

of use.

Bupropion (Alpenzin, Wellbutrin and

Zyban) can act as an appetite suppressant and

may have less of a weight gain than oth

types of antidepressants.

Within all anti-depressant classes (refer to

prior publications of The Tablet), there are

varying degrees of weight gain associated with

different drugs. The patient should discuss the

options with their prescribing physician

psychiatrist and let him/her know that weight

gain is an important concern.

Patients who have experienced weight

gain due to antidepressant use should have

regular medical check

diabetes and cholesterol elevations, which

may be the result of the weight gain.

Have a question for the Pharmacist? Please submit it to shanna@chemrx.net.

It is our privilege to support our clients and participate in their fundraising efforts.

SCO Family of Services Peter

Speranza 5K Run to Help the Children

Peconic Landing Annual “Pay to

Play Fun Classic” (Island’s End Golf & Country Club, Greenport, NY)

AHRC Margiotta Memorial Golf

Outing (The Muttontown Club, East

Rehabilitation Center: “Taste of Staten , Staten Island, NU)

Andrus Children’s Center Light Up the Night (On Site, Yonkers, NY)

Norwegian Christian Home and Health Center Annual Fundraising Event (On Site, Brooklyn, NY)

St. Catherine of Siena Annual

(St. George’s Golf Club,

National Foundation for Human

Annual Golf & Tennis Tournament (The Creek, Locust Valley,

To have your event posted, please send an e-mail

August 2011

Ask the Pharmacist Do antidepressant drugs cause weight gain?

Most antidepressants and mood

stabilizers do have weight gain as a side effect,

although this may not occur at the beginning

Bupropion (Alpenzin, Wellbutrin and

Zyban) can act as an appetite suppressant and

may have less of a weight gain than other

types of antidepressants.

depressant classes (refer to

prior publications of The Tablet), there are

varying degrees of weight gain associated with

different drugs. The patient should discuss the

options with their prescribing physician or

psychiatrist and let him/her know that weight

gain is an important concern.

Patients who have experienced weight

gain due to antidepressant use should have

regular medical check-ups and watch for

diabetes and cholesterol elevations, which

ult of the weight gain.

Have a question for the Pharmacist? Please submit it to

Chem Rx Tablet

• Fresh Herbs (Use to replace salt and other additives with fat & cholesterol)

• Black Beans (packed with folate, antioxidants, magnesium and fiber)

• Red Wine/Resveratrol (Antioxidants can protect artery walls and boost

LDL-good cholesterol)

• Salmon/Tuna (Rich in Omega 3’s, lowers blood triglycerides and reduces

inflammation)

• Extra Virgin Olive Oil (rich in anti

fats)

• Walnuts/Almonds (full of vitamins, fiber and plant sterols)

• Edamame/Tofu (soy protein is high fiber and can also lower blood

triglyceride levels)

• Sweet Potatoes (Low glycemic index, full of fibe

lycopene)

• Oranges (Cholesterol fighting pectin and potassium, which helps control

blood pressure)

• Swiss Chard (rich in potassium and magnesium)

• Carrots (Can help control blood sugar and lower cholesterol)

• Barley/Oatmeal (Whole grain lowers LDL)

• Flaxseed (fiber, phytochemicals and omega

• Low Fat Yogurt (high calcium boosts bone health, helps control high

blood pressure)

• Coffee (Can cut risk of Type 2 Diabetes)

• Cayenne Chili Pepper (Can preven

• Kosher Salt (Salty flavor using less actual salt)

• Cherries (Protects blood vessels)

Foods to Save Your Heart, Fight Disease

5

(Use to replace salt and other additives with fat & cholesterol)

(packed with folate, antioxidants, magnesium and fiber)

(Antioxidants can protect artery walls and boost

(Rich in Omega 3’s, lowers blood triglycerides and reduces

(rich in antioxidants and healthy monounsaturated

(full of vitamins, fiber and plant sterols)

(soy protein is high fiber and can also lower blood

(Low glycemic index, full of fiber, Vitamin A and

(Cholesterol fighting pectin and potassium, which helps control

(rich in potassium and magnesium)

(Can help control blood sugar and lower cholesterol)

(Whole grain lowers LDL)

(fiber, phytochemicals and omega-3 fatty acids found in plants)

(high calcium boosts bone health, helps control high

(Can cut risk of Type 2 Diabetes)

(Can prevent insulin spike after meals)

(Salty flavor using less actual salt)

(Protects blood vessels) Adapted from Webmd.com

Save Your Heart, Fight Disease

August 2011

(Use to replace salt and other additives with fat & cholesterol)

(Antioxidants can protect artery walls and boost

(Rich in Omega 3’s, lowers blood triglycerides and reduces

oxidants and healthy monounsaturated

(soy protein is high fiber and can also lower blood

r, Vitamin A and

(Cholesterol fighting pectin and potassium, which helps control

3 fatty acids found in plants)

(high calcium boosts bone health, helps control high

Chem Rx Tablet

ANTI-DEPRESSANT WORD SEARCH

Contact Chem Rx

The information contained in this newsletter is provided for informational purposes only, and should not be relied upon as a substitute for actual professional medical advice, diagnosis, care or treatment, or to make anydecisions regarding an individual’suse of any products or serviceseffort is made to present current and accurate information, Chem Rx

assumes no responsibility for any errors, omissions orrespect to the information contained herein.

CORPORATE SERVICES LONG BEACH PHARMACY

750 Park Place 790 Park Place

Long Beach, NY 11561 Long Beach, NY 11561

TEL: 516-889-8770 TEL: 516

FAX: 516-889-8225 FAX: 516

NEW JERSEY

4041 Hadley Road, Building M

South Plainfield, NJ 07080

TEL: 908-222-1011

FAX: 908-222-8877

V G A S E

T R A Z E

B E X O V

Z M C Z O R E Y C Y

O R M X E

X O B Z A

E N A G X F H L H D

F F T R E

E D A J A S N E Z I

E N O R O

R R E M S

P A R N A

DEPRESSANT WORD SEARCH

www.chemrx.net

The information contained in this newsletter is provided for informational purposes only, and should not be relied upon as a substitute for actual professional medical advice, diagnosis, care or treatment, or to make anydecisions regarding an individual’s health. Chem Rx does not endorse the use of any products or services referenced herein, and although every effort is made to present current and accurate information, Chem Rx

assumes no responsibility for any errors, omissions orto the information contained herein.

LONG BEACH PHARMACY ALBANY

790 Park Place 16 Walker Way

Long Beach, NY 11561 Albany, NY 12205

TEL: 516-536-0800 TEL: 518

FAX: 516-889-4500 FAX: 518

Please feel free to submit your questions, comments

or suggestions to Chem Rx via e-mail to shanna@chemrx.net.

N D I N P

D O N E R

U L L A O

N L K F Z M B A H A

C H E M C

L L L R T

I E E J X L P X P T

C P A A F

I X P X O L B R I L

U D O L O

A M A L Z

T E R T Y

August 2011

DEPRESSANT WORD SEARCH

www.chemrx.net

The information contained in this newsletter is provided for informational purposes only, and should not be relied upon as a substitute for actual professional medical advice, diagnosis, care or treatment, or to make any

Chem Rx does not endorse the referenced herein, and although every

effort is made to present current and accurate information, Chem Rx

assumes no responsibility for any errors, omissions or inaccuracies with

ALBANY

16 Walker Way

Albany, NY 12205

TEL: 518-452-7795

FAX: 518-4524494

Please feel free to submit your questions, comments

mail to shanna@chemrx.net.

Celexa

Lexapro

Effexor

Prozac

Luvox

Paxil Cymbalta

Zoloft

Prozac

Remeron

Trazedone Nardil

Parnate

Asendin Emsam