Your Kidney Function Really Matters: A Lighter Look at What You Need to Know to Prevent Adverse Dru
When you (or loved ones) are taking prescription or over the counter medications...there is a lot you should be worried about, and a lot that your pharmacist may not be telling you.
Most people are aware, for example, that several medications taken together can sometimes cause harmful interactions. Most also know that drug allergies can pose significant hazards. (These are topics of other articles in this series). And, many people know that young children, elderly adults, pregnant women, nursing women, and severely debilitated people may all be at higher risk for adverse drug events.
But what most people don't know is that a simple blood test can be one of the most important pieces of information in determining the correct dose of many medications...and the results of that test are almost never available to your pharmacist, especially if your pharmacist fills your prescription in a retail drugstore. (And, that's a bummer.)
The test I'm talking about, of course, is the 'serum creatinine test' ('SEAR-'em cree-AT-tuh-neen tehst'. It's a difficult name to pronounce and a difficult test to understand...but one that you NEED to know about if you or loved ones are taking over-the-counter or prescription medications.)
A serum creatinine test gives a physician or pharmacist an estimate of kidney function.
Serum creatinine is the 'bean counter' of modern medicine... letting folks know if the beans (the kidneys) are working as well as they should.
Why is that important?
Well, kidney function is extremely important in determining the correct doses of many medications since the kidneys (along with the liver) assist in the removal of medications from the body.
Almost all medications (and/or their chemical by-products) are either removed by the liver, by the kidneys, or, in many cases, by both the kidneys and liver working together.
So, simply put, when the beans are not working well, many medications will accumulate in the body and increase the risk of drug side effects. And that's an even bigger bummer. (The same is true for liver problems, and we will talk about that in another article in this series.)
As a result, patients with reduced kidney function often need LOWER doses of many medications.
So how does this all work?
Well, creatinine is a chemical that occurs and circulates naturally in the human body. It is the result of normal protein break-down. And, like many medications, creatinine is normally removed from the blood by the beans. So, when the kidneys are not working well, the level of creatinine circulating in the bloodstream will start to go up...just like the blood level of many medications.
Physicians and pharmacists are routinely and easily able to determine how much creatinine is in the blood with the results of a serum creatinine test. (This test is part of a very common panel of blood tests. And, if the serum creatinine is high, many drugs need to have a lower dose.) The normal value for serum creatinine is about 0.4 to 1.5 mg/dl...but that can vary a bit from lab to lab.
So remember: 'kidneys no work...serum creatinine go UP'.
Now, serum creatinine is not the best measure of kidney function (there are other tests that are much more accurate), but results of the serum creatinine test are usually the most readily available...and cheapest...and are generally accurate enough for most purposes...so serum creatinine is the de facto standard for estimating kidney function...most of the time.
The gold standard test that doctors use for measuring kidney function is called 'creatinine clearance' (cree-AT-tuh-neeeen CLEAR-uhhh-nce) However, not many patients get this particular test because it is pretty darn inconvenient...and smelly. You have to collect all of your urine for 24 hours and keep it in the fridge. Not a lot of volunteers for this test...
Creatinine clearance is the volume of blood that the kidneys clear of creatinine in a given amount of time (and it is usually reported as milliliters per minute).
So, when kidney function decreases, creatinine clearance (the amount of blood that the kidneys are successfully 'cleaning') also decreases.
So remember: 'kidneys no work...creatinine clearance go DOWN'. (Note: this is easy to remember because it is the exact opposite of what you were initially thinking, and the opposite of what happens with serum creatinine. Most of medicine is like this.)
Now for the super tricky part just for those gunning for an A. There is a way to 'guestimate' creatinine clearance using serum creatinine...isn't that neat. And, that's probably the best way to determine renal function if a measured creatinine clearance is not available.
What you do is run the serum creatinine value through a fancy equation that will give you an estimated creatinine clearance, which is itself an estimate of kidney function. (Estimates of estimates of estimates...that's the kind of exacting science I live for.)
For adults, that equation is the famous 'Cockcroft-Gault equation corrected for ideal body weight and gender'...the equation everyone loves to hate. The Cockcroft-Gault equation (presumably named after Drs. Cockcroft and Gault...or maybe just Dr. Cockroft-Gault, or maybe Lara Croft), is generally considered very reliable since it has never been well validated in young patients, old patients, thin patients, fat patients...basically all the patients it gets used on. So go figure. Double bonus points if you can remember this:
For men, creatinine clearance =
((140- Age) ' IBW) / (72 ' SCr)
For women, creatinine clearance =
((140- Age) ' IBW ' 0.85) / (72 ' SCr)
Where Age is in years, IBW is ideal body weight in kilograms, and SCr is serum creatinine in mg/dl.
(For the algebraically-challenged and for anyone wanting help in calculating the results of these complicated equations, please visit this creatinine clearance calculator: http://www.medicationadvisor.com/creatinine/creatinine.asp)
Now once you run this a few times, you'll find that creatinine clearance for young healthy people is about 100 ml/min (we'll just leave off the 'ml/min' part from now on).
And, dead people have a creatinine clearance of about 0, depending on how healthy they are.
Everyone else falls somewhere in between.
(Now someone in the back of the room is saying, 'I just ran this on myself and I have a creatinine clearance of 150'. Well aren't you special? In fact, young good-looking people can have creatinine clearances of 130, 140, or more...but it doesn't do a whole lot of good since 100 is perfectly acceptable. In fact, it's just another case of overachiever overkill.)
Now, if someone has a creatinine clearance of 80, that means that they have about...80% kidney function.
And, if someone has a creatinine clearance of 50, that means that they have about...50% kidney function. (Are you following all of this?)
Many drugs that are eliminated by the kidney will require moderate dosage reductions once a patient's renal function is in the 40-60 range.
Patients in the 20-40 range will typically require very large reductions in dose.
And, patients who are in the 'less than 20' range will often need HUGE dosage reductions for medications eliminated by the kidney (or better yet, they'll need to take medications that are removed by some other organ altogether...if such an alternative is available).
One last tidbit to consider. Renal function declines as people age. No getting around that. But, the rate of decline is different for different people. By the time you're 50 years old, there is a reasonable chance you'll have moderate renal function (or worse)...by the time you're 80, you'll almost certainly have some important degree of renal impairment... and you probably won't even know it or feel it.
Now that you know more renal physiology than you ever, EVER wanted to know...let's get back to the main thread of this article...medication safety.
If you (or a loved one) are at risk for having decreased kidney function (and I'll tell you who such folks are in just a second), you need to step up to the plate and get a handle on this issue (because there is a very good chance that your physician and pharmacist either didn't have renal function data or didn't consider it when coming up with a dosage for you).
Here are the steps I recommend for everyone taking prescription or over-the-counter medications:
1) For everyone: If you have access to the results of a recent serum creatinine test (it is probably part of your annual physical and you may have gotten a copy), memorize it or write it down and then say to your physician or pharmacist when you get a medication, 'Say, I think my serum creatinine is about X. So, does this medication need any dosage adjustment in order to be safe for me?
2) If you are in one of the following categories, you should expect your physician and pharmacist to have considered your renal function before dosing a medication:
So you might say to your physician or pharmacist, 'Is this drug removed by the kidney, because I have condition X that could decrease kidney function and I just want to be safe.' If the drug is removed by the kidney, you might also ask the physician or pharmacist to tell you what your serum creatinine is...and if he or she does not have this information, a big red flag should be going up in your head.
3) If you are not in one of the categories in question 2 and you don't have a serum creatinine available, don't worry. You're probably safe. But you may want to ask your physician if there is a serum creatinine in your chart and if so, what it is.
4) If you are on dialysis of any sort, serum creatinine is not all that useful for dosing medications. Just make sure your physician and pharmacist are aware that you are on dialysis and perhaps ask, 'Now is this the usual dose for someone on dialysis?'
These are some of the steps I hope you will consider the next time you get a prescription or over-the-counter medication so you can be sure that that you (or your loved one) are getting the right dose.
© 2004 Timothy McNamara, MD, MPH
About The Author
Timothy McNamara, MD, MPH is a nationally prominent expert in medication safety and healthcare technology. For additional practical steps you can take to improve medication safety and a personalized report of your medication profile, go to: http://www.medicationadvisor.com/art2.asp
Facebook's controversies now extend to health and medicine issues STAT
Taken together, Facebook's raging health-related headaches highlight the deep sense of distrust with which many people now regard the site.
Diabetes remains dangerous despite modern medicine Medical Xpress
Despite medical advances, having diabetes is still linked to a higher risk of dying from cardiovascular disease, new research shows.
Inclusive emergency medicine conference launches in north Idaho EMS1.com
The New Frontier Emergency Medicine event brings together physicians, nurses and EMS providers to learn the latest in emergency care.
Paramedic medicine bill clears House committee once more Mankato Free Press
ST. PAUL â€” Nine-year-old Bailey Johnson had a simple message for lawmakers: She needed Minnesota's paramedics to be able to administer medicine that ...
Clean your medicine cabinet FOX 59 Indianapolis
All week long we are sprucing up before spring! Getting rid of clutter in the pantry. Makeup drawers and today your medicine cabinet. Dr. Kristine Nanagas is a ...
Foundational research conducted in the Carver College of Medicine Iowa Now
A new gallery of biomedical research images is on display on the ground floor of the Carver Biomedical Research Building. The images, each measuring 5 feet ...
Family Medicine Tops the List in Osteopathic Match AAFP News
Thirty-four percent of matches made during this year's final American Osteopathic Association Intern/Resident Registration Program Match were to family ...
Georgia Sports Medicine brings in new sports medicine specialist The Albany Herald
TIFTON â€” Georgia Sports Medicine has announced that sports medicine specialist Dr. Celestine Nnaeto has joined the practice to provide evaluations and ...
Denver-Area Dispensary Chain Medicine Man Opens New Location in Longmont Westword
Another Denver-based dispensary chain has stretched its arms farther across Colorado: Medicine Man will open its fourth dispensary in Longmont today, ...
Kaiser Permanente School of Medicine to Waive Tuition Through 2024 Fortune
Kaiser Permanente will open a new medical school in 2020 that, at least initially, could save prospective doctors boatloads of cash. The health care company ...
Stockpiling Medicine Ahead of Brexit? Ireland's Deputy Prime Minister Says Please Don't Fortune
Irish residents do not need to stockpile medicine, the country's deputy prime minister, Simon Coveney told RTE radio. While the U.K. supplies a lot of Ireland's ...
Baby, then work: An effort to help resident-parents in emergency medicine Scope
Spurred by former resident June Gordon, Stanford Emergency Medicine offers a new policy for residents who are pregnant or returning to work following birth.
About Medicine: Cardiac rehabilitation can save lives Ravalli Republic
In celebration of American Hearth Month in February, let's talk about cardiac rehabilitation. What is it? Who needs it? How long does it last? What are the benefits ...
UW Medicine explains 'data error' that shared patient info KING5.com
UW Medicine Chief Medical Officer Dr. Tim Dellit shares details of a â€śdata errorâ€ť where information for approximately 974000 patients was exposed.
Personalized Medicines Account for 42% of All Drug Approvals in 2018 - AJMC.com Managed Markets Network
Personalized Medicines Account for 42% of All Drug Approvals in 2018 AJMC.com Managed Markets Network
More than one-third of the therapies the FDA approved in the last 2 years includes information on the label identifying patients would benefit the most or ...
A Love of Medicine: Retired Midland physician shares story Midland Daily News
Dr. Charles Sanislow speaks of his decades long career in medicine with love. He recently retired as medical director of the Vascular Lab at MidMichigan ...
Man convicted of practicing medicine without a license in Harbor Gateway boyâ€™s death - The Daily Breeze
Man convicted of practicing medicine without a license in Harbor Gateway boyâ€™s death The Daily Breeze
LOS ANGELES â€” A herbalist was convicted Wednesday of practicing medicine without a license in connection with the death of a 13-year-old diabetic boy from ...
Medscape Family Medicine Physician Lifestyle, Happiness & Burnout Report 2019 Medscape
Burnout is an ongoing part of many physicians' lives, and for some it can even lead to suicide. This part of Medscape's Lifestyle Report looks at how often family ...
Myanmar holds traditional medicine research congress in central city - Xinhua | English.news.cn - Xinhua
Myanmar holds traditional medicine research congress in central city - Xinhua | English.news.cn Xinhua
YANGON, Feb. 21 (Xinhua) -- Myanmar has held its 9th Traditional Medicine Research Congress in Mandalay city in the central part to boost the use of such ...
A scholarship to foster future leaders in evidence based medicine The BMJ
BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l775 (Published 20 February 2019) Cite this as: BMJ 2019;364:l775. Article; Related *content*; Metrics; Responses ...
Gilbert doughnut shop cited for using empty medicine bottle to cut dough AZCentral
Get details on restaurants cited by Maricopa County inspectors for four or more priority violations the week of Jan. 28. A priority violation is a major violation that ...
Artificial Intelligence in Medicine Market to Reach $18.12 Billion by 2025 at 49.6% CAGR, Says AMR - GlobeNewswire
Artificial Intelligence in Medicine Market to Reach $18.12 Billion by 2025 at 49.6% CAGR, Says AMR GlobeNewswire
According to the latest report by Allied Market Research, the global artificial intelligence in medicine market is anticipated to grow at a CAGR of 49.6% from 2018 ...
Sex And Medicine, Part 1: Push for Personalized Medicine Propels New Understanding Of Sex Differences - KJZZ
Sex And Medicine, Part 1: Push for Personalized Medicine Propels New Understanding Of Sex Differences KJZZ
With the rising interest in personalized and precision medicine, medical science has been increasingly waking up to the need for more comprehensive research ...
Sidra Medicine appoints chair of diagnostic imaging dept READ MORE Gulf Times
Sidra Medicine, the specialist women's and children's hospital, has appointed Dr Catherine Owens as the chair of the Department of Diagnostic Imaging.
Conference focuses on regenerative medicine UTSA The Paisano
The Fifth San Antonio Conference on Stem Cell Research & Regenerative Medicine took place Feb. 7 and 8 at the Wyndham Garden Riverwalk Hotel.
What to do about that annoying cough? The case against cough medicine Daily Nation
Coughs become especially troublesome when they linger for weeks on end.
Medscape Public Health & Preventive Medicine Physician Lifestyle, Happiness & Burnout Report 2019 - Medscape
Medscape Public Health & Preventive Medicine Physician Lifestyle, Happiness & Burnout Report 2019 Medscape
Burnout is an ongoing part of many physicians' lives, and for some it can even lead to suicide. This part of Medscape's Lifestyle Report looks at how often public ...
Carle Illinois College of Medicine hoping to foster healthy competition with 'Make-A-Thon' - Champaign/Urbana News-Gazette
Carle Illinois College of Medicine hoping to foster healthy competition with 'Make-A-Thon' Champaign/Urbana News-Gazette
URBANA â€” About 7.7 billion people live on Planet Earth, and to health experts at the University of Illinois, that's a world of untapped potential.On a mission to ...
When Will The Editas Medicine Slide End? Seeking Alpha
EDIT has slid since the announcement of its CEO resignation in mid-January, continuing a downward trend since last summer. EDIT has promising works in its ...
Kaiser Permanente School of Medicine to Open Summer 2020 NBC Southern California
The Kaiser Permanente School of Medicine announced today that it has received preliminary accreditation from the Liaison Committee on Medical Education ...
Fox Valley Family Physicians join Northwestern Medicine Regional Medical Group - Chicago Daily Herald
Fox Valley Family Physicians join Northwestern Medicine Regional Medical Group Chicago Daily Herald
WINFIELD -- Fox Valley Family Physicians announced it has joined Northwestern Medicine Regional Medical Group. With six physicians and locations at 2425 ...
Sue Siegel to Keynote 2019 Bioelectronic Medicine Forum PRNewswire
NEW YORK, Feb. 20, 2019 /PRNewswire/ -- Neurotech Reports, the publisher of the Neurotech Business Report newsletter, announced that Sue Siegel, Chief ...
NYU to open tuition-free medical school on LI Newsday
New York University plans to open an accelerated, tuition-free medical school in Mineola in July with a focus on training primary care physicians, university ...
Medscape Emergency Medicine Physician Lifestyle, Happiness & Burnout Report 2019 Medscape
More than 15000 physicians told Medscape how they feel about burnout and depression, as well as how they attain happiness and enjoy their lives.
Chloe Barber following a practical path to medicine The Australian
Chloe Barber averaged more than 90 per cent in each of her Year 12 subjects after a difficult start to her final two years of high school.
Pros and cons of concierge medicine: Why experts say itâ€™s not for everyone WMC
Concierge medicine gives patients with chronic conditions unfettered access to their doctors, but experts say it's not for everyone.
Review: Swell 4.0 â€“ Music as Medicine | ArtsHub Australia ArtsHub
A live-music experience that puts you front and centre of making, listening, sharing and reminiscing about music that moves.
David Pruette, MD joins Core Pediatric & Adolescent Medicine in Epping Foster's Daily Democrat
EPPING â€“ David Pruette, MD has joined Core Pediatric & Adolescent Medicine at their Epping, NH location and is now accepting new patients from birth through ...
Jo Koy: Laughter Is 'Good Medicine' Aspen Public Radio
Comedian Jo Koy comes to town this weekend for the Aspen Laugh Festival. Koy calls himself a storyteller who draws on his family in his comedy.
Dr. Dick Kuo named chair of emergency medicine Baylor College of Medicine News
Dr. Dick Kuo, professor of emergency medicine, has been named chair of the Henry J.N. Taub Department of Emergency Medicine at Baylor College of ...
Reading aloud is good medicine for all Smoky Mountain News
Coverage of music and the arts plus upcoming events in western North Carolina.
Geneva Cyclones hockey coach sues Meijer for wrong heart medicine Kane County Chronicle
GENEVA â€“ A hockey coach for a Geneva youth team is suing Meijer for more than $700,000 after a pharmacist gave him the wrong heart medication, resulting in ...
Global Aesthetic Medicine And Cosmetic Surgery Market Business Overview, Challenges, Opportunities, - PharmiWeb.com
Global Aesthetic Medicine And Cosmetic Surgery Market Business Overview, Challenges, Opportunities, PharmiWeb.com
The report gives the research-based overview of on Global Aesthetic Medicine And Cosmetic Surgery Market 2019 size, industry status and forecast, competition ...
Spotlight: Turkey faces shortages of medicine due to currency fluctuations - Xinhua | English.news.cn - Xinhua
Spotlight: Turkey faces shortages of medicine due to currency fluctuations - Xinhua | English.news.cn Xinhua
ANKARA, Feb. 20 (Xinhua) -- The currency depreciation happened last year is still influencing Turkey's medicine market, as drug companies reduced supply to ...
How Machine Learning Is Crafting Precision Medicine Forbes
edicine has become more and more individualized since the days of leeches and humors, but in the last 15 years, an explosion of patient data in the form of ...
Here's How To Make A Medicine Ball Drink At Home, According To Starbucks Elite Daily
I gotta say, February is â€” by far â€” my least favorite month of the year. Aside from the fact that it's freezing cold, it's also flu season, and there's truly nothing I ...
Navy Medicine West Sweeps 2018 Patient Administration Officer of the Year Awards DVIDS
Two officers from Navy Medicine West (NMW) were named the senior and junior Navy Medicine 2018 Patient Administration Officers of the Year, Feb. 19.
Medicine Ball Caravan: February 20, 2019 KRVS
Wednesday's MEDICINE BALL CARAVAN on KRVS (11am-noon Central Standard on 88.7FM or krvs.org ) airs recent tracks from The Cactus Blossoms, Megan ...
What's The Right Dose Of Medicine For Kids? : Shots - Health News NPR
It's the middle of the night and you wake up to the disturbing sound of your little one crying and sniffling with a cold, sore throat or fever. And, if you're like many ...
Baylor St. Luke's adopts new Parkinson's disease treatment Baylor College of Medicine News
New technology in deep brain stimulation is making treatment of Parkinson's disease more precise and easier to maintain for the millions of people living with ...
Venezuelans smuggling medicine, food across Colombia border in order to feed themselves, families | Watch News Videos Online - Globalnews.ca
Venezuelans smuggling medicine, food across Colombia border in order to feed themselves, families | Watch News Videos Online Globalnews.ca
Venezuelans have turned to hauling items like food and medicine across the Colombia border to sell in order to buy food to feed themselves and their families ...
Gov. Northam's Blackface Scandal Points To Medicine's Racism Problem : Shots - Health News NPR
The media attention around a racist photo on Virginia Gov. Ralph Northam's medical school yearbook page sheds light on the larger problem of how racism ...
WVU Medicine taking big step into Western Pa. Observer-Reporter
WVU Medicine is expanding its footprint into Greene and Fayette counties.
He hunted for gold-standard research on AI in medicine â€” and didn't find much STAT
Eric Topol of the Scripps Research Institute talks about the potential of artificial intelligence in medicine â€” and how much hype is out there.
Welcome to the war zone: Cape Town trauma doctors adopt battlefield medicine TimesLIVE
Violence is getting so intense in the Western Cape that trauma specialists are increasingly using "war-zone" medical strategies in their efforts to save lives.
Travel - The birthplace of modern medicine BBC News
Padua, Italy, was at the forefront of a shift to scientific consciousness that allowed the real picture of human anatomy to emerge for the very first time.
Noida Robbers Get a Taste of Their Own Medicine After Falling From Bike With Stolen Cash News18
Noida: Robbers looting an estimated Rs 40 lakh from an ATM on Tuesday ran out of luck as they fell down from their motorcycle while trying to flee but the drama ...
A Better Pillâ€”Internal Delivery Devices May Help Patients Take Their Medicine - Scientific American
A Better Pillâ€”Internal Delivery Devices May Help Patients Take Their Medicine Scientific American
Scientific American is the essential guide to the most awe-inspiring advances in science and technology, explaining how they change our understanding of the ...
Vet given key appointment at Royal Society of Medicine vet times
Louise Clark â€“ a European specialist in veterinary anaesthesia and analgesia, and head of anaesthesia at Davies Veterinary Specialists â€“ has been appointed ...
Meet the Cast of Bravo's New Show 'Married to Medicine: Los Angeles' The Cheat Sheet
Married to Medicine is coming to Los Angeles. Bravo is getting ready to roll out a West Coast version of its popular Atlanta-set show. Similar to the original, ...
Health-related Google searches doubled in week before ER visits EurekAlert
Health-related internet searches doubled during the week before patients visited an emergency department, according to a new study from researchers at Penn ...
Obeticholic Acid Could Become First Approved Medicine for Liver Fibrosis From NASH P&T Community
REGENERATE, a pivotal phase 3 study of obeticholic acid (OCA) by Intercept Pharmaceuticals, Inc., has demonstrated positive results in patients with liver ...
Complementary medicine use remains hidden from conventional medicine providers Science Daily
Research reveals that 1 in 3 complementary medicine (CM) users do not disclose their CM use to their medical providers, posing significant direct and indirect ...
Third cycle of 'Path Towards Personalised Medicine' launched The Peninsula Qatar
Qatar Genome Program (QGP) and Qatar National Research Fund (QNRF), both members of Qatar Foundation, have launched the third cycle of the 'Path ...
UNC School of Medicine Experts to Present New Research at AAAAI and SRNT Annual Meetings in San Francisco - Business Wire
UNC School of Medicine Experts to Present New Research at AAAAI and SRNT Annual Meetings in San Francisco Business Wire
The Society for Research on Nicotine and Tobacco (SRNT) conference along with the American Academy of Allergy, Asthma and Immunology (AAAAI) ...
Dr. Louise Pilote to coordinate a new personalized medicine project, GOING-FWD : Med e-News - McGill Reporter
Dr. Louise Pilote to coordinate a new personalized medicine project, GOING-FWD : Med e-News McGill Reporter
International consortium aims to maximize risk prediction through the integration of sex and gender analysis in research. Source: MUHC. A new research ...
Blackface is just a symptom of American medicineâ€™s racist past Washington Post
The study of medicine is rife with racist assumptions and experiments that still shape health outcomes today.
Which Is The Best Path To Medicine: MD Vs. DO Forbes
The majority of physicians in America are MDs (Doctor of Medicine), but a growing number of medical students are choosing to go the route of DO (Doctor of ...
'Leading the Charge' on Racism, Sexism, Activism in Medicine Medscape
Emergency medicine doctor and 'public health guru' Esther Choo on racism, sexism, inequity, and inclusion in medicine.
St Albans pharmacists speak out on medicine supply shortages Herts Advertiser
Pharmacists have spoken out about coping with a supply shortage of popular medicines.
Laughter may be best medicine -- for brain surgery: Effects of electrical stimulation of cingulum bundle - Science Daily
Laughter may be best medicine -- for brain surgery: Effects of electrical stimulation of cingulum bundle Science Daily
Neuroscientists have discovered a focal pathway in the brain that when electrically stimulated causes immediate laughter, followed by a sense of calm and ...
Don't Give Kids Or Teens Cough Syrup With Opioids: Health Canada HuffPost Canada
It could be a risk factor for problematic substance use later in life.
County drafts Medicine Bow Road and Bridge building plan Rawlinstimes
RAWLINS â€” Plans for a new Medicine Bow facility have been drafted and approved by the Carbon County Commissioners on Tuesday in preparation for ...
Medicine Hat Chamber of Commerce advocating 'National Day of Action' CHAT News Today
Your browser does not support HTML5 MP4 video playback. Please use a different browser to watch this video, or install/upgrade the Flash Player. Your browser ...
Work continues on new WVU Medicine Children's tower wajr
MORGANTOWN, W.Va. â€” After breaking ground in June, earth work continues ahead of a 155-bed tower that will be home to WVU Medicine Children's.
European Medicines Agency loses battle to end UK lease over Brexit The Guardian
The European Medicines Agency has lost a high court battle to cancel its ÂŁ500m long-term office lease in London to move to Amsterdam because of Brexit.
Budget: More bitter medicine, worse prognosis â€“ Pieter Groenewald - POLITICS Politicsweb
Budget: More bitter medicine, worse prognosis. 20 February 2019. Today's budget has brought more bitter medicine to the country's taxpayers, while the ...
Richard Smith: The most devastating critique of medicine since Medical Nemesis by Ivan Illich in 1975 - The BMJ - The BMJ
Richard Smith: The most devastating critique of medicine since Medical Nemesis by Ivan Illich in 1975 - The BMJ The BMJ
Seamus O'Mahony, a gastroenterologist from Cork, has written the most devastating critique of modern medicine since Ivan Illich in Medical Nemesis in 1975.
Regenerative medicine growing strong in Northeast Ohio, elsewhere Crain's Cleveland Business
Record investment, new partnerships and strong M&A activity have created a surge of momentum in the industry. What's the impact for biotech firms here?
New Study Pinpoints Why Sleep Is Often the Best Medicine Psychology Today
Researchers in Germany have identified why sleep is often the best medicine and why sleep deprivation can increase someone's odds of getting sick.
Companies dealing with climate change, precision medicine could produce next multibaggers - Moneycontrol.com
Companies dealing with climate change, precision medicine could produce next multibaggers Moneycontrol.com
Future multibaggers are going to come from those companies who solve climate change, or precision medicine to cure cancer. Water purification and anything ...
Quad Webb-Lunceford Fans Want Her Back on 'Married to Medicine', Star Gives Vague Response - Atlanta Black Star
Quad Webb-Lunceford Fans Want Her Back on 'Married to Medicine', Star Gives Vague Response Atlanta Black Star
Since the explosive "Married to Medicine" season 6 reunion aired in December, Quad Webb-Lunceford has been hard at work on her other jobs, specifically her ...
Mushrooms as Medicine? Psychedelics May Be Next Breakthrough Treatment Healthline
From treating depression to helping manage alcohol addiction, researchers say legal medical â€śmagic mushroomsâ€ť have many potential benefits.
Man steals cancer medicine for 14-year-old boy from family's front porch WTOC
A porch pirate snatched Gage Hayne's cancer medicine minutes after it was delivered on his mother's porch.
Pharmacist uses snowmobile to deliver medicine for snowed-in customers CNN
With temperatures in the danger zone and snow blocking driveways, a Michigan pharmacist got creative in delivering prescriptions to her customers.
Developers want cooling measures eased, Heng Swee Keat says 'bitter medicine' unavoidable at times - TODAYonline
Developers want cooling measures eased, Heng Swee Keat says 'bitter medicine' unavoidable at times TODAYonline
SINGAPORE â€” As developers urged the Government to review certain property cooling measures, Finance Minister Heng Swee Keat said on Tuesday (Feb 19) ...
Baystate Mary Lane in Ware opens Wound & Hyperbaric Medicine Center MassLive.com
WARE -- Baystate Health underscored its commitment to keeping Baystate Mary Lane Outpatient Center in business with the opening of its Wound & Hyperbaric ...
Police hope public can ID man who stole teen's chemotherapy medicine KLAS-TV
Metro Police are looking for the man who stole a 14-year-old boy's chemotherapy medicine last week.
'They have no medicine or food': Venezuela's healthcare crisis Al Jazeera English
A hospital in Venezuela has said 14 children have died this week following an outbreak of amoebiasis, a form of dysentery transmitted by contaminated food or ...
State Florida Board of Medicine eyes plastic-surgery centers Christine Sexton, The News Service of Florida - WPTV.com
State Florida Board of Medicine eyes plastic-surgery centers Christine Sexton, The News Service of Florida WPTV.com
Days after a state senator filed legislation to increase regulation of surgery centers, members of the Florida Board of Medicine agreed to revisit rules allowing ...
Diabetic amputee growing ganja as medicine, arrested Trinidad & Tobago Express
A MAN who lost his left leg due to diabetes and decided to grow and use marijuana for the medical condition, begged the court to â€śpretty pleaseâ€ť have mercy on.
Counterfeit medicines, from headache pills to cancer drugs, have become a multibillion-dollar problem - CBC.ca
Counterfeit medicines, from headache pills to cancer drugs, have become a multibillion-dollar problem CBC.ca
A closer look at the day's most notable stories with The National's Jonathon Gatehouse: counterfeit drugs that have little medicinal value, and in some cases can ...
Why Is Medicine So Expensive? | by Daniel J. Kevles The New York Review of Books
Martin Shkreli, the former head of Turing Pharmaceuticals, outside the federal courthouse in Brooklyn after he was found guilty of fraud, August 2017.
Buy Electric Wheelchairs Online
Electric wheelchairs mobility for virtually any type of disability.Innovations have made control of electric wheelchairs manageable for everyone.
The Top Seven Myths About Arthritis
Myth #1: "Nothing can be done about arthritis..
Hemorrhoids Treatment - A Variety of Options
A variety of options exist for hemorrhoid treatment including surgery, herbal remedies, and hemorrhoid creams that provide temporary relief of symptoms. While prevention is the best hemorrhoid cure, treatment of hemorrhoids is critical to avoid more serious complications.
Acid Reflux and Your Diet
There is an undeniable connection between the occurrence of acid reflux and diet. Everything in your body has a delicate balance.
Medical Testing: Health By The Numbers Doesnt Work
Perhaps one of the most insidious dangers in modern technology is medical testing. Although it would be nice to be able to visit our doctor and get all hooked up with electrodes, inflatable cuffs, probes, needles and catheters and have a read-out telling us exactly how we are working and where there is a problem, that is a myth, not the reality.
Family Notification in Seven Quick and Easy Steps
The Seven Steps to Successful Notification is an easy-to-use system based on time-tested tools successfully used by hospitals nationwide. It provides your hospital staff with all of the steps necessary to:? Identify and locate your unconscious patient's next of kin or surrogate decision maker.
Affordable Drugs: Saving Money by Splitting Pills
One of the least appreciated cost-savers in medical treatment is the simple act of splitting pills. Suppose you're a U.
Over The Counter Pain Medication: How To Choose The Right Drugs
With the recent front-page news about the possible hazards of pain medications, you may be taking a look at your over-the-counter (or OTC) pain medications with a wary eye. While all drugs, including those you don't need a prescription for, can be dangerous, some basic knowledge can help you avoid the pitfalls for the pain relief you need.
How to Remove the Psychological Addiction to Smoking - and Start to ENJOY Giving Up Smoking!
Consider this:Already since 1972, over 60 million people in the USA alone have successfully quit smoking!At one stage over 60% of the adult population was addicted to this drug. Today it is 28% and dropping.
Cetyl Myristoleate for Arthrtis: Science or Speculation
There are a lot of fabulous stories about Cetyl Myristoleate (also known as CMO or CM) floating across the Internet. Mine is one of them.
Meridia Lawyer: Meridia Diet Pill Side Effects
Following the recall of Fen-Phen and Redux in 1999 (two diet drugs that cause heart valve diseases) Meridia was released. Meridia is a diet drug similar to the ones that were recalled.
Thimerosal: Autism and Mercury Poisoning Side Effects?
Thimerosal is a preservative that is added to vaccines (has been since the 1930s) that is almost half (49.6% by weight) mercury.
Paxil Recall Lawyer Discusses Paxil Addiction
Paxil went on the market in 1992 at the height of antidepressant drug popularity. It is a member of the class of antidepressants called selective serotonin reuptake inhibitors, or SSRIs.
Bextra and Vioxx -- Tips for Arthritis Relief Without Them
The recent withdrawal of Vioxx and Bextra from the marketplace, due to concerns over unwanted side effects, has many arthritis sufferers concerned. These drugs, which belong to a powerful class of non-steroidal anti-inflammatory drugs known as COX-2 inhibitors, are quite effective at fighting the pain and inflammation of arthritis.
Signs of Suicide : Learn What They are and How to Deal with Them
The true numbers are probably much higher because many suicides are reported as accidents or illnesses. Suicides are usually the result of a complex combination of emotional, social, and biological factors.
Relafen: A New Drug with an Old Danger
Individuals who regularly take Relafen (nabumetone) or other anti-inflammatory medications, either for arthritis, joint pain, or other indications, should be aware of severe adverse health implications that can potentially result from prolonged use. Relafen is usually prescribed for osteoarthritis or rheumatoid arthritis to reduce pain, inflammation, and stiffness, but can also be prescribed for other purposes.
Neurontin Lawsuit: Neurontin Off-Label Abuse Lawyer
Pfizer is currently marketing Neurontin as an oral medication for managing postherptic neuralgia, the pain that lingers after shingles has healed. This is an FDA-approved use, and studies have shown that Neurontin works to reduce patients' pain.
Chronic Head, Facial, Or Neck Pain That Won't Go Away - Could It Be TMJ?
I stumbled across TMJ when I needed treat a literal pain in the neck that would not go away. It seemed that the pain in my neck came from my jaws.
Toenail Fungus: Tips For Treatment
The medical term for toenail fungus is "onychomycosis," pronounced on * EE * ko * my * ko * sis. Despite the commonly used term "fungal toenails", onychomycosis describes both fungus and yeast infections in the nail.
22 Inside Tips on How You Can Make Your Arthritis Medicines Work Twice as Effectively in Half the..
This report will give you 22 important tips to make sure that you're getting the very best out of your arthritis treatment program.1.
|home | site map | Dr. Thad Thomas|