Pediatrician and compounding pharmacist: a dangerous liaison

Article Abstract:

Some pharmacists are making up their own drug formulations or modifying manufactured drugs, a practice that increases profits but can be dangerous for patients. Compounding pharmacists may use drugs that do not meet FDA quality standards, which means impurity levels and toxicity may differ. Adding flavors or reformulating the drugs as lollipops, lozenges, or popsicles can hasten decomposition because it alters the pH, adds water, or exposes the drug to the air. If the drug was designed to be swallowed all at once, reformulation as candy or popsicles may change the absorption rate. Some pharmacists make their own sustained release products, which may lead to higher or lower blood levels than is safe or effective. Inhalation fluids may be contaminated, unlike manufactured ones, which are sterile. Moreover, the active ingredients in inhalation fluids are chemically tricky and easily degraded.

Research, Pharmaceutical ethics

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Parental human immunodeficiency virus infection: new challenges for the pediatrician

Article Abstract:

Parental HIV infection introduces new stressors for poor families that create new problems for children. Pediatricians must rise to the challenge. With AIDS-infected parents, the primary caretaker changes over time, AIDS-related services must be coordinated with the more common types of health and social services, and the disease may be shrouded in secrecy. Additional pediatric issues arise around disclosing the illness, grieving, and making the transition to new caretaking arrangements. Meanwhile, managed care programs may have little incentive to provide the necessary services.

Social aspects, Editorial, HIV infection, HIV infections, Family, Poor children

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Pharmacy-Based Evaluation and Treatment of Minor Illnesses in a Culturally Diverse Pediatric Clinic

Article Abstract:

Pharmacist may effectively evaluate and treat minor illnesses in immigrant children, improving their access to medical care. Researchers evaluated a pilot program in which 191 children were evaluated by pharmacists for cough, cold, head lice, diaper rash, vomiting, or diarrhea. No unexpected outcomes occurred, patients typically received service in under 15 minutes, and patients were satisfied with the care. Immigrant patients were more likely to receive written information from pharmacists than from physicians.

United States, Care and treatment, Statistical Data Included, Pediatric diseases, Children, Diseases, Immigrants, Children of immigrants

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