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Just in time for the 2003/2004 flu season, clinicians will be able to offer their "needle phobic" patients the first cold-adaptive, live-attenuated influenza vaccine (CAIV) that is administered as a nasal spray. The FDA recently approved influenza virus vaccine live, intranasal (FluMist, MedImmune Vaccines/Wyeth Vaccines) for active immunization for the prevention of disease caused by influenza A and B viruses in healthy children and adolescents, 5 to 17 years old, and healthy adults, 18 to 49 years old. The vaccine will be available in pharmacies beginning in the late summer to early fall.

Clinicians who treat persons with Parkinson&s disease will soon be able to offer them the first drug to be approved for the treatment of Parkinson&s in 3 years. The FDA recently approved carbidopa, levodopa, and entacapone (Stalevo, Novartis/Orion Pharma) for the treatment of persons with idiopathic Parkinson&s disease. This new product is indicated as a substitute for immediate-release carbidopa/levodopa and entacapone previously administered as individual drugs, and as a replacement for immediate-release carbidopa/levodopa therapy (without entacapone) when patients experience end-of-dose "wearing-off." Stalevo will be available during the third quarter of 2003.

Rite Aid ordered to pay $250,000 to woman who said information pamphlet on Lyme disease medication told her to take milk and having done so compromised the antibiotic's effectiveness.

Patients with a hereditary form of emphysema caused by alpha-1 proteinase inhibitor (A1PI) deficiency now have another therapeutic option. The FDA recently approved alpha1-proteinase inhibitor (human) [Aralast, Baxter] for chronic augmentation therapy in patients having congenital deficiency of A1PI with clinically evident emphysema. Aralast is currently available exclusively through the specialty pharmacy providers Accredo Health, Caremark, and Coram Healthcare. To obtain more information about Aralast, contact Baxter at (800) 423-2090.

Clinicians who treat persons with Parkinson&s disease will soon be able to offer them the first drug to be approved for the treatment of Parkinson&s in 3 years. The FDA recently approved carbidopa, levodopa, and entacapone (Stalevo, Novartis/Orion Pharma) for the treatment of persons with idiopathic Parkinson&s disease. This new product is indicated as a substitute for immediate-release carbidopa/levodopa and entacapone previously administered as individual drugs, and as a replacement for immediate-release carbidopa/levodopa therapy (without entacapone) when patients experience end-of-dose "wearing-off." Stalevo will be available during the third quarter of 2003.

CMS' ruling that Aranesp and Procrit are functionally equivalent so they should get the same reimbursement is creating a stir among drug companies which feel that one product has more advantages than the other and should deserve more payment.

Clinicians can now offer their patients the first targeted oral therapy to be approved for the treatment of non-small cell lung cancer (NSCLC). The FDA recently approved gefitinib (Iressa, AstraZeneca) as monotherapy for the treatment of patients with locally advanced or metastatic NSCLC after failure of both platinum-based and docetaxel chemotherapies. Gefitinib was reviewed and approved under the Agency?s accelerated approval program. The drug is currently available in pharmacies.

Instead of racking up hours of continuing education, pharmacists should build, implement and evaluate portfolios for continuing professional development and lifelong learning, according to the National Association of Boards of Pharmacy.