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The editors of Drug Benefit Trends interviewed Peter Juhn, MD, MPH, president of the Therapeutic Resource Centers division at Medco Health Solutions, Inc. Click below to hear him discuss the TRC program, launched in 2007, which monitors prescription drug use in patients with specific chronic conditions and is designed to close gaps in care.

Sporotrichosis is a fungal infection that typically results in cutaneous or lymphocutaneous disease, although other, more severe, life-threatening manifestations do occur. This article reviews updated treatment guidelines, which state that itraconazole has become the preferred therapy for most forms of infection. Amphotericin B remains the mainstay of treatment for severe cases, but lipid formulations are now preferred because of their more favorable toxicity profile. Also, fluconazole has been shown to be less effective than itraconazole and is no longer recommended except as an alternative for cutaneous and lymphocutaneous disease. [Drug Benefit Trends. 2010;22:49-52]

The US decision to freeze spending on HIV programs in several African countries has caused concern that some of the progress made in the global AIDS epidemic will be reversed.

Amidst the Democrats floundering to pass their health care reform bill after the balance of power shifted when a Republican won the Massachusetts Senate race, WJ “Billy” Tauzin, a Democrat turned Republican, announced that he will step down in June as head of the Pharmaceutical Research and Manufacturers of America (PhRMA).

A 38-year-old woman presented with bruising and pain of the lower extremities and dyspnea on exertion. She had had these symptoms for 3 weeks. She denied hematuria, melena, hematemesis, fever, or abdominal pain. Results of routine blood work showed a hemoglobin level of 6.4 g/dL (19 months earlier, this level was 15.8 g/dL).

H1N1 Headlines

Time To Avoid Complacency: The Worst May Not Be Over Kaiser Family FoundationAlthough activity in North American is low, Dr Keiji Fukuda of the World Health Organization cautions that it is too soon to say the pandemic is over.

After Republican Scott Brown was elected into the US Senate in January, President Obama acknowledged that his health care reform bill could die on Capital Hill. As many Democrats looked to the White House for guidance about how to keep the bill on a forward path, President Obama seemed less than optimistic about the bill’s passage. At a fundraising event, the President stated “it’s very important for us to have a methodical, open process over the next several weeks, and then let’s go ahead and make a decision.” This statement was miles away from his previous exclamations of “Yes we can.”

Although rapid-cycling bipolar disorder has been linked to the use of antidepressants, these treatments may still have a role in the management of patients with bipolar depression, said Stephen V. Sobel, MD, clinical instructor at the University of California, San Diego School of Medicine, in a presentation at the US Psychiatric and Mental Health Congress in Las Vegas.1 Patients with bipolar disorder spend most of their time in depression, and antidepressants can alleviate the symptoms, he said.