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The Pharmaceutical Journal Vol 267 No 7176 p767-773
1 December 2001


News summary

R & D   News in brief

Four per cent more after 10 years is "pitiful recompense", says Sue Sharpe
A four per cent real terms increase in remuneration over 10 years is pitiful recompense for the cost of dispensing 44 per cent more prescriptions, says Sue Sharpe, chief executive of the Pharmaceutical Services Negotiating Committee...[more]

Minister gets cool reception at NPA triennial dinner Hazel Blears, Parliamentary Under-Secretary of State for Health, was given a cool reception when she spoke to the National Pharmaceutical Association's triennial chairman's dinner held earlier this week...[more]

Pharmacy records confirm protective benefit of NSAIDs against Alzheimer's Computerised pharmacy records in the Netherlands have been used to show that the long-term use of non-steroidal anti-inflammatory drugs protects against Alzheimer's disease...[more]

Study smoothes POM to P switch The first pharmacy-based actual-use trial to be conducted in Europe (designed to support the deregulation of a prescription-only medicine to pharmacy status) was described this week by Dr Joseph Veltri, chairman, Pegus Research Inc, Utah, at the United Kingdom Clinical Pharmacy Association autumn symposium in Blackpool...[more]

Health Committee to investigate NICE The House of Commons Health Select Committee is to hold a short inquiry into the National Institute for Clinical Excellence and its work during January...[more]

NICE seeks citizens council members The National Institute for Clinical Excellence is to seek up to 30 members of the public to serve on its citizens council...[more]

NICE: "yes, but" rather than "no" The National Institute for Clinical Excellence can be characterised as saying "yes, but" to new health technologies rather than just saying "no", according to a review of its first 22 reports by health economist Professor James Raftery of the Health Services Management Centre, University of Birmingham...[more]

Influenza vaccination does not worsen asthma Administering inactivated influenza vaccine to adults and children with asthma, including those with severe asthma, is safe, say researchers from the United States...[more]

WTO reaches agreement on drug patents The World Trade Organization has reached an agreement among its members that should make it easier for developing countries to gain access to medicines that are still under patent...[more]

Wales budgets for beta interferon The National Assembly for Wales has set aside £1.7m a year for the next three years to pay for beta interferon for patients with relapsing recurring multiple sclerosis...[more]

France tries to curb antibiotic use The French government has launched a Fr190m (£19m) programme to reduce antibiotic misuse...[more]

EC fines vitamins cartel euro855m The European Commission has fined eight pharmaceutical and chemical manufacturers a total of euro855m (£530m) for taking part in a cartel to fix the price of bulk vitamins as raw materials for supplements and foodstuffs...[more]

Self-monitoring in type 2 diabetes causes stress Self-monitoring of blood glucose is associated with higher glycosylated haemoglobin (HbA1c) levels and psychological burden in patients with type 2 diabetes who are not treated with insulin, say researchers...[more]

More patients get free medicines from pharmacies over the counter A scheme to allow patients who do not pay prescription charges to get free treatment for minor conditions from pharmacies without troubling a general practitioner for a prescription has been extended in Merseyside...[more]

Diabetes review wins student award A review of the services community pharmacists can provide to patients with diabetes has won two students from Sunderland school of pharmacy the first Pfizer Consumer Healthcare Pharmacy School award...[more]

Society fee complaint by young pharmacists The Royal Pharmaceutical Society has not done enough to justify the large increase in next year's retention fees for members, according to the leaders of the Young Pharmacists Group and the British Pharmaceutical Students Association...[more]

New name for WCCC The Welsh Central Contractors Committee was relaunched as Community Pharmacy Wales at a reception at the National Assembly for Wales on 21 November...[more]

Early monitoring predicts response to HIV treatment Assessing changes in human immunodeficiency virus (HIV) levels as early as one week after the start of therapy can be used to predict the long-term effectiveness of antiretroviral treatment, say American researchers...[more]


Research & Development

Growth hormone receptor antagonist effective treatment for acromegaly Pegvisomant, a new growth hormone receptor antagonist produced by Sensus Drug Development Corp, is effective in the long-term treatment of acromegaly, a new study has shown...[more]

Pegylated interferon demonstrates long-lasting effect in hepatitis C Peginterferon alfa-2a (Pegasys) shows long-term sustained virological effects in patients with chronic hepatitis C, according to data from ongoing phase III trials...[more]

New drug hope for hepatitis B Trial results suggest that adefovir dipivoxil, a nucleoside analogue under development by Gilead Sciences, holds potential for treating chronic hepatitis B infection...[more]

Antimicrobial peptide provides defence Researchers from the University of California, San Diego, have demonstrated, in vivo, that endogenous expression of a mammalian antimicrobial peptide, cathelicidin, provides defence against Group A Streptococcus infection...[more]

New antithrombotic more effective than enoxaparin in surgical patients Fondaparinux, a new antithrombotic agent, is more effective than enoxaparin in preventing venous thromboembolism in patients who have had hip fracture surgery, a new study shows. It is also more effective in patients who have undergone elective major knee surgery...[more]

Measles, mumps, rubella and chickenpox combination vaccine in trials in Europe Trials of a quadruple vaccine combining measles, mumps, rubella and varicella vaccines are currently underway in Europe, but not in the United Kingdom...[more]

Peptide injection prevents progression of diabetes An immunomodulatory petide, DiaPep277, developed by Peptor, prevents further destruction of insulin-producing pancreatic beta cells in patients with newly diagnosed diabetes, a phase II trial shows...[more]


Structure of MAO B elucidated The crystalline structure of human monoamine oxidase B (MAO B) has been elucidated by Claudia Binda, University of Pavia, Italy, and colleagues.

The researchers reveal structural insights into the enzyme and say that these should be valuable in designing future inhibitors that would specifically target each form of MAO (to be published in the January 2002 issue of Nature Structural Biology).


NEWS IN BRIEF

Lloyds design award The rebranding of the Lloydspharmacy chain, after the merger of Hills Pharmacy and Lloyds Chemists, has won the company the corporate and brand identity category of the DBA International Design Effectiveness awards. Around 800 of the 1,300 pharmacies are expected to be rebranded by the end of 2001.


IDIS distribution centre IDIS World Medicines, a specialist medicines importer, has opened a 6,000 sq ft distribution centre near its head office at Surbiton, Surrey. The new facility can handle 3,000 stock lines, including refrigerated and frozen items. The centre has been built to meet increasing demand for the company's services.
 

ADRs under reported by GPs General practitioners under-report suspected adverse drug reactions associated with newly marketed drugs, a new study shows. Researchers at the Drug Safety Research Unit, Southampton, used prescription-event monitoring to determine what types of ADRs were being under-reported by family doctors. They found that 53 per cent of events classified as serious were reported to the Committee on Safety of Medicines. However, overall, only 9 per cent of ADRs were reported, indicating that GPs selectively report suspected reactions (Lancet 2001;358:1872).

Standards for diabetes NSF The Diabetes National Service Framework standards are expected to be published this year. Responding to a Parliamentary question about the expected date of publication for the delayed NSF, Lord Hunt, Parliamentary Under-Secretary of State for Health, said that the standards would be published "this autumn" and that an implementation group would be set up to develop a delivery strategy. The agreed delivery strategy will be published next summer, he said.

Frequent eating lowers lipid levels Eating frequently is associated with lower concentrations of total cholesterol and low density lipoprotein cholesterol, new data indicate. Researchers from Cambridge used data from a population based study to determine the relation between self reported eating frequency and serum lipid levels. They found that mean cholesterol levels differed by about 0.15mmol/L between people eating more than six times a day and those eating once or twice daily (BMJ 2001;323: 1286).

Hormones and chronic migraine An abnormal pattern of hypothalamic hormonal secretion is seen in patients with chronic migraine, say researchers. In a study involving 17 chronic migraine sufferers and nine healthy volunteers, they saw a decreased night-time prolactin peak, increased cortisol concentrations and a delayed night-time melatonin peak in the migraine sufferers. In addition, those with chronic migraine and insomnia had lower melatonin concentrations than those without chronic migraine (Journal of Neurology, Neurosurgery and Psychiatry 2001;71:747).

Patients accept risk of bleeding Research has shown that patients who are candidates for antithrombotic treatment place more value on the avoidance of stroke and less on the avoidance of bleeding than the doctors who treat them (BMJ 2001;323:1218).


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