Help for High Blood Pressure

Enter the Polypill.  Researchers want to create a pill a 3 in one that can reduce the risk of heart attack, stroke and high blood pressure in one.  article here
Truth is it has been created or should I say they have been. When we eat whole foods, contained therein is a synergistic blend of vitamins, proteins, amino acids, flavonoids, solar and lunar energy and maybe even (hopefully) love from the gardener. We cannot get this from a pill.

Run This Way

Instead of running from nature, run to nature. Nurture yourself with learning how to live in balance. It’s free. It’s the healthiest choice for yourself and the planet. Give it a try. Polypill? Try basking in the sun, or hugging a dear friend, cook yourself a meal with a big dose of love in it…you’ll be glad you did, for benefits no Polypill could ever provide.

At Continuum Wellness we offer homeopathic care and wellness coaching to promote wholeness, health and well-being.

The new Food and Drug Administration drug package insert: implications for patient safety and clinical care.

Watson KT, Barash PG.
Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut 06520-8051, USA.

The United States Food and Drug Administration (FDA) is the scientific, regulatory, and public health agency that regulates many products, including food products, drugs, medical devices, radiation emitting devices, and cosmetics for the federal government of the United States. The FDA’s mission is to assure that consumer products made and sold in the United States are safe, effective, and pure. The purpose of the package insert (also known as prescription drug product insert or professional labeling) is to provide detailed drug information compiled and distributed by the drug manufacturer, after FDA review and approval.

In 2006, the standard format for the package insert was changed in an attempt to make it more user-friendly and a more efficient resource tool for practitioners.

According to the Institute of Medicine, in-hospital adverse drug reactions occur at a rate of 400,000 per year and incur $3.5 billion of extra hospital expense. It is expected that the new package insert format will enhance rapid access to important pharmacologic information and improve patient safety by decreasing medication errors.

The Calistoga, Calif., couple seem to reflect a trend. With many Americans putting off routine doctor visits and self-medicating to save money, use of alternative treatments is on the rise — even though evidence is often lacking on their safety and effectiveness.

Climbing sales of herbal medicines have paralleled the tanking economy, according to an Associated Press review of recent data from market-watchers and retailers.

One prominent example: Austin, Texas-based Whole Foods Market Inc. says its stores nationwide have seen an increase in sales of nutritional supplements and herbal products in the past several weeks. That’s “noteworthy” given the retail industry’s financial slump, said Whole Foods spokesman Jeremiah C. McElwee.

While winter is usually a busy time for herbal medicine sales because it’s the season for colds and flu, “more people are value shopping” now because of the economy, McElwee said.

Cathy Birleffi says she’s among them.

“The doctors are so much higher (in cost), the insurance isn’t paying as much,” said the 61-year-old self-employed bookkeeper and notary. Her husband, a retired dispatcher, has high blood pressure and seizures. Recent changes in their health insurance coverage resulted in $1,300 in monthly premiums, double what they used to be.

Until they tried herbal alternatives, including valerian for insomnia, “every time I turned around, it was $50 here, $75 there” for prescriptions, Cathy Birleffi said.

Among data reflecting the trend:

For the three months that ended Dec. 28, nationwide retail sales of vitamins and supplements totaled nearly $639 million, up almost 10 percent from the same period in 2007. That includes a nearly 6 percent increase in sales of herbal supplements alone, according to Information Resources Inc., a Chicago-based market research firm. Its numbers do not include Wal-Mart or club stores.
Nationwide herbal and botanical supplement sales totaled $4.8 billion in 2007, when the recession began, up 4.3 percent over 2006. That was a marginally higher increase compared with the previous year, according to Jason Phillips of the Nutrition Business Journal, an industry-tracking publication. Sales of animal oil supplements — mostly fish oils — were up 29 percent from 2006. While that was a decline from the previous year, both categories continued to show strong growth in a faltering economy.
A government survey released in December said concerns about the cost of conventional medicine influenced Americans’ decisions to try alternative remedies. “Nonvitamin, nonmineral natural products,” including fish oil and herbal medicines, were the most commonly used alternatives, taken by almost 18 percent of Americans in 2007, the report said. Among those users, roughly a quarter said they delayed or didn’t get conventional medical care because of the cost.
Report co-author Richard Nahin of the National Institutes of Health’s National Center for Complementary and Alternative Medicine offered cautionary advice on the topic.

People taking herbal and other supplements should let their doctor know what they’re using, said Nahin, acting director of the center’s branch that oversees outside research the agency funds.

Copyright AP

Eleven percent, including Remicade (infliximab), used to treat Crohn’s disease and rheumatoid arthritis, and Avastin (bevacizumab), used to treat cancer, have been issued a “black box” warning.

The findings, from Dutch scientists, are published in the Oct. 22/29 issue of the Journal of the American Medical Association.

“This suggests the need for more in-depth investigation before approval and highlights the importance of vigilance in post-marketing surveillance for adverse effects,” Dr. Phil B. Fontanarosa, the journal’s executive deputy editor, said during a a Tuesday teleconference on the themed issue.

“[Adverse effects] generally occurred in general disorders, like serious allergic reaction or cardiac arrest, administration site problems, infections and infestations,” said Fontanarosa. “A lot of these drugs act on the immune system, so infections are common complications of these products.”

“We’ve always known that because biologics were going to modulate the immune system, there would be this risk,” said Lisa Saubermann, associate director of clinical pharmacy services at the University of Rochester Medical Center.

The first biologic treatment, recombinant insulin, was approved in the United States in 1982. Since then, more than 250 biologics have flooded the pharmaceutical market, representing roughly one-quarter of all new drugs approved by U.S. and European Union authorities.

Although all drugs carry risks, biologics are in a special class, because they are derived from biological sources, including antibodies, enzymes and hormones.

Enbrel (etanercept), for instance, is a tumor necrosis factor, a protein made by the body’s immune system. The drug, used to treat various forms of arthritis as well as psoriasis, was also the recipient of a black box warning (for infections and central nervous system disorders).

The authors of this paper, from Utrecht University, reviewed 174 biologics approved in the United States and/or the European Union between January 1995 and June 2007.

Between January 1995 and June 2008, 82 safety-related regulatory actions were issued for 41 of the medications, or almost 24 percent of the total.

Of these 82 actions, 63 were advisory letters to health-care professionals in the United States and Europe, and 19 were black box warnings. None of the drugs were withdrawn from the market.

Sometimes politics has the uncanny effect of mirroring the national psyche even when nobody intended to do that. This is perfectly illustrated by the rousing effect that Gov. Sarah Palin had on the Republican convention in Minneapolis this week. On the surface, she outdoes former Vice President Dan Quayle as an unlikely choice, given her negligent parochial expertise in the complex affairs of governing. Her state of Alaska has less than 700,000 residents, which reduces the job of governor to the scale of running one-tenth of New York City. By comparison, Rudy Giuliani is a towering international figure. Palin’s pluck has been admired, and her forthrightness, but her real appeal goes deeper.

She is the reverse of Barack Obama, in essence his shadow, deriding his idealism and exhorting people to obey their worst impulses. In psychological terms the shadow is that part of the psyche that hides out of sight, countering our aspirations, virtue, and vision with qualities we are ashamed to face: anger, fear, revenge, violence, selfishness, and suspicion of “the other.” For millions of Americans, Obama triggers those feelings, but they don’t want to express them. He is calling for us to reach for our higher selves, and frankly, that stirs up hidden reactions of an unsavory kind. (Just to be perfectly clear, I am not making a verbal play out of the fact that Sen. Obama is black. The shadow is a metaphor widely in use before his arrival on the scene.) I recognize that psychological analysis of politics is usually not welcome by the public, but I believe such a perspective can be helpful here to understand Palin’s message. In her acceptance speech Gov. Palin sent a rousing call to those who want to celebrate their resistance to change and a higher vision.

Look at what she stands for:
–Small town values – a denial of America’s global role, a return to petty, small-minded parochialism.
–Ignorance of world affairs — a repudiation of the need to repair America’s image abroad.
–Family values – a code for walling out anybody who makes a claim for social justice. Such strangers, being outside the family, don’t need to be heeded.
–Rigid stands on guns and abortion – a scornful repudiation that these issues can be negotiated with those who disagree.
–Patriotism — the usual fallback in a failed war.
–“Reform” — an italicized term, since in addition to cleaning out corruption and excessive spending, one also throws out anyone who doesn’t fit your ideology.

Palin reinforces the overall message of the reactionary right, which has been in play since 1980, that social justice is liberal-radical, that minorities and immigrants, being different from “us” pure American types, can be ignored, that progressivism takes too much effort and globalism is a foreign threat. The radical right marches under the banners of “I’m all right, Jack,” and “Why change? Everything’s OK as it is.” The irony, of course, is that Gov. Palin is a woman and a reactionary at the same time. She can add mom to apple pie on her resume, while blithely reversing forty years of feminist progress. The irony is superficial; there are millions of women who stand on the side of conservatism, however obviously they are voting against their own good. The Republicans have won multiple national elections by raising shadow issues based on fear, rejection, hostility to change, and narrow-mindedness.

Obama’s call for higher ideals in politics can’t be seen in a vacuum. The shadow is real; it was bound to respond. Not just conservatives possess a shadow — we all do. So what comes next is a contest between the two forces of progress and inertia. Will the shadow win again, or has its furtive appeal become exhausted? No one can predict. The best thing about Gov. Palin is that she brought this conflict to light, which makes the upcoming debate honest. It would be a shame to elect another Reagan, whose smiling persona was a stalking horse for the reactionary forces that have brought us to the demoralized state we are in. We deserve to see what we are getting, without disguise.

http://www.huffingtonpost.com/deepak-chopra/obama-and-the-palin-effec_b_123943.html

Have doctors given up on how to heal people? Are they taught how to heal in medical school? These are valid questions as the American public is steered to life long medication habits vs. prevention, wellness, and healing as if these are simply not possible.

A Few Healthy Tips

1. Remove the video games and encourage physical activity.
2. Every state has wonderful national parks – go exploring in nature and pack a healthy lunch to take with you.
3. Wean the family off of ‘fast food.’
4. Exercise together as a family.
5. Eliminate sugary drinks.
6. Add whole grains to the diet.
7. Speak kindly to one another.

For more information, Prescription Drugs, Pharmaceuticals End Up in the Drinking Water
Do Cholesterol Drugs, Do Any Good?

Continuum Wellness offers holistic healing and wellness services for the family.

In 2003 Health Canada agents knowingly and willfully took action against a group of mentally ill Canadians, preventing them from accessing a natural health product they relied on to correct their mental illness and prevent suicides. A 2006 court trial exposed the clear and unchallenged evidence of warnings and pleadings by Ron LaJeunesse, Alberta Director of the Canadian Mental Health Association (click here for transcript). He bore witness of suicides that were the result of desperation when Canadians were advised they would no longer have access to their natural health product. When Constitutional Lawyer Shawn P. Buckley wrote an official request, asking the Minister to initiate a full inquiry into the actions taken by Health Canada agents, Minister Clement responded with silence (click here for letter). Instead, Assistant Deputy Minister Meena Ballantyne reviewed the case and said: “Health Canada fully supports actions taken…”(more)

Children with ADHD should get heart tests before treatment with stimulant drugs

Statement highlights:
• The side effects of stimulant drugs, like those used to treat ADHD are usually insignificant, but are important to monitor for children with ADHD and certain heart conditions.
• Children diagnosed with ADHD should receive an electrocardiogram (ECG) to rule out heart abnormalities before beginning treatment with stimulant drugs.
• Children currently taking stimulant drugs who did not have an ECG prior to treatment should get an ECG.

View the statement here

DALLAS, April 21 – Children with attention deficit hyperactivity disorder (ADHD) should get careful cardiac evaluation and monitoring – including an electrocardiogram (ECG) – before starting treatment with stimulant drugs, a new American Heart Association statement recommends.

The scientific statement on Cardiovascular Monitoring of Children and Adolescents with Heart Disease Receiving Stimulant Drugs is published online in Circulation: Journal of the American Heart Association.

In 1999, concerns over potential cardiovascular effects of psychotropic drugs, especially tricyclic antidepressants, but including stimulants, prompted an American Heart Association Scientific Statement: Cardiovascular Monitoring of Children and Adolescents Receiving Psychotropic Drugs. However, no specific cardiovascular monitoring was recommended for the use of stimulant medications. Warnings from the U. S. Food and Drug Administration (FDA) about stimulant medications and public concern for the safety of using them have prompted the current statement.

Studies have shown that stimulant medications like those used to treat ADHD can increase heart rate and blood pressure. These side effects are insignificant for most children with ADHD; however, they’re an important consideration for children who have a heart condition. Certain heart conditions increase the risk for sudden cardiac death (SCD), which occurs when the heart rhythm becomes erratic and doesn’t pump blood through the body.

Doctors usually use a physical exam and the patient and family history to detect the risk for or presence of health problems before beginning new treatments, including prescribing medication. But some of the cardiac conditions associated with SCD may not be noticed in a routine physical exam. Many of these conditions are subtle and do not result in symptoms or have symptoms that are vague such as palpitations, fainting or chest pain.

That’s why the statement writing group recommends adding an ECG to pre-treatment evaluations for children with ADHD. An ECG measures the heart’s electrical activity and can often identify heart rhythm abnormalities such as those that can lead to sudden cardiac death.

“After ADHD is diagnosed, but before therapy with a stimulant or other medication is begun, we suggest that an ECG be added to the pre-treatment evaluation to increase the likelihood of identifying cardiac conditions that may place the child at risk for sudden death,” said Victoria L. Vetter, M.D., head of the statement writing committee and Professor of Pediatrics at the University of Pennsylvania School of Medicine in Philadelphia.

Vetter also said doctors should evaluate children and adolescents already taking these medications if they were not evaluated when they started the treatment.

If heart problems are suspected after the evaluation, children should be referred to a pediatric cardiologist. Once stimulant treatment begins, children should have their heart health monitored periodically, with a blood pressure check within one to three months, then again at routine follow-ups every six to 12 months.

“Children can have undiagnosed heart conditions without showing symptoms,” Vetter said. “Furthermore, a child’s body changes constantly, with some conditions not appearing until adolescence.”

If the initial ECG was taken before age 12 years, it may be useful to do a repeat ECG after the child is over age 12 years, the statement says.

Widespread use of ECGs to detect heart abnormalities, including screenings for competitive athletes, is not routinely recommended by the American Heart Association. However, the writing group found using ECG screening in this specific population of children prescribed ADHD medication is medically indicated and reasonably priced. That said, however, lack of an ECG shouldn’t mean that kids who need ADHD treatment can’t get it.

“While we feel that an ECG is reasonable and helpful as a tool to identify children with cardiac conditions that can lead to SCD, if, in the view of their physician, a child requires immediate treatment with stimulant medications, this recommendation is not meant to keep them from getting that treatment,” said Vetter, who added that some children may not have access to a pediatric cardiologist who can evaluate an ECG or perform a cardiology consultation.

In 2003, an estimated 2.5 million children took medication for ADHD. Surveys indicate that ADHD affects an estimated 4 percent to 12 percent of all school-aged children in the United States, and it appears more common in children with heart conditions. Studies report that, depending on the specific cardiac condition, 33 percent to 42 percent of pediatric cardiac patients have ADHD, Vetter said. The number of undiagnosed children with heart conditions is unknown as routine heart screening is not performed, but Vetter said that a recent pilot study she presented at the American Heart Association’s 2007 Scientific Session indicated that up to 2 percent of healthy school aged children had potentially serious undiagnosed cardiac conditions identified by an ECG.

Data from the FDA showed that between 1999 and 2004, 19 children taking ADHD medications died suddenly and 26 children experienced cardiovascular events such as strokes, cardiac arrests and heart palpitations. Since February 2007, the FDA has required all manufacturers of drug products approved for ADHD treatment to develop Medication Guidelines to alert patients to possible cardiovascular risks.

Future studies are necessary to assess the true risk of SCD in association with stimulant drugs in children and adolescents with and without heart disease, Vetter said. However, studying SCD associated with drugs is difficult because the government’s reporting system is voluntary, which means local data on these types of deaths isn’t always reported nationally.

A registry of SCD events is necessary for further investigating this issue, the writing committee said. Such a registry would allow for a more accurate understanding of SCD, including the true incidence of it and the potential effectiveness of universal ECG testing and pre-participation screening questionnaires.

The statement writing committee said its recommendations are not intended to limit the appropriate use of stimulants in children with ADHD.

“Our intention is to provide the physician with some tools to help identify heart conditions in children with ADHD, and help them make decisions about the use of stimulant medications and the follow-up of children who take them,” Vetter said. “The goal is to allow treatment of ADHD, while attempting to lower the cardiac risk of these products in susceptible children.”

The writing committee also includes: Josephine Elia, M.D.; Christopher Erickson, M.D.; Stuart Berger, M.D.; Nathan Blum, M.D.; Karen Uzark, R.N., Ph.D.; and Catherine L. Webb, M.D.

###

NR08-1058 (CIRC/Vetter)

The American Heart Association/American Stroke Association receives funding primarily from individuals. In addition, foundations and corporations – including pharmaceutical, device manufacturers and other companies – make donations and fund specific American Heart Association/American Stroke Association programs and events. Revenues from pharmaceutical and device corporations are disclosed at www.americanheart.org.

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]]> http://continuumwellness.org/blog/warning-for-children-on-adhd-medication-get-a-heart-checkup/feed/ 0 http://continuumwellness.org/blog/prescription-drugs-pharmaceuticals-end-up-in-the-drinking-water/ http://continuumwellness.org/blog/prescription-drugs-pharmaceuticals-end-up-in-the-drinking-water/#comments Tue, 11 Mar 2008 01:41:55 +0000 continuum wellness http://continuumwellness.org/blog/?p=62 Read more »]]> Many American’s use prescription medications. A 2004 government report stated that almost half of the American population takes at least one prescription medication. Many others take more than one. Anti-depressant medication, hormonal medication, antibiotics and others are turning up, in an unlikely place, in our drinking water. The municipal tap water that flows from our faucets contains residues of prescription drugs.

Here are some of the key test results:

• Officials in Philadelphia, Pennsylvania, said testing there discovered 56 pharmaceuticals or byproducts in treated drinking water, including medicines for pain, infection, high cholesterol, asthma, epilepsy, mental illness and heart problems. Sixty-three pharmaceuticals or byproducts were found in the city’s watersheds.

• Anti-epileptic and anti-anxiety medications were detected in a portion of the treated drinking water for 18.5 million people in Southern California.

• Researchers at the U.S. Geological Survey analyzed a Passaic Valley Water Commission drinking water treatment plant, which serves 850,000 people in Northern New Jersey, and found a metabolized angina medicine and the mood-stabilizing carbamazepine in drinking water.

• A sex hormone was detected in the drinking water of San Francisco, California.

• The drinking water for Washington, D.C., and surrounding areas tested positive for six pharmaceuticals.

The situation is undoubtedly worse than suggested by the positive test results in the major population centers. (full story)

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