• Issue
    2014
    455-576

Editorial

‘Selective’ COX-1 or COX-2 NSAIDs: time to change a misleading measure

  • Pages: 455-456
  • First Published: 29 July 2014
‘Selective’ COX-1 or COX-2 NSAIDs: time to change a misleading measure

The ongoing important debate about the relative benefits/risks of COX-1 or COX-2 NSAIDs is hampered by the use of a measure of ‘selectivity’ that is inherently flawed. An alternative measure provides more meaningful and clinically relevant information.

Commentary

Reliability of self-reporting of antibiotic consumption in the community – Index of Reliability

  • Pages: 468-470
  • First Published: 09 June 2014
Reliability of self-reporting of antibiotic consumption in the community – Index of Reliability

Self-reporting of antibiotic consumption is relatively reliable by the patient. This varies depending on the age and sex of the individual. Older people (up to 80 years old) tend to be more accurate in reporting their antibiotic consumption than younger persons (<20 years), and males tend to be more accurate in their reporting than females.

Review Article
Free Access

Psychopathy: clinical features, developmental basis and therapeutic challenges

  • Pages: 485-495
  • First Published: 23 May 2014

Psychopathy is a serious personality disorder with profound negative effects on individuals and society. There is little evidence that drug therapy has any significant effect on the deficits associated with this disorder. There is emerging evidence of phenotypic variants in psychopathy, including successful and unsuccessful types. It is important for clinicians to be cognizant of the psychopathic personality.

Original Article

Variables influencing patient satisfaction for hypnotics: difference between zolpidem and brotizolam

  • Pages: 507-510
  • First Published: 14 May 2014
Variables influencing patient satisfaction for hypnotics: difference between zolpidem and brotizolam

The results suggested that patient satisfaction was different between zolpidem and brotizolam in terms of gender for zolpidem and age and steroid co-administration for brotizolam, which could be used to help choose a better drug among the two in patients with insomnia. *NOA, number of awakenings.

Original Article

Prevalence of potentially inappropriate medications and risk of adverse clinical outcome in a cohort of hospitalized elderly patients: results from the REPOSI Study

  • Pages: 511-515
  • First Published: 21 May 2014
Prevalence of potentially inappropriate medications and risk of adverse clinical outcome in a cohort of hospitalized elderly patients: results from the REPOSI Study

The prevalence of patients receiving at least one Potentially Inappropriate Medications (PIM) was 20·1% and 23·5% according to the 2003 and 2012 versions of the Beers criteria, respectively. Prescription of PIMs was not associated with a higher risk of adverse clinical events, re-hospitalization and all-cause mortality at three-month follow-up.

Original Article

A clinical study of pingyangmycin sclerotherapy for venous malformation: an evaluation of 281 consecutive patients

  • Pages: 521-526
  • First Published: 13 June 2014
A clinical study of pingyangmycin sclerotherapy for venous malformation: an evaluation of 281 consecutive patients

Lidocaine does not have a synergistic effect with PYM in improving the therapeutic outcomes of patients with VMs. Sclerotherapy with a low concentration of PYM (0·5 mg/mL) combined with lidocaine and DEX is a safe and effective therapy for small superficial VMs of critical organs, such as the lips and the glans penis.

Original Article

A multifaceted pharmacist intervention to improve antihypertensive adherence: a cluster-randomized, controlled trial (HAPPy trial)

  • Pages: 527-534
  • First Published: 19 June 2014
A multifaceted pharmacist intervention to improve antihypertensive adherence: a cluster-randomized, controlled trial (HAPPy trial)

To evaluate a community pharmacist intervention to improve adherence with antihypertensive medicines with a view to improving blood pressure (BP) control. This community pharmacist intervention resulted in improved adherence to antihypertensive medication and reduced systolic BP.

Pharmacokinetics

A pharmacokinetic drug interaction study between nebivolol and paroxetine in healthy volunteers

  • Pages: 535-540
  • First Published: 21 May 2014
A pharmacokinetic drug interaction study between nebivolol and paroxetine in healthy volunteers

Paroxetine is a potent inhibitor of the same isoenzyme involved in the metabolism of nebivolol. Pretreatment regimen with paroxetine for 6 days significantly increased the mean plasma concentrations of both nebivolol and its hydroxylated active metabolite.

Pharmacokinetics

Concentrations of venlafaxine and its main metabolite O-desmethylvenlafaxine during pregnancy

  • Pages: 541-544
  • First Published: 03 July 2014
Concentrations of venlafaxine and its main metabolite O-desmethylvenlafaxine during pregnancy

Venlafaxine concentrations decreases during pregnancy, and the ratio of the concentrations of O-desmethylvenlafaxine/venlafaxine increases during pregnancy. Pregnant women using venlafaxine are at risk for subtherapeutic concentrations; therefore, routine monitoring of concentrations venlafaxine and O-desmethylvenlafaxine is recommendable during pregnancy.

Pharmacogenetics

Development of multiplex pyrosequencing for HLA-B*57:01 screening using single nucleotide polymorphism haplotype

  • Pages: 545-550
  • First Published: 26 May 2014
Development of multiplex pyrosequencing for HLA-B*57:01 screening using single nucleotide polymorphism haplotype

Multiplex pyrosequencing is a powerful tool for HLA-B*57:01 screening by using the rs2395029 and rs3093726 haplotype genotyping as surrogate marker for this HLA-B. The assay provides accurate, cost effective and rapid detection of this haplotype. It can be applied for ABC hypersensitivity screening of the Thai population before initiating treatment with ABC.

Pharmacogenetics

Gene polymorphism and frequencies of the NPC1L1 Gene (rs2072183, rs217434 and rs217428) in Japanese patients with dyslipidemia

  • Pages: 551-554
  • First Published: 26 May 2014

The purpose of this study is to elucidate genotype and allele frequencies of the NPC1L1 gene (rs2072183, rs217428 and rs217434) in Japanese patients with dyslipidemia. We found that there is a significant difference between healthy Japanese and dyslipidemic subjects in rs2072183. Our results are expected to facilitate research in the proper use of ezetimibe-based therapies.

Pharmacogenetics

The rheumatoid arthritis susceptibility polymorphism PTPN22 C1858T is not associated with leflunomide response or toxicity

  • Pages: 555-560
  • First Published: 08 July 2014
The rheumatoid arthritis susceptibility polymorphism PTPN22 C1858T is not associated with leflunomide response or toxicity

This is the first study to evaluate the biologically plausible hypothesis that PTPN22 C1858T genotype might be a predictor of response/toxicity to leflunomide therapy. Despite this, PTPN22 genotype was not associated with leflunomide response or toxicity in patients with RA. The LOESS smooth curve (Fig. 19) shows there is no difference in change in DAS28 across the 12 months according to PTPN22 genotype.

Case Report

Astragalus membranaceus as a cause of increased CA19-9 and liver and kidney cysts: a case report

  • Pages: 561-563
  • First Published: 08 May 2014
Astragalus membranaceus as a cause of increased CA19-9 and liver and kidney cysts: a case report

Changes in carbohydrate antigen 19-9 (CA19-9) concentration over time. Time 1, and period 6–7 – patient was taking Astragalus membranaceus. For the other times, the herb was withdrawn.

Case Report

Treatment of gout in a renal transplant patient leading to severe thrombocytopenia

  • Pages: 571-572
  • First Published: 11 July 2014
Treatment of gout in a renal transplant patient leading to severe thrombocytopenia

A 79-year old female developed symptomatic thrombocytopenia after combination therapy with azathioprine (75 mg/day) and allopurinol (100 mg/day) – after allopurinol had been stopped. Concentrations of the myelotoxic 6-TGN of azathioprine were increased. Thrombocyte counts normalized within 8 days of discontinuation of azathioprine.

Case Report

A case of synthetic oestrogen-induced autoimmune hepatitis with microvesicular steatosis

  • Pages: 573-576
  • First Published: 03 July 2014
A case of synthetic oestrogen-induced autoimmune hepatitis with microvesicular steatosis

Intense immunoallergic reactions were likely triggers of MS in the current case. A possibility of DIAIH should be considered in cases of DILI which exhibit overt jaundice, autoantibodies, intense histological inflammation, and a long latency period.