By Mohamed Dungersi – Last month, I had the immense opportunity to travel to New Orleans to be a part of the biggest pharmacy gathering of the year – APhA 2012.  The spirit, enthusiasm, and positivity for the profession of pharmacy at the meeting were truly inspiring.  Since this was my first ever APhA meeting,…

By: Marie Huang – The amphitheater at Nassau University Medical Center fills up slowly as Dr. Alan Jay Cohen, a psychiatrist from Oakland, California, makes his way up to the podium to lead a talk about bipolar disorder, specifically differentiating between its presentations in adults versus in developing children. Among nonprofessionals, bipolar disorder is simply…

By: Mahdieh Danesh Yazdi – As previously reported, there is currently great concern in the medical community because of the growing number of drug shortages.  Many of these are drugs that are critical to patient care, such as chemotherapy agents and antibiotics.  Last October, President Obama issued an executive order in an attempt to curb…

By: Marie Huang – Each month, the Rho Chi Post has the wonderful opportunity to sit down with an inspiring leader among the student pharmacists here at St. John’s University College of Pharmacy and Allied Health Professions – someone who is not afraid to stand apart from the crowd and can be the change he…

By: Mohamed Dungersi – On February 28, the U.S. Food and Drug Administration (FDA) approved important safety label changes for the class of cholesterol-lowering drugs known as statins.  Aligned with the FDA’s goal to provide the public with more information for the safe and effective use of statins, the agency made several modifications to the…

By: Shannon Tellier – Dr. Tran is an assistant clinical professor at St. John’s University College of Pharmacy and Allied Health Professions, and a clinical pharmacy manager in Internal Medicine at NewYork-Presbyterian: Columbia University Medical Center.  She received her BS in Public Health and Doctor of Pharmacy from the University of North Carolina at Chapel…

By: Charles George, Pharm.D. – Charles George, Pharm.D. is a recent graduate from the University of Florida in 2011.  He currently works as a community pharmacist for Walgreens Pharmacy in the Central Florida area.  Since graduation, his daily interaction with patients revealed the need for pharmacists to adapt to the evolving role of community pharmacy. …

By: Mahdieh Danesh Yazdi – As previously reported, the recent rise in violence against pharmacies (by people in search of narcotic medications) has riled the New York State legislature into action.  The attorney general has also joined the fray in the fight against prescription drug abuse.  Last June, Attorney General Eric T. Schneiderman, proposed setting…

By: Mohamed Dungersi – Starting July 1, 2012, Albertans will be able to have their prescriptions renewed at their local pharmacies and pharmacists will receive reimbursements for the service.  Patients will be able to renew medications for blood pressure, birth control, and asthma (particularly, inhalers) without waiting weeks to get into their family doctor’s office.…

By: James Schurr, Pharm.D. Candidate c/o 2014 – Graves’ disease is an autoimmune disorder that results in a state of thyrotoxicosis, or a cause of hyperthyroidism, due to the Immunoglobulin G-mediated agonism of thyroid stimulating hormone (TSH) receptors located on the thyroid.  Stimulation of TSH receptors causes an increase in circulating thyroxine (T4) and triiodothyronine…

By: Mahdieh Danesh Yazdi – Express Scripts Inc., one of the nation’s top pharmacy benefit managers (PBMs), has announced a $29 billion deal to take over one of its top competitors, Medco Health Solutions Inc.  Medco shareholders re-approved the merger on December 21.  For finalization, it needs the approval of Express Scripts’ shareholders and the…

By: Ebey P. Soman – Proton pump inhibitors (PPIs) are medications commonly prescribed to treat heartburn, acid reflux disease, and ulcers.  Almost a vast majority of patients in the United States seem to be taking a PPI, either as a prescription or from over-the-counter (OTC).  Researchers recently discovered associations between the long-term use of PPIs…

By: Ronik Saha, Pharm.D. Candidate c/o 2013 – Clopidogrel (Plavix®) is a thienopyridine antiplatelet agent, which exerts its antiplatelet effects via in vivo conversion to an active thiol metabolite that irreversibly blocks the P2Y-12 component of platelet ADP receptors.  This prevents activation of the GP2B/3A complex, thereby preventing platelet aggregation.  Along with aspirin, clopidogrel reduces…

By: Neal Shah – Osteoporosis is a disease of the bone characterized by decreased bone mineral density (BMD), which reduces the ability of bone to provide adequate structural support.  The main cause of this decreased BMD is inadequate calcium intake or absorption.  The decreased BMD can cause diffuse lesions throughout the skeletal system and can…

By: Marie Huang – Each month, Rho Chi Post has the wonderful opportunity to sit down with an inspiring leader among the student pharmacists here at St. John’s University College of Pharmacy and Allied Health Professions – someone who is not afraid to stand apart from the crowd and can be the change he or…

By Dr. Tina Kanmaz – Dr. Kanmaz is the Assistant Dean for Experiential Pharmacy Education and Associate Clinical Professor at St. John’s University College of Pharmacy and Allied Health Professions. Pharmacy practice residency training is a one-year program that serves as a bridge for the recent Doctor of Pharmacy graduate (with little to no independent…

By: Ebey P. Soman – New York State’s Elderly Pharmaceutical Insurance Coverage Program (EPIC) is a secondary prescription insurance program for over 280,000 income-eligible seniors aged 65 and older.  The program supplements members’ out-of-pocket Medicare Part D drug plan costs.  To be eligible, the senior must be a state resident with an annual income of…

By: Sandra Leal Pharm.D., CDE –  Sandra Leal, PharmD, CDE is the Director of Clinical Pharmacy at El Rio Health Center in Tucson, Arizona. Dr. Leal is the first pharmacist in Arizona to receive prescriptive authority under collaborative practice. She is currently the Co-Chair of HRSA’s Patient Safety and Clinical Pharmacy Services Collaborative, a national…

By: Aleena Chacko, Long Island University Pharm.D. Candidate c/o 2013 – Established in 1996, Novartis International AG is a multinational pharmaceutical company based in Switzerland.  On January 8, 2012, Novartis issued a recall on some popular over the counter (OTC) medications in the United States (U.S.) over concerns about broken or incorrect tablets ending up…

By: Kate Croegaert, University of Iowa College of Pharmacy, Pharm.D. Candidate c/o 2013 – Kate Croegaert is a PharmD Candidate (Class of 2013) and the current President of the Rho Chi Delta Chapter at the University of Iowa College of Pharmacy.   She believes in the importance of advancing the profession of pharmacy and promoting innovative practices…

By: Sum Lam, PharmD, CGP, BCPS, FASCP – Sum Lam, Pharm.D., CGP, BCPS, FASCP is an Associate Clinical Professor in the Department of Clinical Pharmacy Practice at St. John’s University College of Pharmacy and Allied Health Professions.  In conjunction with her full time appointment at St. John’s University, she is a clinical faculty at Geriatric…

By: Dr. Regina Ginzburg – Regina Ginzburg is an Associate Clinical Professor of St. John’s University College of Pharmacy and Allied Health Professions. Her clinical site is at the Institute for Family Health (IFH) where she is an appointed faculty member for the Beth Israel Residency in Urban Family Health. She and Dr. See oversee…

By: Mohamed Dungersi – On January 27, the FDA approved Bydureon® (exenatide extended-release) for use in Type 2 Diabetes Mellitus (T2DM), as an adjunct to diet and exercise.  Bydureon®, a product of Amylin Pharmaceuticals, is a modified formulation of the twice-daily injection, Byetta® (exenatide).  It is the first once-a-week medication for T2DM in the market.…

By Dr. Sharon See, PharmD, FCCP, BCPS – Sharon See, Pharm.D., FCCP, BCPS is an Associate Clinical Professor in the Clinical Pharmacy Practice Department at St. John’s University College of Pharmacy and Allied Health Professions. In conjunction with her full time appointment at St. John’s University, she is a clinical faculty member in the Beth…

By: Dr. Gregory J. Hughes – Gregory J. Hughes, PharmD, BCPS, CGP is an Assistant Clinical Professor in the Clinical Pharmacy Practice department at St. John’s University College of Pharmacy and Allied Health Professions.  He completed his pharmacy practice residency at the St. Louis VA Medical Center and the St. Louis College of Pharmacy with…

By: Ebey P. Soman – Since its discovery in Tanganyika (modern day Mozambique and Tanzania in Africa) in 1952, Chikungunya virus outbreaks have been documented in Africa, South Asia, and Southeast Asia.  Due to recent globalization and increased travel, infection has also spread outside of tropical regions and even into western nations (such as the…

By: Nandini Puranprashad, Pharm.D. Candidate c/o 2013 – On January 17, the Rho Chi Beta Delta Chapter at St. John’s University College of Pharmacy and Allied Health Professions held its annual Induction Ceremony at Verdi’s of Whitestone.  Membership is a privilege accorded to the very few who distinguish themselves by their academic and professional achievement.…

By: Neal Shah – Anticlotting agents are staples in the prevention and treatment of thrombotic disorders, such as deep vein thrombosis, stroke, pulmonary embolism, myocardial infarction, and atrial fibrillation.1  Intravenous medications, such as unfractionated heparin (UFH), low molecular weight heparin (LMWH), and direct thrombin inhibitors (DTI), are commonly used in, both, inpatient and outpatient settings.…

By: Ebey P. Soman – With clearly established roles for pharmacists, compounding is recognized and upheld as a core foundation of the pharmacy profession.   It allows pharmacists to provide unique and tailored medication regimens for their patients.  The U.S. Food and Drug Administration (FDA) thought otherwise when the agency sued Franck’s Lab, Inc., a Florida-based…

By: Nataliya Sulyk, PharmD Candidate c/o 2015 – Often waiting until the very last minute to begin studying for finals week, students experience a cycle of stressors. They may be overwhelmed with project deadlines, exhausted from studying for examinations, and/or dependent on caffeine for wakefulness. Fortunately, by developing effective studying habits and strategies, students can…

By Lunbao (Jerry) Huang, Pharm.D. Candidate c/o 2013 – Over the last two decades, there has been an increasing focus on hepatocellular carcinoma (HCC, most commonly known as liver cancer).  In the United States, as of 2011, there have been an estimated 26,190 new cases and 19,590 deaths from both hepatic and intrahepatic bile duct cancer.  Defined by the…

By: Gokul Kalla, Pharm.D. Candidate c/o 2013 – Hypertension is a chronic disease that affects one out of every three Americans.  Leaving the condition untreated could increase the risk of serious health consequences such as a stroke or a heart attack.  On December 21, the FDA approved Takeda Pharmaceuticals’ Edarbyclor® (azilsartan medoxomil and chlorthalidone) for…

By: Bethsy Jacob, Pharm.D. Candidate c/o 2014 – On November 16, 2011, Dr. Joia Mukherjee, Medical Director of Partners in Healthcare (PIH), presented for GlobeMed at Columbia University.  Manzi Anatole, a hired nurse in Rwanda, accompanied Dr. Mukherjee.  Along with a handful of her students, Dr. Joanne Carroll arranged a trip to the open event. …

By Jena Marion, Pharm.D. Candidate c/o 2013 – On December 12, 2011, the Administrator of the Drug Enforcement Agency (DEA) ruled to place carisoprodol (Soma®) into Schedule IV of the Controlled Substances Act (CSA).  Carisoprodol has been in use since it was approved for marketing in the U.S. in 1959 with the indication of “relief…

By: Anon, Pharm.D. Candidate c/o 2012 – This year’s ASHP Midyear Clinical Meeting took place in New Orleans, Louisiana from December 4 – 8, 2011.  It was a keystone moment for many pharmacy students, and especially for those in their final year and in pursuit of a residency, fellowship, or hospital staffing position around the…

By: Neal Shah – Defined by the Joint National Committee, hypertension (HTN) is a systolic blood pressure (SBP) greater than or equal to 140 mmHg and a diastolic blood pressure (DBP) greater than or equal to 90 mmHg.  Patients with Stage 1 HTN have a SBP between 140 and 159 mmHg and DBP between 90…

By: Christine Liaw, PharmD Candidate c/o 2012 – The American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting and Exhibition is the largest congregation for the pharmacy industry with an attendance of more than 20,000 professionals.  This year’s meeting included the New Practitioner’s Conference, CareerPharm’s Personnel Placement Service (PPS), the Residency Showcase, and an exhibit…

By: Ruby Lin, Pharm.D. Candidate c/o 2013 – Rotation selection begins around mid-October for fifth year pharmacy students.  You may begin to panic about what sites you should choose from the huge selection that St. John’s University offers.  Your upperclassmen may try to help you by sharing their rotation experiences.  Alas, what do you do…

By: Bibin Thomas, Long Island University, PharmD Candidate – Earlier in 2011, it was reported that that young and middle-aged HIV positive patients did not need to receive routine Bone Mineral Density (BMD) tests.  BMD helps to identify patients who are at a high risk for bone fractures or weakened bone structures (and eventually need…

By: Marie Huang – Each month, Rho Chi Post has the wonderful opportunity to sit down with an inspiring leader among the student pharmacists here at St. John’s University – someone who is not afraid to stand apart from the crowd and can be the change he or she wants to see in the world.…

By: Jim Fitzgerald, RPh – James Fitzgerald is a SUNY Buffalo School of Pharmacy graduate from the class of 1980. He is currently the supervising pharmacist at Pathmark Pharmacy of Baldwin in Long Island, New York. Mr. Fitzgerald is also a community pharmacy preceptor with St. John’s University and a longtime member of the Rho…

By: Khilna Patel, Pharm.D. Candidate c/o 2012 – On October 25 of this year, Eli Lilly and Company announced a worldwide market withdrawal of Xigris (drotrecogin alfa), a drug previously indicated to treat severe sepsis in high-risk patients.  Drotrecogin alfa is a recombinant form of human activated protein C.  The efficacy of drotrecogin alfa was…

By Ebey P. Soman – Many living organisms occupy our intestines to aid us with metabolism, recycling of hormones, and, most importantly, protection against foreign pathogens.  When this normal flora of bacteria is altered or eliminated via antibiotic use, there is an opportunity for Clostridium difficile to infect us.  Stool transplant, or fecal bacteriotherapy, is…

By: Dr. Manouchkathe Cassagnol – Dr. Manouchkathe Cassagnol is an Assistant Clinical Professor at St. John’s University College of Pharmacy and Allied Health Professions and a Clinical Coordinator of Internal Medicine and Cardiology Pharmacotherapy at Long Island Jewish Medical Center. About 81 million people in this country suffer from cardiovascular disease. Therefore, as pharmacy practitioners,…

By: Marie Huang – Each month, Rho Chi Post editors have the wonderful opportunity to sit down with an inspiring leader among the student pharmacists here at St. John’s University – someone who is not afraid to stand apart from the crowd and can be the change he or she wants to see in the…

By: Joseph Saffi, RPh – Joseph Saffi is a St. John’s University College of Pharmacy graduate, class of 1985. He is currently the supervising pharmacist at Pathmark Pharmacy of Franklin Square in Long Island, New York, and has been working for Pathmark pharmacies since 1988. Mr. Saffi is also a community pharmacy preceptor with St.…

By: Neal Shah – There are two major classifications of drug-receptor activity: agonism and antagonism. Agonism occurs when a molecule binds to a receptor, causes an exertion of normal receptor operation, and eventually causes a response. Antagonism of a receptor occurs when a molecule binds to the receptor and does not allow activity to occur.1…

By: Ebey P. Soman – Dear Sir or Madam, Christmas is just a few days away, and an amazing year of great challenges, pleasant surprises, and endeavors is coming to a close. From working on Drugs & Diseases courses to simply having the privilege of being part of the profession at the White Coat Ceremony,…

By: Neal Shah – Part I:              Preface. Part II:             Brief review of cardiac electrophysiology. Part III:           Ivabradine as a novel If blocker for the use of stable angina. Part IV:           On the horizon: trimetazidine. – PREFACE When viewed anatomically, the heart may seem like a simple organ.  However, the electrophysiological aspects of the heart are…

By: Nandini Puranprashad – As primary advocators of patient care, student pharmacists and pharmacists are well on their way in changing the public’s impression of us staying behind the counter at the corner drugstore doing nothing but “counting, licking, and sticking.” It is time to step out of the classroom and from behind the counters…