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Fall 2009

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Fall 2009 Welcome to MediZine’s Healthy Living Fall issue in its digital format! This quarter, we introduce an exciting new department – “Click It” – a portal to RemedyLife.com where readers can access fabulous giveaways, exciting articles and opportunities to subscribe to health information from Johns Hopkins Medicine and the University of California, Berkeley. While reading through the issue, feel free to utilize the active links we have provided: • Bookmarks – jump to a different article using the interactive Table of Contents • Ad list – view our participating advertisers Advertiser List Merck – Zostavax Genzyme – Synvisc Abbott – FreeStyle sanofi-aventis – GoInsulin Bristol-Myers Squibb – Orencia Boehringer Ingelheim – Flomax McNeil – Tylenol GlaxoSmithKline – Advair • Click it – visit RemedyLife.com, our consumer site, where readers can find more health information online Call today for more information on the next issue and to learn how your brand can benefit from our integrated programs. Be entered to win a $15 iTunes gift card— simply turn to our “Click It” article to connect to RemedyLife.com. Then share your experience with your MediZine sales rep. In good health, AstraZeneca – Crestor Premier – Premier Walk-In Bath Michael Cunnion President, MediZine [email protected] 212-994-9349 500 f i f t h av e n u e | s u i t e 1900 | n e w yo r k , n y 10110 | 212 - 695 - 2223 9IFL>?KKFPFL9P MFCLD<OM#ELD9 C@B<DFJKG> jdXikc`m`e^ HEALTHY LIVING INSIDE & OUT FleZ\f]Gi\m\ek`fe Vaccines aren’t just for kids—not by a long shot Yp;`Xe\LdXejbp >> Masterfile; Jumpfoto :?@C;I> jdXikc`m`e^ ONE to bend ONE to be you again ONE injection. Up to 6 months of pain relief. MECH: Kelly R Introducing Synvisc-One for osteoarthritis knee pain relief. FREE Knee Pain Relief Kit Call toll-free 1-800-470-4279 or visit www.SynviscOne.com/healthyliving Round: 1 Live: 4.75” x 6.8125” Date: 5/13/09 App: QXD Color: 4C Trim: 5.25” x 7.3125” Page: 1 continued ONE to move NEW FOR OSTEOARTHRITIS KNEE PAIN. Getty Images File Name: GM09006_MHL_5.25x7.3125_FLO GM09006 (FLO) Title: Synvisc One Print Ad Spot Colors: NA Bleed: 5.5” x 7.5625” / RemedyLife.com Scale: 100% to grab a ringing phone, pedaling a bicycle or crouching to pick up a fallen object, your knees are taking the heat. “The knee is a real workhorse,” says Jonathan Scott Coblyn, M.D., director of the Center for Arthritis and Joint Diseases at Brigham and Women’s Hospital, Production: Victor N?up the stairs N<8B@EK?<BE<1-0B1>?11B1:@?C1>1:;@;.?1>B105:@41&E:B5?/#:1@>5-8;5:@5:21/@5;:?050:;@;//A> 5:@415:61/@107:115:@41&E:B5?/#:1/85:5/-8@>5-8'419;?@/;99;:8E;//A>>5:3-0B1>?1 1B1:@?;A@?501;2@415:61/@107:11C1>141-0-/41.-/7<-5:?;>1@4>;-@-:0@4128A#:1<- @51:@4-0-?5:3811<5?;01;221185:32-5:@ How do I get more information about the Synvisc-One™ product? (User Assistance) 2E;A4-B1-:E=A1?@5;:?;>C;A808571@;25:0;A@9;>1-.;A@&E:B5?/#:1E;A9-E/-88 1:FE915;?A>31>E-@  &+")&   ;>B5?5@CCC?E:B5?//;9 Manufactured and Distributed by: 1:FE915;?A>31>E 05B5?5;:;21:FE91;><;>-@5;: $81-?-:@)51C'1>>-/1 %503125180"1C1>?1E  &E:B5?/#:1J5?-@>-019->7;21:FE91;><;>-@5;: SYNVISC -:0GENZYME ->1>135?@1>10@>-019->7?;21:FE91;><;>-@5;:  %1B5?10!->/4   &#"    for knees to absorb. In addition, women’s pelvises tend to be wider, causing thigh muscles to pull kneecaps out of line and destabilize knees. >JKIFE>> @E J@>?K The FreeStyle Promise. Free Access to Live Certified Diabetes Educators. YpDXipKpc\iDffi\ K_fj\f]ljn_fjkil^^c\n`k_[`XY\k\j befnk_Xk`kZXekXb\k`d\kf^\k`ki`^_k @ËDD8IPKPC> @E J@>?K tough to get a handle on your blood sugar. Stress? A little intensity keeps you alert and vigilant. Too much sends glucose levels soaring and adds to cardiovascular complications. You need enough sleep but not too much; some carbs, not too many. You get the picture. For me, the whole process of asserting control has come into sharper focus since I started going to see Carol Levy, M.D., a physician at Weill Cornell Medical College with board certifications in diabetes, endocrinology and diabetes in pregnancy. At my first appointment I knew immediately that her personality and way of Mary details her life with diabetes in her autobiography Growing Up Again: Life, Loves, and Oh Yeah, Diabetes! thinking were what I needed. In her small paper-stacked office, she looked more like the mom of three young children, which she is, than a world-respected diabetes clinician and researcher, which she also is. Her long brown hair framed an open face often crossed by a smile that seemed to say, “Isn’t this a great challenge we share?” I had the wonderful feeling that this down-toearth woman had common sense and she would help me become the person my fellow diabetics assumed me to be. Since that first meeting, she has helped me see that at some time or another, everyone gets angry (+ RemedyLife.com and frustrated about having diabetes. This is particularly true when your blood sugar is out of whack, and you don’t know why. It happens to me sometimes when my diet is pretty stable, exercise is pretty consistent and I’m not fighting a cold or the flu, and yet the fasting readout can be over 250. And my bedtime reading is often too low for comfort, so I drink some orange juice or cherry juice to cover sleep without having to greet a low at three or four in the morning. I asked Dr. Levy, “What’s going on with my blood sugar, and what are you going to do about it?” Calmly she explained, “Ten to fifteen percent of the time we just don’t know what’s gone wrong. Perhaps you injected into a bad spot. Or we have failed as physicians to come up with the right creative tools we need. Sometimes it is a matter of not having enough data. It’s hard to keep records, so we can’t figure out why blood sugar levels are all over the place. But sometimes, if you really tease it out, you find out the person ate a lot more carbohydrates than she thought, or we didn’t realize how a certain kind of exercise—and you do a lot of exercise—was going to affect someone,” said Dr. Levy. So, together we began this brand-new (to me) process of figuring out exactly how I could establish better control. She gave me a chart to fill out with what I ate each day and what my glucose levels were before and after eating, so I could learn how the food I took in was affecting my blood sugar. I also kept tabs on my carbohydrate intake and my insulin, both CfYYp`e^]fiXZli\%Mary campaigns for more diabetes research funding during JDRF Children’s Congress. regular and fast-acting. I entered exercise information too and an occasional test result for ketones. Tracking your every move—or so it seems to me—is a lot of work and occupies a lot of thought and time until it becomes a habit. Then you can do it without it interfering with day-to-day living. Of course, you have to work out a diabetes self-management schedule with your doctor. But the lesson here is that no matter how long you have had diabetes, you should always continue to ask questions. Learning to manage your diabetes takes time and patience and persistence, but the rewards are real. You feel better immediately, and you may avoid serious complications. ■ RemedyLife.com (, Individual results may vary. G R E G P FA F F D E L I OW N E R TA K I N G I N S U L I N S I N C E 2 0 0 3 “I tried to manage my type 2 diabetes with diet, exercise, and pills, so when my doctor said I should add insulin to my therapy, I felt like I’d failed. But he said adding insulin is just replacing what your body should make naturally, and it unlocks your cells so sugar can get in to make energy. Millions of people with diabetes take insulin every day to help reach their blood sugar goals. That’s not failure — it’s success. Now when I look at my blood sugar numbers, I have only one regret: that I didn’t add insulin sooner.” R E T H I N K I N S U L I N “ I ST OPPED THINKING B:7.5625 in T:7.3125 in WHEN I S AW M Y N U M B E R S.” S:6.8125 in INSULIN EQUALS FAILURE S EE MORE OF G REG ’ S STORY AT WWW .G O I NSULIN . COM Important Safety Information About Insulin Possible side effects may include blood sugar levels that are too low, injection site reactions, and allergic reactions, including itching and rash. Tell your doctor about all other medicines and supplements you are taking because they could change the way insulin works. Glucose monitoring is recommended for all patients with diabetes. Ask your doctor about insulin today. Or to get more information and a FREE Diabetes Meal Planning Guide, call 1-800-862-9131. While Supplies Last You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. RE THINK INSULIN © 2009 sanofi-aventis U.S. LLC US.GLA.08.12.010 Insert Take Comfort Easy ways to cope with the pain and stress of rheumatoid arthritis Yp>\iXc[J\Zfi:flq\ej N?8K@JK?<DFJKdangerous exercise for someone with rheumatoid arthritis (RA) pain? None at all. “In addition to appropriate medication, an often-forgotten way to lessen the long-term functional disability caused by RA is physical activity,” says Patience H. (/ RemedyLife.com White, M.D., M.A., chief public health officer of the Arthritis Foundation. People with RA who exercise regularly experience less anxiety and depression, manage stress more effectively and feel better overall. Exercise also appears to be key in keeping weight off. “A lower body weight translates to less stress on weight-bearing joints, fewer symptoms and lower rates of disease progression,” says arthritis researcher Susan Bartlett, Ph.D., associate professor of medicine at Montreal’s McGill University. In general, “walking, cross-country skiing and bicycling are good calorieburning activities,” she says, “and these weight-bearing exercises help keep bones and muscles healthy and strong and ensure nutrient exchange in cartilage.” Aquatic exercise programs may also be a good option. “As with land-based exercise, pool-based exercise can increase joint flexibility, strengthen muscles, provide a good aerobic workout and Media Bakery; Jupiter Images >> jdXikc`m`e^ boost self-confidence,” Bartlett says. “Because water supports much of the body’s weight, pool exercise allows you to move about with minimal joint stress. For people with impaired balance, it eliminates the risk of falling. And warm water is therapeutic and can provide significant pain relief.” Experts have also been looking at therapies that offer both physical and psychological benefits. The Arthritis Foundation endorses the Sun style of tai chi, which has been shown to reduce pain and improve mobility in those with arthritis. A gentle yoga class can teach movements that help build strength, balance and flexibility. “Yoga incorporates postures, stretches and breathing techniques to promote physical and mental health,” says registered yoga therapist Steffany Haaz, a doctoral candidate in public health, who is coordinating a pilot study on yoga and arthritis at the Johns Hopkins Arthritis Center in Baltimore. Early data, she says, suggests that after eight weeks of twice-weekly hour-long yoga classes, previously sedentary people with RA reached normal ranges in physical and emotional health. Because of its meditative nature, yoga can boost mental energy and mood and foster alertness and enthusiasm. It also can reduce negative feelings. “This may be especially helpful for people who are coping with a chronic illness such as RA,” says Haaz. Talk with your doctor before embarking on any workout program. ■ Worth a Try? You may want to ask your doctor about employing other strategies, such as hot/cold therapy, in concert with your regular medication. “Some people love heat therapy for painful joints; others find relief only in cold-application techniques,” says Dr. White of the Arthritis Foundation. Gentle massage may relieve stress and aid circulation for some, but be too painful for others. And “it’s important to find a massage therapist who knows about arthritis,” she says. Biofeedback, a relaxationtraining technique, may allow people to exercise some control over pain, notes Dr. White. RemedyLife.com (0 Moderate to Severe Rheumatoid Arthritis Can you pull this? Fasten this? Turn this? Grasp this? Still finding it tough to do everyday things? ORENCIA may help. ORENCIA® (abatacept) is an RA treatment that works differently. It’s a prescription medication used to treat adults with moderate to severe RA and has been shown to: s2ELIEVETHEPAIN SWELLING and fatigue of RA s#ONTROLTHEADVANCEOFJOINTDAMAGE s(ELPIMPROVEPHYSICALANDEMOTIONALHEALTH RELATEDQUALITYOFLIFE Important Safety Information about ORENCIA: Before you receive ORENCIA, tell your doctor if you: tBSFQSPOFUPPSIBWFBOZJOGFDUJPOMJLFBOPQFO TPSF PS UIF GMV CFDBVTF BO JOGFDUJPO DPVME QVU ZPV BU SJTL GPS TFSJPVT TJEF FGGFDUT GSPN 03&/$*" $BMM ZPVS EPDUPS SJHIU BXBZ JG ZPV IBWF B GFWFS  GFFM WFSZUJSFE DPVHI GFFMGMVMJLF PSIBWFXBSN SFE  PSQBJOGVMTLJO tIBWFBIJTUPSZPGBDISPOJDMVOHEJTFBTFDBMMFE$01% CFDBVTF ZPV NBZ HFU DFSUBJO SFTQJSBUPSZ QSPCMFNT NPSFPGUFOXJUI03&/$*"TVDIBTXPSTFOFE$01%  QOFVNPOJB DPVHI PSUSPVCMFCSFBUIJOH tIBWFEJBCFUFTBOEBSFVTJOHBCMPPEHMVDPTFNPOJUPS 4PNFNPOJUPSTDBOHJWFGBMTFMZIJHISFBEJOHTXJUI 03&/$*"POUIFEBZPGZPVSJOGVTJPO tB SF OVSTJOH  QSFHOBOU  PS QMBOOJOH UP CFDPNF QSFHOBOU5BML XJUI ZPVS EPDUPS BCPVU XIFUIFS UP DPOUJOVFXJUI03&/$*" Please read the Important Facts on the following page. ttake any other medicines,FTQFDJBMMZPUIFSCJPMPHJDT for RA TVDI BT &OCSFM®  3FNJDBEF®  )VNJSB®, or ,JOFSFU ®5BLJOH03&/$*"XJUICJPMPHJDTGPS3"NBZ JODSFBTFZPVSDIBODFPGHFUUJOHBTFSJPVTJOGFDUJPO 03&/$*" DBO DBVTF serious side effects JODMVEJOH TFSJPVT JOGFDUJPOT BOE BMMFSHJD SFBDUJPOT "MTP  DFSUBJO LJOETPGDBODFSTIBWFCFFOSFQPSUFEJOQBUJFOUTSFDFJWJOH 03&/$*" *U JT OPU LOPXO JG 03&/$*" JODSFBTFT ZPVS DIBODF PG HFUUJOH DFSUBJO LJOET PG DBODFS :PV TIPVME OPU SFDFJWF 03&/$*" XJUI DFSUBJO WBDDJOFT 03&/$*" NBZDBVTFTPNFWBDDJOFTUPCFMFTTFGGFDUJWF$PNNPO TJEF FGGFDUT JODMVEF IFBEBDIF  VQQFS SFTQJSBUPSZ USBDU JOGFDUJPO TPSFUISPBU BOEOBVTFB Oh, yes I can! ™ ORENCIA has been proven to make a difference for many patients, including those who haven’t been getting enough help from treatments such as methotrexate, Enbrel ®, Humira®, and Remicade®. There are several treatment options for RA. Ask your rheumatologist if ORENCIA is right for you. Find out more about ORENCIA Call: 1-800-ORENCIA Visit: www.ORENCIA.com 03&/$*"JTBNJOVUF*7JOGVTJPOHJWFOCZBIFBMUIDBSF QSPGFTTJPOBM  FWFSZ  XFFLT BGUFS JOJUJBM EPTJOH SFHJNFO *G ZPVIBWFBOZRVFTUJPOTBCPVU03&/$*" UBMLXJUIZPVSEPDUPS You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. RA © 2008 Bristol-Myers Squibb Company 427US08AB29302 Oct/08 ORENCIA is a registered trademark of Bristol-Myers Squibb Company. All other trademarks are property of their respective companies. IMPORTANT FACTS ® / Rx only The information below does not take the place of talking with your healthcare professional. Only your healthcare professional knows the specifics of your condition and how ORENCIA® may fit into your overall therapy. Talk to your healthcare professional if you have any questions about ORENCIA (pronounced oh-REN-see-ah). RHEUMATOID ARTHRITIS (RA) RA is a disease of the immune system which causes joint pain and damage, and impacts the ability to perform daily activities. ABOUT ORENCIA ORENCIA (abatacept) is a prescription medicine that reduces signs and symptoms in: ; "%6-548*5).0%&3"5&504&7&3&*/$-6%*/(5)04&8)0)"7&/05#&&/)&-1&%&/06()#:05)&3.&%*$*/&4 for RA. ORENCIA may prevent further damage to your bones and joints and may help your ability to perform daily activities. In RA, ORENCIA can reduce pain and joint inflammation, but it can also make your immune system less able to fight infection. ORENCIA can make you more likely to get infections or make any infection worse. It is important to tell your doctor if you think you have any infections. BEFORE YOU START ORENCIA Tell your healthcare professional about all your medical conditions, including if you: ; "7&"/*/'&$5*0/5)"580/5(0"8":03"3&130/&50*/'&$5*0/4':06)"7&"/*/'&$5*0/8)&/5",*/( ORENCIA, you may have a higher chance for getting serious side effects. ; "7& )"% 56#&3$6-04*4  03 )"7& #&&/ */ $0/5"$5 8*5) 40.&0/& 8)0 )"4 *5 &-- :063 )&"-5)$"3& professional right away if you get a dry cough that does not go away, weight loss, fever, or night sweats. ; "7&03)"7&)"%7*3"-)&1"5*5*4&'03&:0664&:063%0$503.":&9".*/&:06'03)&1"5*5*4 ; "7&")*4503:0'$)30/*$0#4536$5*7&16-.0/"3:-6/(%*4&"4& ; 3&4$)&%6-&%50)"7&463(&3: ; 3& "--&3(*$ 50 "/: 0' 5)& */(3&%*&/54 */  46$) "4 "#"5"$&15 ."-504& .0/0#"4*$ 40%*6. phosphate, or sodium chloride for administration. ; &$&/5-:3&$&*7&%"7"$$*/"5*0/03"3&4$)&%6-&%'03"/:7"$$*/"5*0/':06"3&3&$&*7*/(:06 should not take live vaccines. ; "7& %*"#&5&4 "/% 64& " #-00% (-6$04& .0/*503 !06 .": (&5 '"-4&-: )*() #-00% (-6$04& 3&"%*/(4 8*5) certain types of blood glucose monitors the day you receive an infusion of ORENCIA. ; 3&13&(/"/5031-"//*/(50#&$0.&13&(/"/55*4/05,/08/*'$"/)"3.:0636/#03/#"#: 3*450-:&3426*##0.1"/:)"4"3&(*453:'0313&(/"/580.&/&9104&%50)&163104&0' 5)*43&(*453:*450$)&$,5)&)&"-5)0'5)&13&(/"/5.05)&3"/%)&3$)*-%"5*&/54"3&&/$063"(&%50$"-5)&3&(*453:5)&.4&-7&403"4,5)&*3%0$503450$0/5"$55)&3&(*453:'035)&.#:$"--*/(      ; 3&#3&"45'&&%*/(!068*--/&&%50%&$*%&50&*5)&3#3&"45'&&%033&$&*7&53&"5.&/58*5)#65 not both. Tell your healthcare professional about all the medicines you take, */$-6%*/( 13&4$3*15*0/ "/% /0/ prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take other biologic medicines to treat RA such as: ; /#3&-® (etanercept) ; 6.*3"® (adalimumab) ; &.*$"%&® */'-*9*."# ; */&3&5® (anakinra) ; *569"/® 3*569*."# !06.":)"7&")*()&3$)"/$&0'(&55*/("4&3*064*/'&$5*0/*':065",&"#"5"$&158*5)05)&3 biologic medicines for your RA. /085)&.&%*$*/&4:065",&&&1"-*450':063.&%*$*/&4"/%4)08*550:063%0$503"/%1)"3."$*458)&/ you get a new prescription. IMPORTANT INFORMATION ABOUT POSSIBLE SIDE EFFECTS WITH ORENCIA ORENCIA can cause serious side effects including: ; Serious infections. "5*&/54 3&$&*7*/(  )"7& " )*()&3 $)"/$& 0' (&55*/( */'&$5*0/4 */$-6%*/( pneumonia, and other infections caused by viruses, bacteria, or fungi. Call your doctor right away if you feel sick or get any of the following symptoms of infection, which may be early signs of a serious infection: ; "'&7&3 ; '&&-7&3:5*3&% ; )"7&"$06() ; )"7&'-6-*,&4:.150.4 ; 8"3.3&%031"*/'6-4,*/ 2 &&!+#% +!-%)(, Allergic reactions can happen on the day of treatment or the day after receiving ORENCIA. Tell your doctor or get emergency medical help right away if you have hives, swollen face, eyelids, lips, tongue, throat, or trouble breathing. 2 (!+'&%#((%!, Certain kinds of cancer have been reported in patients receiving ORENCIA. It is not known if ORENCIA increases your chance of getting certain kinds of cancer. 2 %(-%)(, !064)06-%/053&$&*7&8*5)$&35"*/5:1&40'7"$$*/&4-*7&7"$$*/&4 may also cause some vaccinations to be less effective. Talk with your doctor about your vaccination plans. 2 !,*%+-)+1 *+)&!', %( *-%!(-, 0%-$ $+)(% ,-+.-%/! .&')(+1 %,!,!    !06 .": (&5 $&35"*/3&41*3"503:130#-&.4.03&0'5&/*':063&$&*7&"/%)"7&*/$-6%*/( ; 8034&/&% ; 1/&6.0/*" ; $06() ; 5306#-&#3&"5)*/( )'')(,% !!""!-,)"  %(&. ! ; )&"%"$)& ; 611&33&41*3"503:53"$5*/'&$5*0/ ; 403&5)30"5 ; /"64&" Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of ORENCIA. For more information, ask your doctor or pharmacist. "--:063%0$503'03.&%*$"-"%7*$&"#0654*%&&''&$54!06.":3&10354*%&&''&$5450"5          ; !068*--#&(*7&/#:")&"-5)$"3&1307*%&35)306()"/&&%-&1-"$&%*/"7&*/ 03*/53"7&/064 */'64*0/*/:063"3.55",&4"#065 .*/65&450(*7&:065)&'6--%04&0'.&%*$*/& GENERAL INFORMATION ABOUT ORENCIA &%*$*/&4 "3& 40.&5*.&4 13&4$3*#&% '03 $0/%*5*0/4 5)"5 "3& /05 .&/5*0/&% */ 1"5*&/5 */'03."5*0/ -&"'-&54 0/0564&'03"$0/%*5*0/'038)*$)*58"4/0513&4$3*#&% !06$"/"4,:0631)"3."$*4503%0$503'03*/'03."5*0/"#0655)"5*483*55&/'03)&"-5)130'&44*0/"-4 03 .03& */'03."5*0/ (0 50 888$0. 03 5)& $0.1"/: */5&3/&5 4*5& "5 888$0. 03 $"-  50--'3&& ©2008 Bristol-Myers Squibb Company ORENCIA is a registered trademark of Bristol-Myers Squibb Company. Enbrel, Humira, Remicade, Kineret and Rituxan are trademarks of their respective companies. Based on 1186240A4 04/08 427US08CBS00702 B5-B0001C-04-08-RA Printed in USA April/08 >> `e]fZlj Are you currently taking FLOMAX for urinary symptoms due to BPH, also known as an enlarged prostate? Getting Control For many men, FLOMAX reduces male urinary symptoms due to BPH in one week. Symptoms such as: ?fnkf_Xe[c\9G? Xe[gifjkXk`k`j weak stream Yp9\k_?fnXi[ stopping and starting going urgently 8><D8P@DGIFM<a man’s )+ RemedyLife.com waking up to go Continue to take FLOMAX, as directed by your doctor, once a day, every day. See if you qualify to get In men with BPH, the prostate enlarges, gradually constricting the urethra, the tube through which urine passes. “Men frequently complain they don’t have the stream they used to,” says Cy Stein, M.D., head of the medical genitourinary oncology program at the Montefiore-Einstein Cancer Center in NYC. Men with BPH also may experience frequent urination, an urgent need to urinate and a burning feeling. In addition to such annoyances, BPH can eventually cause a backflow of urine, triggering bladder continued up to $40 off your prescriptions! See attached card for details. 9EGIFJK8K@:?PG> `e]fZlj )/ RemedyLife.com relax the muscles in the prostate, relieving the pressure and allowing urine to flow more freely. Medications called 5-alpha reductase inhibitors retard prostate growth and actually shrink the prostate to reduce symptoms. They work by blocking enzymes that act on testosterone, a hormone that promotes organ growth. When symptoms can’t be managed with medication, your doctor may recommend removing or destroying excess prostate tissue. Surgical techniques may involve trimming the tissue or destroying it with lasers, radio-frequency energy, electrical currents or microwave energy. These procedures carry a small risk of incontinence and sexual dysfunction. include anti-inflammatory drugs, antibiotics, analgesics for pain or alpha-blockers to relax the muscles in the prostate. ■ 8Zlk\YXZk\i`XcgifjkXk`k`jThis appears as a sudden infection triggered by bacteria. Symptoms include fever, chills and blood in the urine and warrant an immediate trip to the doctor. Treatment is an initial high dose of antibiotics, followed by several weeks at a lower dose. ■ :_ife`ZYXZk\i`XcgifjkXk`k`jThis condition, also caused by bacteria, results in recurring bladder infections. A 4- to 12-week course of antibiotics is usually prescribed to clear up the According to the National Institute of Diabetes and Digestive and Kidney Diseases, 10 to 12 percent of men experience prostatitis-like symptoms. The term prostatitis means inflammation of the prostate, but doctors use the word to describe the following four distinct disorders: ■ :_ife`ZgifjkXk`k`j Also called chronic pelvic pain syndrome, this is the most common form of the disorder. It causes pain or discomfort in the groin or bladder area. Treatment may problem, but a longer-term, low-dose antibiotic may be needed for cases that don’t respond. ■ 8jpdgkfdXk`Z`eÕXddXkfip gifjkXk`k`j Because it has no symp- toms, you may learn you have this condition when a doctor evaluates you for another problem, such as prostate cancer or infertility. Often a blood test revealing an elevated prostate-specific antigen (PSA) level triggers an investigation. Men with the condition usually go on antibiotics for four to six weeks and then repeat the PSA test. ■ YOUR CHECKUPS GIFJK8K@K@J Masterfile or kidney infections, urine blockage or even kidney failure—so seek treatment early. An enlarged prostate usually begins to bother men after age 50; almost all men are affected by the time they reach 80. Luckily, having BPH does not increase your risk for prostate cancer. Help is available, but you need to be open with your doctor. “Unfortunately, men are often hesitant to disclose urination problems to their doctor,” notes Muta Issa, M.D., associate professor of urology at the Emory Clinic and chief of urology at the Atlanta VA Medical Center. “They consider it part of aging,” he observes, “and tend to tolerate these symptoms for too long.” ■ Ki\Xkd\ek For many men, the first step is to change behaviors that may worsen symptoms, such as drinking too much liquid before bedtime. In addition, “many patients don’t realize that some medications exacerbate symptoms,” Dr. Issa says. These include over-the-counter cold and sinus medications as well as certain antidepressants, tranquilizers and blood-pressure medications. Two classes of drug therapies can help if the condition becomes more bothersome. Alpha-blockers help Current guidelines advise that all men have an annual prostate exam beginning at age 50 (40 if you are African-American and/or have a family history of prostate cancer). Your doctor should perform a digital rectal exam (DRE) to search for prostate enlargement and irregularities associated with BPH or prostate cancer. Your physician should also give you a blood test to measure your PSA level; when elevated, this protein produced in the prostate may be a marker for prostate cancer. (Some doctors advise that all men have their first PSA test in their early 40s.) Urinalysis may be performed as well, to detect prostate inflammation or infection. —Sid Kirchheimer RemedyLife.com )0 >>JZffg k_\ ?Xe[j$fe?\cg What to do in a heart-health emergency by Sid Kirchheimer 9ilj_#=cfjj Xe[Jd`c\ The worse a man’s oral health, the greater his risk of heart disease. That’s the conclusion of a study that tracked 1,203 men for up to 35 years. All were young and healthy at the start, but as they aged, those who developed severe gum disease were twice as likely to also have heart disease as those with healthy or less damaged gums. The theory: Bacteria in the mouth travels through the bloodstream and causes inflammatory responses that lead to heart and blood vessel damage. Even Easier Assistance Think the CPR guidelines above might be hard to remember during a crisis? Try memorizing these two steps instead. 1) Call 911. 2) Push hard and fast in the center of the chest. *' RemedyLife.com Media Bakery; Jupiter Images What would you do if someone near you seemed to be having a heart attack? Giving CPR (cardiopulmonary resuscitation) may seem daunting, but the American Heart Association (AHA) says simply doing chest compressions, without mouth-tomouth breathing, may save an adult until help gets there. The AHA’s Hands-Only CPR guidelines: call 911; put the victim on the floor face up; place one hand on top of the other in the middle of the victim’s chest; press hard and fast on the chest, depressing it about 2 inches, roughly 100 times a minute. Continue until paramedics arrive. Note: Kids and drowning victims still need mouth-to-mouth resuscitation. ■ The 20s: folic acid and iron The 30s: calcium Decade Diets Simple tips for healthy eating through the years by Elizabeth Somer, M.A., R.D. N Women in their 20s may still be growing and are still building tissue. Two nutrients to ensure that you get enough of are folic acid and iron. *) RemedyLife.com Now’s the time to fill your bone-strength bank and protect bones from future fractures. Calcium Women build bone tissue until around age 30. The stronger you keep your bones now, the less likely it is you’ll develop osteoporosis later. Include three servings a day of milk, soy milk or fortified orange juice. At every age, ask your doctor about calcium supplements. 40s plus: omega-3s and phytonutrients As we age, heart disease looms larger as a health threat, due primarily to hormonal changes. Plus, after 40, women may lose five to ten pounds of muscle mass each decade. As muscle diminishes, metabolism slows, causing weight gain— which can adversely affect heart health. Omega-3s Diets should be low in saturated fat and cholesterol and include monounsaturated fats from olive oil, omega-3 fats from fish, and foods fortified with the omega-3 DHA. Phytonutrients High-fiber plant foods such as beans are full of heart-healthy compounds known as saponins, phytosterols and phytoestrogens. ■ About the Author One Less Slice of Pie Cut 300 to 500 calories from Jupiter Images; Getty Images omen’s nutritional requirements change as we age. Fortunately, we can get most of the 40-plus nutrients we need by consuming plenty of whole grains, colorful fruits and vegetables, legumes, seafood and nonfat dairy or soy milk. It’s also wise to augment our diets with the specific nutrients we need during each stage of life. Folic acid Found in greens, orange juice and beans, this B vitamin prevents birth defects, but is most effective in the first few weeks of pregnancy— often before a woman knows she is pregnant. Since one in every two pregnancies is unplanned, all women in their 20s should get plenty of these foods every day and take a multivitamin with 400 mcg of folic acid. Iron Tired? Can’t think straight? Instead of coffee, reach for ironrich foods such as lean meat, dark-green leafy vegetables and legumes. Boost iron absorption by adding vitamin C–rich foods, and avoid tea and coffee with meals; their tannins block iron absorption. your daily diet and you might live to bounce your greatgreat grandchildren on your knee. Researchers from Washington University School of Medicine in St. Louis conclude that maintaining a healthy weight by eating well, limiting calories and exercising regularly may be the key to longevity. Elizabeth Somer, M.A., R.D., author of 10 Habits That Mess Up a Woman’s Diet and Age-Proof Your Body, is editor in chief of Nutrition Alert, a newsletter that summarizes nutrition research. She also appears on national television shows, including NBC’s Today. RemedyLife.com ** >>JZffg k_\ B`Zbk_\?XY`k IF YOU HAVE COPD, IT PAYS TO QUIT SMOKING by Natasha Persaud ing is by far the leading cause of COPD, although secondhand smoke, air pollution, infection and allergies can play a role or worsen the disease. Quitting smoking now can offer some significant health benefits, according to Norman Edelman, M.D., chief medical officer of the American Lung Association. Here he answers questions and offers tips to improve your chances of success. @=PFL?8M<FE<of the conditions that fall under the term chronic obstructive pulmonary disease (COPD) — and 25 percent of regular smokers do—the most important step you can take to improve your health is to quit smoking. The main forms of COPD are emphysema and chronic bronchitis, both progressive lung diseases that make breathing difficult. Smok- *+ RemedyLife.com body of research shows it’s worthwhile to quit, no matter how advanced your COPD. The day you quit, risks for heart disease and stroke go down. Within a few months, lung deterioration slows and your lung cancer risk is cut. Within nine months of smoking cessation, coughing, sinus congestion, fatigue and shortness of breath from COPD also decrease. Continued on p. 38 Media Bakery H1N_pj_flc[@hl`k`] @Xci\X[p_Xm\:FG;6 ;i%<[\cdXe1A substantial >>JZffg k_\ =I<<JlYjZi`gk`fe I M@K8D@E; Vitamin D may help delay the lung decline of COPD, according to preliminary research presented at the American Thoracic Society’s 2009 international conference. Calcitriol, a form of vitamin D synthesized by the human body, is an antiinflammatory and may delay airway remodeling, a process that gradually reduces lung function, says lead author Gautam Damera, Ph.D., of the University of Pennsylvania. Researchers plan to conduct further studies of calcitriol and to determine optimal dosages. In the meantime, “talk to your physician about taking vitamin D,” says Damera. “A supplement containing 400 to 600 IU of vitamins D2 or D3 may be beneficial.” To receive FREE health information directly from sponsors within this issue of MediZine’s Healthy Living, simply circle from the choices below. 1. Crestor–AstraZeneca 3. Synvisc–Genzyme Corporation 2. Flomax® (tamsulosin HCl)– 4. sanofi-aventis Boehringer Ingelheim Pharmaceuticals, Inc. Return Address YOU: Mr. Mrs. Miss Ms. Year of Birth 1 9 MQ3091 First & Last Name Street Address Apt # City State Email Address SPOUSE: Mr. Zip Phone Number Mrs. First Name Year of Birth 1 9 Last Name To help us improve our service, please complete the edition code with the five digit number found on the inside front cover: I certify that I am 18 years old. Based on the information I’ve provided on this card I may receive (via mail or email) relevant health information such as free product samples, coupons and other free health materials from MediZine and/or our sponsors. YES! I want my free subscription to I>JZffg k_\ =i\\I<8K@E>DL:?<8J@>Zc`Zb`k Editor in Chief ............................................ DIANE UMANSKY Loyd V. Allen Jr., Ph.D. Editor in Chief International Journal of Pharmaceutical Compounding Edmond, Oklahoma Creative Director................................... T RACY D’AGOSTINO Managing Editor ............................................. AMY GUBNER Research Editor ........................................... PATRICIA VOLIN Copy Editors .................... CHARISSA JONES, PAULA RACKOW New York Office Pharmacy Relations Division 5494 AUBREY LOOP, DUBLIN, OH 43016 (800) 287-2159 FAX: (614) 734-1744 VP, Retail Marketing ................................... LEE RUDIBAUGH MEDIZINE LLC / REMEDYL IFE.COM Chief Executive Officer........................... T RAVER HUTCHINS President ................................................ MICHAEL CUNNION Chief Revenue Officer .............................. SUZANNE POLIZZI VP, General Manager ...................................... INGRID SWAN VP, Marketing & Custom Solutions ..... ALISON PAULA JARET Chief Financial Officer ...................................... L ISA COHEN Controller .................................................. JONATHAN GROSS Director, Production & Dist..................... THERESA SKRAPITS George McAuley, M.D. Medical Director of Psychiatry Northridge Hospital Medical Center Northridge, California Richard Stein, M.D. Director of Preventive Cardiology Beth Israel Medical Center New York, New York Marla Tobin, M.D. Board-Certified Family Physician Warrensburg, Missouri Associate Director of Circulation .................. GRACE LEUNG (800) 514-8002 Production Manager................................... ESTELLE SELZER Research Director............................. YOLANDA SANDULESCU © 2009 MediZine LLC. All rights reserved. Unauthorized reproduction is a violation of applicable laws. MediZine® is a registered trademark of MediZine LLC. Reader questions? Email us at [email protected]. The information provided here should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The pharmacy where you received this guidebook is not responsible for the content. Not all products mentioned are available at all pharmacies. ,- RemedyLife.com Y su bs cr ip tio n re n offe ew rs MORE REMEDY ONLINE al FREE! Chairman.......................................................DALE W. LANG Kate Farthing, Pharm.D. Drug Information Coordinator Oregon Health Sciences University Portland, Oregon ED s ter let 126 WING STREET, SUITE 317, ARLINGTON HEIGHTS, IL 60004 (847) 577-9680 FAX: (847) 577-9685 M rts health ale Midwest Office Joyce Generali, M.S., R.Ph. Director of Drug Information Clinical Associate Professor Department of Pharmacy University of Kansas Medical Center Kansas City, Kansas RE s new 500 FIFTH AVENUE, SUITE 1900, NEW YORK, NY 10110 (212) 695-2223 FAX: (212) 695-2936 R. Keith Campbell, R.Ph., C.D.E. Associate Dean Pharmacy Practice Washington State University College of Pharmacy Pullman, Washington Advertisement b 8[m`jfip9fXi[ sam ig savin gs ple s JK8== RemedyLife.com More Articles, More Recipes, More Health Tips, And More Savings! Created by the editors of this magazine, RemedyLife.com is a rich resource of health information for you and your family. Visit us today at RemedyLife.com/rf © 2009 MediZine All rights reserved. REMEDY® and RemedyLife.com® are registered trademarks of MediZine