Our Crohn’s Disease Pharmacist Specialist can play many roles in improving outcomes for patients living with Crohn’s Disease. They are here to help patients understand disease-state education, proper injection techniques, adverse effect management strategies, and information on therapy expectations. Our pharmacist can also provide information on the necessity of vaccinations for immunocompromised individuals and the value of smoking cessation. Clinical counseling around anticipated timelines for improvement and prescriber follow-up in response to patient symptoms or adverse effects that can contribute to the success of a patient’s treatment.
Our Crohn’s Disease specialist understands the needs of our patients afflicted by Crohn’s disease and is available to assist providers and patients in creating treatment regimens that integrate into their life’s schedule so that patients can manage their health comfortably and efficiently. It is our goal to help protect your health with personalized care, understanding and education while always protecting your privacy.
About Crohn’s Disease
Crohn’s disease is a form of inflammatory bowel disease (IBD) causing inflammation of the digestive tract, also known as the gastrointestinal (GI) tract. The disease can affect the tract anywhere from the mouth to the anus, but it is commonly found in the lower part of the small intestine, called the ileum. Crohn’s disease is also called regional enteritis.
The causes of Crohn’s disease are unknown, but the condition is recognized as an autoimmune disorder. Typically, the immune system is the body’s natural defense system from bacteria, viruses, and other illnesses. For those living with Crohn’s disease, the immune system does not register a difference between normal body tissue and foreign substances, resulting in an overactive response. This leads to chronic inflammation in the body.
Common signs and symptoms of Crohn’s disease are: pain in the abdomen, diarrhea, bleeding from the rectum, weight loss, joint pain or arthritis, skin problems and fever. Crohn’s disease symptoms are similar to other intestinal disorders, so it can be difficult to diagnose. A physical exam and a series of tests including colonoscopy are usually necessary to diagnose the disease. The disorder affects both men and women equally, and it appears to run in some families. People of Jewish heritage have an increased risk of developing Crohn’s disease. It is typically diagnosed in young adults, although it can affect people of all ages.
Treatment plans for Crohn’s disease include anti-inflammatory drugs such as sulfasalazine, mesalamine and coristicosteroids. These medications may be specifically prescribed to target discomfort associated with the disease, however they are not a cure for Crohn’s and cannot relieve all symptoms. Alternative treatments for some patients include rectal steroids, immune system suppressors, and anti-diarrheal medications. The practice of a healthy diet low in fatty foods and dairy products, and the reduction of stress can greatly improve the daily comfort levels of people with Crohn’s diseas
Our Diabetes specialist is dedicated to helping our patients manage their Type 1 or Type 2 diabetes with cost effective, quality medical solutions that integrate into a busy life schedule. We carry a range of today’s most advanced prescription medications and medical equipment for diabetes management, and we provide personalized, professional care. Our specialist is always available to make sure you understand your medication, how to monitor your blood sugar levels, and to talk to you about lifestyle changes that may help control your diabetes. It is our goal to help protect your health with personalized care, understanding and education while always protecting your privacy. Contact our pharmaceutical experts today for more information on our diabetes prescription plans.
Diabetes is a disorder of the hormone (endocrine) system that renders the body unable to regulate blood sugars. Also known as diabetes mellitus, diabetes has two main types. Type 1, previously known as juvenile diabetes, is most commonly diagnosed in children and young adults. Type 1 diabetes is caused by a combination of genetic mutation and environmental factors, so it is not a preventable disorder. In Type 1, the body does not produce insulin. With Type 2 diabetes, the most common form of the disorder, the body does not produce enough insulin. Environmental factors play a more significant role in the development of type 2 diabetes as does being overweight, lack of exercise, and unhealthy eating habits. In Type 2, either the body does not produce enough insulin or the body ignores insulin.
Another form of diabetes is gestational diabetes, which occurs during pregnancy due to the body’s process of producing more hormones. This rare form of the disorder increases the risk of pregnancy complications, and can be treated relatively easily.
A wide variety of tests are available to help diagnose diabetes. The most typical tests administered are: blood glucose tests, oral glucose tests, and hemoglobin AC1 tests. Common signs and symptoms of diabetes include: frequent urination, presence of ketones in urine, unusual thirst, extreme hunger, unusual weight loss, extreme fatigue, blurred vision and mild to high blood pressure.
It is important to diagnose and treat diabetes as early as possible, in order to avoid serious complications. Left untreated, diabetes can lead to irreversible nerve damage, a higher risk of some cancers, skin infections, insulin resistance, high blood pressure and hyperglycemia, among other complications.
The most fundamental treatment for all types of diabetes is the practice of healthy eating in combination with the correct amount of physical activity. Medical treatments may include devices that monitor blood sugar, medications providing insulin, and other oral prescription drugs. For severe cases of diabetes, transplantation and bariatric surgery may become treatment options to help extend life.
Our HIV/AIDS specialist is committed to providing confidential, reliable, consistent care to people with HIV/AIDS. We carry a wide range of prescription therapies to help treat HIV/AIDS, including Combivir, Retrovir and Viread. We provide comprehensive follow-up service so that patients receive a smooth continuum of efficient, specialty care. Our expert professionals are trained in HIV/AIDS therapies and can help providers and patients find treatment regimens that work for them. It is our goal to help protect your health with personalized care, understanding and education while always protecting your privacy. Contact us today to learn more about our comprehensive HIV/AIDS therapies.
Human immunodeficiency virus (HIV) is a lentivirus that attacks the immune system, impairing its ability to fight diseases. If left untreated, most HIV-infected individuals will develop acquired immunodeficiency syndrome (AIDS), which targets the immune system, causing it to fail and eventually become vulnerable to life-threatening opportunistic infections.
As of 2009, the World Health Organization reports an estimated 33.3 million people worldwide are living with HIV/AIDS. In the U.S. alone, the Centers for Disease Control and Prevention (CDC) estimate that more than one million people are living with HIV, and over 56,000 Americans are infected with HIV each year. However, up to 25 percent of Americans may be unaware that they have HIV.
People with the highest risk of contracting HIV/AIDS are:
Those who have unprotected sex and/or multiple sexual partners (regardless of gender or sexual orientation)
Intravenous drug users who share needles
Newborn babies with HIV-positive mothers
HIV is most commonly transmitted by sexual contact with an infected partner. However, the virus can also be passed through the sharing of infected needles, blood transfusions and pregnancy (from mother to child).
HIV can be diagnosed through specimen testing with assays, Western blots, or nucleic acid testing. When HIV is diagnosed, a person is referred to as “HIV-positive.” This means that an individual has contracted either type 1 (HIV-1) or type 2 (HIV-2) virus, which stays in the body for the remainder of a person’s life. People who have contracted HIV-1 or HIV-2 can potentially live with the virus for many years before it progresses to the development of full blown AIDS.
The progression of HIV to AIDS happens through the destruction of CD4 cells, also known as T-Helper or T-Cells. These are a specific type of white blood cell in the body that play a key role in helping the immune system fight illnesses. HIV targets, infects and kills CD4 cells. If HIV destroys enough CD4 cells so that a person’s CD4 count is below 200 cells/mm3, then a person is considered to have AIDS. However, some people can have a CD4 count over 200 cells/mm3 and still have AIDS, because they also have opportunistic infections present (such as: pneumocystis jiroveci pneumonia, cytomegalovirus, tuberculosis, toxoplasmosis, and cryptosporidiosis).
A range of signs and symptoms can be found in HIV-positive individuals. During the first stages of contracting HIV, patients may experience:
Brown or red blotches under the skin
Persistent skin rashes
Persistent yeast infections
Rapid weight loss
Swollen lymph nodes
Although there is no vaccine currently available, there are many types of prevention practices that are recommended. In order to prevent infection of HIV/AIDS, the practice of safe sex with condoms is most commonly and highly encouraged. Knowing a partner’s sexual history, avoiding drug abuse, avoiding the sharing of needles and household razors, and wearing latex gloves when dealing with infected blood can all help prevent the infection of HIV/AIDS.
Unfortunately, there is no known cure for HIV or AIDS, but there are a number of treatments. Helping control the virus, these drugs can help prevent the progression of AIDS. They can also help restore the functions of the immune system and improve the quality of life for patients with HIV. These treatments include:
Non-nucleoside reverse transcriptase inhibitors (NNRTIs)
Nucleoside reverse transcriptase inhibitors (NRTIs)
Protease inhibitors (PIs)
Entry or Fusion Inhibitors
These treatments should begin during the early stages of HIV, if an individual presents with severe symptoms or if someone is pregnant. The complications of treatment may vary in severity, from nausea, vomiting, diarrhea, skin rashes to weakened bones or bone death. However, the practice of a healthy diet, the avoidance of high-risk behavior and the proper use of medications can help prevent complications.
There are a number of resources available for people and families affected by HIV/AIDS. A range of information, support groups, and other helpful links can be found throughout the following sites:
The Centers for Disease Control and Prevention (www.cdc.gov/hiv/dhap.htm)
The National Institute of Allergy and Infectious Disease (www.niaid.nih.gov/publications/aids.htm)
U.S. Food and Drug Administration (www.fda.gov/oashi/aids/hiv.html)
The U.S. Department of Health and Human Services (www.aidsinfo.nih.gov)
National Center for Health Statistics (www.cdc.gov/nchs/default.htm)
National Minority AIDS Council (www.nmac.org)
UNAIDS — Joint United Nations Programme on HIV/AIDS