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“In The Spotlight”

ACA Corporate Member

FlavoRx

ACA Corporate Members

AirClean® Systems; Analytical Research Laboratories: Attix Pharmaceuticals; B & B Pharmaceuticals; Boiron; Compound Pharmacy

Marketing; EXAKT; Fagron; FlavorRx, Inc.; Freedom Pharmaceuticals, Inc; Frier Levitt, LLC; Gates Healthcare Associates; Health Engineering

Systems**; Humco Compounding; In Their Face Marketing; International Journal of Pharmaceutical Compounding (IJPC); LETCO Medical**;

Mallinckrodt**; MEDISCA; Medistat; PennTech; Pharmacy Marketing Quarterly; Pharmacy Podcast Show; Professional Compounding Centers of

America**; Return Solutions; RXinsider; Storey Marketing; Tacit Almonds, LLC: Take Charge Lifestyle Education and The Compounders Group;

Topi-Click.

ACA Corporate Affiliates

International Academy of Compounding Pharmacists (IACP); Pain Treatment Topics; PBA Health; Pharmacy Compounding Accreditation Board;

Prescribe Wellness; RS Software; and Xenex Laboratories.

** REF Corporate Life Members

Thanks to our Corporate Members & Affiliates

News of the College

Dedicated to advancing the entrepreneurial spirit

of member pharmacists through education,

innovation, mentoring, fellowship and training.

Volume 88 / Issue 1 March 2015

News of the ACA Members

ACA On-Demand Webinars

2015 ACA Class Schedule

Know a Community Pharmacist—Refer them to ACA

Health Care Information for the Patient - Cinnamon Supplements for Diabetics

Health Care Information for the Prescriber - Primary Chemoprevention for Breast Cancer

Lifetime Achievement Award Winner - Howard Stark

I am humbled by this prestigious award. However I would be remiss in my acceptance if I did not say this award belongs to my 2 best

friends in pharmacy, my “PAPPY” Bill Bradley and Paul Lofholm. These 2 men have contributed so much in contributing …

Congratulations New ACA Fellows - During the 2015 Educational Conference Fellowship Awards Luncheon the

ACA honored new Fellows, who have distinguished themselves for a variety of achievements in the pharmacy

profession.

Save the Date - Three Specialty Conferences coming in 2015!

Veterinary - What’s Happening - May 1 - 2, 2015 in Nashville, Tennessee

ACA Leadership Academy - April 30 - May 2, 2015 in Bartlett, Tennessee

Wellness - What’s Happening - August 13 - 15, 2015 in Denver, Colorado (more information coming soon)

News of the Fellows / Upcoming Events / Important Information

At the 2015 ACA Board of Directors meeting the Admissions Committee recommended to the Board of Directors the following individuals

for Fellowship in the College.

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Message from the New ACA President - Jerry Greene, RPh, FACA

Fellows of the ACA, the ACVP, distinguished guests, friends and family. I am both honored and humbled to stand before you as

your 74th president.

Tonight is not only special for me, but for everyone here who has made the trip to join us in celebrating our 75 thAnniversary. Back in the

late 90’s, I was working with an independent group of chemical wholesalers knows as Meridian. Within that group I . . .

Necrology

Bernard Klouda

February 2015

Fellows of the ACA, the ACVP, distinguished guests, friends and family. I am both honored and

humbled to stand before you as your 74th president.

Tonight is not only special for me, but for everyone here who has made the trip to join us in celebrating our 75 th

Anniversary.

Back in the late 90’s, I was working with an independent group of chemical wholesalers knows as Meridian.

Within that group I found myself gravitating towards several of their employees. Not only did we work together

professionally, but also we remained life long friends.

When Meridian Chemical dissolved, some of these people ended up at Spectrum Pharmaceuticals. And in 2002,

Kyle Northcott and Rob Perkins urged me to become part of a National Pharmacy Association known as the American College of Apothe-

caries. At that time, and having only served at my local level, I had not heard of this group and I decided to look into this association known

as the ACA.

Needless to say, back in 2002 one had to be an independent owner in order to gain Full Fellowship.

However, I began the process:

Made my video, and filled out my paperwork.

And in 2003, Maria and I found ourselves flying off to Asheville NC, and into the GROVE.

As I waited to meet my interviewing committee, a tall thin man stood before me, stuck his hand out and said “HI, I’M GILL THE PILL…

FROM JACKSONVILLE”. I thought for a moment and two things shot across my mind

1) How cool is this group, everyone in this association has some kind of dosage form nickname…..

2) I wonder if we get to pick our own nickname or do they name us ?

And OMG, what if I become Jerry “the rectal rocket man” Greene?

In 2003:

The United States invaded Iraq and took Saddam Hussein out of power

Homeland Security began operation

A gallon of gas sold for $1.59

Apple launched something called iTunes

Arnold S. was elected governor of California

And on a personal note, I became the first NON-PHARMAY OWNER to be inducted and granted full fellowship into the ACA.

Throughout my last 12 years in the ACA, I've watched as this association faced many challenges. However, through the diligent work of Ed

Hesterlee, our great office staff, Past Presidents Nelson Showalter, Jay Watts, Ben Smith and Jim Martin we rose above those challenges,

and, if I may para-phrase Past President Showalter, we not only “survived,” but we have “thrived.”

Our CE programs and training classes have grown, our ACVP residency program is growing and our board is as strong as it has ever been.

Of course, as with any Professional Association our membership can always be increased.

Over the next year, I would like to see the organization move in a direction that will allow young pharmacy students a greater exposure to

the ACA. As incoming freshman, students are offered memberships to their state associations as well as the APhA, AShP and others...

In the words of my niece who is in her second semester at Pacific in Oregon. “There are so many acronyms of the associations we

automatically belong too, I don't see the ACA”

This is what I would like to remedy! I would like to see a student chapter of the ACA in as many Pharmacy Schools that will welcome us.

In the last two weeks, I made three phone calls.

Pacific

UOP

UCSD.... challenge the board to bring in 1 University.

I feel this is an achievable goal over the next 12 months. With this exposure combined with our leadership programs and our regional and

annual conferences, the ACA will become a more recognized organization and thus open the doors for future fellows at all levels.

I would like to briefly draw your attention the centerpieces at the table and the items in your “goodie bag.”

-The decorations

-The Champagne and Brittle

Again, I thank you all for the opportunity to serve as your president. I wish you all a belated Happy New Year, and please enjoy the remain-

der of your weekend.

Jerry Greene

ACA President

2015 Educational Conference Fellowship Awards Luncheon

During the 2015 Educational Conference Fellowship Awards Luncheon the ACA honored new Fellows who have

distinguished themselves for a variety of achievements in the pharmacy profession.

Congratulations to all of our 2015 New Fellows!

Admissions Committee Report

2015 Educational Conference

The Admissions Committee recommends to the Board of Directors the following individuals for

Fellowship in the College.

Full Fellowship – to be Inducted at the Conference

Anthony Accaputo

Palm Beach Gardens, Florida

Tracy Anderson

Perry, Oklahoma

Hamid Bakhteyar

Cary, North Carolina

Ajay Barthwal

Old Bridge, New Jersey

Joe Cabaleiro

Middleton, Massachusetts

John Dobbs

Fort Myers, Florida

Timothy Fensky

Roslindale, Massachusetts

Robert Harshbarger III

Kingsport, Tennessee

Scott Herzog

Seattle, Washington

Farzana Kennedy

Alexandria, Virginia

Suzanne Keyes

Elk City, Oklahoma

William Mixon

Hickory, North Carolina

Joseph Navarra

Melville, New York

Devan Patel

New Port Richey, Florida

Krutika Patel

New Port Richey, Florida

Christopher Rosario

Old Bridge, New Jersey

Joseph Rossetti

Worcester, Massachusetts

Jeffrey Reses

Cary, North Carolina

Chandrakant Trivedi

Islip Terrace, New York

Derick Anderson

Nashua, New Hampshire

Ephrem Degefu

West Palm Beach, Florida

Prashant Diwan

Cary, North Carolina

Jeff Fulks

Alvin Creek, West Virginia

Courtney Hunt

Foxworth, Mississippi

Hasna Iwas

New Baltimore, Michigan

Jean Jacobs

New Rochelle, New York

Jobby John

Bee Cave, Texas

Michael Larkin

Topeka, Kansas

Ennio Magnarelli

Newtown Square, Pennsylvania

David J Miller

Grand Rapids, Michigan

Hee Joo Park

Auburn, Washington

Jose Puentes

Palm Beach Gardens, Florida

Phillip Woodward

Edmond, Oklahoma

Full Fellowship – to be Inducted in Absentia

Full Fellowship Applicants – to be Inducted as Nominee

Shayda Bozorg

Jupiter, Florida

James Hua

Tampa, Florida

Full Fellowship Applicants – to be Inducted as Nominee in Absentia

Omar Allibhai

Waltham, Massachusetts

Binu Baby

New York, New York

David Hughes

Coventry, Rhode Island

Robert Lomenick

Holly Springs, Mississippi

Ramon Napier

Hattiesburg, Mississippi

Dar Patel

Cedar Knolls, New Jersey

Victor Poteet

Knowxville, Tennessee

Anthony Pudlo

Des Moines, Iowa

Kathryn Richards

Clarksville, Tennessee

Sahar Swidan

Ann Arbor, Michagan

Tuan Minh Tran

Westminster, California

Admissions Committee Report (conti)

2015 Educational Conference

Marketer Members

Amanda Addington

San Antonio, Texas

Lauren Bernick

Edmond, Oklahoma

Barrett Franklin

Newport News, Virginia

Cliff Litchfield

Broken Arrow, Oklahoma

Scot Maitland

West Lake Hills, Texas

Andy Mathurin

Tulsa, Oklahoma

Mickey Michalec

Tulsa, Oklahoma

Ashley Nolan

Austin, Texas

Lauren Onsa

Naples, Florida

Chelsea Perna

Newark, Deleware

Chris Rutt

Paramus, New Jersey

Technician Members

Scherra Bartoli

Bartlett, TN

David DeBusk

Katy, Texas

Eddy Hack

Canton, South Dakota

Devon Hooker

Katy, Texas

Ashfaq Inayatali

Houston, Texas

Faheem Inayatali

Houston, Texas

Joe Jimenez Jr

Arlington, Texas

Etta Johnson

St. Paul, Minnesota

Rebecca Jones

Charlotte, North Carolina

Kristin Mitchell

Beaverton, Ontario

Deborah Parker

Madison, Alabama

Brenda Pavlic

Newark, Delaware

Sharla Reschke

Overland Park, Kansas

Marisol Rivas

Newport Beach, California

Bryant Salcedo

Texarkana, Texas

Keri Simerly

Hernando, MS

Applicants for Corporate Membership

Amy Dean

Analytical Research

Laboratories

Oklahoma City, Oklahoma

Christophe Merville

Boiron

Newtown Square, Pennsylvania

Renee Moore

Compound Pharmacy

Marketing

Temple Hills, Maryland

Kyle Northcott

EXAKT Technologies, Inc.

Oklahoma City, Oklahoma

Megan Cosgrove

Fagron Inc

St Paul, Minnesota

Chris Cielewich

FlavoRx, Inc

Columbia, Maryland

Jonathan Levitt

Frier Levitt, LLC

Pine Brook, New Jersey

Carl Britton

In Their Face Marketing

Moore, Oklahoma

Deb Mehlhaff

International Journal of

Pharmaceutical

Compounding

Edmond, Oklahoma

Kain Johnson

PennTech

Warminster, Pennsylvania

Todd Eury

Pharmacy Podcast Show

Bridgeville, Pennsylvania

Adrienne Vandergriff

Return Solutions

Knoxville, Tennessee

Terry Forshee

Take Charge Lifestyle

Education

Cleveland, Tennessee

Susanne Williams

The Compounders Group

Jamestown, New York

Tim Phipps

Topi-CLICK

Woodstock, Georgia

Presidents Reception and Awards Banquet

Lifetime Achievement Award Winner

Howard Stark

To the Fellows and Guests.

I am humbled by this prestigious award. However I would be remiss in my acceptance if I did not say this award

belongs to my 2 best friends in pharmacy, my “PAPPY” Bill Bradley and Paul Lofholm. These 2 men have

contributed so much to the ACA Research and Education Foundation (REF). Bill, in bringing and working tirelessly

with Sally, to develop ACVP and Paul for developing all the courses that are taught at the ACA National Training

Center. They have given their time and worked without enumeration to make the REF a viable part of the ACA,

which was the brainchild of Past President Tom Denson whom many of you in this audience know.

It was a labor of love as the only re-numeration we received was staying with DC and Judy in their home and to

sleep in the "Bradley Suite".

Thank you very much for bestowing this honor upon me I will always cherish it.

Howard Stark

ACA 75th Anniversary

Presidents Reception and Awards Banquet

Pam & Ed Hesterlee Awards Banquet

Presidents Reception John Oftebro

ACA Resource & Education Training Center

2830 Summer Oaks Drive

Bartlett, TN 38134

April 30 - May 2, 2015

Course Description: How do you effectively perform as an entrepreneur with limited time, financial resources, and people,

without sacrificing your actual career as a Pharmacist? You don’t. You may have started as a Pharmacist but you are now a

Business Owner. Pharmacy school does not often prepare pharmacists on how to run a business with a fundamental shift to

working on your business and not just in it. If you haven’t learned to think like world-class business leaders, you’re going to

spend most of your time chasing those that do.

As a result of participating in this knowledge-based course, participants will:

Discuss the Functional /Technical Competencies of a Business Owner

Cite the major decision-making areas of managerial finance and accounting for entrepreneurial or independent retail

pharmacies.

Describe entrepreneurial marketing concepts and methods and their real world application by pharmacy owners,

entrepreneurs, and business leaders/managers.

Discuss how to work with tools, techniques, and methods to identify how to improve process flow both from a customer-

centric, pharmacy workflow, and daily management operating perspective.

Identify the key role Human Resources plays in building and maintaining a strong pharmacy.

Review the human dynamic component of your business by strengthening your leadership skills in social and emotional

intelligence.

A specialty conference for your veterinary pharmacy, offering 4

hours of CE at the Nashville Zoo with a guided tour of the zoo hos-

pital, commissary and animal areas along with 7 hours of additional

CE classroom lectures.

Pharmacists, technicians and marketers will receive an overview of

zoological and standard veterinary medicine. Attendees will be able

to better understand the vast array of pharmacy needs for diverse

groups of animals and how compounded medications can and are presented to the animals.

Friday Schedule

7:00am - 8:00am - Breakfast

8:00am - 12:00pm - CE Presentations - Communication Barriers: Traslating Woof to

Warfarin; Veterinary Marketing Essentials; Veterinary Dosage Formas and Drug Administration

11:00am - 12:00pm - Lunch

1:00pm - 6pm - Nashville Zoo (4 hours of CE) with:

Dr. Heather Robertson, DVM - Director of Veterinary Services, Nashville Zoo *Presentation

and guided backstage access tour

Saturday Schedule

7:00am - 8:00am - Hot Breakfast

8:00am - 12:30pm - CE Presentations - Veterinary Drug Legislation Update; Inside Veterinary Compounding-Beyond the

Basics; Compounding for the Equine Persuasion, and From the Sources Mouth: Miscommunications and Misconceptions

between DVM's and PharmD's.

Arrive early for the Thursday evening "Meet & Greet" reception. Continuing education sessions will be all day

Friday and until 12:30pm on Saturday.

Looking for additional CE:

The American College of Apothecaries is the source for pharmacists’ and technicians’ continuing education and pro-

fessional development opportunities. With the ACA Education CEnter – The Live Webinars and Self-Paced

Online Programming will bring you up-to-date information on legislative, regulatory and practice topics in phar-

macy compounding that can affect you and your practice.

Special features include United States Pharmacopeia (USP) requirements, recorded sessions from the ACA,

IACP, ACVP Educational Conference, and a wide-range of sessions from the Texas Pharmacy Association,

Ohio Pharmacists Association, Arizona Pharmacy Association, and the International Academy of Compound-

ing Pharmacists (IACP) online libraries.

The ACA Education CEnter is a one-stop shop to find everything you need. Make it your destination to find a

comprehensive selection of compounding continuing education. Open to members and non-members, ACA

Education CEnter offers a variety of continuing education.

Just added to the directory the sessions from the Compounding - What’s Happening Conference.

Quality, Safety, and Workflow in the Compounding Pharmacy – Bryan Prince, MBA

Compounding for Wound and Scar Treatment - Erik Tosh, DPh, FIACP, FACA

Penetrating Insight: An Update on Veterinary Transdermal Therapy - Gigi Davidson, BSPh, FSVHP, DICVP

What’s Hot and What’s Not in Veterinary Pharmacotherapy - Gigi Davidson, BSPh, FSVHP, DICVP

USP Standards Setting Process -- What's going on with Compounding Standards? Lisa Ashworth

Compounding In the Next Two Years: The More Things Change... - David G. Miller, R.Ph, FIACP, FACA

Specialty Compounding for Pediatrics and Geriatrics, How Similar Are They? - Erik Tosh, DPh, FIACP, FACA

503 B Update – John E. Morrone, Esq

NEW RULES FOR CPE MONITOR REPORTING

ACPE-accredited providers of continuing pharmacy education announce new rules regarding reporting of CEUs to

the NABP eProfile ID/CPE Monitor data base.

Effective May 1, 2014 all ACPE-accredited providers have 45 days to post the CPE activity participation date to

upload the participant credit into CPE Monitor. The provider must upload the participant information 45 days from

the date the participant completed the CPE activity. This applies to all CPE activities: live, internet-based, and

home-study articles.

Please note that beginning January 1, 2015 providers have a maximum 45 days to post the CPE activity

participation date to upload the participant credit into CPE Monitor. These records will not be submitted to the

learner’s NABP e-profile after January 1, 2015.There will be no exception to this rule beginning January 1, 2015.

What this means for you as the participant of any CE activity, make sure you give correct information regarding

birthdates and NABP eProfile ID numbers on all form fields when registering for a CE activity. It is the

responsibility of every CE participant to give the provider the correct information or CE credits will not be

recorded on your NABP eProfile!

ACA Corporate Member “In The Spotlight”

Flavorx is focusing to help pharmacy staff engage, personalize, and delight their guests by custom-

izing the taste of their medicine for kids and pets. Let us share how Flavorx can help better position

your pharmacy to win the hearts of Millennial Moms and Latina Moms making medicine time less

stressful and improving adherence. Our Fillmaster Plus automation allows pharmacies to digitally

reconstitute antibiotics while eliminating the need to look up Flavorx recipes online or in a book.

Flavorx has been successfully implemented by more than 45,000 pharmacies.

Quote:

“Working hard for something we don’t care about is called stress. Working hard for something we love is called passion”- Simon Sinek

News of the ACA Members

********************************************************************

Congratulations ACA Fellows:

ACHC is pleased to announce that the following pharmacies have achieved PCAB Accreditation:

Custom Rx Pharmacy & Wellness Concepts

Wichita, KS

Jan Gerber, RPh, FACA

Re-Accreditation for Non-Sterile Compounding

Potter's House Apothecary

Peoria, AZ

Kevin Borg, PharmD, FACA

Re-Accreditation for Sterile and Non-Sterile Compounding

MediStat Rx, LLC

Foley, AL

Lucy Hazebrook, RPh, FACA

Initial Accreditation for Sterile & Non-Sterile Compounding

Wedgewood Pharmacy

Swedesboro, NJ

Lucy Malmberg, RPh, FACA, FACVP

Re-Accreditation for Sterile and Non-Sterile Compounding

********************************************************************

PCCA Awards Charlene Vernak, RPh, the George Roentsch Scholarship

Charlene Vernak, RPh, of Vernak Farms Pharmacy in Skaneateles, New York, recently was awarded the George Roentsch Scholarship

by the Professional Compounding Centers of America (PCCA). Vernak received the award in Houston during PCCA's International

Seminar, held October 8-10, 2014. The scholarship is awarded annually to an independent pharmacist and PCCA member who embodies

the innovative and sharing nature of George Roentsch, a well-known pharmacist in the compounding community.

Saad Dinno Named PCCA's 2014 Pharmacist of the Year for Commitment to Excellence in the

Compounding Pharmacy Industry

PCCA has named Saad Dinno, RPh, FIACP, FACA, co-owner of Acton Pharmacy, in Acton, MA, West Concord Pharmacy, in Con-

cord, MA, and Keyes Drugs in Newton, MA, as its Dr. M. George Webber 2014 Compounding Pharmacist of the Year. The award,

which is given annually to an independent pharmacist who has demonstrated service excellence to patients, healthcare providers and

pharmacy colleagues, was presented to Dinno on October 10, 2014 by PCCA President Jim Smith and CEO David Sparks, during the

company's International Seminar held in Houston, TX.

Calvin H. Knowlton Receives Remington Honor Medal January 14, 2015

Award is Highest Honor in Pharmacy

WASHINGTON, DC – Calvin H. Knowlton, FACA, BSPharm, MDiv, PhD, of Moorestown, NJ, is the recipient of the 2015 Reming-

ton Honor Medal, the highest honor bestowed by the American Pharmacists Association (APhA). Knowlton was selected in recognition

of the professional achievements, innovations and advancements he has contributed to the pharmacy profession.

2015 ACA Class Schedule

January

16 & 17 Veterinary Compounding Essentials

26-28 3-Day Comprehensive Sterile Compounding

February

2-4 3-Day Fundamental Compounding & Calculations

6-7 Compounding for Natural Hormone Replacement

12-13 Compounding Options for Pain, Wound & Scar - Letco Medi-

cal Sponsored

23-28 Educational Conference – Ft Lauderdale, FL

March

5-7 3-Day Basic Compounding -

9-10 Compounding Options for Pain, Wound & Scar

13-14 Veterinary Compounding Essentials -

April

10-11 Compounding for Natural Hormone Replacement

13-15 3-Day Comprehensive Sterile Compounding

16-18 3-Day Comprehensive Sterile Compounding -

23-25 3-Day Fundamental Compounding & Calculations

27-28 Dental Preparations

May

13-15 3-Day Basic Compounding

18-20 3-Day Comprehensive Sterile Compounding

22-23 Compounding for Natural Hormone Replacement

June

1-3 3-Day Fundamental Compounding & Calculations

19-20 Veterinary Compounding Essentials

22-24 3-Day Comprehensive Sterile Compounding

26-27 Compounding for Natural Hormone Replacement

29-30 Compounding Options for Pain, Wound & Scar

July

17-18 Veterinary Compounding Essentials -

23-25 3-Day Fundamental Compounding & Calculations

27-29 3-Day Comprehensive Sterile Compounding

August

3-4 Compounding for Natural Hormone Replacement

14-15 ACA Wellness-What’s Happening – Denver

17-18 Compounding Options for Pain, Wound & Scar

21-22 Veterinary Compounding Essentials

27-29 3-Day Comprehensive Sterile Compounding

September

17-19 3-Day Fundamental Compounding & Calculations

28-30 3-Day Comprehensive Sterile Compounding

October

2-3 Veterinary Compounding Essentials

16-17 Compounding for Natural Hormone Replacement

November

2-4 3-Day Comprehensive Sterile Compounding

5-7 3-Day Fundamental Compounding & Calculations

13-14 Compounding for Natural Hormone Replacement

16-17 Compounding Options for Pain, Wound & Scar

December

3-5 3-Day Fundamental Compounding & Calculations

7-9 3-Day Comprehensive Sterile Compounding

Please visit www.ACAinfo.org for more information.

Health Care Information

for the Patient

This publication is

made available to you by:

Provided by the American College of Apothecaries

Research & Education Resource Center

2015

Several small studies have shown that taking cinnamon

can improve blood sugar levels. It is thought that cinna-

mon may lower blood sugar by decreasing insulin resis-

tance, a condition that occurs in people with type 2 diabe-

tes that causes insulin not to work as well as it should.

Other studies have not found beneficial effects of cinna-

mon on blood sugar, and the American Diabetes Associa-

tion discounts its use in the treatment of diabetes.

The effects of cinnamon to treat type 2 diabetes have been

studied for more than 20 years, and the results on its efficacy

are mixed. If cinnamon does lower fasting glucose levels in

patients with type 2 diabetes, it is likely to work in ways

similar to that of oral prescription medications by decreasing

insulin resistance, increasing insulin sensitivity, and improv-

ing glucose uptake into cells in order to lower blood sugar

levels.

There are two varieties of cinnamon – Ceylon cinnamon and

cassia cinnamon. Cassia cinnamon is the variety used by

most Americans for cooking and baking, and it is the kind of

cinnamon that most researchers have used while studying the

effects of cinnamon on diabetes. In one study, volunteers

were given from 1 to 6 grams of cinnamon for 40 days. (A

gram of ground cinnamon is about half a teaspoon.) The re-

searchers found that cinnamon reduced cholesterol by about

18% and blood sugar levels by 24%. Recommended Related

to Diabetes

Managing Diabetes With Exercise: 6 Tips for Nerve Pain

What kind of exercise is safe -- and fun -- if you have nerve

damage from diabetes, called diabetic neuropathy? And how

can you stay motivated after that first flush of inspiration

fades? "It depends on where you're starting," says Dace L.

Trence, MD, an endocrinologist and director of the Diabetes

Care Center at the University of Washington Medical Center

in Seattle. "For the person who has been doing nothing, you

would certainly want to start doing something that's comfort-

able and enjoyable and...

Read the Managing Diabetes With Exercise: 6 Tips for

Nerve Pain article > >

In other studies, cinnamon did not decrease blood sugar or

cholesterol levels. This may be because the studies have had

small numbers of study participants or included participants

who had widely varying disease characteristics.

It appears that people with diabetes may safely take cinna-

mon, although people with liver damage should be aware

that large amounts of cinnamon may increase liver problems.

Cinnamon supplements, available over-the-counter, are clas-

sified as a food and not a drug. Because of this, manufactur-

ers do not have to prove that their products are effective. The

FDA can, however, require that a supplement is removed

from the market if it is proven to be unsafe.

When purchasing any supplement it is important to choose a

quality brand labeled with a quality seal. This helps assure

that the supplement actually contains the ingredients stated

on the label. Quality seals include the NSF International, US

Pharmacopeia, or Consumer lab seal. Always talk with your

doctor before taking any supplement.

Cinnamon Supplements for Diabetes

RESEARCH & EDUCATION

Health Care Information

for the Prescriber

This publication is made

available to you by:

Provided by the American College of Apothecaries

Research & Education Resource Center

2015

Research suggests that breast cancer che-

moprevention is underutilized to reduce

breast cancer risk in women who are at

increased risk. The U.S. Preventive Ser-

vices Task Force recommends that clini-

cians engage in discussions with women

who are at increased risk for breast can-

cer to share information about medica-

tions to reduce their risk (Ann Intern Med

[online September 24, 2013]). Clinicians

should offer to prescribe risk-reducing

medications, such as tamoxifen or

raloxifene, for these women who are at

low risk for adverse medication effects.

Primary chemoprevention strategies seek to

prevent malignancies in an otherwise healthy

population. Of the estimated two million

American premenopausal women are candi-

dates for primary chemoprevention of breast

cancer with tamoxifen, only 4% of them are

actually taking this medication. The National

Comprehensive Cancer Network identified

appropriate candidates for primary chemo-

prevention as women who have a first-

degree relative with breast or ovarian cancer,

a history of thoracic irradiation, mutations

predisposing to breast cancer, or a 5- year

risk of breast cancer of at least 1.7% accord-

ing to the Gail model, a breast cancer risk

assessment tool. Many patients of primary

care physicians fit these criteria.

For primary chemoprevention, a premeno-

pausal woman at high risk can benefit from

20 mg daily of tamoxifen for 5 years. Ta-

moxifen has been shown to reduce their risk

by 50%, and the protective effect continued

even after treatment ended. Women younger

than age 50 on tamoxifen experienced no ex-

cess risk of serious adverse events, although

the risks of venous thromboembolism and

endometrial cancer are greater for those 50

and over. In postmenopausal women, exeme-

stane (Aromasin) is a good choice, although

use for this purpose is off label.

Raloxifene is another FDA-approved drug

for primary breast cancer chemoprevention.

The National Surgical Adjuvant Breast and

Bowel Project Study of Tamoxifen and

Raloxifene trial showed that the two medica-

tions are equivalent for prevention of inva-

sive breast cancer, but that raloxifene is less

effective in preventing ductal carcinoma in

situ.

Primary Chemoprevention for Breast Cancer

RESEARCH & EDUCATION