Consumer Health Digest #15-18

Your Weekly Update of News and Reviews
May 10, 2015

Consumer Health Digest is a free weekly e-mail newsletter edited by Stephen Barrett, M.D., with help from William M. London, Ed.D., M.P.H. It summarizes scientific reports; legislative developments; enforcement actions; news reports; Web site evaluations; recommended and nonrecommended books; and other information relevant to consumer protection and consumer decision-making.

TRICARE cracking down on compounded scar and pain creams. As of May 1, 2015, TRICARE, a government program that provides civilian health benefits for military personnel, military retirees, their dependents, and some reservists, will no longer pay for compounded products that contain ingredients that lack FDA approval. [Bushatz A. TRICARE to no longer cover some prescription pain killers. Military Times, March 16, 2015] The change is intended to reduce the cost of medications that TRICARE considers unsafe or ineffective. The TRICARE Web site defines compounded drugs as combinations of two or more drugs prepared by a pharmacist for an individual patient's needs. Last year, the Government Accountability Office questioned TRICARE payments for 465,000 compounded prescriptions and noted that the average price for the 25 most expensive products ranged from $848 to $9,961 per prescription. [Compounded drugs: TRICARE payment practices should be more consistent with its regulations. GAO-15-64, Oct 2014] TRICARE officials have noted:

The situation exploded into public view when CBS Evening News showed how a producer who filled out an online form received a product prescribed by a physician with whom he had never communicated. The doctor—Paul Bolger, M.D., of Davenport Iowa—admitted on camera that he should not have written the prescription. CBS subsequently reported that federal agencies are investigations 90 compounding pharmacies and doctors and that payments to Bolger, three other doctors, and four compounders have been suspended. [Feds open investigations into compounding pharmacies. CBS Evening News, May 7, 2015]

Yoga complications reported. A survey of 2508 people taking yoga classes and 271 yoga therapists conducting the classes has found that about 30% of class attendees had experienced some type of adverse event. [Matsushita M, Takakazu O. A large-scale survey of adverse events experienced in yoga classes. Biosocial Medicine 9(9), 2015] The average age of the participants was 58.5 years. The most common problems were muscular pain, joint pain, and muscle cramps that the therapists thought were related to overexertion. Although the majority had mild symptoms, the survey indicated that attendees with chronic diseases were more likely to experience adverse events that were associated with their disease. The authors advised giving special attention when yoga is introduced to patients with stress-related, chronic diseases. The full text of the article is available online free of charge.

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This page was posted on May 10, 2015.