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Adderall Shortage Seen to Persist
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Reuters REPORTS HERE that "a shortage of Adderall, which is used to treat attention deficit hyperactivity disorder, shows little sign of easing as manufacturers struggle to get enough active ingredient to make the drug and demand climbs."

"Adderall, a stimulant, is a controlled substance, meaning it is addictive and has the potential to be abused. The Drug Enforcement Administration tightly regulates how much of the drug's active pharmaceutical ingredient (API) can be distributed to manufacturers each year."

"The system is designed to prevent the creation of stockpiles that could be diverted for inappropriate use. Adderall and other stimulants are popular with students who may not have ADHD but are seeking to improve their test scores. The DEA authorizes a certain amount of the API in Adderall - mixed amphetamine salts - to be released to drugmakers each year based on what the agency considers to be the country's legitimate medical need."

"Increasingly that estimate is coming into conflict with what companies themselves say they need to meet demand for the drug, which is reaching all-time highs. In 2010, more than 18 million prescriptions were written for Adderall, up 13.4 percent from 2009, according to IMS Health, which tracks prescription data."

"Concerns are now rising among patient groups and doctors that the shortages seen in 2011 will continue into this year. Many orders remain unfilled, manufacturers say, and it may take several months before ingredient authorized under the new 2012 quota can be turned into new product."

"Quantifying the problem is particularly urgent since the Adderall shortage is now also spilling over and causing shortages of Ritalin. Sandoz, which makes generic forms of both drugs, is straining to meet increased demand for both products."

"Under the quota system, drugmakers receive enough material to meet what the DEA estimates will meet the legitimate needs of American patients, but not enough to build inventory. The DEA says recent shortages were not caused by an insufficient quota but by marketing decisions taken by the companies."

"… there are currently more than 200 drugs in short supply in the United States, most of which do not contain controlled substances and have nothing to do with the DEA."

"Adderall manufacturers say they are working flat out to meet demand, and say the DEA does not always approve enough material in time for them to supply customers."

"The DEA sets its aggregate quota at the beginning of each year, taking into account past quota levels, inventory levels and company sales forecasts. But the DEA's assessment of what a company needs may not be the same as the company's own estimates. It is an ongoing process of negotiation."

"The DEA controls roughly 400 basic substances, in addition to derivative products such as salts and ethers. The chemicals are divided into five schedules. Schedule 1 drugs include illegal substances such as heroin. Scheduled II drugs, such as Adderall and other stimulants, have a medical use but a high potential for abuse. Schedule III drugs have a somewhat lower abuse potential and include the painkiller Vicodin, while Schedule IV drugs include the tranquilizers Klonopin and Ativan. Schedule V substances include cough medicines such as Robitussin."

 
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FeaturedNews
US Senators Call for Medical Boards Investigation
Published 02/22/2012 - 8:00 a.m.  CDT

Three top-ranking senators have asked for a federal investigation into how effective state medical boards are at tracking and disciplining doctors who have been sanctioned by their hospitals or managed care organizations.

"Sens. Max Baucus (D-Mont), Charles Grassley (R-Iowa), and Orrin Hatch (R-Utah) asked Daniel Levinson, director of the Office of the Inspector General (OIG) for the Department of Health and Human Services to undertake an evaluation of state medical boards, the first such investigation in 15 years."

"In a letter, the trio outlined a number in instances in which physicians were sanctioned by their employer for wrongdoing -- which included sexual misconduct, malpractice, and fraud -- but did not face any consequences from their state medical board."


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Published 02/21/2012 - 9:01 a.m.  CDT

Happy patients have higher rates of hospitalization and mortality, researchers found.

Patients who reported the highest satisfaction in a national survey were at the highest odds of inpatient admission and mortality in the years that followed, at 12% and 26% above that of the least satisfied group, respectively.

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Parker University honored Dr. Gene Giggleman, professor of Parker University, with one of the most highly regarded awards given by Parker University—the James W. Parker Founders Award.

Three top-ranking senators have asked for a federal investigation into how effective state medical boards are at tracking and disciplining doctors who have been sanctioned by their hospitals or managed care organizations.

"Sens. Max Baucus (D-Mont), Charles Grassley (R-Iowa), and Orrin Hatch (R-Utah) asked Daniel Levinson, director of the Office of the Inspector General (OIG) for the Department of Health and Human Services to undertake an evaluation of state medical boards, the first such investigation in 15 years."

"In a letter, the trio outlined a number in instances in which physicians were sanctioned by their employer for wrongdoing -- which included sexual misconduct, malpractice, and fraud -- but did not face any consequences from their state medical board."



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