Dr. James J. Rybacki

If the medicine looks defective should you ever give it?

 

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phone A scheduled lethal injection of a Georgia inmate was postponed because the medicine (pentobarbital-Nembutal) to be used in the procedure appeared cloudy and therefore defective.  This is a medicine in the barbiturate family of medicines usually used  as a second line medicine in seizures. The package insert for Nembutal clearly states that itravenous solutions that appear cloudy should NEVER be used.

A pharmacist was apparently called in to examine the product and did the correct thing. There may not have been an acceptable replacement dose on hand. While this editor dosn't know the required state rules are in such a situation (Nembbutal is the ONLY acceptable drug for lethal injection in georgia). The execution was rescheduled.

I will be covering pentobarbital (Nembutal) in the upcoming 25th edition of The Essential Guiide to Prescription Drugs.

Vitamin D dilemma, what dose should I take??

men meeting Controversy continues aver the recent Institute of Medicine (IOM) recommended daily allowance for vitamin D versus the amount YOU should take to get vitamin D benefits.

Kindle your interest in The Essential Guide to Prescription Drugs

essential guide to prescription drugs With great help from Amazon personnel, The Essential Guide to Prescription Drugs, Update on Insulins is now uploaded to Amazon.com and should be available for Kindle users and others later today !

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essential guide to prescription drugs With great help from Amazon personnel, The Essential Guide to Prescription Drugs, Update on Insulins is now uploaded to Amazon.com and should be available for Kindle users and others later today! Family friendly and available without a prescription, this information packed 20-page update on insulins covers more than 40 categories of information from benefits to risks to herbal medicines and guidelines your doctor probably is using.

An update on cholesterol (with a focus on Crestor, Lipitor and Livalo) will be available in the next few weeks! Thanks to all the interested people who emailed, mailed and waited so patiently! 

Chicago self park The overall plan has been to completely redesign the EGPD, giving graphics, larger type faces and other valuable information based on input from many many interested people. Moving forward, new monographs will be created as medicines are approved and starting in 2011 all new publications will be integrated into an annual ebook! 

This website is not intended as medical advice, and you should consult your doctor before changing or adding any medicines or vitamins to those you may now be taking and about applying any strategies BEFORE you adopt any approach in this report. While diligent care has been taken to ensure the accuracy of the information provided during the preparation of this edition, no claim is made that all known actions, uses or side effects, strategies for cost containment, targets or cholesterol pathways are included in this report. The accuracy and currentness of information are ever subject to change relative to new guidelines, new information derived from drug research, development and general usage.