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 FDA’s reminder to doctors

Don’t prescribe combination products
with more than 325 mg Acetaminophen

Food and Drug Administration of United States has reminded the doctors and pharmacists not to prescribe and dispense combination drugs with more than 325mg of Acetaminophen per tablet, capsule or other dosage units. The pharmacists on receipt of such prescription should discuss with the prescribers’ a product with a lower dose acetaminophen. These products are no longer considered safe by FDA.

It may be mentioned here earlier these products were voluntarily withdrawn by the manufacturer on FDA’s request to protect patients from the risk of sever liver damage which can result after taking too much acetaminophen. It is believed that limiting the amount of acetaminophen per dosage unit will reduce the risk of severe liver injury form inadvertent acetaminophen overdose which can lead to liver failure, liver transplant and death.
Earlier such cases of liver injury have been reported by patients who took more than the prescribed dose of an acetaminophen-containing product in a twenty four hour period who took more than one acetaminophen-containing product at the same time or took alcohol while taking these products. FDA in January 2011 had asked the manufactures of prescription combination drug products containing acetaminophen to limit the amount of this drug to no more than 325mg in each tablet or capsule by January 14th 2014.

467 doctors awarded degrees
at CPSP Convocation

KARACHI: Chief Minister Baluchistan Dr.Abdul Malik was the chief guest at the 48th Convocation of College of Physicians & surgeons Pakistan held on May 19th 2014. Provincial Health Minister of Baluchistan Rahmat Saleh Baloch was also present on this occasion. During the convocation 467 doctors were awarded FCPS, MCPS and HCSM degrees and diplomas.
Addressing the newly inducted Members and Fellows of the College Dr.Abdul Malik said that you must respect the oath and never break it. Make sure that your services benefit the common man. Provincial Government of Baluchist, he said was giving too much emphasis to Health and Eduation.There has been 200% increase in allocations for health services and financial allocations for Education have also been increased from four to twenty percent. We are establishing three new medical colleges at Khuzdar, Loralai and Ketch. Previously there was complete darkness in the province. Absence of doctors and teachers in their respective institutions has badly affected these services. He called upon the CPSP to help them in finding faculty for the newly established medical colleges.
Prof. Zafar Ullah Chaudhry President CPSP in his address said that we are developing institutional leadership. He asked the new fellows to always identify their limitations and do not hesitate to consult their senior colleagues if need be. You must concentrate on your profession, focus on your job and believe in yourself to be successful. He also announced that the CPSP was prepared to build another regional center in Baluchistan from its own resources at a site which they recommend in addition to the Regional Center of CPSP already functioning at Quetta.
Three hundred seven doctors were admitted as new Fellows in different disciplines of medicine while 87 doctors were presented MCPS diplomas while ten doctors got diploma in HCSM.
Later the chief guest also presented Gold Medals to the Fellows who got top positions in various subjects. Gen. Burki Gold Medal was won by Dr. Hassan Javed in Anesthesia securing 82.2% marks. Prof. Zafar Ullah Chaudhry Gold Medal in Surgery was secured by Dr.Misbahul Khan securing 75.6% marks. Prof. Rashid Latif God Medal in Obstetrics and Gynaecology was earned by Dr. Mamoona Iqbal securing 72.6% marks. Prof.Syed Muzzafar Hassan Gold Medal in Pathology was secured by Dr. M. Shariq securing 7.4% marks in Haematology. Anis Saleem Gold Medal in Anaesthesia was earned by Dr. M. Hassan Javed.

Taking blood thinners with NSAIDS
at greater risk of serious internal bleeding

Research published online in JAMA Internal Medicine suggests that individuals who take “blood thinners to prevent clots in their legs or lungs may put themselves at risk for serious internal bleeding if they also take” nonsteroidal anti-inflammatory drugs (NSAIDs). Investigators came to this conclusion after analyzing “data from the worldwide EINSTEIN deep vein thrombosis and pulmonary embolism studies, which included over 8,000 patients.”

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