Similar to the events of the fungal meningitis outbreak of September 2012, a compounding pharmacy has recalled a number of drugs due to mold contamination. Michael Omidi examines the recall and the reasons behind it.
A compounding pharmacy in New Jersey, Med Prep Consulting Inc., recently announced a recall of their products including drugs utilized in surgeries and labor as well as pain relievers and antibiotics, leading the United States Food and Drug Administration (FDA) to issue warnings to medical and healthcare professionals.
The recall is not a result of illnesses being reported as in the case of the fungal meningitis outbreak caused by products from the New England Compounding Center, but there is concern from the FDA that the mold contamination found in the products could result in illness for patients. The FDA is currently working with health officials in the states of New Jersey and Connecticut to isolate any potential contamination.
The products that are being recalled are used for those that are hospitalized inpatient or outpatient and are only provided by trained healthcare professionals at facilities, practices, or clinics. None of the products are directly released to patients for at-home use or self-administration.
All of the facilities that have received the products believed to be contaminated have been notified and a full list of the products that have been recalled can be found in a press release from Med Prep on the FDA website.
Michael Omidi - Meningitis Outbreak News
Omidihealth was created by Michael Omidi - co-founder of NMP (No More Poverty) this blog is dedicated to providing its readers the latest news on the meningitis outbreak.
Tuesday, March 19, 2013
Monday, March 11, 2013
Epidural Steroid Injections Could Cause More Harm Than Good
For many with chronic
back pain, epidural injections are the only reliable source of relief. However, a recently published study suggests
that consistent administrations of steroid could result in more harm than
good. In the following article, Dr. Michael
Omidi discusses the study, as well as the possible complications that could
arise from the steroid treatments.
The recent fungal meningitis outbreak was caused by a
tainted batch of injectable steroids (methylprednisolone acetate) meant for the
treatment of chronic back pain. Now,
according to a new study, it seems that the back problems that the steroid was
meant to relieve might actually be made worse by the epidural injections [1].
In a study that was recently published in the journal Spine,
a group of physicians followed 276 patients from the ages of 53-75 with more or
less similar degrees of chronic back pain for four years. Of the 276 subjects, 69 received epidural
steroid injections as a part of pain management therapy, while the remaining
207 did not. The authors of the study
expected to see a wider variation of painful symptoms in the subjects who had
not had epidural injections versus those who did. Instead, it seems that the subjects that
underwent epidural injections displayed considerably less improvement after
corrective surgical procedures than those who did not.
The study was too small to draw any concrete conclusions,
but it does seem that the steroid injections might hamper the healing process
post surgery.
The subjects were all suffering from spinal stenosis, a
condition wherein the open spaces within the spine gradually narrow, putting
pressure on the spinal cord and causing sometimes extreme pain. The steroid injections ease the pain
temporarily by surrounding the conflicted nerves.
Because spinal stenosis is a degenerative condition, the
addition of the steroids may facilitate that degeneration, making the prognosis
after surgery more grave than if the treatment was never administered.
Epidural injections are only recommended for patients who
suffer from crippling back pain that may also spread to the arms, legs and
head. These injections are not meant to
cure the condition; only to make the symptoms more bearable. However, it is estimated that only
approximately half of all the patients who receive epidural injections for
treatment of back pain derive significant pain relief.
It should be noted that steroid injections should be viewed
as a last resort in the event that other physical therapies and medications
prove ineffective.
[1]
Bakalar, Nicholas: Back Pain Unrelieved By Steroid Shots New York Times
3/5/2013 http://well.blogs.nytimes.com/2013/03/05/back-pain-unrelieved-by-steroid-shots/?ref=health
Tuesday, March 5, 2013
Facilitating Full Recovery after Fungal Meningitis
Unfortunately, people
who have recovered from fungal meningitis are not out of the woods just yet;
full recovery can take anywhere from six months to a full year – and that is without
additional infections. In the following article, Dr. Michael Omidi discusses
how to care for oneself, how to facilitate full recovery, and what symptoms to
watch out for.
When the fungal meningitis outbreak first hit, it was
estimated that patients exposed to the tainted steroid who hadn’t developed
symptoms of fungal meningitis would be in the clear, so to speak, if they
continued to by symptom-free by mid January. However, different medical experts
have produced different timelines, and some believe that it is very possible to
still come down with the potentially deadly illness even today.
Fungal meningitis is an especially virulent strain of
meningitis that is difficult to treat. The medications that have proved
effective unfortunately also trigger severe side effects, so they are not ideal
for older people or people with compromised immune systems. Long term exposure
to the anti-fungal drugs can actually cause kidney damage. The people who were
exposed to this illness were people who were receiving treatments for chronic
back pain, many of whom were older persons that are less capable of tolerating
or warding off potential complications.[1]
If you have been exposed to fungal meningitis through
exposure to the tainted batch of steroids, make sure you visit your doctor if
you experience persistent headaches, back pain, leg pain, confusion, neck
stiffness, pain, or nausea.
Treatments for fungal meningitis are long and arduous; they
require more or less constant monitoring and administration of anti-fungal
medications. Additionally, there are other medical complications that can arise,
namely epidural abscesses and arachnoiditis.
Epidural abscesses are inflammations near the site of the
epidural injection and are often undetectable since they are far below the surface
of the skin. Patients often can’t distinguish pain caused by the abscess from
the pain caused by meningitis. These abscesses can cause severe pain and
limited mobility and they must be drained. Dead tissue must be removed
surgically and months of anti-fungal medications must be administered in order
to clear the infection.
Arachnoiditis is a serious, chronic neurological condition
caused by trauma or infection of the arachnoid, a membrane surrounding the
spinal column. Patients with arachnoiditis are often in constant pain and
unable to stand or sit for long periods of time, in some cases even
experiencing incontinence. There is no cure for arachnoiditis; patients must
undergo consistent pain management therapy and treatment.
[1]
Goodman, Brenda: Fungal Meningitis Patients: A Long Road to Recovery WebMD
12/26/2012 http://www.webmd.com/news/20121226/fungal-meningitis-victims-recovery
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