Havana Syndrome (BUFFALO, NY) + Mr. [Redacted] (ATHENS, GA) // Allergic + Albuterol

South Bend Commons, Wednesday, April 8 at 07:00 PM EDT

hardcore synth punk freaks HAVANA SYNDROME on tour coming down from Buffalo ! Dancing never came easier...

and fast punx Mr. [Redacted] coming down from Athens to get in on the fun

LOCALS:

Albuterol's first show - we're talking pogo we're talking fast riffs all go no slow baby

Allergic hxc punk legends who NEVER MISS

ALL AGES - SOUTH BEND COMMONS

7PM and $7 (pay what you can)

https://atlanta.askapunk.net/event/havana-syndrome-buffalo-ny-mr-redacted-athens-ga-allergic-albuterol

Meanwhile, in the multiverse

#meme #memes #shitpost #vladtepes #vladtheimpaler #albuterol #asthma #history #romania #dracula #vampire #inhaler

So my #albuterol #inhaler now costs $30 each with my very expensive Silver level Blue Cross #insurance. It had been $0 as a generic maintenance med the last 3 years on this same plan

Meanwhile my expensive name brand Spiriva inhaler is still $0

This makes no sense

And after 15 min on the phone with the insurance co, all the nice agents in the Philippines can do is say, yep it costs $30

Oh did I mention my Emergency Room copay went from $75 to $375?
#medicalinsurance #healthinsurance #broke

{Acronym alert - glossary at bottom.} I see more #asthma patients getting bumped from ICS-only monotherapy (and/or SABA-only rescue med) to combo ICS-LABA inhalers. This is spurred by GSK discontinuing brand-name Flovent, and GINA guidelines promoting AIR and MART (aka SMART) strategy, which utilizes a combo inhaler containing formoterol, like Symbicort, Breyna, or Dulera. This is a big change for many people, who're used to using an inhaled #steroid for control and prevention, and inhaled #albuterol for rapid relief. Now they can use one inhaler for both -- which is convenient, and may bring better control.

Explainer "What is SMART Therapy for Asthma?": https://allergyasthmanetwork.org/news/asthma-smart-therapy/

Now I'm also seeing PCPs, pediatricians, and pulmonologists prescribing other combo ICS-LABA inhalers like Advair with a SMART asthma action plan -- even though that's not approved under GINA or NAEPP guidelines. In fact they explicitly warn against this: "Combination ICS with non-formoterol LABA cannot be used as-needed for symptom relief." (GINA main report, p. 69). LABAs like salmeterol (more lipophilic) take much longer to kick in (30+ minutes) to be intended for rapid relief, and have not been studied for rescue use. But they're being prescribed that way anyway, presumably due to availability, insurance coverage, and clinician confusion during a time of flux. Leading to a lot of follow-up conversations.  ​

GINA 2023 main report: https://ginasthma.org/wp-content/uploads/2023/07/GINA-2023-Full-report-23_07_06-WMS.pdf .

NIH NAEPP 2020 Asthma Guidelines: https://www.jacionline.org/article/S0091-6749(20)31404-4/fulltext

Glossary (in no order):

• ICS == inhaled corticosteroid (Flovent, QVAR). Steroids reduce airway inflammation slowly over time.
• SABA == short-acting beta-agonist: a bronchodilator (canonically albuterol) that quickly relieves airway constriction, for a few hours.
• LABA == long-acting beta-agonist (ex: salmeterol, formoterol), relieves airway symptoms for more than a few hours.
• Rescue med, aka "reliever" == a rapid-acting drug to relieve acute symptoms (e.g. albuterol, epinephrine).
• Maintenance therapy == drug you take daily to prevent acute symptoms.
• Monotherapy == managing a disease with just one drug.
• AIR == Anti-Inflammatory Reliever: combo inhaler with a low-dose steroid + a rapid-acting bronchodilator
• MART == Maintenance And Reliever Therapy: treatment with an inhaler that contains both a steroid and a rapid-onset, long-acting beta-agonist (formoterol). Also called SMART (S == "Single-inhaler").
• GINA == Global Initiative on Asthma

#MedMastodon #pulmonology #pediatrics

Data on using #medications beyond their printed #ExpirationDates. TL;DR: the FDA requires a date at which it is guaranteed to have at least 90% of active drug. Many drugs retain full potency long past that. See article for a few specifics. #epinephrine #albuterol

(Caveat-replace your eye drops-breakdown of preservatives is no good for your eyeballs.)
#safety
Disclaimer-I’m not your doctor.

https://www.medscape.com/s/viewarticle/996754?src=FYE

In re: boosted post - here is the #Albuterol recall announcement on FDA’s website. #Asthma

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/cipla-issues-voluntary-nationwide-recall-six-batches-albuterol-sulfate-inhalation-aerosol-90-mcg-200

Attn: Those With #Asthma:

If you have not received your recall letter, yet: these are the #Albuterol inhaler recall lot # 's

IB20045 exp. 11/23
IB20055 exp. 11/23
IB20056 exp. 11/23
IB20057 exp. 11/23
IB20059 exp. 11/23
IB20072 exp. 11/23

I know, one more thing to deal with. Contact your pharmacy to arrange for replacement.

More info:
Cipla USA: 844 247 5287
[email protected]
1 888 INFO-FDA (888 463 6332) www.fda.gov

I have such bad shakes now that using my Trackball is almost impossible!

#Asthma #Albuterol

US liquid albuterol shortage expected to worsen after major supplier shuts down

"Albuterol is an essential critical medicine. We need robust, high-quality manufacturing of this and many other critical medicines that are produced on or near US soil." --David Margraf, PharmD, PhD

https://www.cidrap.umn.edu/resilient-drug-supply/us-liquid-albuterol-shortage-expected-worsen-after-major-supplier-shuts-down

#albuterol #fda #healthcare #PublicHealth #HealthcareForAll