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'Timely treatment': US allows pharmacists to prescribe Pfizer's COVID-19 pill

'Timely treatment': US allows pharmacists to prescribe Pfizer's COVID-19 pill
FOUND SHE BECAME INFECTED WITH COVID EARLIER IN JUNE WHEN HIS SYMPTOMS PROGRESSED THE 81 YEAR OLD WENT ON PAX LEVID RECOVERING AND TESTING NEGATIVE. SYMPTOMS CAME BACK AND HE WAS POSITIVE AGAIN, DR. JONATHAN THURMAN IS THE CHIEF MEDICAL INFORMATION OFFICER FOR LIFEBRIDGE HEALTH. HE SAYS THIS IS WHAT HAPPENS WHEN SOMEONE REBOUNDS IT’S NOT ACTUALLY KILLED BY PAX LOVIT THE VIRUS STOPS REPLICATION IN YOUR BODY IS THEN SUPPOSED TO ELIMINATE THE VIRUS AND IN SOME PEOPLE THEY THINK IT’S PEOPLE WHO METABOLIZE THE DRUG VERY QUICKLY, SO THEY’RE CALLED FAST METABOLIZERS. THE DRUG DOESN’T STAY IN THEIR SYSTEM LONG ENOUGH AND SO THE VIRUS HALTS TEMPORARILY BUT THEN AS AS THE DRUG PERIOD FIVE DAYS IS OVER THE VIRUS STARTS REPLICATING ALL OVER AGAIN THE SAME COVID THE PERSON HAD RETURNED BECAUSE IT WAS NEVER REALLY ELIMINATED IN DR. FAUCI’S CASE. HE TOOK A SECOND COURSE OF THE ORAL MEDICATION THE FDA DOES NOT RECOMMEND THAT PAXILVID IS AN ANTIVIRAL TO TREAT COVID AT IS FOR PEOPLE WHO HAVE A HIGH LIKELIHOOD OF GETTING SEVERE COVID ADVANCED AGE COORDINARY ARTERY DISEASE DIABETES ANY SORT OF IMMUNE DEFICIENCY EVEN THINGS SUCH AS A HISTORY OF SMOKING OR OBESITY DR. THURMAN RECOMMENDS PEOPLE TAKE PACKS OF IT IF THEY HAVE ANY RISK OF PROGRESSING THE IMPORTANT MESSAGES THAT REGARDLESS OF REBOUND OR OR NOT PAXLOVITT IS HIGHLY HIGHLY EFFECTIVE AND EVEN THOUGH WE’RE SEEING WAVES AND INCREASES COME AND GO WITH THE INFECTION THE HOSPITALIZATION THE ICU AND CERTAINLY THE MORTALITY IS EXTREMELY LOWER THAN IT’S BEEN ANY TIME IN THE PAST AND PARTLY THAT’S BECAUSE THE PACK SOVIET AND THE DOCTOR SAYS IF YOU DO GET REBOUND THE AFFECTION. ACTION IS USUALLY NOT AS BAD AS TH
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'Timely treatment': US allows pharmacists to prescribe Pfizer's COVID-19 pill
Pharmacists can prescribe the leading COVID-19 pill directly to patients under a new U.S. policy announced Wednesday that's intended to expand use of Pfizer's drug Paxlovid.The Food and Drug Administration said pharmacists can begin screening patients to see if they are eligible for Paxlovid and then prescribe the medication, which has been shown to curb the worst effects of COVID-19. Previously only physicians could prescribe the antiviral drug.The announcement comes as COVID-19 cases, hospitalizations and deaths are rising again, though they remain near their lowest levels since the coronavirus outbreak began in 2020.Biden administration officials have expressed frustration that several hundred Americans continue to die of COVID-19 daily, despite the availability of vaccines and treatments.Administration officials have been working for months to increase access to Paxlovid, opening thousands of sites where patients who test positive can fill a prescription for Paxlovid. The FDA change will make thousands more pharmacies eligible to quickly prescribe and dispense the pill, which must be used early to be effective.“Since Paxlovid must be taken within five days after symptoms begin, authorizing state-licensed pharmacists to prescribe Paxlovid could expand access to timely treatment," FDA drug center director Patrizia Cavazzoni, said in a statement.Still, use could be limited by paperwork requirements. Patients are expected to bring their recent health records— including blood tests — and a list of their current medications so pharmacists can check for health conditions and medications that can negatively interact with Paxlovid. As an alternative, pharmacists can consult with the patient's doctor.Paxlovid is intended for people with COVID-19 who are more likely to become seriously ill. That includes older people and those with other health issues like heart disease, obesity, cancer or diabetes that make them more vulnerable. It isn’t recommended for patients with severe kidney or liver problems. A course of treatment is three pills twice a day for five days.The FDA authorized Paxlovid last December for ages 12 and up based on results showing it reduced hospitalizations and deaths by nearly 90% among unvaccinated patients most likely to get severe disease. The drug has shown less impressive results in patients who already have vaccine protection and some physicians have reported cases of COVID-19 symptoms returning after treatment with the drug.Expanding the test-to-treat program to include pharmacists could add thousands of additional options for patients. The two biggest U.S. drugstore chains — CVS Health and Walgreens — run around 19,000 locations combined.CVS Health already provides COVID-19 care at 1,100 clinic locations inside drugstores.There also are nearly 19,400 independent pharmacies not tied to a big chain, according to the National Community Pharmacists Association.Pharmacist Michele Belcher said ahead of the announcement that she hoped to be able to test customers for COVID-19 and offer the pill because there is a shortage of primary care doctors in her community, the small, southwestern Oregon city of Grants Pass.Belcher said she worries that some people may have a hard time getting a doctor’s appointment for a prescription during the narrow window to start the pill.Belcher, owner of the independent Grants Pass Pharmacy, said she used to test and treat for COVID-19 using injectable drugs that are no longer as effective.Her pharmacy routinely checks for potentially harmful interactions with other drugs a patient may be taking, she said.“Pharmacists are the drug experts,” she said. “That’s something we do every day, all day, make sure there are no interactions with any medications.”___Murphy reported from Indianapolis. The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

Pharmacists can prescribe the leading COVID-19 pill directly to patients under a new U.S. policy announced Wednesday that's intended to expand use of Pfizer's drug Paxlovid.

The Food and Drug Administration said pharmacists can begin screening patients to see if they are eligible for Paxlovid and then prescribe the medication, which has been shown to curb the worst effects of COVID-19. Previously only physicians could prescribe the antiviral drug.

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The announcement comes as COVID-19 cases, hospitalizations and deaths are rising again, though they remain near their lowest levels since the coronavirus outbreak began in 2020.

Biden administration officials have expressed frustration that several hundred Americans continue to die of COVID-19 daily, despite the availability of vaccines and treatments.

Administration officials have been working for months to increase access to Paxlovid, opening thousands of sites where patients who test positive can fill a prescription for Paxlovid. The FDA change will make thousands more pharmacies eligible to quickly prescribe and dispense the pill, which must be used early to be effective.

“Since Paxlovid must be taken within five days after symptoms begin, authorizing state-licensed pharmacists to prescribe Paxlovid could expand access to timely treatment," FDA drug center director Patrizia Cavazzoni, said in a statement.

Still, use could be limited by paperwork requirements. Patients are expected to bring their recent health records— including blood tests — and a list of their current medications so pharmacists can check for health conditions and medications that can negatively interact with Paxlovid. As an alternative, pharmacists can consult with the patient's doctor.

Paxlovid is intended for people with COVID-19 who are more likely to become seriously ill. That includes older people and those with other health issues like heart disease, obesity, cancer or diabetes that make them more vulnerable. It isn’t recommended for patients with severe kidney or liver problems. A course of treatment is three pills twice a day for five days.

The FDA authorized Paxlovid last December for ages 12 and up based on results showing it reduced hospitalizations and deaths by nearly 90% among unvaccinated patients most likely to get severe disease. The drug has shown less impressive results in patients who already have vaccine protection and some physicians have reported cases of COVID-19 symptoms returning after treatment with the drug.

Expanding the test-to-treat program to include pharmacists could add thousands of additional options for patients. The two biggest U.S. drugstore chains — CVS Health and Walgreens — run around 19,000 locations combined.

CVS Health already provides COVID-19 care at 1,100 clinic locations inside drugstores.

There also are nearly 19,400 independent pharmacies not tied to a big chain, according to the National Community Pharmacists Association.

Pharmacist Michele Belcher said ahead of the announcement that she hoped to be able to test customers for COVID-19 and offer the pill because there is a shortage of primary care doctors in her community, the small, southwestern Oregon city of Grants Pass.

Belcher said she worries that some people may have a hard time getting a doctor’s appointment for a prescription during the narrow window to start the pill.

Belcher, owner of the independent Grants Pass Pharmacy, said she used to test and treat for COVID-19 using injectable drugs that are no longer as effective.

Her pharmacy routinely checks for potentially harmful interactions with other drugs a patient may be taking, she said.

“Pharmacists are the drug experts,” she said. “That’s something we do every day, all day, make sure there are no interactions with any medications.”

___

Murphy reported from Indianapolis.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.