FDA Warns Against H1N1 Flu Supplements

from WebMD — a health information Web site for patients

Daniel J. DeNoon

October 19, 2009 — Beware fake "Tamiflu" sold over the Internet, the FDA warns.

The FDA recently bought five different products advertised online as "Tamiflu" or as treatments for the 2009 H1N1 swine flu.

Some of the pills contained only talc and acetaminophen. Some had various amounts of oseltamivir, the active ingredient in Tamiflu. None was the real thing; all are illegal in the U.S.

Moreover, all the fake "Tamiflu" products arrived by mail too late to do any good -- even if they had been the real thing.

"Medicines purchased from web sites operating outside the law put consumers at increased risk due to a higher potential that the products will be counterfeit, impure, contaminated, or have too little or too much of the active ingredient," FDA Commissioner Margaret Hamburg, MD, says in a news release.

There are only two drugs approved by the FDA for treatment of H1N1 swine flu: Tamiflu and Relenza. Both drugs are available only by prescription.

SOURCES:

News release, FDA.

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Daily Nebulizers Advised for Preschoolers With Frequent Wheezing

From Reuters Health Information

NEW YORK (Reuters Health) Oct 09 - The most effective way to manage frequent wheezing in preschool children is regular treatment with nebulized glucocorticoids, according to a report in the October issue of Allergy.

The authors of the report also suggest that as-needed use of a bronchodilator and glucocorticoid combination, which is commonly practiced, may be an alternative.

Dr. Leonardo M. Fabbri, of the University of Modena and Reggio Emilia, Italy, and colleagues conducted a trial in which 276 children ages 1 to 4 years with frequent wheeze were randomized to nebulized treatment with one of three regimens for 12 weeks: 400 mcg beclomethasone twice daily plus 2500 mcg salbutamol as needed; placebo plus a combination of 800 mcg beclomethasone/1600 mcg salbutamol as needed, or placebo plus 2500 mcg salbutamol as needed.

The primary outcome measure -- percentage of symptom-free days -- was significantly higher with daily beclomethasone (69.6%) compared with as-needed salbutamol (61.0%; p = 0.034).

Regular treatment with nebulized beclomethasone also improved several secondary outcomes, including nocturnal wakening and exacerbations.

There was no difference in percentage of symptom-free days between children with or without risk factors for asthma.

Allergy 2009;64:1463-1471.

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Worst Cities for Allergies 2009

Top Worst 10 Cities for Allergies and Asthma for 2009

1. St. Louis, MO
2. Milwaukee, WI
3. Birmingham, AL
4. Chattanooga, TN
5. Charlotte, NC
6. Memphis, TN
7. Knoxville, TN
8. McAllen, TX
9. Atlanta, GA
10. Little Rock, AR

See the rest of the top 100 cities worse for allergies at the AAFA website

Asthma-Swine Flu Q&A

Just wanted to direct you to a website, Asthma UK, that gives good, easy to understand advice for asthmatics who have questions on the H1N1 flu. My advice to all my asthma patients is that they need to get the seasonal influenza and H1N1 influenza vaccines. Also remember that children and pregnant women are high risk groups for the swine flu. Stay well, stay healthy.

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