Author: Nicolas Ghirlando

Chronic Kidney Stone Disease: How to Prevent Recurrence with Diet and Fluids

Prevent kidney stone recurrence with simple, science-backed changes in fluid intake, sodium, calcium, and protein. Learn what to eat, what to avoid, and how to make lasting lifestyle shifts.

Understanding Authorized Generics: How Brand Drug Makers Produce Their Own Generic Versions

Authorized generics are made by brand drug companies as generic versions. They're identical to the original but with different labeling. This helps companies keep market share after patents expire. While prices drop, some argue it doesn't save much. Learn how this affects drug costs and patient choices.

Prescriber Attitudes on NTI Drug Substitution: Risks, Regulations, and Current Practices

Prescribers have mixed views on substituting generic versions of Narrow Therapeutic Index drugs. FDA guidelines and state laws influence decisions, with some states requiring patient consent. Real-world data shows higher brand usage for critical NTI drugs like warfarin and tacrolimus. Communication between doctors and pharmacists is key to managing substitution risks. Ongoing research aims to improve safety and trust in generic NTI options.

Should You Stay on Brand NTI Drugs When Generic Substitution Is Allowed?

Should you stick with brand-name NTI drugs even when generics are allowed? For drugs like levothyroxine and warfarin, small changes in dosage can cause serious harm. Learn when to stay on brand and when a generic is safe.

Hemorrhoids: Understanding Internal vs. External and Effective Treatment Options

Learn the difference between internal and external hemorrhoids, what causes them, and how to treat them effectively - from home remedies to medical procedures. Know when to see a doctor and how to prevent them from coming back.

ADHD Treatment: Stimulants, Non-Stimulants, and Behavioral Strategies That Work

ADHD treatment combines stimulants, non-stimulants, and behavioral strategies for the best results. Learn how each option works, their side effects, costs, and what really helps long-term.

Rhabdomyolysis from Statins: Rare but Serious Muscle Breakdown

Rhabdomyolysis from statins is rare but life-threatening. Learn the signs, risk factors, and how to stay safe while still benefiting from cholesterol-lowering therapy.

High-Altitude Travel and Sedatives: What You Must Know About Respiratory Risks

High-altitude travel increases the risk of breathing problems, and sedatives like alcohol, benzodiazepines, and opiates can make it life-threatening. Learn which sleep aids are dangerous, which might be safe, and what to use instead.

How to Appeal Insurance Denials for Generic Medications: A Step-by-Step Guide

Learn how to successfully appeal your insurance denial for a brand-name medication when generics won't work. Step-by-step guide with doctor letter tips, deadlines, and real success stories.

Lot-to-Lot Variability in Biologics and Biosimilars: What It Means for Patients and Providers

Lot-to-lot variability is natural in biologics and biosimilars due to their complex, cell-based manufacturing. Unlike generics, these drugs aren't identical between batches - but strict controls ensure safety and effectiveness. Here's what patients and providers need to know.