Drupal blog posts

Social Media for Healthcare Providers

alistair.atzori — Fri, 08 Dec 2023 16:17:25 +0000

Social Media for Healthcare Providers alistair.atzori Fri, 12/08/2023 - 08:17

Beyond the exam room: how healthcare providers can effectively use social media

When the healthcare landscape meets the digital landscape, it seems like the possibilities are endless. But your time? That is certainly not endless. Don’t worry though, you don’t need to be on every platform to establish a presence. Picking one and doing it well helps ease the pressure social media can present.

After all, the average social media user in the United States has at least seven social media accounts and spends a little over two hours daily on those accounts. With providers only getting about 20 minutes of face-to-face time with each patient, being on at least one social media platform elevates healthcare beyond the exam room.

The options feel overwhelming, though. Narrowing down which social media platforms to use and which ones to lose means asking yourself one simple question — what is your ultimate goal? Do you want to educate your patients? Do you want to advocate for issues that you are passionate about? Are you looking to humanize healthcare and break down barriers between patient and provider? The goal you have for social media will help determine which platforms you need to be on and which ones you don’t. There is room for crossover between them, but focusing on one goal and one social media platform will save you time while maximizing your efforts.

The three e’s of social media: educate, entertain and engage

Patients are using the internet now more than ever to take control of their health. We all know someone who has self-diagnosed via a search engine and it can oftentimes become a barrier to your care plan. We break down the three e’s of social media below so you can bridge the gap between digital care and patient care.

Educate
- Use social media to provide patient education. Discuss symptoms, treatments, conditions and diseases in a way that helps point patients away from digital misinformation. Do not confuse education with treatment. Stick to the facts and use reputable source materials.
Entertain
- Don’t let this one intimidate you. You don’t have to be a great dancer or know the latest and greatest music hits. Entertainment on social media can be a “behind-the-scenes” look at the surgical unit or a quick question and answer with your patient access expert on common billing questions. You can snap a picture of your office on their lunch break or share funny memes about colonoscopy prep.
Engage
- Although both education and entertainment are a form of engagement, this one is about building community. The engagement part of social media comes down to a genuine connection with people who share a commonality. Responding to posts, answering questions and connecting patients to resources are just a few ways you can achieve that goal. Remember though, you cannot diagnose or treat a patient through social media. Engaging in social media means supporting patients, not treating them.

Social media platforms to Educate

YouTube

YouTube is the most effective video platform for healthcare education because it is the one platform where viewers are still willing to watch long-form videos. Topics can include educational videos, procedures and surgeries, as well as seminars, therapies and general healthcare content . Protect yourself with disclaimers, stating that you cannot diagnose or treat individuals and that all viewers should consult a physician, before every video. Additionally, make sure you know workplace’s social media policies.

Facebook

Facebook is still the largest platform in terms of users for providers, clinics and hospitals to provide healthcare education. Create a Facebook page or group and use posts, videos and reels to reach your followers with compelling content that includes patient stories, information on health and wellness issues and other health education topics.

Social media platforms to entertain

TikTok

TikTok is, by and large, the trendiest way to interact with patients. This platform relies on short-form videos with little to no captions and relevant hashtags to capture a user's attention fast. TikTok’s algorithm adapts quickly to what a user is watching, how long they are viewing a video and what kind of interactions they are having so that the feed is catered exactly to their preferences. But underneath the dancing, music and viral trends, there are genuine opportunities to make a difference . Iinitially geared towards Gen Z, TikTok has now found its way into the homes of multiple generations with a wide variety of backgrounds. As a provider, you can have fun with a sneak peek into your life, answer burning healthcare questions and showcase the fun side of your job. If you are looking to grow a following fast, TikTok should be your priority.

Snapchat

If your patient population is under 25 or you want to reach that patient population, don’t be afraid to venture into the world of Snapchat . Snapchat is another video platform that allows users to have fun with filters and sounds, however, what you upload disappears within a day. Skin care, sexual wellness and mental health are among the many popular topics that Gen Z want to know more about from the comfort of their phones. You can catch their attention with filters, music and captivating visuals while still sharing relevant information.

Social media platforms to engage

Facebook

The great part about starting a Facebook page or group is that it could be a one-stop shop for your social media endeavors. You can entertain with reels, engage in groups and educate through your page. And since Facebook is the largest social media platform in the United States, engaging with people and communities has powerful potential. Creating pages and groups dedicated to your practice or personal passion allows you to answer questions in real time. Your platform can also foster a sense of belonging to people who share the same experiences.

LinkedIn is not just for business professionals anymore. There is a network of healthcare providers and industry experts that use LinkedIn for personal and professional development. See what other clinics and hospitals are doing, share ideas from your own experiences and provide support for industry peers. LinkedIn can help build on the hard work you have been putting in professionally to advance your thoughts and ideas.

Together, healthcare and social media can make impactful change

Social media and healthcare are no longer two separate worlds. By following the guidelines of informed consent, HIPAA and social media policies, you can still protect yourself and your patients, but the opportunities for impactful change are endless. Keep your goal in mind, pick one platform, and you will find it easy to establish your voice and make a difference far beyond your exam room.

Become a Panel Member

Would you like to boost your income by participating in surveys exclusive to our panel members? Sign up today to gain access! Of course, there is no obligation to participate once you signed up.

Add new comment

5 Ways to Combat Medical Misinformation

alistair.atzori — Fri, 08 Dec 2023 14:01:16 +0000

5 Ways to Combat Medical Misinformation alistair.atzori Fri, 12/08/2023 - 06:01

If you’ve been a physician long enough, you’ve had a patient repeat some bit of medical misinformation. Maybe it’s that vaccines cause autism. Or masks don’t work to slow the spread of COVID-19. Perhaps they’re convinced that getting a “base tan” will protect them from sunburn. Whatever the case, the information is wrong, and it’s dangerous to their health.

A recent Kaiser Family Foundation survey shows four in 10 Americans have encountered health disinformation. In many cases, they may not know what to believe, increasing their stress. If your patients ask questions or bring up incorrect details in conversation, seize the opportunity to clear up any misunderstandings.

Some patients will be more open to your efforts than others. So, these steps can help increase your chances of success and potentially protect your patients’ health.

Strategy 1: Stay up to date on misinformation

The internet is a fertile breeding ground for sites that publish false or misleading health data. And spreading misinformation is as simple as clicking “share” on a social media site. Patients may struggle to tell fact from fiction, creating a recipe for a health disaster.

But you can use websites and social media platforms to track the latest medical myths. Read multiple new sites and check your social media for any trending misinformation. Ask your staff to do the same. If you know what your patients are reading and hearing, you’ll be ready to help them find the truth.

Strategy 2: Be clear and humble

The recent pandemic introduced a hefty amount of medical misinformation. As a result, some people question the science behind many medical findings. That’s why healthcare professionals should be as direct and clear as possible when discussing medical myths. Highlight the latest research and explain it in language your patients can understand.

Your patients view you as an expert source. But it’s important to remain humble when addressing their misconceptions. Don’t dismiss their concerns out of hand. Instead, listen to them and present specific cases that dispel their claims.

It’s also OK to acknowledge that medical research is a continuous journey. New information may change treatment efforts but reassure your patients you always rely on the most current, trusted data to deliver their care.

Strategy 3: Listen to your patients

When your patient shares misinformation, resist the temptation to dismiss it and simply state facts. Instead, ask an open-ended question so they can explain their thoughts. For example, if they fear vaccines, ask them to list their concerns.

Slow down and listen to your patients. It shows empathy, and you’ll learn more about why they’ve embraced specific misinformation. Their reasons can include:

It reinforces their core principles.
It came from a trusted source.
It feels like a quick, simple fix to a complex health problem.

It’s important to know as much as possible about where your patient accesses incorrect information — and why they’re holding on to it. When you know their reasons, you can better dispel any falsehoods.

Strategy 4: Share your sources

Even though you have a medical degree, your patients may not simply take your word for it when discussing medical misinformation. So, arm yourself with data from credible, well-respected organizations whenever you talk with a patient.

Be sure to connect your sources to their immediate concern. For example, if you’re talking to a parent who is uncertain about vaccinating their child, share guidance from the American Academy of Pediatrics. Or if your patient thinks vaping is safer than cigarettes, give them information from the American Lung Association.

Reviewing a patient’s initial source with them can also be helpful. These discussions allow you to guide them in recognizing legitimate sources and medical misinformation in the future.

Strategy 5: Create information packets

Some medical misinformation trends are more widespread than others. Consider creating information packets if you find yourself addressing the same misconceptions with multiple patients. These packets can include infographics, handouts and lists of reliable resources.

If you need help creating an effective information packet, several online resources, including the National Library of Medicine, can get you started.

You can be a source of truth for your patients

Medical misinformation can potentially harm your patients’ health. So, it’s critical to address health misconceptions and myths whenever possible. Following these strategies can give you a chance to dispel medical-related falsehoods and set your patients up for better health outcomes.

Become a Panel Member

Would you like to boost your income by participating in surveys exclusive to our panel members? Sign up today to gain access! Of course, there is no obligation to participate once you signed up.

Add new comment

Sleep Syncing: What You Should Known About the TikTok Trend

alistair.atzori — Tue, 05 Dec 2023 09:12:03 +0000

Sleep Syncing: What You Should Known About the TikTok Trend alistair.atzori Tue, 12/05/2023 - 01:12

Sleep Syncing: What You Should Know About the TikTok Trend

Getting a good night’s sleep is probably one of the top bits of advice you give as a physician. But there’s a strong chance many of your patients struggle to reach that goal. In fact, one in three adults — roughly 84 million people in the U.S. — don’t get the amount of shut-eye they need to protect their health.

The problem is so widespread that millions of people are turning to TikTok to find a solution that leads to better z’s. In the past few months more than 5.4 million people have viewed videos about a recent sleep trend called sleep syncing.

If your patients ask you about this sleep strategy — or if you want to recommend it — here’s what you need to know.

What is sleep syncing?

While the term sleep syncing may be new, the concept behind it isn’t. It’s a tactic based on the body’s “master clock” that supports your patients’ efforts to develop a more consistent sleep pattern. The goal is to help them coordinate their natural circadian rhythm with their daily routine.

To establish this pattern, advise your patients to choose a consistent bedtime and wake time. It can take a few weeks or months for them to adapt to a more regimented sleep schedule. But once their internal body clock adjusts, they’re more likely to get restful, revitalizing sleep.

What are the benefits of sleep syncing?

In addition to waking up feeling more well-rested, patients who succeed in sleep syncing can experience several other health benefits:

Better learning and memory: Deep sleep — especially slow-wave and REM sleep — helps the brain process and hold on to new information. This part of the sleep cycle also boosts memory and connections.
Stronger immune system: The body produces more infection- and inflammation-fighting cytokines during sleep. Patients who are sleep-deprived make less of these valuable proteins.
Emotional and physical repair: A good night’s sleep can help your patients process stress and give their muscles a better opportunity to recover from physical activity. They will also wake with more energy for the next day’s activities.
Less risk of other health problems: Research links poor sleep to a wide variety of health issues, including cardiovascular disease, diabetes and obesity. Getting a consistent amount of sleep will lower your patients’ risks of developing these conditions.

Tips for better sleep syncing

If your patient frequently hits the snooze button or has trouble shutting down at night, the idea of sleep syncing can seem intimidating. Fortunately, there are several steps you can recommend to help them get some much-needed sleep. You can suggest they:

Create a daily sleep-wake schedule: Your patient should analyze their typical day and determine the best time to wake up and go to bed. The new pattern should align with their current work or school schedule.

Stick to the new schedule: Sleep syncing only works if they follow the new pattern. They should wake and go to sleep at the same time every day, including weekends. And tell them to avoid hitting the snooze button. Those extra minutes could throw them into a new sleep cycle, leaving them groggier when the alarm goes off again.

Establish a bedtime routine: It will be easier for your patients to fall asleep if their bodies know bedtime is coming. Recommend they create a simple-to-follow nighttime routine, such as meditating, taking a warm bath or shower, or reading.

Skip the distractions: Be sure your patients understand that caffeine and alcohol aren’t the only distractions that can disrupt a good night’s sleep. Advise them to avoid using laptops, smartphones or other devices within an hour of bedtime. The blue light from the screens can interfere with their body’s ability to produce the sleep-promoting hormone melatonin.

Make the bedroom peaceful: It’s tempting for your patients to answer a last-minute work email or watch their favorite TV show in bed. Instead, encourage them to make their bedroom a calming space. It should be cool, quiet and dark.

Seek out morning sunlight: Exposure to daylight soon after waking is a great way to help your patients kick off their days. If it’s feasible, they should open their blinds or curtains to let sunlight in shortly after getting up. A light therapy alarm clock or lamp can be useful on darker mornings.

Skip heavy meals before bed: Although many people enjoy a quick bedtime snack, suggest your patients avoid eating meals 3-4 hours before bed. The insulin boost from eating can disrupt their sleep-wake cycle.

Every person’s body is different. Explain to your patients that it may take time to find the right combination of steps that will improve their sleep. Encourage them to use their enthusiasm for this TikTok trend to find the right mix that works for them. It could be the inspiration they need to stick with changes that will lead to the long-term health benefits of better sleep.

Add new comment

5 Reasons to Bolster Your Physician Bio Now

alistair.atzori — Thu, 02 Nov 2023 16:31:27 +0000

5 Reasons to Bolster Your Physician Bio Now alistair.atzori Thu, 11/02/2023 - 09:31

Put your best foot forward on your healthcare organization’s website

Your online bio can be your patients’ first impression of you—and your practice.

Physician marketing in today’s digital age demands a strong online presence. Is your bio on your healthcare organization’s website up to date? And does it advance your practice goals? Learn five reasons your bio matters.

#1: Your bio helps you attract new patients

Today, most people begin their doctor search online.

An August 2022 survey of 1,000 consumers examines how patients choose their doctors. Conducted by Wakefield Research on behalf of Kyruus, the survey concludes:

For consumers, 61% use the internet to find care.
Healthcare organization websites are consumers’ top resource to consult.

Your bio can be an entry point for new patients, including those referred by friends or other doctors, who may search your profile online.

#2: Your bio can improve your ranking in Google search results

When people do an online search, make it easy for them to find you.

In internet terms, you want to achieve search engine optimization (SEO), so you are listed at (or near) the top of search result lists.

Google—the largest search engine by far—views healthcare content with more scrutiny. It looks for content with EAT factors: Experience, Authority and Trust.

A great bio with EAT includes components like:

Accurate, up-to-date content
Clearly displayed credentials
Patient reviews

Note: 81% of patients consider online reviews when selecting a healthcare provider.

#3: Your bio provides a source of information consumers trust

Your bio on your healthcare organization’s website can inform and educate patients about your services. The 2022 Kyruus consumer survey finds:

For consumers, trust matters when seeking new healthcare.
Healthcare organizations—including their providers and staff—remain the most trustworthy source of consumer information.

What expertise do you offer? What conditions do you treat? And what sets your services apart? Adding this information to your bio empowers patients to make important health decisions.

#4: Your bio humanizes you and boosts patient confidence

Healthcare is personal—and people want to feel good about the doctors they choose.

A 2021 National Institutes of Health paper considers how consumers find primary care providers. It concludes:

“Health systems could make simple changes to their providers’ online biographies in order to help patients make more informed decisions of PCPs.”

That same NIH article points out that patients don’t just want to know about providers’ educational credentials. They also want to know:

Providers’ communication traits—for example, are they good listeners?
Personal information that showcases how providers are real people

Use your bio to highlight personal information like your story and care philosophy. For instance, why did you become a doctor? And how do you approach challenging medical situations with your patients? Consider adding a video to engage and inform consumers.

#5: Link to online tools in your bio to make scheduling appointments easier

Many consumers today want—and demand—digital access, including online appointment scheduling.

The August 2022 Kyruus consumer survey reports:

Over 40% of consumers favor online booking.
About one-third of respondents say this online tool affects where they will obtain care.

A scheduling link in your bio creates a seamless user experience. It also helps you achieve greater efficiency—a win-win all around.

Final reminder: Review your bio regularly for updates

Did you recently add a new service or technology? Or open a new location? Be sure to include this in your bio. And review your bio for updates every six months, or sooner if needed.

The bottom line: You want to provide consumers with relevant content—and SEO demands it. If your online presence isn’t achieving its full potential, now’s the time to make some updates to put your best foot forward.

Become a Panel Member

Would you like to boost your income by participating in surveys exclusive to our panel members? Sign up today to gain access! Of course, there is no obligation to participate once you signed up.

Add new comment

How & why to discuss cannabis edibles with your patients

alistair.atzori — Wed, 11 Oct 2023 09:11:41 +0000

How & why to discuss cannabis edibles with your patients alistair.atzori Wed, 10/11/2023 - 02:11

How to talk to your patients about overconsuming cannabis edibles

Edibles pose potential health risks that your patients may not know

As of August 2023, 23 states have fully legalized cannabis edibles including recreational as well as medical use.

Often, people don’t think about edibles as being harmful. But they can cause intoxication and other unwanted effects. In fact, the CDC cautions that cannabis edibles pose a greater risk of poisoning than smoked marijuana.

What are the potential harms? Who is most susceptible? And how can you talk with your patients about their risks? Here’s what you should know.

What are edibles?

Edibles are foods or beverages that contain marijuana or marijuana oils. They come in different forms, such as gummies, brownies, chocolates and sodas. Depending on the product, an edible may include one or both of the following:

Tetrahydrocannabinol (THC) — This psychoactive substance in marijuana causes a high. Along with desired pleasurable effects, THC can also have adverse consequences. For example, it may impair thinking and disrupt balance, reaction time and coordination.
Cannabidiol (CBD) — This compound found in the cannabis plant is FDA-approved for treating certain seizures. However, people may also use CBD to relieve pain, anxiety and depression.

How are edibles different from smoked marijuana?

Cannabis edibles may be safer for the lungs than inhaled marijuana. Still, they present different concerns based on how they work in the body. Several key differentiators include:

Edibles take longer to take effect. It may take up to four hours to feel the peak effects of cannabis edibles, compared to only 30 minutes with inhaling cannabis. So, some people may overconsume edibles and not realize the impact until they’ve had too much.
Edibles have longer-lasting effects. The effects of eating or drinking edibles can last up to 12 hours after use, compared to only six hours for smoking or vaping cannabis.
Edibles have potentially more intense effects. The THC in inhaled marijuana goes from the lungs straight to the bloodstream. But the THC in edibles must first go through the liver, which converts it into a more potent form, causing a more intense high.

What are the possible complications of overconsuming edibles?

Complications may vary between edibles and inhaled marijuana. A Colorado study found people who smoke marijuana visit the ED primarily for symptoms like nausea and vomiting. On the other hand, people who consume edibles are more likely to seek care for:

acute psychiatric symptoms (e.g., acute anxiety, panic attacks, hallucinations)
cardiovascular symptoms (e.g., very high heart rates)

Eating and drinking too many edibles make these symptoms worse and more frequent. As it turns out, the study also found ER visits tied to marijuana edibles were 33 times higher than expected.

Groups at risk for edibles overconsumption

Edibles pose risks for all different people and groups. However, some populations are at higher risk. According to a January 2020 Canadian Medical Association Journal (CMAJ) article, those most at risk include:

Children – Children may mistake cannabis edibles for candy or other foods. From 2013 to 2017, Colorado’s poison control center fielded a 70% increase in calls for accidental cannabis exposure in children.
Older adults – Older adults may consume edibles to manage symptoms of chronic health conditions. However, the CMAJ links this group to greater cognitive impairment and a heightened risk of falls, arrhythmia and drug interactions. These preexisting conditions can compound the effects of edibles.

How can you support your patients?

Help your patients by talking with them about their cannabis use – and the possible risks. If they use cannabis, for instance, you might ask if they consume edibles, how they use them and why.

In 2020, physicians Jonathan Zipursky and Nathan Stall discussed how best to talk to patients in a podcast and CMAJ article on edible cannabis. They both stressed the value of communication and the importance of guiding patients to:

Keep edibles out of the reach of children
Use only products regulated by the government (with regulated dosing and labeling)
Follow safe drug prescribing principles (e.g., start low and go slow)
Acknowledge the delayed effect of edibles
Recognize the psychiatric and cardiovascular complications
Consider their underlying health conditions

Open discussion about the overconsumption of edibles can protect your patients from harm. Dr. Zipursky says it may also impact your care decisions and the therapies you prescribe.

Add new comment

How & why to discuss cannabis edibles with your patients

alistair.atzori — Wed, 11 Oct 2023 09:11:41 +0000

How & why to discuss cannabis edibles with your patients alistair.atzori Wed, 10/11/2023 - 02:11

How to talk to your patients about overconsuming cannabis edibles

Edibles pose potential health risks that your patients may not know

As of August 2023, 23 states have fully legalized cannabis edibles including recreational as well as medical use.

What are the potential harms? Who is most susceptible? And how can you talk with your patients about their risks? Here’s what you should know.

What are edibles?

Tetrahydrocannabinol (THC) — This psychoactive substance in marijuana causes a high. Along with desired pleasurable effects, THC can also have adverse consequences. For example, it may impair thinking and disrupt balance, reaction time and coordination.
Cannabidiol (CBD) — This compound found in the cannabis plant is FDA-approved for treating certain seizures. However, people may also use CBD to relieve pain, anxiety and depression.

How are edibles different from smoked marijuana?

Cannabis edibles may be safer for the lungs than inhaled marijuana. Still, they present different concerns based on how they work in the body. Several key differentiators include:

Edibles take longer to take effect. It may take up to four hours to feel the peak effects of cannabis edibles, compared to only 30 minutes with inhaling cannabis. So, some people may overconsume edibles and not realize the impact until they’ve had too much.
Edibles have longer-lasting effects. The effects of eating or drinking edibles can last up to 12 hours after use, compared to only six hours for smoking or vaping cannabis.
Edibles have potentially more intense effects. The THC in inhaled marijuana goes from the lungs straight to the bloodstream. But the THC in edibles must first go through the liver, which converts it into a more potent form, causing a more intense high.

What are the possible complications of overconsuming edibles?

acute psychiatric symptoms (e.g., acute anxiety, panic attacks, hallucinations)
cardiovascular symptoms (e.g., very high heart rates)

Eating and drinking too many edibles make these symptoms worse and more frequent. As it turns out, the study also found ER visits tied to marijuana edibles were 33 times higher than expected.

Groups at risk for edibles overconsumption

Children – Children may mistake cannabis edibles for candy or other foods. From 2013 to 2017, Colorado’s poison control center fielded a 70% increase in calls for accidental cannabis exposure in children.
Older adults – Older adults may consume edibles to manage symptoms of chronic health conditions. However, the CMAJ links this group to greater cognitive impairment and a heightened risk of falls, arrhythmia and drug interactions. These preexisting conditions can compound the effects of edibles.

How can you support your patients?

Help your patients by talking with them about their cannabis use – and the possible risks. If they use cannabis, for instance, you might ask if they consume edibles, how they use them and why.

Keep edibles out of the reach of children
Use only products regulated by the government (with regulated dosing and labeling)
Follow safe drug prescribing principles (e.g., start low and go slow)
Acknowledge the delayed effect of edibles
Recognize the psychiatric and cardiovascular complications
Consider their underlying health conditions

Open discussion about the overconsumption of edibles can protect your patients from harm. Dr. Zipursky says it may also impact your care decisions and the therapies you prescribe.

Add new comment

How & why to discuss cannabis edibles with your patients

alistair.atzori — Wed, 11 Oct 2023 09:11:41 +0000

How & why to discuss cannabis edibles with your patients alistair.atzori Wed, 10/11/2023 - 02:11

How to talk to your patients about overconsuming cannabis edibles

Edibles pose potential health risks that your patients may not know

As of August 2023, 23 states have fully legalized cannabis edibles including recreational as well as medical use.

What are the potential harms? Who is most susceptible? And how can you talk with your patients about their risks? Here’s what you should know.

What are edibles?

Tetrahydrocannabinol (THC) — This psychoactive substance in marijuana causes a high. Along with desired pleasurable effects, THC can also have adverse consequences. For example, it may impair thinking and disrupt balance, reaction time and coordination.
Cannabidiol (CBD) — This compound found in the cannabis plant is FDA-approved for treating certain seizures. However, people may also use CBD to relieve pain, anxiety and depression.

How are edibles different from smoked marijuana?

Cannabis edibles may be safer for the lungs than inhaled marijuana. Still, they present different concerns based on how they work in the body. Several key differentiators include:

Edibles take longer to take effect. It may take up to four hours to feel the peak effects of cannabis edibles, compared to only 30 minutes with inhaling cannabis. So, some people may overconsume edibles and not realize the impact until they’ve had too much.
Edibles have longer-lasting effects. The effects of eating or drinking edibles can last up to 12 hours after use, compared to only six hours for smoking or vaping cannabis.
Edibles have potentially more intense effects. The THC in inhaled marijuana goes from the lungs straight to the bloodstream. But the THC in edibles must first go through the liver, which converts it into a more potent form, causing a more intense high.

What are the possible complications of overconsuming edibles?

acute psychiatric symptoms (e.g., acute anxiety, panic attacks, hallucinations)
cardiovascular symptoms (e.g., very high heart rates)

Eating and drinking too many edibles make these symptoms worse and more frequent. As it turns out, the study also found ER visits tied to marijuana edibles were 33 times higher than expected.

Groups at risk for edibles overconsumption

Children – Children may mistake cannabis edibles for candy or other foods. From 2013 to 2017, Colorado’s poison control center fielded a 70% increase in calls for accidental cannabis exposure in children.
Older adults – Older adults may consume edibles to manage symptoms of chronic health conditions. However, the CMAJ links this group to greater cognitive impairment and a heightened risk of falls, arrhythmia and drug interactions. These preexisting conditions can compound the effects of edibles.

How can you support your patients?

Help your patients by talking with them about their cannabis use – and the possible risks. If they use cannabis, for instance, you might ask if they consume edibles, how they use them and why.

Keep edibles out of the reach of children
Use only products regulated by the government (with regulated dosing and labeling)
Follow safe drug prescribing principles (e.g., start low and go slow)
Acknowledge the delayed effect of edibles
Recognize the psychiatric and cardiovascular complications
Consider their underlying health conditions

Open discussion about the overconsumption of edibles can protect your patients from harm. Dr. Zipursky says it may also impact your care decisions and the therapies you prescribe.

Add new comment

How & why to discuss cannabis edibles with your patients

alistair.atzori — Wed, 11 Oct 2023 09:11:41 +0000

How & why to discuss cannabis edibles with your patients alistair.atzori Wed, 10/11/2023 - 02:11

How to talk to your patients about overconsuming cannabis edibles

Edibles pose potential health risks that your patients may not know

As of August 2023, 23 states have fully legalized cannabis edibles including recreational as well as medical use.

What are the potential harms? Who is most susceptible? And how can you talk with your patients about their risks? Here’s what you should know.

What are edibles?

Tetrahydrocannabinol (THC) — This psychoactive substance in marijuana causes a high. Along with desired pleasurable effects, THC can also have adverse consequences. For example, it may impair thinking and disrupt balance, reaction time and coordination.
Cannabidiol (CBD) — This compound found in the cannabis plant is FDA-approved for treating certain seizures. However, people may also use CBD to relieve pain, anxiety and depression.

How are edibles different from smoked marijuana?

Cannabis edibles may be safer for the lungs than inhaled marijuana. Still, they present different concerns based on how they work in the body. Several key differentiators include:

Edibles take longer to take effect. It may take up to four hours to feel the peak effects of cannabis edibles, compared to only 30 minutes with inhaling cannabis. So, some people may overconsume edibles and not realize the impact until they’ve had too much.
Edibles have longer-lasting effects. The effects of eating or drinking edibles can last up to 12 hours after use, compared to only six hours for smoking or vaping cannabis.
Edibles have potentially more intense effects. The THC in inhaled marijuana goes from the lungs straight to the bloodstream. But the THC in edibles must first go through the liver, which converts it into a more potent form, causing a more intense high.

What are the possible complications of overconsuming edibles?

acute psychiatric symptoms (e.g., acute anxiety, panic attacks, hallucinations)
cardiovascular symptoms (e.g., very high heart rates)

Eating and drinking too many edibles make these symptoms worse and more frequent. As it turns out, the study also found ER visits tied to marijuana edibles were 33 times higher than expected.

Groups at risk for edibles overconsumption

Children – Children may mistake cannabis edibles for candy or other foods. From 2013 to 2017, Colorado’s poison control center fielded a 70% increase in calls for accidental cannabis exposure in children.
Older adults – Older adults may consume edibles to manage symptoms of chronic health conditions. However, the CMAJ links this group to greater cognitive impairment and a heightened risk of falls, arrhythmia and drug interactions. These preexisting conditions can compound the effects of edibles.

How can you support your patients?

Help your patients by talking with them about their cannabis use – and the possible risks. If they use cannabis, for instance, you might ask if they consume edibles, how they use them and why.

Keep edibles out of the reach of children
Use only products regulated by the government (with regulated dosing and labeling)
Follow safe drug prescribing principles (e.g., start low and go slow)
Acknowledge the delayed effect of edibles
Recognize the psychiatric and cardiovascular complications
Consider their underlying health conditions

Open discussion about the overconsumption of edibles can protect your patients from harm. Dr. Zipursky says it may also impact your care decisions and the therapies you prescribe.

Add new comment

The semaglutide shortage: What you should know

alistair.atzori — Wed, 11 Oct 2023 09:27:50 +0000

The semaglutide shortage: What you should know alistair.atzori Wed, 10/11/2023 - 02:27

The semaglutide shortage: What you should know

Some compounding practices may put patients at risk

Ozempic and Wegovy shortages have many people looking for other options. Compounding pharmacies have stepped in to fill the gap. But what are the risks of compounded semaglutide?

Read on to learn about FDA concerns. And find tips to help your patients minimize risks.

What is semaglutide?

Scientifically speaking, semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist. It mimics a hormone produced in the gut in response to food, increasing insulin production and reducing blood sugar. It also creates a feeling of fullness, thereby reducing appetite.

Both Wegovy and Ozempic are once-weekly semaglutide injections. Physicians prescribe Wegovy for weight management. Patients with type 2 diabetes can receive Ozempic prescriptions, although some people use the drug off-label for weight loss.

How does compounding work?

Compounding creates a drug to meet individual patient needs. For example, compounders may reformulate a prescription for a patient with a particular allergy. Or they may change a pill into a liquid form. About 7,500 pharmacies specialize in compounding services in the United States.

The FDA says qualified pharmacies may be able to prepare a compounded version of a drug in short supply. However, these compounded drugs do not separately receive FDA approval. Instead, to create these drugs, qualified pharmacies must meet certain Federal Food, Drug, and Cosmetic (FD&C) Act requirements. This discrepancy results in questions about semaglutide compounding.

What are the FDA’s concerns with semaglutide compounding?

Last May, the FDA reported that it had received accounts of patients experiencing adverse outcomes when using compounded semaglutide drugs.

In that same report, the FDA also noted that some compounders may be using salt forms of semaglutide. This formulation is different from the base semaglutide contained in Ozempic and Wegovy. The FDA says:

Salt forms of semaglutide have not been found to be safe and effective.
Compounding a drug using semaglutide salts would not meet federal requirements.

Who regulates drug compounders?

The FDA only plays an oversight role in drug compounding. They do not verify drugs’ safety or effectiveness; compounded drugs are not FDA-approved. Instead, state boards of pharmacy regulate compounding practices. Some of these boards have issued semaglutide warnings like the FDA’s.

Novo Nordisk – the manufacturer of Ozempic and Wegovy – is taking legal action to protect U.S. patients. The move targets compounding pharmacies and other entities, such as spas and clinics, that market and sell non-FDA-approved medicines claiming to contain semaglutide.

An important point to note: Patients can’t get compounded drugs straight from a supplier. They need a prescription from a licensed healthcare provider. Any direct-to-consumer offers are not from compounders. They’re likely from questionable entities looking to take advantage of consumers.

How can you help your patients avoid compounding risks?

Navigating the semaglutide shortage is challenging. But you can take steps to reduce risks.

First, if you’re considering working with a compounder, be aware of the FDA’s warning about salt forms of semaglutide. And inform your patients about the FDA concerns. Also, talk with your patients about how they can stay safe. For instance, the FDA cautions:

Patients should only get semaglutide drugs with a prescription from a licensed healthcare provider.
Patients should only get medicines from state-licensed pharmacies or outsourcing facilities registered with the FDA.
Purchasing medicine online from unregulated, unlicensed sources can expose patients to potentially unsafe products.
If patients choose to use an online pharmacy, the FDA’s BeSafeRX campaign can help them make safer, more informed decisions.

When might the semaglutide shortage end?

Novo Nordisk says it’s working to increase manufacturing capacity for semaglutide production. Still, it anticipates an ongoing supply disruption for Wegovy.

In the meantime, Novo Nordisk advises:

Patients should contact their pharmacy much earlier than usual for refills.
Patients should be specific about dose strengths.
Healthcare providers should consider the limited supply of Wegovy when starting new patients on therapy and recognize the possibility of disruption in care.

Are there other semaglutide options?

Novo Nordisk offers a third FDA-approved semaglutide – Rybelsus. Adults with type 2 diabetes can take this once-daily tablet to improve their blood sugar levels. As of now, Wegovy is the only semaglutide drug FDA-approved for weight management.

Of note, in October of 2022, another manufacturer, Eli Lilly, received FDA Fast Track designation for tirzepatide as a once-weekly injection for adults with obesity. This designation speeds up the drug submission and review process with the FDA. It also makes the drug one to watch as the Ozempic and Wegovy craze continues.

Add new comment

The semaglutide shortage: What you should know

alistair.atzori — Wed, 11 Oct 2023 09:27:50 +0000

The semaglutide shortage: What you should know alistair.atzori Wed, 10/11/2023 - 02:27

The semaglutide shortage: What you should know

Some compounding practices may put patients at risk

Ozempic and Wegovy shortages have many people looking for other options. Compounding pharmacies have stepped in to fill the gap. But what are the risks of compounded semaglutide?

Read on to learn about FDA concerns. And find tips to help your patients minimize risks.

What is semaglutide?

How does compounding work?

What are the FDA’s concerns with semaglutide compounding?

Last May, the FDA reported that it had received accounts of patients experiencing adverse outcomes when using compounded semaglutide drugs.

Salt forms of semaglutide have not been found to be safe and effective.
Compounding a drug using semaglutide salts would not meet federal requirements.

Who regulates drug compounders?

How can you help your patients avoid compounding risks?

Navigating the semaglutide shortage is challenging. But you can take steps to reduce risks.

Patients should only get semaglutide drugs with a prescription from a licensed healthcare provider.
Patients should only get medicines from state-licensed pharmacies or outsourcing facilities registered with the FDA.
Purchasing medicine online from unregulated, unlicensed sources can expose patients to potentially unsafe products.
If patients choose to use an online pharmacy, the FDA’s BeSafeRX campaign can help them make safer, more informed decisions.

When might the semaglutide shortage end?

Novo Nordisk says it’s working to increase manufacturing capacity for semaglutide production. Still, it anticipates an ongoing supply disruption for Wegovy.

In the meantime, Novo Nordisk advises:

Patients should contact their pharmacy much earlier than usual for refills.
Patients should be specific about dose strengths.
Healthcare providers should consider the limited supply of Wegovy when starting new patients on therapy and recognize the possibility of disruption in care.