FDA Warning on Zerbaxa *Cautions about Dose Confusion and Medication Errors*

I’m glad the FDA works hard to monitor all prescription drugs. FDA MedWatch researches every medication error reported. Included the junk promoted on T.V. even though the FDA technically is not responsible for non FDA products. What bothers me is Zerbaxa, a common antibacterial drug used by doctors. The errors are happening at the pharmacies. The FDA Audience: Nursing, Pharmacy, Risk Managers.  The recommendation is for Health Care Wokers and Patients to report side effects and medication errors taking Zerbaxa. How are we to know to look for errors when we have not received warning? How can we take responsibility for making sure pharmacy mixes the proper dosing? I don’t have an answer, my recommendation is visit FDA MedWatch and sign up for notices sent when errors occur   XO Warrior

FDA MedWatch – Zerbaxa (ceftolozane and tazobactam): Drug Safety Communication – FDA Cautions about Dose Confusion and Medication Errors


Zerbaxa (ceftolozane and tazobactam): Drug Safety Communication – FDA Cautions About Dose Confusion and Medication Errors

[Posted 05/20/2015]

AUDIENCE: Nursing, Pharmacy, Risk Manager

ISSUE: The U.S. Food and Drug Administration (FDA) is warning health care professionals about the risk for dosing errors with the antibacterial drug Zerbaxa (ceftolozane and tazobactam) due to confusion about the drug strength displayed on the vial and carton labeling. (See the Drug Safety Communication for Label Photos).

FDA evaluated seven reported cases of medication error that occurred during preparation of the dose in the pharmacy due to confusion with the display of the strength of individual ingredients on Zerbaxa’s vial labels and carton labeling. Listing the individual drug strengths led to confusion because it was different from labeling for other drugs in the beta-lactam/beta-lactamase class that express strength as the sum of the two active ingredients. In some cases, this led to administration of 50% more drug than was prescribed. No adverse events were reported among these seven cases.

BACKGROUND: Zerbaxa is used to treat complicated infections in the urinary tract, or in combination with the antibacterial drug metronidazole to treat complicated infections in the abdomen. Antibacterial drugs work by killing or stopping the growth of bacteria that can cause illness.

RECOMMENDATION: FDA urges health care professionals and patients to report side effects and medication errors involving Zerbaxa to the FDA’s MedWatch Safety Information and Adverse Event Reporting Program:

Complete and submit the report Online: http://www.fda.gov/MedWatch/report.htm
Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178
Read the MedWatch safety alert, including links to the Drug Safety Communication, at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm447629.htm

You are subscribed to MedWatch Safety Alerts for U.S. Food & Drug Administration (FDA). This information has recently been updated, and is now available.

Senate Committee Approves Historic Measure to Increase Veterans’ Access to Medical Marijuana


Why are Veterans’ not allowed to discuss Medical Marijuana with VA doctor? How the next round of votes go, I can’t predict. If validation proves to help,Veterans/Supporters speak louder while momentum is growing. Freedom of Speech is the right to speak my mind.     XO Warrior


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Senate Committee Approves Historic Measure To Increase Veterans’ Access To Medical Marijuana
Posted: 05/21/2015 3:48 pm EDT Updated: 05/21/2015 3:59 pm EDT

The Senate Appropriations Committee approved a historic bipartisan amendment Thursday that aims to increase veterans’ access to medical marijuana.

The Veterans Equal Access Amendment, added to the Military Construction and Veterans Affairs Appropriations bill, passed the committee 18-12. The measure allows Department of Veterans Affairs doctors to recommend medical marijuana to their veteran patients.

Currently, the VA bans medical providers working with the agency from completing any forms brought by patients that seek marijuana recommendations or opinions in states where the drug’s medical use is legal. The amendment, sponsored by Sens. Steve Daines (R-Mont.) and Jeff Merkley (D-Ore.) blocks the VA from using funds to enforce the ban on doctors.

“Veterans in medical marijuana states should be treated the same as any other resident, and should be able to discuss marijuana with their doctor and use it if it’s medically necessary,” said Michael Collins, policy manager for the Drug Policy Alliance, in a statement. “They have served this country valiantly, so the least we can do is allow them to have full and open discussions with their doctors.”

Nearly 30 percent of military veterans who served in the Iraq and Afghanistan wars suffer from post-traumatic stress disorder and depression, according to a 2012 VA report. Some research has suggested marijuana may help PTSD symptoms, which can include anxiety, flashbacks and depression. A recent study found that PTSD symptoms were significantly reduced in patients who used cannabis.

To date, 23 states have legalized marijuana for medical purposes and 14 others have legalized marijuana extracts for specific medical uses. The plant remains illegal under federal law.

While the bill still faces more votes in Congress before it comes close to becoming law, the amendment’s approval is a significant victory for marijuana policy reformers, coming less than a month after a similar amendment narrowly failed in the House. The same House amendment was also killed last year. The Senate amendment marks the first time in history Congress’ upper chamber has voted positively on marijuana reform legislation.

“Elected officials are finally starting to wake up to the fact that endorsing marijuana reform is good politics instead of the dangerous third rail they’ve long viewed it as, and that means a lot more victories are on the way soon,” said Tom Angell, chairman of Marijuana Majority.

I celebrate Memorial Day for Soldiers Past, Present and Future. *The Red, White and Blue*


“Great Beauty, Great Strength and Great Riches are Really and Truly of No Great Use;



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Thank you for the courage to fight to keep America Home of the Free. America’s Military takes the call of duty to free others from repression, a better and safer life. I think about gramps every Military holiday. I know little about his war-time, he would say you can’t understand unless you were there. I now understand exactly what he meant. 

I love you gramps and thank you for contributing to the success in WWII.

XO Melinda

Bucket List Friday *I Love My Children…*What did I just say?*

Shaggy my Blonde Boy, is always ready to play. I keep the house quite  during the day, not much playing lately. David comes home and Shaggy runs finding a toys and chases him until Shaggy get his fill. His mind is always ready for anything. Banjo is my mixed colored Australian Boy. His name was Banjo at shelter. I knew right away Banjo would keep his name. I’ve taught him a number of commands and tricks. He’s older than we are so he takes it pretty slow. Yes, he does still sleep on blankly.




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Tell Congress to help New Veterans Keep The Mental Health Medications They Need!

Help NAMI Tell Congress to Help New Veterans Keep the Mental Health Medications They Need!

When someone is in treatment for a mental illness, it is common to go through several different trials of medication until they find the one that helps them feel better. It can take time to find a medicine that works for you. The slightest change could set someone back or even cause further illness. Now imagine if you are a service member who has found that right combination. You are feeling better and your medication is working. The way things stand now, if you decide to transition out of service and into veteran status, your medication might not transfer with you.

This is unacceptable.

With an alarmingly high suicide rate of 22 veterans dying each day and countless others struggling, we simply cannot allow for delays in treatment, endless appeals or the risk of being switched away from a proven effective medication for serious conditions such as depression, anxiety or psychosis. Our veterans deserve better.

Write a letter to your congressman, ask them to co-sponsor H.R. 2123 the Enhancing Veterans Access to Treatment Act. Tell them it is not ok to take away a medication that works for a service member simply because they transitioned out of service.

Take Action

Thank you for advocating for passage of this important bill!

Joyful Heart’s Project End The Back Log Needs Your Help *9,000 Rape Kits still on shelf*

Dear Friend,

In October, we first told you about The Accountability Project, our initiative to uncover the extent of the rape kit backlog in cities across the United States. From the first four cities that provided data to us—obtained through public records requests—we discovered more than 12,000 untested rape kits sitting in storage facilities.

Today, we’ve expanded our knowledge about the rape kit crisis nationwide with the release of data on the number of untested kits from five additional cities:

Charlotte, North Carolina: 1,019 kits
Jacksonville, Florida: 1,943 kits
Kansas City, Missouri: 1,324 kits
Portland, Oregon: 1,931 kits
San Diego, California: 2,873 kits
In total, over 9,000 more kits.

We commend these cities for sharing their data with us. Transparency and yes, accountability, are the first steps toward reform. Survivors deserve the chance for justice. They deserve everything we can give to help them heal. Now that these jurisdictions have shared the number of untested rape kits in storage, we hope they will take the necessary steps to test these kits, investigate and prosecute these cases, engage survivors with care and compassion, and ensure the backlog never reoccurs.

The fact remains that there is more about the rape kit backlog that we don’t know than we do know. There is no comprehensive, national data on the nature and scope of the rape kit backlog. Few state governments and no federal agencies track this data. Across cities and counties, there are vast differences in the way law enforcement officials track and report rape kit data. These are some of the reasons we’ve undertaken The Accountability Project.

Tomorrow, Joyful Heart’s Managing Director, Sarah Haacke Byrd, will be testifying before Congress on the need for a continued national response to the backlog of thousands of rape kits. She will speak at the United States Senate Judiciary Subcommittee on the Constitution’s hearing, “Taking Sexual Assault Seriously: The Rape Kit Backlog and Human Rights.” You can watch live tomorrow starting at 2:30pm ET here.

This week is an important one in our work to ENDTHEBACKLOG. At this critical time, we ask you to join us in two ways:

Write to your elected officials.
Congress is currently considering whether to continue funding the Justice Department’s new $41 million program, which is helping communities end their backlogs with comprehensive reforms. More than 9,000 untested kits in five cities alone: it’s proof that jurisdictions need resources to end the backlog. Please take just a moment to urge your members of Congress to approve this critical funding.

Make a donation to our ENDTHEBACKLOG work.
Your donation is an investment in healing, justice and safety. Joyful Heart is at the forefront of reform efforts at the local, state and federal levels. We are uncovering backlogs and increasing transparency through initiatives like The Accountability Project. We are drawing attention to the backlog like never before. We need your help to do it all. Donate today to continue to support these efforts.

With gratitude,

Maile Zambuto
Chief Executive Officer
Joyful Heart Foundation

Throw Back Thursday *Summertime-Falling in Love and Life in the Fast Lane*

I feel like the last person to discover Ed Sheeran. I’ve seen him around, best friend with John Mayer & ? I need time to listen his other music. No idea if all of his music is so honest, the words of love melt my heart. It’s cool to find a new artist at my age. Not an old fart yet. Check him out. Music has always been a safe place.