Noah Nathan

Just trying to do the right thing. Step aside from party politics and do and say what you truly believe is the correct thing to do.

[Noah Nathan @ModerateAppleqd]

1812 Revolution?

[Noah Nathan @ModerateAppleqd]

Most New Drugs Show No Evidence of Added Benefit - Just added cost! #Pharmaceutical #appleqd https://t.co/8qzorT3mEY

[Noah Nathan @ModerateAppleqd]

#dexilant #appleqd how long have you been on your #PPI ? Are you taking the highest dose with no medical reason?

[Alan Cassels @AKECassels]

More bad news for PPIs. This time the harm is in children.
https://t.co/h6YBJC8L95
@Deprescribing @Drug_Evidence @NightShiftMD @DrToddLee @DrRitaMc @LessIsMoreMed #PPI @picardonhealth @kellygrant1 @MedicineMatters
@chrishendel @JeanneLenzer1 @raymoynihan @epaultaylor

[Noah Nathan @ModerateAppleqd]

@AKECassels It is hard when the issues are hiding in plain sight. Did the GI say anything about dose strength? Using the lowest dose possible? How many of broken bones but weren't aware their PPI could have been the cause? #AppleQD

[Noah Nathan @ModerateAppleqd]

Heartburn drugs linked to fatal heart and kidney disease, stomach cancer | FirstWord Pharma https://t.co/m19lLnACiI. And patients are still being prescribed double the FDA indicated dose of #Dexilant because Drs were told by reps to give 60mg! #AppleQD.

[Noah Nathan @ModerateAppleqd]

Improper Proton Pump Inhibitor Prescriptions Criticized. PPIs are one of the largest classes of medications, should you still be on it? At what dose? #AppleQD https://t.co/Uhcus7u56q

[Noah Nathan @ModerateAppleqd]

It is important to read the package insert and see what the dose you are taking is indicated for? Take the lowest dose. #Dexilant #AppleQD

[Therapeutics Initiative (TI) @Drug_Evidence]

ICYMI: #UBC TI Therapeutics Letter 111 on proton pump inhibitors suggests clinicians "consider deprescribing PPIs after 4 weeks of treatment when symptoms have resolved, and there is not a life-threatening condition" https://t.co/kxIMd39iWQ #DrugEvidence #TIEvidence #heartburn

[Noah Nathan @ModerateAppleqd]

And the studies only have to show the drug is better than placebo. Science?

[Allen Frances @AllenFrancesMD]

"FDA Approved" says almost nothing about a drug's safety/efficacy.

Gets 75% of its budget from drug industry/dances to its tune/rejects almost nothing.

#FDA just another marketing arm of #pharma- no longer protects public.

MDs & patients must beware.

[Noah Nathan @ModerateAppleqd]

@AllenFrancesMD #PPIs are known to cause bone fractures of the hip, wrist, & spine. Are you taking the right dose of your PPI? #Dexilant #AppleQD

[Noah Nathan @ModerateAppleqd]

Certain drugs lead to bone fractures. #PPIs are a big one. Are you taking the right dose? #Dexilant #AppleQD. Hip fractures are deadly for many seniors - CNN https://t.co/0xJKBK3uh7

[Noah Nathan @ModerateAppleqd]

Canada is waking up to the overuse of PPI’s for #Heartburn. Check your dosage, are you taking double the FDA indicated dose? #AppleQD

[MedShadow | Medication Safety @medshadow_org]

Video: Millions of Canadians are using #acid-reflux drugs for too long, risking health #SideEffects. #PPIs
https://t.co/Pwjbn6OX3r

[Noah Nathan @ModerateAppleqd]

If you have broken a bone while on a PPI please let me know. #appleqd #PPI

[Alan Cassels @AKECassels]

Modern PPI use raises oodles of questions. CIHI says chronic use of PPIs in seniors in BC is 9%; In Ontario it's 24%; Quebec it's nearly 30%. Such variation suggests overdiagnosis. https://t.co/wWLe8fbxI2 @Deprescribing @Drug_Evidence @DrRitaMc @DrToddLee @LessIsMoreMed

[Noah Nathan @ModerateAppleqd]

This is eye-opening! I think we need to remind kids that we are 60%+ water.
1-in-5 US Kids Drink No Water During a Given Day https://t.co/rXtmZiIYmU via @medscape

[Noah Nathan @ModerateAppleqd]

Safety of drugs and the human body should be universal

[Alan Cassels @AKECassels]

Coolest Venn diagram ever. Over 1,400 drug safety advisories in 4 countries; concurred on 40. Deplorable. https://t.co/Mp4PasLtA5 @ubcnews @LessIsMoreMed @CBCNews @DoctorsOfBC @gpvirtualist @drjohnm @kellygrant1 @chrishendel @AmerMedicalAssn @jayparkinson @kevinmd @EricTopol

[Noah Nathan @ModerateAppleqd]

@RosenthalHealth When healthcare becomes more about making money and less about patient outcomes it gets confusing, like when math becomes more letters than numbers. I loved the book!

[Carolyn Thomas ☮️ @HeartSisters]

Proton pump inhibitors (drugs like Losec/Nexium/Prevacid) treat acid reflux or peptic ulcers. But studies on these typically do not exceed 8-12 weeks of therapy. So why do doctors prescribe them longterm to seniors? https://t.co/npdAzuHeFO @ChoosingWiselyCA RT @AKECassels

[Todd C. Lee @DrToddLee]

@AKECassels @picardonhealth @carlyweeks @kellygrant1 @theresaboyle @jesse_mclean The more people take these drugs, the more the rare side effects become relevant on population level https://t.co/UXDkQlYue9

[Alan Cassels @AKECassels]

Nearly half a million BC citizens took a PPI last year, many of them chronically. Yet this is a national concern because other parts of Canada have rates that are 2-3 times ours. https://t.co/O9XfA9nX08 @picardonhealth @carlyweeks @kellygrant1 @theresaboyle @jesse_mclean

[Noah Nathan @ModerateAppleqd]

US Taxpayers paid the bill for research but Big Pharma challenges the patent and makes $3 Billion. #Truvada Low R&D should mean low price.
Washington Post Examines Patent Rights Of HIV Prevention Drug Developed By U.S. Government, Made By Gilead https://t.co/ipahmgXSKl

[Noah Nathan @ModerateAppleqd]

If you are/have taken the heartburn drug Dexilant, please contact Alan Cassels @AKECassels

[Alan Cassels @AKECassels]

Are you one of the 20,000 British Columbians taking dexlansoprazole or Dexilant, a heartburn drug? Please tell me about what drug safety information you received. [email protected] @ctv_jon @picardonhealth @tomhawthorn @tomblackwellNP @SRPCanada @Miss604 @dogwoodbc @kellygrant1