Google launches foray into patient health information

ORLANDO, Fla. -- Wielding its titanic scale as Internet's leading worldwide information conduit and Web portal, Google Inc. is linking up with such big pharmacy chains as Walgreens and Wal-Mart, as well as other healthcare providers, in a groundbreaking venture into world of patient records and health information technology. The result could significantly accelerate the nationwide evolution of data-driven health care and shift more decision-making power into the hands of information-empowered patients.

In late February, Google chief executive Eric Schmidt announced launch of Google Health, the company's much-discussed foray into the field of personal health information and patient-controlled data exchange. Schmidt said new venture would provide a password-protected, Web-based platform through which patients, doctors, pharmacists and medical labs could share personal health information.

The result could be a truly portable system of patient records -- a system that Google says would give patients direct access to their own health information, and provide physicians, pharmacies and other healthcare providers a holistic window into a patient's entire medical history. Privacy concerns aside, such a network could help prevent many prescribing errors, duplicate prescriptions or medical tests, as well as confusion over a patient's therapy among multiple healthcare providers. Armed with new information, patients also could gain more direct control over the factors that impact their health and well-being.

Schmidt said Google is partnering with Walgreens, Wal-Mart, health insurers, hospitals and Quest Diagnostics, among other companies, to create a password-protected online storage and retrieval system for patient health records -- including lab results, prescription records and drug history, physicians' input and other data. Last month, company unveiled first plank of new venture -- a data-sharing alliance with The Cleveland Clinic.

Google's chief executive is insisting new service will safeguard patients' health records and put control in hands of patients themselves. Nevertheless, some privacy advocates have expressed concerns over the potential damage that could arise if password-protected system is cracked.

Many of companies allied with Google have yet to reveal their own plans for system. However, Walgreens spokesman Michael Polzin freely described the system's potential benefit.

" I think this is another step toward engaging patients and making it easier for them to take control of their health care, " Polzin told Drug Store News. " That's where health care is heading. Part of controlling costs in health care is providing patients with access to information. "

RELATED ARTICLE: Walgreens makes entry into nation's Capitol.

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Walgreens officials hosted grand opening of company's first drug store in Washington, D. C. , March 6. " With the opening of this new 24-hour store, Walgreens now serves residents of every major metropolitan area in country, " Walgreens noted in a statement. The company revealed plans to open more than a dozen locations in Washington area within next few years, along with more than 40 more stores across Virginia and Maryland. Kermit Crawford, senior vice president of pharmacy services, hosted a ribbon-cutting that drew Washington Mayor Adrian Fenty, National Association of Chain Drug Store president and chief executive officer Steve Anderson and Walgreens national director of pharmacy affairs Phil Burgess.

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What you have to know buying Nitrazepam.

uses of Nitrazepam Nitrazepam is used in adults for the short-term treatment of trouble sleeping ( insomnia ) . It may help we fall asleep faster and decrease number of times you awaken during the night. It may also help you sleep for a longer time. Nitrazepam is also used in children and infants to treat a certain type of seizure ( myoclonic ) .

Nitrazepam belongs to a class of drugs called benzodiazepines, which act on brain to produce a calming effect. It works by enhancing effects of a certain natural chemical in the body ( GABA ) .

how to use of Nitrazepam To treat insomnia, take Nitrazepam by mouth with or without food, before bedtime as directed by your doctor. Nitrazepam can be chewed or dissolved in liquid if we are unable to swallow it whole.

Don't use Nitrazepam if you have less than 7 to 8 hours to sleep. Doing so increases the risk of daytime drowsiness and temporary memory loss.

To treat seizures in infants and children, give medication by mouth, usually 3 times a day or as directed by doctor.

Dosage is based on your medical condition and response to treatment. Nitrazepam isn't usually used for more than 7 to 10 days when treating insomnia. Long-term use can cause medication to build up in your body, increase side effects, and cause dependence. It can make your insomnia worse after we stop taking medication ( rebound insomnia ) .

Nitrazepam may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, if we suddenly stop Nitrazepam, withdrawal reactions ( e. g. , depressed/anxious mood, stomach/muscle cramps, vomiting, sweating, shakiness, seizures ) may occur while use Nitrazepam. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with Nitrazepam, gradually reducing the dosage as directed will help prevent withdrawal reactions. Consult your doctor or pharmacist for more details.

Rarely, use of Nitrazepam can also result in abnormal drug-seeking behavior ( addiction ) . Don't increase your dose, take it more frequently, or use it for a longer time than prescribed. Properly stop the medication when so directed.

When used for an extended period, Nitrazepam may not work as well and may require different dosing. Talk with your doctor if this medication stops working well.

Tell your doctor if you continue to have trouble sleeping or your child's seizures persist or worsen.

side effects of Nitrazepam Drowsiness, dizziness, loss of coordination, headache, lightheadedness, nightmares, trouble walking, or falling may occur while use Nitrazepam. To reduce the risk of injury from falling, take Nitrazepam right before going to bed. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Nitrazepam may make you sleepy during day. Tell your doctor if we have daytime drowsiness. Your dose may need to be adjusted. Some people, particularly children, may experience excitability rather than drowsiness.

Remember that your doctor has prescribed Nitrazepam because he or she has judged that the benefit to we is greater than risk of side effects. Many people using Nitrazepam don't have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

Tell your doctor immediately if any of these rare but very serious side effects occur:

A very serious allergic reaction to Nitrazepam is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

This isn't a complete list of possible side effects. If we notice other effects not listed above, contact your doctor or pharmacist.

precautions of Nitrazepam Before taking Nitrazepam, tell your doctor or pharmacist if you're allergic to it; or to other benzodiazepines ( e. g. , diazepam, temazepam ) ; or if you have any other allergies.

Nitrazepam should not be used if we have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

Before using Nitrazepam, tell your doctor or pharmacist your medical history, especially of:

Nitrazepam may make we dizzy or drowsy. Use caution while driving, using machinery, or doing any activity that requires alertness. Avoid alcoholic beverages.

To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Before having surgery, tell your doctor or dentist that we are taking Nitrazepam.

Caution is advised when using Nitrazepam in elderly because they may be more sensitive to effects of the drug, especially memory problems and increased risk of falls due to drowsiness, dizziness, and loss of coordination.

Caution is advised when using Nitrazepam in infants/young children because they may be at risk for lung infection due to difficulty swallowing that leads to saliva getting in the lungs ( aspiration ) .

During pregnancy, Nitrazepam should be used only when clearly needed. Nitrazepam may cause harm to an unborn baby. Infants born to mothers who used similar medications for a long time during pregnancy have had withdrawal symptoms. Infants born to mothers who used similar medications near or at time of delivery have had unusual drowsiness, feeding problems, slow breathing, liver problems, and floppy muscles. Consult your doctor for more details and to discuss reliable forms of birth control.

Nitrazepam may pass into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding isn't recommended while using Nitrazepam. Consult your doctor before breast-feeding.

interactions of Nitrazepam Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring we for them. Don't start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Nitrazepam shouldn't be used with following medication because very serious interactions may occur while use Nitrazepam:

If we are currently using medication listed above, tell your doctor or pharmacist before starting Nitrazepam.

Before using Nitrazepam, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

Tell your doctor or pharmacist if we also take drugs that cause drowsiness such as: certain antihistamines ( e. g. , diphenhydramine ) , anti-seizure drugs ( e. g. , carbamazepine ) , medicine for sleep or anxiety ( e. g. , alprazolam, diazepam, zolpidem ) , muscle relaxants, narcotic pain relievers ( e. g. , codeine ) , psychiatric medicines ( e. g. , chlorpromazine, risperidone, amitriptyline, trazodone ) .

Check labels on all your medicines ( e. g. cough-and-cold products ) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using these products safely.

This document doesn't contain all possible interactions. Therefore, before using Nitrazepam, tell your doctor or pharmacist of all products we use. Keep a list of all your medications with you, and share list with your doctor and pharmacist.

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Go, unwind. When we are relaxed, stress is reduced. Symptoms of stress disappear since it is very hard for our bodies to feel stressed and relaxed at the same time.