drugstr
Central, NJ
Male, 61
I have worked as a drug discovery scientist for over 30 years performing experiments to help identify novel chemical compounds for their potential in treating diseases in the areas of infection, inflammation and cardiovascular disorders. I have a good familiarity with the entire process from discovery to safety to clinical trials and even marketing. Ask me about the business of Big Pharma. I’m happy to comment on any and all hot-button issues. My opinions are quite often not pro-business.
This is not a pharma question and I’m not expert in colligative properties, however, my understanding is that freezing point depression is a function of the molality of a solute in a solution. The molality represents the total number of dissolved particles. You’re obviously familiar with this since your list includes compounds of increasing molal potential. I submit that based on molality, aluminum chloride would be best so long as the solution was fairly dilute. While the others nicely dissolve in water, AlCl3 reacts with water and forms HCl, a dissolved gas. In a concentrated solution some of the HCl would degas and thus lower the molality reducing the freezing point depression. So if your goal is a several degree drop, choose CaCl2. It’s a safer bet.
Again, not really a pharma question. The CDC recommends a mask with two or more layers of breathable fabric. Wear one anytime you're around people not in your household. I wear inexpensive, disposable, 3-layer surgical masks available online.
In my view an OTC medication must satisfy two criteria. First, it must have a very well-established, excellent safety profile and second, it must be a proven remedy for a condition that the user can self-determine. For example, headache, heartburn, constipation, etc. Conditions like high BP, high cholesterol, and diabetes are not reliably monitored by patients and are thus appropriately not OTC. There are certain prescription medicines that treat self-determinable conditions that I believe could be OTC so long as they are dispensed by a professional capable of providing safety guidance for their use. Call it “pharmacist prescribing.” My list would include drugs for erectile dysfunction, anxiety, sleep aids, acne and maybe certain urinary tract targeted antibiotics. Ordinarily, physicians prescribe these drugs with advice only and no further monitoring.
According to the FDA there is no effective HCQ regimen for the treatment of COVID-19. Its emergency use is no longer authorized. I refer you to the link below for answers to your three questions.https://www.fda.gov/drugs/drug-safety-and-availability/fda-cautions-against-use-hydroxychloroquine-or-chloroquine-covid-19-outside-hospital-setting-or
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Every drug carries risks of side-effects which are sometimes dangerous. Doctors are responsible for determining whether the curative value of a prescription outweighs these risks. A competent physician does this with full knowledge of the drug profile and an intimate knowledge of the patient’s condition. A drug manufacturer applies to the FDA for permission to market a drug for a particular indication by submitting clinical evidence proving safety and efficacy. A drug may have more than one indication in its ‘label.’ Doctors are free, however, to prescribe drugs ‘off-label’ for a condition not specifically approved by the FDA. There may be published reports to support this or the doctor may have had good results with similar agents. They do this at their peril, though. They may be liable for injury. Doctors are human and may be subject to pressure from patients, drug companies, politicians, or criminals to prescribe in a way that is not in the best interest of their patient or worse, to support the dangerous and illegal trafficking of narcotics. So to answer your question, doctors may succumb to various pressures to use their power to prescribe in ways that may cause harm, thus violating their oath.
End which part? International cartels and their networks in the U.S.? No. Criminalization of users? Yes, unless they commit other serious crimes. Treat addiction as a medical problem with therapy and/or safe drugs with supervision.
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