|July/August 1998In This IssueWelcome,
New Medical Staff Fellows*A Few
Facts
*Clinical Pharmacy Specialists

*Pharmacy Phone Numbers

*Pharmacy
Residency
Appointments 1998-1999

*Restricted
MedicationsDrug Information Service
Pharmacy Department
Warren G. Magnuson Clinical Center
National Institutes of Health
Bethesda, Maryland 20892-1196
Charles E. Daniels, Ph.D.
Chief, Pharmacy DepartmentEditor-in-ChiefKarim Anton Calis, Pharm.D., M.P.H.
Coordinator, Drug Information Service, and Endocrinology Clinical Pharmacy
Specialist[email protected]Associate EditorMaryam R. Mohassel,
Pharm.D.
Specialized Resident in Drug Information Practice and Pharmacotherapy[email protected]

Archives

Welcome, New Medical
Staff Fellows

The pharmacy staff welcomes you and would like
to introduce you to the variety of services we offer in support of patient
care and biomedical research.

Inpatient PharmacyThe inpatient pharmacy provides
medications for hospitalized patients. All medication orders are reviewed
by pharmacists before dispensing to the nursing units. Using the patient's
medication prole, pharmacists review orders for allergies, appropriateness
of dose and dosing interval, drug interactions, and drug incompatibilities.
The unit dose staff prepares medications for patient use, each dosage form
having been individually packaged and labeled. Parenteral preparations,
including injectable investigational drugs, are prepared under rigorous
standards for sterility and quality control by the Intravenous Admixture
Unit staff or by the Oncology Satellite. Inpatient services are available
on a 24-hour basis from the central pharmacy.

Clinical PharmacyPharmacists with advanced clinical
training and experience are assigned to critical care, endocrinology, gastroenterology,
neurology, ambulatory care, mental health, oncology, bone marrow transplantation,
allergy, and infectious diseases. Their functions include providing patient-specic
drug-use advice, participating in drug selection, monitoring patient response
to therapy, serving as IRB members, counseling patients, and participating
in experimental drug protocol design and implementation.

Outpatient PharmacyThe outpatient pharmacy dispenses
prescriptions and provides medication counseling for outpatients, patients
on pass, and discharged patients. Medications supplied by the outpatient
pharmacy must be protocol-related and are typically limited to a 90-day
supply. The outpatient pharmacy is open from 8:30 a.m. to 6 p.m., Monday
through Thursday, 8:30 a.m. to 8 p.m. on Friday, and 8:30 a.m. to 12:30
p.m. on weekends and holidays. Only emergency outpatient prescriptions
are lled after hours.

Drug Information ServiceThe Drug Information Service
is available to assist clinicians with routine and complex pharmacotherapeutic
questions and case consultations. The NIH Drug Information Service (DIS)
is equipped with information resources including texts, journals, abstracting
services, and online and CD-ROM drug information data bases. The DIS is
also responsible for evaluating and monitoring adverse drug reactions reported
by healthcare personnel.

Additionally, the DIS is the principal resource
to the Pharmacy and Therapeutics Committee for evaluating medications,
biologicals, and drug-delivery systems, and reviewing and developing medication-related
policies and procedures. The DIS also provides assistance with study design,
protocol development, and critical literature evaluation.

Procurement and ControlThe quality control and purchasing
of drugs dispensed for patient care are the responsibilities of the Pharmaceutical
Procurement and Control Section. This unit purchases all drugs and pharmaceutical
supplies authorized for use at the Clinical Center and maintains the formulary
of approved drugs.



Pharmaceutical DevelopmentThe Pharmaceutical Development
Section (PDS) provides research-related functions as follows:

registration and control of all investigational
drugs used for patients,

formulation of unique dosage forms of both commercially
available and investigational drugs,

assaying investigational drugs and providing
summaries of these data to support the submission of investigational new
drug (IND) applications,

conducting quality control and stability studies
for all products manufactured by the Department,

aiding investigators in designing blinded studies,
and

providing information on investigational drugs.
Investi-gational drugs must be registered with PDS before they are administered
to Clinical Center patients.

Clinical PharmacokineticsThe Clinical Pharmacokinetics
Research Laboratory (CPRL) of PDS assists clinical investigators in the
design, analysis, and interpretation of pharmacokinetic studies.

The CPRL supports physicians in several major
areas of pharmacokinetics research including modelling of drugs and/or
metabolites, examination of concentration-effect relationships, drug interaction
studies, and characterization of drugs with nonlinear disposition. In addition,
the CPRL provides consultations on individual patients regarding pharmacokinetic
aspects of drug therapy.

Charles E. Daniels, Ph.D.
Chief, Pharmacy DepartmentUp to Top

A Few Facts

Outpatient, Discharge, and
On Pass PrescriptionsPhysicians should enter any
discharge or on pass medications for their patients into MIS the day before
the event, or during the morning hours on weekends and holidays. Outpatient
prescriptions, discharge medication orders, and prescriptions for patients
on pass will be lled only during the Outpatient Pharmacy's scheduled hours
of operation

Prescribing Restricted AntimicrobialsWhen prescribing restricted
anti-microbials from the med index in MIS, the following message will appear:

You have selected a restricted antimicrobial.
The Pharmacy Department will not act on this order until it is approved
by an ID consultant via a telephone call to the Pharmacy.

Prescribers are obliged to...

*Complete
the order in MIS

*Contact
the ID Fellow directly or through the Clinical Center Page Operator (496-1211)

*If
the ID fellow is unavailable or does not respond, the prescriber should
contact the assigned ID attending physician (page operators have the current
coverage schedule).

NoteThe Pharmacy will not dispense
a rst dose of a restricted antimicrobial without ID approval.

Orders for restricted antimicrobials included
as adjunctive therapy in NIH studies must be entered into MIS by physicians
authorized to prescribe restricted agents for their patients. Otherwise,
ID approval is required.

Although ID approval may have been granted for
a restricted antimicrobial during a patient's prior admission, retreatment
with the same restricted antimicrobial is contingent upon ID reapproval.

The following antimicrobials have been designated
as restricted:

*Abelcet®
and AmBisome®

*Alatrofloxacin

*Ceftazidime

*Cidofovir

*Ciprooxacin
(oral and i.v. formulations)

*Fluconazole
(i.v. formulation only)

*Foscarnet

*Ganciclovir
(oral and i.v. formulations)

*Imipenem/cilastatin
(Primaxin®)

*Itraconazole

*Levofloxacin
(i.v. formulation only)

*Tobramycin
(inhalation form only)

*Vancomycin
(oral formulation only)



Scheduled (CII)
DrugsAll "TAKE HOME" orders
for schedule II drugs for outpatients require that an order signed by the
prescribing physician must be sent to the outpatient pharmacy before the
medication can be dispensed to patients.

Prescription BlanksBlank prescription forms are
available in the Outpatient Pharmacy (1st oor) and will be dispensed only
to physicians, nurses, and pharmacists. Persons requesting prescription
blanks must present their Clinical Center identication and sign for the
forms they receive.

Total Parenteral Nutrition:All orders for parenteral nutrition
(TPN) received in the Pharmacy Department by 2 p.m. will be delivered to
the patient care unit by 6 p.m. Orders for outpatients or patients who
will be discharged on TPN should be entered before 11 a.m. so they can
be ready for pick-up after 3 p.m.

Physician's DEA RegistrationSection 1301.25 of the Federal
Controlled Substance Act Regulations provide that all physician practitioners
employed by the Public Health Service may use their service number (i.e.,
Social Security number) and branch of service or service agency on all
prescriptions issued in lieu of a DEA registration number (Note: you do
not need to provide your Social Security number for controlled substances
lled by the Clinical Center Outpatient Pharmacy). For additional information,
contact a pharmacist in the Pharmacy Procurement Section (496-9358) or
write or call:

Registration Board Drug Enforcement Agency
P. O. Box 28033

Central Station

Washington, DC 20005

Telephone (202) 307-7255

Pharmacy Phone Numbers

Drug Information Service 6-2407

Intravenous Admixture Unit 6-6551

Office of the Chief 6-4363

Oncology Satellite 6-8092

Outpatient Pharmacy 6-2866

Pharmaceutical Development Section (PDS) 6-1031

Pharmaceutical Procurement and Control 6-9358

Unit Dose Distribution Unit 6-1914



Clinical Pharmacy Specialists

Paul Jarosinski

P.D. NCI/Pediatric Oncology

104-2220-7Barry Goldspiel

Pharm.D. NCI/Medicine Branch

104-4650David Kohler

Pharm.D. NCI/Medicine Branch

104-2218-7Michelle Plante

Pharm.D. NHLBI/BMT/NCI Surgery

104-4651Cara Alfaro

Pharm.D. NIMHStephen Piscitelli

Pharm.D. NIAID/Pharmacokinetics

104-3044-7Gregory Susla

Pharm.D. MICU and NINDS

104-4150-7Frank Pucino

Pharm.D. Ambulatory Care Services

104-3043-7Alice Pau

Pharm.D. NIAID

104-2240-7Bill Knebel

Pharm.D. NIMH/Pharmacokinetics

104-2239-7Karim Calis

Pharm.D., M.P.H. NICHD/Endocrinology
& Genetics
NIDDK/Endocrinology & Gastroenterology
NIH Drug Information Service

104-2619-7Up to Top

Pharmacy Residency Appointments 1998-1999

Grace M. Kuo, Pharm.D.

Oregon State University

Resident in Primary Care Pharmacy Practice

Frank Pucino, Pharm.D.

Program Director



Nishaat Saini, Pharm.D.

University of Florida

Resident in Oncology Pharmacy Practice

Barry R. Goldspiel, Pharm.D.

Program Director



Doreen Chey, Pharm.D.

University of California &endash; San Francisco

Pharmacy Practice Resident

Gregory M. Susla, Pharm.D.

Program Director



Maryam R. Mohassel, Pharm.D.

Philadelphia College of Pharmacy and Science

Resident in Drug Information Practice

and Pharmacotherapy

Karim Anton Calis, Pharm.D., M.P.H.

Program DirectorUp to Top

Restricted Medications

The following is a list of non-antimicrobial drugs
on which some form of restriction has been placed by the Pharmacy and Therapeutics
Committee:

*Amiodarone
(Cordarone®)

Restricted to the Cardiology Service

*Clozapine
(Clozaril®)

Restricted to use by physicians from NIMH and
NINDS

*Dornase
Alfa (Pulmozyme®)

Restricted for use in patients with cystic brosis
(inpatient use only)

*EMLA®
Cream

This is a eutectic mixture of lidocaine and prilocaine
which is used in pediatric or adult patients to reduce the pain associated
with venipuncture, intravenous cannulation (especially in children in whom
intravenous access is difcult), lumbar puncture, and certain dermatologic
procedures. This drug should not be routinely used on mucous membranes
or prior to subcutaneous or intramuscular injections.

*Enoxaparin
(Lovenox®)

Restricted to the Clinical Hematology Service

*Epoetin
Alfa (Epogen® or Procrit®)

Drug use is evaluated through queries in MIS order
screens

*Filgrastim
(Neupogen®)

Drug use is evaluated through queries in MIS order
screens

*Granisetron
(Kytril®)

Usage guidelines were described in the May/June
1997 issue of Pharmacy Update

*Ondansetron
(Zofran®)

Usage guidelines were described in the May/June
1997 issue of Pharmacy Update

*Mexiletine
(Mexitil®)

Restricted to the Pain Management Service (for
neuropathic pain)

*Tizanidine
(Zanaflex®)

Use requires approval by the NINDS Neurology Consultation
ServiceDrug Information
Service*Patient-specific pharmacotherapy evaluations and recommendations* Comprehensive
information about medications, biologics, and nutrients* Critical
evaluation of drug therapy literature* Assistance
with study design, protocol development, and clinical trial drug safety
monitoring* Parenteral
nutrition assessment and monitoring301-496-2407Pager 104-2619-7
Building 10, Room 1N257Designed by Richard Barnes,
NCRR, MAPB.Comments or questions concerning this site? Contact Pharmacy
WebmasterNational Institutes of Health (NIH) , Warren Grant Magnuson Clinical
Center (CC)
Pharmacy Department, Bethesda, Maryland 20892
Last updated: February 6, 1998NIH Home Page|Clinical Center Home Page|Pharmacy Home Page |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                  | July/August 1998            | In This IssueWelcome,
New Medical Staff Fellows*A Few
Facts
*Clinical Pharmacy Specialists

*Pharmacy Phone Numbers

*Pharmacy
Residency
Appointments 1998-1999

*Restricted
MedicationsDrug Information Service
Pharmacy Department
Warren G. Magnuson Clinical Center
National Institutes of Health
Bethesda, Maryland 20892-1196
Charles E. Daniels, Ph.D.
Chief, Pharmacy DepartmentEditor-in-ChiefKarim Anton Calis, Pharm.D., M.P.H.
Coordinator, Drug Information Service, and Endocrinology Clinical Pharmacy
Specialist[email protected]Associate EditorMaryam R. Mohassel,
Pharm.D.
Specialized Resident in Drug Information Practice and Pharmacotherapy[email protected]

Archives | Welcome, New Medical
Staff Fellows

The pharmacy staff welcomes you and would like
to introduce you to the variety of services we offer in support of patient
care and biomedical research.

Inpatient PharmacyThe inpatient pharmacy provides
medications for hospitalized patients. All medication orders are reviewed
by pharmacists before dispensing to the nursing units. Using the patient's
medication prole, pharmacists review orders for allergies, appropriateness
of dose and dosing interval, drug interactions, and drug incompatibilities.
The unit dose staff prepares medications for patient use, each dosage form
having been individually packaged and labeled. Parenteral preparations,
including injectable investigational drugs, are prepared under rigorous
standards for sterility and quality control by the Intravenous Admixture
Unit staff or by the Oncology Satellite. Inpatient services are available
on a 24-hour basis from the central pharmacy.

Clinical PharmacyPharmacists with advanced clinical
training and experience are assigned to critical care, endocrinology, gastroenterology,
neurology, ambulatory care, mental health, oncology, bone marrow transplantation,
allergy, and infectious diseases. Their functions include providing patient-specic
drug-use advice, participating in drug selection, monitoring patient response
to therapy, serving as IRB members, counseling patients, and participating
in experimental drug protocol design and implementation.

Outpatient PharmacyThe outpatient pharmacy dispenses
prescriptions and provides medication counseling for outpatients, patients
on pass, and discharged patients. Medications supplied by the outpatient
pharmacy must be protocol-related and are typically limited to a 90-day
supply. The outpatient pharmacy is open from 8:30 a.m. to 6 p.m., Monday
through Thursday, 8:30 a.m. to 8 p.m. on Friday, and 8:30 a.m. to 12:30
p.m. on weekends and holidays. Only emergency outpatient prescriptions
are lled after hours.

Drug Information ServiceThe Drug Information Service
is available to assist clinicians with routine and complex pharmacotherapeutic
questions and case consultations. The NIH Drug Information Service (DIS)
is equipped with information resources including texts, journals, abstracting
services, and online and CD-ROM drug information data bases. The DIS is
also responsible for evaluating and monitoring adverse drug reactions reported
by healthcare personnel.

Additionally, the DIS is the principal resource
to the Pharmacy and Therapeutics Committee for evaluating medications,
biologicals, and drug-delivery systems, and reviewing and developing medication-related
policies and procedures. The DIS also provides assistance with study design,
protocol development, and critical literature evaluation.

Procurement and ControlThe quality control and purchasing
of drugs dispensed for patient care are the responsibilities of the Pharmaceutical
Procurement and Control Section. This unit purchases all drugs and pharmaceutical
supplies authorized for use at the Clinical Center and maintains the formulary
of approved drugs.



Pharmaceutical DevelopmentThe Pharmaceutical Development
Section (PDS) provides research-related functions as follows:

registration and control of all investigational
drugs used for patients,

formulation of unique dosage forms of both commercially
available and investigational drugs,

assaying investigational drugs and providing
summaries of these data to support the submission of investigational new
drug (IND) applications,

conducting quality control and stability studies
for all products manufactured by the Department,

aiding investigators in designing blinded studies,
and

providing information on investigational drugs.
Investi-gational drugs must be registered with PDS before they are administered
to Clinical Center patients.

Clinical PharmacokineticsThe Clinical Pharmacokinetics
Research Laboratory (CPRL) of PDS assists clinical investigators in the
design, analysis, and interpretation of pharmacokinetic studies.

The CPRL supports physicians in several major
areas of pharmacokinetics research including modelling of drugs and/or
metabolites, examination of concentration-effect relationships, drug interaction
studies, and characterization of drugs with nonlinear disposition. In addition,
the CPRL provides consultations on individual patients regarding pharmacokinetic
aspects of drug therapy.

Charles E. Daniels, Ph.D.
Chief, Pharmacy Department |                              | Up to Top | A Few Facts

Outpatient, Discharge, and
On Pass PrescriptionsPhysicians should enter any
discharge or on pass medications for their patients into MIS the day before
the event, or during the morning hours on weekends and holidays. Outpatient
prescriptions, discharge medication orders, and prescriptions for patients
on pass will be lled only during the Outpatient Pharmacy's scheduled hours
of operation

Prescribing Restricted AntimicrobialsWhen prescribing restricted
anti-microbials from the med index in MIS, the following message will appear:

You have selected a restricted antimicrobial.
The Pharmacy Department will not act on this order until it is approved
by an ID consultant via a telephone call to the Pharmacy.

Prescribers are obliged to...

*Complete
the order in MIS

*Contact
the ID Fellow directly or through the Clinical Center Page Operator (496-1211)

*If
the ID fellow is unavailable or does not respond, the prescriber should
contact the assigned ID attending physician (page operators have the current
coverage schedule).

NoteThe Pharmacy will not dispense
a rst dose of a restricted antimicrobial without ID approval.

Orders for restricted antimicrobials included
as adjunctive therapy in NIH studies must be entered into MIS by physicians
authorized to prescribe restricted agents for their patients. Otherwise,
ID approval is required.

Although ID approval may have been granted for
a restricted antimicrobial during a patient's prior admission, retreatment
with the same restricted antimicrobial is contingent upon ID reapproval.

The following antimicrobials have been designated
as restricted:

*Abelcet®
and AmBisome®

*Alatrofloxacin

*Ceftazidime

*Cidofovir

*Ciprooxacin
(oral and i.v. formulations)

*Fluconazole
(i.v. formulation only)

*Foscarnet

*Ganciclovir
(oral and i.v. formulations)

*Imipenem/cilastatin
(Primaxin®)

*Itraconazole

*Levofloxacin
(i.v. formulation only)

*Tobramycin
(inhalation form only)

*Vancomycin
(oral formulation only)



Scheduled (CII)
DrugsAll "TAKE HOME" orders
for schedule II drugs for outpatients require that an order signed by the
prescribing physician must be sent to the outpatient pharmacy before the
medication can be dispensed to patients.

Prescription BlanksBlank prescription forms are
available in the Outpatient Pharmacy (1st oor) and will be dispensed only
to physicians, nurses, and pharmacists. Persons requesting prescription
blanks must present their Clinical Center identication and sign for the
forms they receive.

Total Parenteral Nutrition:All orders for parenteral nutrition
(TPN) received in the Pharmacy Department by 2 p.m. will be delivered to
the patient care unit by 6 p.m. Orders for outpatients or patients who
will be discharged on TPN should be entered before 11 a.m. so they can
be ready for pick-up after 3 p.m.

Physician's DEA RegistrationSection 1301.25 of the Federal
Controlled Substance Act Regulations provide that all physician practitioners
employed by the Public Health Service may use their service number (i.e.,
Social Security number) and branch of service or service agency on all
prescriptions issued in lieu of a DEA registration number (Note: you do
not need to provide your Social Security number for controlled substances
lled by the Clinical Center Outpatient Pharmacy). For additional information,
contact a pharmacist in the Pharmacy Procurement Section (496-9358) or
write or call:

Registration Board Drug Enforcement Agency
P. O. Box 28033

Central Station

Washington, DC 20005

Telephone (202) 307-7255

Pharmacy Phone Numbers

Drug Information Service 6-2407

Intravenous Admixture Unit 6-6551

Office of the Chief 6-4363

Oncology Satellite 6-8092

Outpatient Pharmacy 6-2866

Pharmaceutical Development Section (PDS) 6-1031

Pharmaceutical Procurement and Control 6-9358

Unit Dose Distribution Unit 6-1914



Clinical Pharmacy Specialists

Paul Jarosinski

P.D. NCI/Pediatric Oncology

104-2220-7Barry Goldspiel

Pharm.D. NCI/Medicine Branch

104-4650David Kohler

Pharm.D. NCI/Medicine Branch

104-2218-7Michelle Plante

Pharm.D. NHLBI/BMT/NCI Surgery

104-4651Cara Alfaro

Pharm.D. NIMHStephen Piscitelli

Pharm.D. NIAID/Pharmacokinetics

104-3044-7Gregory Susla

Pharm.D. MICU and NINDS

104-4150-7Frank Pucino

Pharm.D. Ambulatory Care Services

104-3043-7Alice Pau

Pharm.D. NIAID

104-2240-7Bill Knebel

Pharm.D. NIMH/Pharmacokinetics

104-2239-7Karim Calis

Pharm.D., M.P.H. NICHD/Endocrinology
& Genetics
NIDDK/Endocrinology & Gastroenterology
NIH Drug Information Service

104-2619-7 | Paul Jarosinski              | P.D. NCI/Pediatric Oncology | 104-2220-7      | Barry Goldspiel                | Pharm.D. NCI/Medicine Branch | 104-4650    | David Kohler  | Pharm.D. NCI/Medicine Branch | 104-2218-7         | Michelle Plante                 | Pharm.D. NHLBI/BMT/NCI Surgery | 104-4651      | Cara Alfaro             | Pharm.D. NIMH |              | Stephen Piscitelli                | Pharm.D. NIAID/Pharmacokinetics | 104-3044-7 | Gregory Susla  | Pharm.D. MICU and NINDS | 104-4150-7  | Frank Pucino                   | Pharm.D. Ambulatory Care Services | 104-3043-7  | Alice Pau                                                                                                           | Pharm.D. NIAID | 104-2240-7 | Bill Knebel | Pharm.D. NIMH/Pharmacokinetics | 104-2239-7 | Karim Calis | Pharm.D., M.P.H. NICHD/Endocrinology
& Genetics
NIDDK/Endocrinology & Gastroenterology
NIH Drug Information Service | 104-2619-7 | Up to Top | Pharmacy Residency Appointments 1998-1999

Grace M. Kuo, Pharm.D.

Oregon State University

Resident in Primary Care Pharmacy Practice

Frank Pucino, Pharm.D.

Program Director



Nishaat Saini, Pharm.D.

University of Florida

Resident in Oncology Pharmacy Practice

Barry R. Goldspiel, Pharm.D.

Program Director



Doreen Chey, Pharm.D.

University of California &endash; San Francisco

Pharmacy Practice Resident

Gregory M. Susla, Pharm.D.

Program Director



Maryam R. Mohassel, Pharm.D.

Philadelphia College of Pharmacy and Science

Resident in Drug Information Practice

and Pharmacotherapy

Karim Anton Calis, Pharm.D., M.P.H.

Program Director | Up to Top | Restricted Medications

The following is a list of non-antimicrobial drugs
on which some form of restriction has been placed by the Pharmacy and Therapeutics
Committee:

*Amiodarone
(Cordarone®)

Restricted to the Cardiology Service

*Clozapine
(Clozaril®)

Restricted to use by physicians from NIMH and
NINDS

*Dornase
Alfa (Pulmozyme®)

Restricted for use in patients with cystic brosis
(inpatient use only)

*EMLA®
Cream

This is a eutectic mixture of lidocaine and prilocaine
which is used in pediatric or adult patients to reduce the pain associated
with venipuncture, intravenous cannulation (especially in children in whom
intravenous access is difcult), lumbar puncture, and certain dermatologic
procedures. This drug should not be routinely used on mucous membranes
or prior to subcutaneous or intramuscular injections.

*Enoxaparin
(Lovenox®)

Restricted to the Clinical Hematology Service

*Epoetin
Alfa (Epogen® or Procrit®)

Drug use is evaluated through queries in MIS order
screens

*Filgrastim
(Neupogen®)

Drug use is evaluated through queries in MIS order
screens

*Granisetron
(Kytril®)

Usage guidelines were described in the May/June
1997 issue of Pharmacy Update

*Ondansetron
(Zofran®)

Usage guidelines were described in the May/June
1997 issue of Pharmacy Update

*Mexiletine
(Mexitil®)

Restricted to the Pain Management Service (for
neuropathic pain)

*Tizanidine
(Zanaflex®)

Use requires approval by the NINDS Neurology Consultation
Service
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | July/August 1998
|In This IssueWelcome,
New Medical Staff Fellows*A Few
Facts
*Clinical Pharmacy Specialists

*Pharmacy Phone Numbers

*Pharmacy
Residency
Appointments 1998-1999

*Restricted
MedicationsDrug Information Service
Pharmacy Department
Warren G. Magnuson Clinical Center
National Institutes of Health
Bethesda, Maryland 20892-1196
Charles E. Daniels, Ph.D.
Chief, Pharmacy DepartmentEditor-in-ChiefKarim Anton Calis, Pharm.D., M.P.H.
Coordinator, Drug Information Service, and Endocrinology Clinical Pharmacy
Specialist[email protected]Associate EditorMaryam R. Mohassel,
Pharm.D.
Specialized Resident in Drug Information Practice and Pharmacotherapy[email protected]

Archives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Welcome, New Medical
Staff Fellows

The pharmacy staff welcomes you and would like
to introduce you to the variety of services we offer in support of patient
care and biomedical research.

Inpatient PharmacyThe inpatient pharmacy provides
medications for hospitalized patients. All medication orders are reviewed
by pharmacists before dispensing to the nursing units. Using the patient's
medication prole, pharmacists review orders for allergies, appropriateness
of dose and dosing interval, drug interactions, and drug incompatibilities.
The unit dose staff prepares medications for patient use, each dosage form
having been individually packaged and labeled. Parenteral preparations,
including injectable investigational drugs, are prepared under rigorous
standards for sterility and quality control by the Intravenous Admixture
Unit staff or by the Oncology Satellite. Inpatient services are available
on a 24-hour basis from the central pharmacy.

Clinical PharmacyPharmacists with advanced clinical
training and experience are assigned to critical care, endocrinology, gastroenterology,
neurology, ambulatory care, mental health, oncology, bone marrow transplantation,
allergy, and infectious diseases. Their functions include providing patient-specic
drug-use advice, participating in drug selection, monitoring patient response
to therapy, serving as IRB members, counseling patients, and participating
in experimental drug protocol design and implementation.

Outpatient PharmacyThe outpatient pharmacy dispenses
prescriptions and provides medication counseling for outpatients, patients
on pass, and discharged patients. Medications supplied by the outpatient
pharmacy must be protocol-related and are typically limited to a 90-day
supply. The outpatient pharmacy is open from 8:30 a.m. to 6 p.m., Monday
through Thursday, 8:30 a.m. to 8 p.m. on Friday, and 8:30 a.m. to 12:30
p.m. on weekends and holidays. Only emergency outpatient prescriptions
are lled after hours.

Drug Information ServiceThe Drug Information Service
is available to assist clinicians with routine and complex pharmacotherapeutic
questions and case consultations. The NIH Drug Information Service (DIS)
is equipped with information resources including texts, journals, abstracting
services, and online and CD-ROM drug information data bases. The DIS is
also responsible for evaluating and monitoring adverse drug reactions reported
by healthcare personnel.

Additionally, the DIS is the principal resource
to the Pharmacy and Therapeutics Committee for evaluating medications,
biologicals, and drug-delivery systems, and reviewing and developing medication-related
policies and procedures. The DIS also provides assistance with study design,
protocol development, and critical literature evaluation.

Procurement and ControlThe quality control and purchasing
of drugs dispensed for patient care are the responsibilities of the Pharmaceutical
Procurement and Control Section. This unit purchases all drugs and pharmaceutical
supplies authorized for use at the Clinical Center and maintains the formulary
of approved drugs.



Pharmaceutical DevelopmentThe Pharmaceutical Development
Section (PDS) provides research-related functions as follows:

registration and control of all investigational
drugs used for patients,

formulation of unique dosage forms of both commercially
available and investigational drugs,

assaying investigational drugs and providing
summaries of these data to support the submission of investigational new
drug (IND) applications,

conducting quality control and stability studies
for all products manufactured by the Department,

aiding investigators in designing blinded studies,
and

providing information on investigational drugs.
Investi-gational drugs must be registered with PDS before they are administered
to Clinical Center patients.

Clinical PharmacokineticsThe Clinical Pharmacokinetics
Research Laboratory (CPRL) of PDS assists clinical investigators in the
design, analysis, and interpretation of pharmacokinetic studies.

The CPRL supports physicians in several major
areas of pharmacokinetics research including modelling of drugs and/or
metabolites, examination of concentration-effect relationships, drug interaction
studies, and characterization of drugs with nonlinear disposition. In addition,
the CPRL provides consultations on individual patients regarding pharmacokinetic
aspects of drug therapy.

Charles E. Daniels, Ph.D.
Chief, Pharmacy Department                                                         
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
|Up to Top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | A Few Facts

Outpatient, Discharge, and
On Pass PrescriptionsPhysicians should enter any
discharge or on pass medications for their patients into MIS the day before
the event, or during the morning hours on weekends and holidays. Outpatient
prescriptions, discharge medication orders, and prescriptions for patients
on pass will be lled only during the Outpatient Pharmacy's scheduled hours
of operation

Prescribing Restricted AntimicrobialsWhen prescribing restricted
anti-microbials from the med index in MIS, the following message will appear:

You have selected a restricted antimicrobial.
The Pharmacy Department will not act on this order until it is approved
by an ID consultant via a telephone call to the Pharmacy.

Prescribers are obliged to...

*Complete
the order in MIS

*Contact
the ID Fellow directly or through the Clinical Center Page Operator (496-1211)

*If
the ID fellow is unavailable or does not respond, the prescriber should
contact the assigned ID attending physician (page operators have the current
coverage schedule).

NoteThe Pharmacy will not dispense
a rst dose of a restricted antimicrobial without ID approval.

Orders for restricted antimicrobials included
as adjunctive therapy in NIH studies must be entered into MIS by physicians
authorized to prescribe restricted agents for their patients. Otherwise,
ID approval is required.

Although ID approval may have been granted for
a restricted antimicrobial during a patient's prior admission, retreatment
with the same restricted antimicrobial is contingent upon ID reapproval.

The following antimicrobials have been designated
as restricted:

*Abelcet®
and AmBisome®

*Alatrofloxacin

*Ceftazidime

*Cidofovir

*Ciprooxacin
(oral and i.v. formulations)

*Fluconazole
(i.v. formulation only)

*Foscarnet

*Ganciclovir
(oral and i.v. formulations)

*Imipenem/cilastatin
(Primaxin®)

*Itraconazole

*Levofloxacin
(i.v. formulation only)

*Tobramycin
(inhalation form only)

*Vancomycin
(oral formulation only)



Scheduled (CII)
DrugsAll "TAKE HOME" orders
for schedule II drugs for outpatients require that an order signed by the
prescribing physician must be sent to the outpatient pharmacy before the
medication can be dispensed to patients.

Prescription BlanksBlank prescription forms are
available in the Outpatient Pharmacy (1st oor) and will be dispensed only
to physicians, nurses, and pharmacists. Persons requesting prescription
blanks must present their Clinical Center identication and sign for the
forms they receive.

Total Parenteral Nutrition:All orders for parenteral nutrition
(TPN) received in the Pharmacy Department by 2 p.m. will be delivered to
the patient care unit by 6 p.m. Orders for outpatients or patients who
will be discharged on TPN should be entered before 11 a.m. so they can
be ready for pick-up after 3 p.m.

Physician's DEA RegistrationSection 1301.25 of the Federal
Controlled Substance Act Regulations provide that all physician practitioners
employed by the Public Health Service may use their service number (i.e.,
Social Security number) and branch of service or service agency on all
prescriptions issued in lieu of a DEA registration number (Note: you do
not need to provide your Social Security number for controlled substances
lled by the Clinical Center Outpatient Pharmacy). For additional information,
contact a pharmacist in the Pharmacy Procurement Section (496-9358) or
write or call:

Registration Board Drug Enforcement Agency
P. O. Box 28033

Central Station

Washington, DC 20005

Telephone (202) 307-7255

Pharmacy Phone Numbers

Drug Information Service 6-2407

Intravenous Admixture Unit 6-6551

Office of the Chief 6-4363

Oncology Satellite 6-8092

Outpatient Pharmacy 6-2866

Pharmaceutical Development Section (PDS) 6-1031

Pharmaceutical Procurement and Control 6-9358

Unit Dose Distribution Unit 6-1914



Clinical Pharmacy Specialists

Paul Jarosinski

P.D. NCI/Pediatric Oncology

104-2220-7Barry Goldspiel

Pharm.D. NCI/Medicine Branch

104-4650David Kohler

Pharm.D. NCI/Medicine Branch

104-2218-7Michelle Plante

Pharm.D. NHLBI/BMT/NCI Surgery

104-4651Cara Alfaro

Pharm.D. NIMHStephen Piscitelli

Pharm.D. NIAID/Pharmacokinetics

104-3044-7Gregory Susla

Pharm.D. MICU and NINDS

104-4150-7Frank Pucino

Pharm.D. Ambulatory Care Services

104-3043-7Alice Pau

Pharm.D. NIAID

104-2240-7Bill Knebel

Pharm.D. NIMH/Pharmacokinetics

104-2239-7Karim Calis

Pharm.D., M.P.H. NICHD/Endocrinology
& Genetics
NIDDK/Endocrinology & Gastroenterology
NIH Drug Information Service

104-2619-7 | Paul Jarosinski  | P.D. NCI/Pediatric Oncology | 104-2220-7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | Barry Goldspiel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Pharm.D. NCI/Medicine Branch | 104-4650  | David Kohler                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                | Pharm.D. NCI/Medicine Branch | 104-2218-7                  | Michelle Plante | Pharm.D. NHLBI/BMT/NCI Surgery | 104-4651                     | Cara Alfaro | Pharm.D. NIMH |                              | Stephen Piscitelli | Pharm.D. NIAID/Pharmacokinetics | 104-3044-7                     | Gregory Susla | Pharm.D. MICU and NINDS | 104-4150-7    | Frank Pucino | Pharm.D. Ambulatory Care Services | 104-3043-7                      | Alice Pau  | Pharm.D. NIAID | 104-2240-7              | Bill Knebel | Pharm.D. NIMH/Pharmacokinetics | 104-2239-7                        | Karim Calis | Pharm.D., M.P.H. NICHD/Endocrinology
& Genetics
NIDDK/Endocrinology & Gastroenterology
NIH Drug Information Service | 104-2619-7    
|Paul Jarosinski                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | P.D. NCI/Pediatric Oncology                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | 104-2220-7      
|Barry Goldspiel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Pharm.D. NCI/Medicine Branch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                | 104-4650        
|David Kohler                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      | Pharm.D. NCI/Medicine Branch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                | 104-2218-7      
|Michelle Plante                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Pharm.D. NHLBI/BMT/NCI Surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | 104-4651        
|Cara Alfaro                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Pharm.D. NIMH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |                 
|Stephen Piscitelli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                | Pharm.D. NIAID/Pharmacokinetics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | 104-3044-7      
|Gregory Susla                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | Pharm.D. MICU and NINDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | 104-4150-7      
|Frank Pucino                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      | Pharm.D. Ambulatory Care Services                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           | 104-3043-7      
|Alice Pau                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | Pharm.D. NIAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | 104-2240-7      
|Bill Knebel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Pharm.D. NIMH/Pharmacokinetics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | 104-2239-7      
|Karim Calis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Pharm.D., M.P.H. NICHD/Endocrinology
& Genetics
NIDDK/Endocrinology & Gastroenterology
NIH Drug Information Service                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | 104-2619-7      
|Up to Top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | Pharmacy Residency Appointments 1998-1999

Grace M. Kuo, Pharm.D.

Oregon State University

Resident in Primary Care Pharmacy Practice

Frank Pucino, Pharm.D.

Program Director



Nishaat Saini, Pharm.D.

University of Florida

Resident in Oncology Pharmacy Practice

Barry R. Goldspiel, Pharm.D.

Program Director



Doreen Chey, Pharm.D.

University of California &endash; San Francisco

Pharmacy Practice Resident

Gregory M. Susla, Pharm.D.

Program Director



Maryam R. Mohassel, Pharm.D.

Philadelphia College of Pharmacy and Science

Resident in Drug Information Practice

and Pharmacotherapy

Karim Anton Calis, Pharm.D., M.P.H.

Program Director                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
|Up to Top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | Restricted Medications

The following is a list of non-antimicrobial drugs
on which some form of restriction has been placed by the Pharmacy and Therapeutics
Committee:

*Amiodarone
(Cordarone®)

Restricted to the Cardiology Service

*Clozapine
(Clozaril®)

Restricted to use by physicians from NIMH and
NINDS

*Dornase
Alfa (Pulmozyme®)

Restricted for use in patients with cystic brosis
(inpatient use only)

*EMLA®
Cream

This is a eutectic mixture of lidocaine and prilocaine
which is used in pediatric or adult patients to reduce the pain associated
with venipuncture, intravenous cannulation (especially in children in whom
intravenous access is difcult), lumbar puncture, and certain dermatologic
procedures. This drug should not be routinely used on mucous membranes
or prior to subcutaneous or intramuscular injections.

*Enoxaparin
(Lovenox®)

Restricted to the Clinical Hematology Service

*Epoetin
Alfa (Epogen® or Procrit®)

Drug use is evaluated through queries in MIS order
screens

*Filgrastim
(Neupogen®)

Drug use is evaluated through queries in MIS order
screens

*Granisetron
(Kytril®)

Usage guidelines were described in the May/June
1997 issue of Pharmacy Update

*Ondansetron
(Zofran®)

Usage guidelines were described in the May/June
1997 issue of Pharmacy Update

*Mexiletine
(Mexitil®)

Restricted to the Pain Management Service (for
neuropathic pain)

*Tizanidine
(Zanaflex®)

Use requires approval by the NINDS Neurology Consultation
Service