foods tips with type 1 beyond brothers - walmart.com nov/dec 2015 health information from this...

I N S I D E

HEALTHY HOLIDAY

FOODS

expert tips & smarts from

R.A. MANAGEMENT

TIPSMEDIcINE cAbINET

cHEckLIST

Get More!Prescriptions,

immunizations, pet

medications—online,

in store, and on mobile.

TuRN TO PAGE 5

FREE

NOV/DEC 2015

brothersbeyond

Singer Nick Jonas spreads the word about living with type 1 diabetes

A version of this supplement appeared in the Nov/Dec 2015 issue of WebMD Magazine. © 2015 WebMD, LLC. All rights reserved.

©2015 Wal-Mart Stores, Inc. All Rights Reserved.*Not a substitute for the diagnosis, treatment and advice of a medical professional.

Visit ReliOn.com today for our full product line and lifestyle support.

Less Guessing. More Control. Simple, Affordable Diabetes Management

You need more than just the right gear to manage your diabetes. You need the right information. With ReliOn®, you get both: a wide range of dependable, accurate products you can trust at prices you can afford, with or without insurance, plus online support that’s easy to understand.*

health information from

3

Take the leadin your health

Pharmacy

N O V / D E C 2 0 1 5

ContaCt us today at [email protected]

Dear Walmart Customer,

The holidays are a wonderful time of year to enjoy time with family and

friends, celebrate life, and reflect on what’s important. They are also a time to appreciate the gift of health. However, between all of the holiday parties, out-of-town travel, and the start of cold and flu season, staying healthy during this time of year can be difficult.

This issue will give you everything you need to stay on track and enjoy the holiday season with health and prosperity. Key topics include ways to overcome seasonal affective disorder, how to prep your medicine cabinet (which is especially helpful to those hosting out of town guests), and how to manage and lose weight during a season when packing on the pounds is easy to do.

I hope you find this issue helpful and use it as a guide to take control of your health well into the new year.

Best wishes for a healthy and happy holiday season!

Sincerely,

Mark Philips Vice President of Rx Merchandising

P. 04 Meal PlanHow to savor and survive the holiday season

This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

COVEr pHOtO by GabriEl OlsEN/GEtty imaGEs

P. 06 acTive DuTyGet your joints in motion to manage rheumatoid arthritis

P. 11 see The lighTHow to cope with seasonal affective disorder

P. 14 On Balancestrategies for living with type 1 diabetes

P. 19 vaniTy Farestock your medicine cabinet with these staples

beyond brothers P. 12singer Nick Jonas spreads the word about

living with type 1 diabetes


N O V / D E C 2 0 1 54



Take the lead in your health

KiD

StO

CK/

GlO

w im

aG

ES

meal Plan

the holidays are a time to celebrate. But being in celebration mode for a month can mean

letting your healthy habits slide. With these tips, you can get the most out of the holidays without a lasting, er, reminder.

Smart swaps Instead of potatoes, use cauliflower and cele-riac—these two white, nonstarchy vegetables make great substitutions for more calorie-dense mashed potatoes. Steamed cauliflower pressed through a ricer can stand in 100% for mashed potatoes, while swapping up to half of the pota-toes for flavorful celery root slashes carbs.

Instead of cream, use low-fat evaporated milk, a full-bodied stand-in for heavy cream. Try it in pumpkin pie, “creamy” casseroles, and mashed potatoes.

Instead of butter, use broth. Low-fat, low-sodium chicken or mushroom broth can infuse dishes with lots of flavor and keep them moist without adding many calories. Use broth to steam green beans, bind stuffing for stuffed mushrooms, or caramelize onions.

Dining strategies Eat your calories, don’t drink them, says Lezlie Sparks, MS, RDN, LD, a certified diabe-tes educator at The Medical Center of Plano in Texas. Favor calorie-free drinks, such as fla-vored sparkling water or unsweetened iced tea, and be mindful and moderate about alcoholic beverages.

Be realistic. This is not the time to try to lose weight or start a new strict diet. Instead, aim to maintain your weight—and remember to exercise regularly.

Eat right…most of the time. Decadent dishes stop being a treat when you have them day in and day out. Keep the majority of your November and December meals super healthy

How to savor and survive the holiday season with your waistline intactBy KErri-aNN JENNiNGSrEViEwED By HanSa BHargava, MD, wEBmD mEDiCal EDitOr

and you’ll more fully enjoy the splurges. Hearty veggie- and bean-packed stews and chili satisfy your belly (and your taste buds) for daily fare. Save richer casseroles and desserts for the truly special occasions.

Be carb conscious. Starchy foods—think stuffing, buttery Parker House rolls, sweet potato casserole—make up the bulk of holiday fare, but if you want to curb calories and carbs be selective about the ones you pile on your plate. Leave room for your favorite starches and skip the ones you’re not as into.

Don’t skip meals. “Saving up” for a big meal or party by skipping breakfast and lunch might seem like a smart idea, but it often backfires—you might ravenously overeat when you finally give yourself the chance, Sparks says. Instead, focus on eating regular, healthy meals, and snack on a piece of fruit or some raw veggies before going to a party.

geT Morehealthy living

tips and info at webmd.com/

askthepharmacist


Walmart Pharmacy offers quick, convenient prescription services and more—online, in stores, and on mobile.

A D V E R T I S E M E N T

Walmart Pharmacy News

More Than Just low prices

ConvenienceWalmart Pharmacy gives you easy ways to get your prescription. Sign up at your local Walmart, visit walmart.com/pharmacy, or download the free mobile app at walmart.com/mobileRx.

• Walmart Mobile App • Free Home Delivery1 • Automatic Refills1

• Text/Email Message Notifications • Rx Express Pay

ServicesDid you know Walmart offers a range of services including immunizations, pet medications, and more? We accept commercial insurance, including Medicare, and no appointment is necessary.

• Immunizations • Specialty Pharmacy • Next Day Service • Medication Therapy Management• Pet Medications• Durable Medical Equipment

Transfer & SaveTransfer a prescription from any Walmart pharmacy. You can pick up your prescription from any Walmart store nationwide or have it conveniently shipped to you.2 Visit walmart.com/pharmacy or ask your pharmacist to find out how.

1 Availability of Auto Refill and Home Delivery may be restricted by your insurance plan. Please ask your Walmart pharmacist for information on any such restrictions/limitations or consult with your insurance plan representatives.

2 Due to state regulations, some prescriptions cannot be transferred between pharmacies. A Walmart pharmacist will contact you if there are any issues. Please allow one extra business day for your order while the pharmacist attempts to contact your pharmacy.

3 Prescription Program includes up to a 30-day supply for $4 of covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See walmart.com or your Walmart Pharmacist for details.

Your neighborhood pharmacy

Walmart offers hundreds of prescriptions at $4 for a 30-day supply.3 We carry all the major brand drugs, as well as effective generic options. Walmart Pharmacy accepts most major prescription insurance plans. Visit your Walmart Pharmacy to see if we accept your plan.$4

Walmart Pharmacy News Advertorial JulAug.indd 1 6/2/15 3:31 PM


N O V / D E C 2 0 1 56




HEr

O Im

ag

Es/g

lOw

Ima

gEs

active Duty

You might not truly appreciate your joints until they get so sore and stiff you can barely move

them. Joint damage from rheumatoid arthritis (RA) gets worse with time, but you can take steps to slow its progress. A good start is to see your rheumatolo-gist for medicines that combat RA. Then incorpo-rate a few changes such as these in your lifestyle.

Move moreStaying active is one of the best ways to ease arthritis symptoms. “Exercise improves RA stiff-ness and helps preserve mobility and muscle mass,” says Ana-Maria Orbai, MD, MHS, an instructor of medicine at Johns Hopkins University. Staying active will also relieve pain, give you more energy, and help you sleep better.

Which types of exercise are best? Start with a regular aerobic routine. Aerobic exercise improves cardiovascular health, which is important because RA can put you at greater risk for heart disease. Choose exercises that strengthen your heart with-out straining your joints, like walking, swimming, or bicycling. Add in strength training a couple times a week, plus a daily stretch.

Before you get out of bed, hug your knees to your chest, tilt your head from side to side, open and close your fingers and do other stretches to limber up your joints and get them ready for the day.

One exercise program in particular is ideally suited for people with RA. Yoga, with its flow-ing movements and deep breathing, improves joint swelling and pain, reduces disability, and boosts mood and energy levels, research shows. One caution: If you have limited mobility, ask a trainer or physical therapist to help you modify some of the poses.

Be mindful of your body as you exercise. Don’t ever exercise to the point of pain. If a movement hurts, it’s likely damaging your joints, Orbai says. Stop what you’re doing and wait until the sore joint has healed before working it again.

Get your joints in motion to help manage rheumatoid arthritisBY stEpHaNIE watsONrEVIEwED BY BrunilDa nazario, MD, wEBmD lEaD mEDICal EDItOr

Eat to reduce inflammationWhen it comes to controlling RA, some foods are better than others. “Antioxidant-containing foods are known to decrease inflammation,” Orbai says. Brightly colored fruits and vegetables such as ber-ries, oranges, spinach, kale, and broccoli reduce inflammation markers in the blood. Mono- and polyunsaturated fatty acids from fish, nuts, and olive oil also have anti-inflammatory properties.

On the other end of the spectrum are pro-inflammatory foods, which include sugar, refined carbohydrates, and saturated and trans fats. These foods can also make you gain weight and raise levels of unhealthy LDL cholesterol, further raising your heart disease risk.

Some people report that certain foods aggravate their arthritis. Common culprits are nightshade vegetables (eggplant, white potatoes, tomatoes) and gluten.

ask Your DocTor

what kinds of foods should I eat?

which ones should I avoid?

How often should I exercise?

what types of activities are safe for me?

should I try physical therapy?

Do I need to lose weight?

How much?

A version of this supplement appeared in the Nov/Dec 2015 issue of WebMD Magazine. © 2015 WebMD, LLC. All rights reserved. A version of this supplement appeared in the Nov/Dec 2015 issue of WebMD Magazine. © 2015 WebMD, LLC. All rights reserved.

N O V / D E C 2 0 1 5 7




Da

NIE

l g

rIl

l/g

EttY

Ima

gEs

GeT Morehealthy living


askthepharmacist

Adding a few minutes of mindfulness to your current treatment regimen could make you calmer and happier. A daily meditation might even help you cope better with your pain. Plus, this is one therapy that’s side effect-free.

To meditate, sit somewhere quiet for about 10 minutes a day. Breathe deeply and focus on an object—such as a candle—or a word (mantra). If your thoughts start to wander, gently direct them back.

Don’t smokeResearch finds smoking can make you more likely to develop RA, and worsen the disease once you have it. Plus, smoking can affect your body’s response to your arthritis medicine.

Your doctor can recommend several methods—from medicine to nicotine replacement products—to help you kick the habit for good.

Watch what you drink, too. Alcohol can promote inflammation, and interact with the medicines used to treat RA. Ask your doctor if you should avoid it.

control weightCarrying a lot of extra weight is unhealthy for your heart and joints. Fat tissue releases chemicals that promote inflammation in the body, which damages joints even more. Plus, added weight also puts pres-sure on joints. For each additional pound you carry, you add almost four pounds more stress to your knees. A combination of diet and exercise will help keep your weight in check.

relieve stress“Stress is a known trigger of RA flares,” Orbai says. “Many people report benefit from using stress-relieving techniques like yoga, meditation, and other forms of exercising.” Deep breathing, tai chi, and simple practices such as writing in a journal or listening to music also can help you let go of stress.

Go hot and coldA hot compress or cold pack can ease soreness, but which one is best for arthritis? That depends on your type of pain. Cold works best on recently injured or swollen joints. It numbs the pain and brings down swelling. Wrap a towel around a bag of ice or cold pack and hold it to the affected joint for about 10 minutes. For general joint and muscle soreness, heat is a better choice. Soak in a warm bath, or heat a wet washcloth in the microwave for about a minute (make sure it’s not hot enough to burn your skin). Then hold it to your joint for about 15 minutes.

MeditateSitting quietly and focusing your thoughts can seem like an overly simple treatment strategy, but meditation does help RA in several ways.

a daily meditation might even help you cope better with your pain.


DID.

WHAT IS ACTEMRA?ACTEMRA is a prescription medicine called an interleukin-6 (IL-6) receptor antagonist. ACTEMRA is used to treat adults with moderately to severely active rheumatoid arthritis (RA) after at least one other medicine called a disease modifying antirheumatic drug (DMARD) has been used and did not work well.

IMPORTANT SIDE EFFECT INFORMATIONACTEMRA can cause serious side e� ectsACTEMRA changes the way your immune system works. This can make you more likely to get infections or make any current infection worse. Some people have died from these infections.

LOOK AT WHAT ACTEMRA CAN DO FOR YOUR MODERATE TO SEVERE RA: REDUCE RA SYMPTOMS QUICKLY HELP SLOW JOINT DAMAGE* EASE SOME DAILY ACTIVITIESACTEMRA treats RA differently than other medicines and can work WITH OR WITHOUT METHOTREXATE.

Individual results may vary. ACTEMRA is available as a prefi lled syringe for subcutaneous (SC) injection,† or an intravenous (IV) infusion you receive at your doctor’s offi ce.

TAKE THE NEXT STEP: Talk to your doctor about ACTEMRA. Visit ACTEMRA.com to learn more.And fi nd out if you’re eligible for a $5 co-pay.

IMPORTANT SIDE EFFECT INFORMATION (cont’d)Before taking ACTEMRA, tell your doctor if you have:• An infection, think you may have an infection, are being

treated for an infection, or get a lot of infections that return. Infection signs, with or without a fever, include sweating or chills; muscle aches; cough; shortness of breath; blood in phlegm (mucus); weight loss; warm, red, or painful skin or sores on your body; diarrhea or stomach pain; painful or more frequent urination; or feeling very tired

• Any of the following conditions that may give you a higher chance of getting infections. These include diabetes, HIV, or a weak immune system

• Tuberculosis (TB) or have been in close contact withsomeone who has TB. Your doctor should test you for TB before starting ACTEMRA and during treatment with ACTEMRA

• Lived in or currently live in parts of the United States known for fungal infections. These parts include the Ohio and Mississippi River Valleys and the Southwest

• Hepatitis B or have had hepatitis BBe sure to contact your doctor or nurse if you see any signs of these side effects.Stomach tears If you have diverticulitis (infl ammation in parts of the large intestine), talk to your doctor before taking ACTEMRA.Some people taking ACTEMRA may develop a hole in the wall of their stomach or intestines (also known as a perforation). This happens most often in people who also take nonsteroidal anti-infl ammatory drugs (NSAIDs), corticosteroids, or methotrexate.Tell your doctor right away if you see any of these side effects: fever, stomach-area pain that does not go away, or if you see a change in your bowel habits. Changes in blood test results Before starting ACTEMRA, 4 to 8 weeks after starting treatment, and then every 3 months, your doctor will regularly do blood tests to check for the following side effects: low neutrophil count (neutrophils are white blood cells that help the body fi ght infection), low platelet count (platelets are blood cells that help with clotting, which stops bleeding), and increases in liver function test levels and blood cholesterol levels.Neutrophil and platelet counts should not be too low or liver function test levels too high. These may cause your doctor to stop your ACTEMRA treatment for a time or change your dose. Your cholesterol levels should be checked 4 to 8 weeks after the start of your treatment, and then every 6 months after that.Increased risk of cancer ACTEMRA may increase yourrisk of certain cancers by changing the way your immune system works.Hepatitis B infection If you have hepatitis B, a virus that affects the liver, or are a carrier of the virus, ACTEMRA

*When taken with methotrexate.†(SC) subcutaneous injection given under the skin.

© 2015 Genentech USA, Inc. All rights reserved. ACT/051115/0055 9/15

In clinical trials, over 50% of patients experienced a 20% reduction in signs and symptoms while taking ACTEMRA.

can cause the virus to become active. Your doctor should test you for hepatitis B before starting treatment. Tell your doctor right away if you see any signs of these symptoms: feeling very tired, skin or eyes look yellow, little or no appetite, vomiting, clay-colored bowel movements, fevers, chills, stomach discomfort, muscle aches, dark urine, or skin rash.Serious allergic reactions Serious allergic reactions, including death, can happen with ACTEMRA infusions or injections, even if they did not occur with an earlier infusion or injection. If you had hives, a rash, or experienced fl ushing after injecting, you should tell your doctor or nurse before your next injection.Contact 911 immediately, as well as your doctor or nurse, if you experience any of these reactions: shortness of breath or trouble breathing, swelling of lips, tongue, or face; chest pain; feeling dizzy or faint; or moderate or severe abdominal pain or vomiting.Nervous system problems While rare, multiple sclerosis has been diagnosed in some people taking ACTEMRA.Common side effects Tell your doctor if you have these or any other side effect that bothers you or does not go away: upper respiratory tract infections (like common cold and sinus infections), headache, increased blood pressure (also called hypertension), and injection site reactions.ACTEMRA & pregnancy Tell your doctor if you are planning to become pregnant, are pregnant, plan to breast-feed, or are breast-feeding. You and your doctor should decide if you will take ACTEMRA or breast-feed.You should not do both. If you are pregnant and taking ACTEMRA, join the pregnancy registry. The purpose of this registry is to check the health of the pregnant mother and her baby. To learn more, call 1-877-311-8972 or talk to your doctor to register.Reporting side effects Tell your doctor right away if you are experiencing any side effects. You may reportside effects to the FDA at 1-800-FDA-1088 or www.FDA.gov/medwatch. You may also call Genentech at 1-888-835-2555.For additional Important Safety Information, including Serious Side Effects, please see the Medication Guide on the next page, visit ACTEMRA.com, or call 1-800-ACTEMRA (1-800-228-3672).

Please see additional Important Side Effect Information on the next page.

Jodi DID IT. She spoke to her doctor about ACTEMRA.

When I was diagnosed with RA,I refused to give up.

ACTE15CDMI3770_Patient_PrintAd_Mgmt_Q4_2015_r3.indd 1 9/15/15 11:37 AM

Read this Medication Guide before you start ACTEMRA, before each infusion, or each time you get a prescription refill. There may be new information. This Medication Guide does not take the place of talking with your healthcare provider about your medical condition or your treatment. What is the most important information I should know about ACTEMRA?ACTEMRA can cause serious side effects including: 1. Serious infections.ACTEMRA is a medicine that affects your immune system. ACTEMRA can lower the ability of your immune system to fight infections. Some people have serious infections while taking ACTEMRA, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections.Your doctor should test you for TB before starting ACTEMRA.• Your doctor should monitor you closely for signs and symptoms of TB during treatment

with ACTEMRAYou should not start taking ACTEMRA if you have any kind of infection unless your healthcare provider says it is okay.Before starting ACTEMRA, tell your healthcare provider if you: • think you have an infection or have symptoms of an infection, with or without a fever, such as: - sweating or chills - muscle aches - cough - shortness of breath - blood in phlegm• are being treated for an infection• get a lot of infections or have infections that keep coming back• have diabetes, HIV, or a weak immune system. People with these conditions have a higher

chance for infections• have TB, or have been in close contact with someone with TB• live or have lived, or have traveled to certain parts of the country (such as the Ohio and

Mississippi River valleys and the Southwest) where there is an increased chance for getting certain kinds of fungal infections (histoplasmosis, coccidiomycosis, or blastomycosis). These infections may happen or become more severe if you use ACTEMRA. Ask your healthcare provider if you do not know if you have lived in an area where these infections are common

• have or have had hepatitis B After starting ACTEMRA, call your healthcare provider right away if you have any symptoms of an infection. ACTEMRA can make you more likely to get infections or make worse any infection that you have.2. Tears (perforation) of the stomach or intestines. • Tell your healthcare provider if you have had diverticulitis (inflammation in parts of the large

intestine) or ulcers in your stomach or intestines. Some people taking ACTEMRA get tears in their stomach or intestine. This happens most often in people who also take nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or methotrexate

• Tell your healthcare provider right away if you have fever and stomach-area pain that does not go away, and a change in your bowel habits

3. Changes in certain laboratory test results. Your healthcare provider should do blood tests before you start receiving ACTEMRA, after the first 4 to 8 weeks for rheumatoid arthritis (after which tests should be done every 3 months), to check for the following side effects of ACTEMRA:• low neutrophil count. Neutrophils are white blood cells that help the body fight off

bacterial infections• low platelet count. Platelets are blood cells that help with blood clotting and stop bleeding • increase in certain liver function tests

You should not receive ACTEMRA if your neutrophil or platelet counts are too low or your liver function tests are too high.Your healthcare provider may stop your ACTEMRA treatment for a period of time or change your dose of medicine if needed because of changes in these blood test results.

• increase in blood cholesterol levels. You may also have changes in other laboratory tests, such as your blood cholesterol levels. Your healthcare provider should do blood tests to check your cholesterol levels 4 to 8 weeks after you start receiving ACTEMRA, and then every 6 months after that

4. Cancer.ACTEMRA may increase your risk of certain cancers by changing the way your immune system works. Tell your healthcare provider if you have ever had any type of cancer. See “What are the possible side effects with ACTEMRA?” for more information about side effects.What is ACTEMRA?ACTEMRA is a prescription medicine called an interleukin-6 (IL-6) receptor antagonist. ACTEMRA is used to treat:• Adults with moderately to severely active rheumatoid arthritis (RA) after at least one other

medicine called a Disease Modifying Anti-Rheumatic Drug (DMARD) has been used and did not work well

Who should not take ACTEMRA?Do not take ACTEMRA if you are allergic to tocilizumab, or any of the ingredients in ACTEMRA. See the end of this Medication Guide for a complete list of ingredients in ACTEMRA.What should I tell my healthcare provider before receiving ACTEMRA?ACTEMRA may not be right for you. Before receiving ACTEMRA, tell your healthcare provider if you:• have an infection. See “What is the most important information I should know about ACTEMRA?”• have liver problems• have any stomach-area (abdominal) pain or been diagnosed with diverticulitis or ulcers in

your stomach or intestines• have had a reaction to tocilizumab or any of the ingredients in ACTEMRA before• have or had a condition that affects your nervous system, such as multiple sclerosis• have recently received or are scheduled to receive a vaccine - All vaccines should be brought up-to-date before starting ACTEMRA - People who take ACTEMRA should not receive live vaccines - People taking ACTEMRA can receive non-live vaccines • plan to have surgery or a medical procedure • have any other medical conditions • plan to become pregnant or are pregnant. It is not known if ACTEMRA will harm your unborn baby

Pregnancy Registry: Genentech has a registry for pregnant women who take ACTEMRA. The purpose of this registry is to check the health of the pregnant mother and her baby. If you are pregnant or become pregnant while taking ACTEMRA, talk to your healthcare provider about how you can join this pregnancy registry or you may contact the registry at 1-877-311-8972 to enroll.

• plan to breast-feed or are breast-feeding. You and your healthcare provider should decide if you will take ACTEMRA or breast-feed. You should not do both

Tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. ACTEMRA and other medicines may affect each other causing side effects.Especially tell your healthcare provider if you take:• any other medicines to treat your RA. You should not take etanercept (Enbrel®), adalimumab

(Humira®), infliximab (Remicade®), rituximab (Rituxan®), abatacept (Orencia®), anakinra (Kineret®), certolizumab (Cimzia®), or golimumab (Simponi®) while you are taking ACTEMRA. Taking ACTEMRA with these medicines may increase your risk of infection

• medicines that affect the way certain liver enzymes work. Ask your healthcare provider if you are not sure if your medicine is one of these

Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. How will I receive ACTEMRA?Into a vein (IV or intravenous infusion) for Rheumatoid Arthritis:• If your doctor prescribes ACTEMRA as an IV infusion, you will receive ACTEMRA from a

healthcare provider through a needle placed in a vein in your arm. The infusion will take about 1 hour to give you the full dose of medicine

• For rheumatoid arthritis you will receive a dose of ACTEMRA about every 4 weeks• If you miss a scheduled dose of ACTEMRA, ask your healthcare provider when to schedule

your next infusion• While taking ACTEMRA, you may continue to use other medicines that help treat your

rheumatoid arthritis, such as methotrexate, non-steroidal anti-inflammatory drugs (NSAIDs), and prescription steroids, as instructed by your healthcare provider

• Keep all of your follow-up appointments and get your blood tests as ordered by your healthcare provider

Under the skin (SC or subcutaneous injection) for Rheumatoid Arthritis:• See the complete Medication Guide at www.ACTEMRA.com for Instructions for Use,

including the right way to prepare and give your ACTEMRA injections at home• ACTEMRA is available as a single-use Prefilled Syringe • You may also receive ACTEMRA as an injection under your skin (subcutaneous). If your doctor

decides that you or a caregiver can give your injections of ACTEMRA at home, you or your caregiver should receive training on the right way to prepare and inject ACTEMRA. Do not try to inject ACTEMRA until you have been shown the right way to give the injections by your healthcare provider

• Your healthcare provider will tell you how much ACTEMRA to use and when to use it What are the possible side effects with ACTEMRA? ACTEMRA can cause serious side effects, including:• See “What is the most important information I should know about ACTEMRA?”• Hepatitis B infection in people who carry the virus in their blood. If you are a carrier of the

hepatitis B virus (a virus that affects the liver), the virus may become active while you use ACTEMRA. Your doctor may do blood tests before you start treatment with ACTEMRA and while you are using ACTEMRA. Tell your healthcare provider if you have any of the following symptoms of a possible hepatitis B infection:

- feel very tired - skin or eyes look yellow - little or no appetite - vomiting• Serious allergic reactions. Serious allergic reactions, including death, can happen with

ACTEMRA. These reactions can happen with any infusion or injection of ACTEMRA, even if they did not occur with an earlier infusion or injection. Tell your healthcare provider before your next dose if you had hives, rash or flushing after your injection. Seek medical attention right away if you have any of the following signs of a serious allergic reaction:

- shortness of breath or trouble breathing - swelling of the lips, tongue, or face - chest pain• Nervous system problems. While rare, multiple sclerosis has been diagnosed in people who take

ACTEMRA. It is not known what effect ACTEMRA may have on some nervous system disordersCommon side effects of ACTEMRA include:• upper respiratory tract infections (common cold, sinus infections)• headache• increased blood pressure (hypertension) • injection site reactions Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all of the possible side effects of ACTEMRA. For more information, ask your healthcare provider or pharmacist.Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Genentech at 1-888-835-2555.General information about ACTEMRA.Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. This Medication Guide summarizes the most important information about ACTEMRA. If you would like more information, talk to your healthcare provider. You can ask your pharmacist or healthcare provider for information about ACTEMRA that is written for health professionals. For more information, go to www.ACTEMRA.com or call 1-800-ACTEMRA. What are the ingredients in ACTEMRA?Active ingredient: tocilizumabInactive ingredients of Intravenous ACTEMRA: sucrose, polysorbate 80, disodium phosphate dodecahydrate, sodium dihydrogen phosphate dihydrate.Inactive ingredients of Subcutaneous ACTEMRA: L-arginine, L-arginine hydrochloride, L-methionine, L-histidine, L-histidine hydrochloride monohydrate.This Medication Guide has been approved by the U.S. Food and Drug Administration.MG Revised: October 2013ACTEMRA is a registered trademark of Chugai Seiyaku Kabushiki Kaisha Corp., a member of the Roche Group.Manufactured by:Genentech, Inc. A member of the Roche Group1 DNA WaySouth San Francisco, CA 94080-4990US License No. 1048

MEDICATION GUIDEACTEMRA® (AC-TEM-RA)(tocilizumab)

Solution for Intravenous InfusionACTEMRA® (AC-TEM-RA)(tocilizumab)

Injection, Solution for Subcutaneous Administration

- weight loss- warm, red, or painful skin or sores on your body - diarrhea or stomach pain - burning when you urinate or urinating more often than normal - feel very tired

- clay-colored bowel movements - fevers- chills- stomach discomfort

- muscle aches - dark urine- skin rash

- feeling dizzy or faint- moderate or severe abdominal pain or vomiting

© 2015 Genentech, Inc. All rights reserved. ACT/051115/0055

ACNC14CDMI1351_C_Brief_Summary_r6_TYPE.indd 1 7/13/15 11:07 AM

ACTE15CDMI3770_Patient_PrintAd_Mgmt_Q4_2015_r3.indd 2 9/15/15 11:36 AM

N O V / D E C 2 0 1 5 11




Sar

a L

yNN

Pa

igE/

gEt

ty im

ag

ES

See the Light

During winter, for about 5% of the U.S. popula-tion, shorter and darker days bring a form of

depression known as seasonal affective disorder (SAD). Symptoms include lack of energy, over-sleeping and overeating, difficulty concentrating, and feelings of isolation and loneliness, says Sheela Raja, PhD, clinical psychologist and assistant pro-fessor at the University of Illinois at Chicago.

Though statistics vary, as many as one in 10 people may develop a mild form of SAD during the winter months. Women are four times more likely to be affected than men. What can you do if the shorter days darken your mood? Raja offers some tips.

Get natural light. Go outside even for a few minutes, ideally within the first hour of waking up, Raja says. “It may sound counterintuitive, especially if you live in a northern climate where it’s dull and dreary outside, but getting natural light actually does make a difference in help-ing regulate melatonin.” Melatonin is a natural hormone that helps you sleep. Can’t make it out in the morning? “Get outside for 10 or 15 minutes at lunchtime,” she says.

Keep moving. “Exercise definitely helps,” Raja says. “We have so much evidence about how exer-cise helps people control their mood.”

Aim for moderate physical activity, such as brisk walking, for 30 minutes, three to five times a week. “It’s great if you can exercise outdoors, though that’s not always possible,” Raja says. Out-doors, you’ll be exposed to more natural light.

Set a bedtime routine. Though many people with SAD tend to report they sleep too much, studies suggest quality of sleep may suffer even if you spend more time in bed, Raja says. For refreshing zzz’s, keep your bedroom cool and dark, set a bedtime routine with regular sleep and wake times, and banish electronics from the bedroom. The light from these devices may interfere with your ability to sleep properly, Raja says.

How to cope with seasonal affective disorderBy ChriStiNa BOufiSrEViEwED By ArefA CAssoobhoy, MD, MPh, wEBmD mEDiCaL EDitOr

Find ways to de-stress. Stress can make seasonal depression worse. “Schedule some time to do things you enjoy or get support from people around you,” Raja says. Exercise is a great stress buster. For others, a vacation helps. “Some people find that going somewhere and getting a little break from that lack of sun—even if it’s for a few days—helps to break the cycle,” she adds.

Talk to your doctor. Treatment is available. You may feel better with light therapy, or your doc-tor may recommend medication or talk therapy or a combination. With light therapy, you sit in front of a light box—about 100 times brighter than the lamps in your home—for about 30 minutes each morning, which may help reset your sleep-wake cycle, Raja says. Check with your doctor to see if this treatment is right for you.



askthepharmacist


N O V / D E C 2 0 1 512



By Matt McMillENREViEwED By BrunilDa nazario, MD, wEBMD lEaD MEDiCal EDitOR

PhOtO By Bill BERNstEiN/CORBis OutliNE

“The priority at first was getting a grip on the diabetes itself so that I could get to the point where I felt comfortable speaking about it,” Jonas says. “I knew pretty quickly after my diagnosis that that was something I wanted to do.”

From the start, he had the support of his family, friends, and people he performed and toured with. That helped him cope, but he says it wasn’t easy. “I wasn’t alone, but there weren’t a lot of people to look to and say, ‘Wow, they’re doing what they want to do while living with this disease,’ ” Jonas recalls. “But I quickly met people who encouraged me and helped me to tell my story. That was a good thing.”

More than 1 million U.S. children and adults have type 1 diabetes. The disease, which usually devel-ops in the teen years, destroys insulin-producing cells in the pancreas. Without insulin, the body can’t regulate blood glucose levels. Unchecked, diabetes can cause blindness, heart disease, kidney failure and other life-threatening complications.

To maintain healthy blood glucose levels, people with type 1 must monitor those levels closely and inject or inhale insulin or rely on a pump to do it for them three to four times per day.

Nick Jonas is no different. Like everyone else with diabetes, he must keep a constant watch on his disease. He wears a continuous glucose moni-toring system, which tracks his glucose levels. With a sensor placed just under his skin, the device sends readings to his phone as well as to his caregivers. “I have great tools,” he says.

Still, life with diabetes is difficult. And when Jonas goes on tour, as he did in September and October, he often feels the burden of his condi-tion. “It can be really challenging,” he says. “It’s one of those things that affects you every single day and every minute of every day. Some moments, of course, are tougher than others.”

Jonas encourages everyone with diabetes to connect to other people with the disease. “Having a

Singer Nick Jonas has made the stage his home since he was 7 years old, first on his own and then with his two older brothers, Kevin and Joe, in the hit boy band the Jonas Brothers. Now, he’s a solo performer once more, with two dance chart-topping singles and a No. 1 self-titled album released last year.

But for 10 years now, Jonas, 23, has shared the spotlight with type 1 diabetes. He’s been an outspoken advocate for diabetes awareness since shortly after he was diagnosed at age 13.

BroThersBeyond

Singer Nick Jonas spreads the word about living with type 1 diabetes


N O V / D E C 2 0 1 5 13




support system is always helpful,” Jonas says. “I’ve met a lot of young people with diabetes who’ve told me how important it was to them to have groups that helped them. My situation was different, but if I hadn’t been touring and performing all the time, I would have gone to groups as well.”

To help create communities that encourage such connections, Jonas co-founded Beyond Type 1 earlier this year. The goal: to use social media and special events to bring together the wide range of people who live with the disease, and to provide education, build awareness, and raise funds for research.

Jonas does more than make music. He’s also appeared on screens both large and small. He has several Disney Channel roles under his belt, and, since 2014, he’s co-starred in DirecTV’s Kingdom. This fall, he has a recurring role on Fox’s new horror comedy Scream Queens.

To stay in shape for screen and stage, he works with a trainer in Los Angeles. “I do lots of different exercises that work different parts of my body,” Jonas says. “I get my cardio burn on while I’m lifting.”

Jonas starts a typical day with turkey bacon and avocado for breakfast. He eats a salad for lunch, then chicken and broc-coli for dinner. “I’m a terrible cook, so bad, but I love to eat,” he says. “If I had my way, I would eat Italian food every day. But I can’t do that.”

And while he often finds it difficult to slow down, his ideal day sounds truly relaxing: a round of golf, a good nap, and then hanging with friends. “That’s per-fect,” he says. “It’s all about keeping it low-key.”

“It’s one of those things that affects you every single day and every minute of the day.”


N O V / D E C 2 0 1 514




AtO

miC

imA

gEr

y/g

Etty

imA

gEs

On Balance

Life with type 1 diabetes is a daily balancing act. When you eat, you balance carbs with insulin.

When you exercise, you balance effort with carbs. The right routine can keep your blood sugar stable and prevent swings. These six strategies will help streamline daily diabetes management and keep your blood sugar in line 24/7.

1. Stockpile supplies“Sometimes we get calls about people who are on their last syringe. You don’t want to get that low,” says Leann Olansky, MD, an endocrinologist at Cleveland Clinic. She suggests stocking a one-month’s supply of insulin as well as injection must-haves like syringes or pens and needles. Also have testing supplies—lancets, alcohol swabs, and test strips—on hand for when you need them. If you use an insulin pump, be sure to have extra cartridges, infusion sets, and batteries.

2. Set a testing schedule“Generally for type 1 patients, we suggest a mini-mum of four times a day,” Olansky says. Your doc-tor can fine-tune your schedule, but usually you’ll check first thing in the morning and before each meal. The numbers will tell your doctor whether you’re taking enough insulin to manage your blood sugar, or if you need a dose adjustment.

3. Keep a recordEvery time you take your blood sugar, keep a log of the reading. “A lot of times you can see patterns that you might not appreciate if you’re looking at a number here and a number there,” Olansky says. Tech tools like Glooko, Diamedic, and Glucose Buddy let you download blood sugar readings from your meter to your smartphone, track, and share results with your doctor.

4. Balance insulin with carbs“The best way to get good control over blood sugar is by adjusting how much insulin you take

Strategies for living with type 1 diabetes By stEphANiE WAtsONrEViEWED By BrunilDa nazario, MD, WEBmD LEAD mEDiCAL EDitOr

depending on your carb intake,” Olansky says. Your doctor can show you how to measure the precise insulin dose based on your blood sugar level and the grams of carbs you eat. With this method, you eat more flexible meals and avoid a strict schedule.

5. Carb up before exercise Exercise is essential, but with type 1 diabetes, fit-ness gets tricky. Whether you take an hour-long aerobics class or a short walk with the dog, you’ll need extra carbs to prevent blood sugar dips. Moni-tor your blood sugar often while you work out. Through trial and error, you’ll learn just how many carbs you need to get through your routine.

6. Carry carbsAnd speaking of carbs, always have some on hand. “A glass of milk or a piece of bread—anything that’s pure carbs and is quickly turned into glucose will work,” Olansky says.



askthepharmacist


The OneTouch Verio® Meter.

The OneTouch Verio® Meter is the first meter with an automatic color-coded range indicator.

In Range

Below Range

Above Range

*Some health plans may have more than one test strip covered at the lowest co-pay.†Not a guarantee of coverage and payment. Coverage and payment may be subject to co-insurance, deductible, and patient eligibility requirements.© 2015 LifeScan, Inc. LFS-15-5269A 09/15

Plus, OneTouch Verio® Test Strips are covered at the lowest co-pay on the most health plans* and are always covered by Medicare Part B.†

Upgrade to a OneTouch Verio® Meter at No Charge.

BIN:004682

RxPCN:CN

Group#:LVCKW557

ID#:NOCHARGEMETR

Because numbers aren’t enough.

Take the voucher below to your pharmacist to upgrade to a OneTouch Verio® Meter at no charge today!

Submit this claim to Patient Choice for reimbursement plus a dispensing fee. Questions? Call 1-800-422-5604.Requires a valid prescription. O�er valid for one meter per patient every 12 months. O�er good while supplies last. Void where prohibited by law.

This o�er from LifeScan, Inc. can only be redeemed where OneTouch® Products are sold and prescriptions can be processed. By participating in this program or by otherwise processing a program voucher, you warrant that you will not submit a claim for reimbursement of any meter covered by

this agreement with any commercial payor or state or federal government funded program (including but not limited to Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD, or TriCare®). O�er expires 12/31/15.

TRDE06662115_FSI_WM_LFS155269A.pdf 1 9/3/15 3:33 PM


Dr. Priya Bhuta, ODDoctor of OptometryNaples, FL

for the entire � eld of view to be in focus, which may be great while playing sports or in certain professions. Contact lenses may not be an ideal choice if you have dry or sensitive eyes; glasses won’t irritate these conditions. “Colored” contact lenses are another option, and they’re available at an a� ordable price. In fact, contact lenses in general are more a� ordable now. Discuss the options with your optometrist and learn how to properly maintain them to get their best use.

Q. What health history is important to share with my doctor? A. It is extremely important to share all of your current health status, medications, medical history, and speci� c family health history with your optometrist. Conditions such as diabetes, hypertension, arthritis, and stroke are just a few major health conditions that impact vision.

Q. What advice would you give for people who work at a computer all day?A. The most common advice is to follow the 20-20-20 rule. Every 20 minutes it is

Q. How often should I visit the doctor for eye exams? A. I highly recommend an annual eye exam, regardless of age. More frequent eye exams may be necessary if the patient has pre-existing conditions, such as diabetes, or has undergone vision-correcting surgery.

Q. What should I consider when selecting between glasses and contacts? A. Consider need, comfort, and convenience. Glasses could be likened to jewelry for the face and require less maintenance. Whereas contact lenses allow

important to look 20 feet away for 20 seconds.Also, it is helpful if you can create an ergonomicallyfriendly workstation by lowering and tilting the monitor to reduce glare on the screen, check lighting levels, and adjust your seat. Use preservative-free lubricating drops for your eyes and blink often. If necessary, you may want to consider computer glasses, as opposed to the over-the-counter readers that may exacerbate your symptoms over time.

Q. What foods or vitamins are best for maintaining optimum eye health? A. Lutein and zeaxanthin, found in dark green leafy vegetables, eggs, and orange peppers, are important nutrients for good eye health. Omega 3s in � axseed, cold-water � sh, and walnuts help improve eye health and protect retinal function. Black currants and blueberries are high in anthocyanins. Vitamins A (apricots, cantaloupes, carrots, mangoes, red peppers, sweet potatoes), C (broccoli, Brussels sprouts, oranges, red peppers, strawberries), and E (almonds, peanut butter, spinach, sun� ower seeds) are some of the best eye-healthy nutrients.

A D V E R T I S E M E N T

Visit your local Walmart Vision Center today. Walmart.com/VisionCenter

Phone 1-800-741-LENS Visit Walmart Vision CenterOnline at walmartcontacts.com

Not a substitute for the diagnosis, treatment, and advice of a physician.

Save money on contacts: 3 easy ways to order contact lenses

Eye HealthQUESTIONS with an Optometrist

Valid prescription required. Some restrictions may apply.

Walmart ATO Advertorial_Nov/Dec_CC 101215.indd 1 10/12/15 10:56 PM

JOB: PF3-PRV-M99471ADOCUMENT NAME: 5G77876_PF3_a3.1_sk.indd

DESCRIPTION: One “Kale” Print ad - A SizeBLEED: 8.625" x 11.125"TRIM: 8.375" x 10.875"SAFETY: 6.875" x 10"

GUTTER: NonePUBLICATION: Better Homes and Gardens, All You, People, Country Living, Cooking Light, Good Housekeeping, Web MD, Smithsonian, Woman’s Day,

Time, VFW, The Elk, Saturday Evening Post, American LegionART DIRECTOR: Greg Elkin 8-3759

COPYWRITER: Kevin O’Donoghue 8-3352ACCT. MGR.: Max Charness 8-4299

ART PRODUCER: Louisa Gargiulo 8-3267PRINT PROD.: Jack Hughes 8-3504PROJ. MNGR.: Justin Kane 8-4832

This advertisement prepared by Young & Rubicam, N.Y.5G77876_PF3_a3.1_sk.indd

CLIENT: Pfizer TMG #: 5G77876 HANDLE #: 6 JOB #: PF3-PRV-M99471A BILLING#: PF3-PRV-Y99432DOCUMENT NAME: 5G77876_PF3_a3.1_sk.indd PAGE COUNT: 1 of 1 PRINT SCALE: None INDESIGN VERSION: CS6STUDIO ARTIST: steven korowitz LAST SAVE DATE: 7-21-2015 4:52 PM CREATOR: KMS CREATION DATE: 7-15-2015 11:53 AM

DOCUMENT PATH: TMG:Volumes:TMG:Clients:YR:Pfizer:Jobs:2015:5G:5G77876_PF3-PRV-M99471:Mechanicals:5G77876_PF3_a3.1_sk.inddFONT FAMILY: Univers LT Std (67 Bold Condensed, 57 Condensed, 57 Condensed Oblique, 67 Bold Condensed Oblique, 65 Bold, 47 Light Condensed), Gotham (Medium, Bold)LINK NAME: 5G77876_PF3_a2_w.tif, Pfizer_4c_yr1.ai, Prevnar_Logo_White_4C_yr.aiINK NAME: Cyan, Magenta, Yellow, Black

BLEED: 8.625" x 11.125"LARGEST TRIM: 8.375" x 10.875"SMALLEST TRIM: 7.375" x 10.5"

SAFETY: 6.875" x 10"

S:6.875"S:10"

ST:7.375"ST:10.5"

LT:8.375"LT:10.875"

B:8.625"B:11.125"

• In adults, immune responses to Prevnar 13® were reduced when given with injected seasonal flu vaccine

• In adults, the common side effects were pain, redness, or swelling at the injection site, limitation of arm movement, fatigue, headache, muscle pain, joint pain, decreased appetite, chills, or rash

• Ask your health care provider about the risks and benefits of Prevnar 13®. Only a health care provider can decide if Prevnar 13® is right for you

You are encouraged to report negative side effects of vaccines to the US Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC). Visit www.vaers.hhs.gov or call 1-800-822-7967. Please see Important Facts for Prevnar 13® on the adjacent page.

WHAT IF ONE PIECE OF KALE COULD HELP PREVENT DIABETES?

Wishful thinking, right? But there is one step that can help protect you from another serious

disease, pneumococcal pneumonia. The PREVNAR 13® vaccine.

INDICATION FOR PREVNAR 13®

• Prevnar 13® is a vaccine approved for adults 50 years of age and older for the prevention of pneumococcal pneumonia and invasive disease caused by 13 Streptococcus pneumoniae strains (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F)

• Prevnar 13® is not 100% effective and will only help protect against the 13 strains included in the vaccine

IMPORTANT SAFETY INFORMATION• Prevnar 13® should not be given to anyone with a history of

severe allergic reaction to any component of Prevnar 13® or any diphtheria toxoid–containing vaccine

• Adults with weakened immune systems (eg, HIV infection, leukemia) may have a reduced immune response PREVNAR 13 is a registered trademark of Wyeth LLC. Manufactured by Wyeth Pharmaceuticals Inc.

Marketed by Pfizer Inc. PSA741806-01 © 2015 Pfizer Inc. All rights reserved. June 2015

Recommended by the CDC for adults 65+

Over age 50? Your risk of getting pneumococcal pneumonia is higher. It’s a serious disease that could put you in the hospital. Symptoms include coughing, fever, chest pain, and difficulty breathing. One dose of the PREVNAR 13® vaccine can help protect you. Even if you’ve already been vaccinated with another pneumonia vaccine, PREVNAR 13® may help provide additional protection. Immune response may be lower if given within one year after another pneumonia vaccine. If you are 50 or older, ask your doctor or pharmacist if PREVNAR 13® is right for you.

GET THIS ONE DONE.

JOB: PF3-PRV-M99109ADOCUMENT NAME: 5D77458_PF3_a6.2_lc.indd

DESCRIPTION: 2015 Adult Important Facts (Label Update)BLEED: None

TRIM: 8.375" x 10.875"SAFETY: 6.875" x 10"

GUTTER: NonePUBLICATION: Better Homes & Gardens, All You, People, Country Living, Cooking Light,

Good Housekeeping, Web MD, Smithsonian, Woman’s Day, Time, VFW, The Elk, Saturday Evening Post, American Legion, Reader’s Digest Large Print

ART DIRECTOR: Greg Elkin 8-3759COPYWRITER: Kevin O’Donoghue 8-3352

ACCT. MGR.: Elizabeth Grund 8-4570ART PRODUCER: Loni Pont 8-3067PRINT PROD.: Jack Hughes 8-3504PROJ. MNGR.: Justin Kane 8-4832

This advertisement prepared by Young & Rubicam, N.Y.5D77458_PF3_a6.2_lc.indd

CLIENT: Pfizer TMG #: 5D77458 HANDLE #: 6 JOB #: PF3-PRV-M99109A BILLING#: PF3-PRV-Y98729DOCUMENT NAME: 5D77458_PF3_a6.2_lc.indd PAGE COUNT: 1 of 1 PRINT SCALE: None INDESIGN VERSION: CS6STUDIO ARTIST: paul gruberg LAST SAVE DATE: 6-25-2015 3:54 PM CREATOR: Paul Gruberg 6-9931 CREATION DATE: 6-19-2015 10:10 AM

DOCUMENT PATH: TMG:Volumes:TMG:Clients:YR:Pfizer:Jobs:2015:5D:5D77458_PF3-PRV-Y98729:Mechanicals:5D77458_PF3_a6.2_lc.inddFONT FAMILY: Arial (Bold, Regular, Italic, Bold Italic)LINK NAME: Prevnar_13_Logo_black_yr.ai, Pfizer_K_yr.aiINK NAME: Black

BLEED: NoneLARGEST TRIM: 8.375" x 10.875"SMALLEST TRIM: 7.375" x 10.5"

SAFETY: 6.875" x 10"

S:6.875"S:10"

ST:7.375"ST:10.5"

LT:8.375"LT:10.875"

PREVNAR and PREVNAR 13 are registered trademarks of Wyeth LLC.Manufactured by Wyeth Pharmaceuticals Inc. © 2015 Pfizer Inc. All rights reserved. June 2015. Marketed by Pfizer Inc.

Based on LAB-0469-12.0 (May 2015)

WHO SHOULD RECEIVE PREVNAR 13® (Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein])?• Prevnar 13® is approved for adults 50 years and older for

the prevention of pneumococcal pneumonia and invasive disease caused by the 13 vaccine strains

• Prevnar 13® is a vaccine also approved for children 6 weeks through 17 years of age for the prevention of invasive disease caused by the 13 strains of Streptococcus pneumoniae included in the vaccine, and for children 6 weeks through 5 years for the prevention of ear infections caused by 7 of the 13 strains


Adults 50 years and older:• A single dose of Prevnar 13® is recommended for adults

aged 50 years of age and older

Children 6 weeks through 5 years of age:• Prevnar 13® is recommended for children 6 weeks through

5 years of age• Prevnar 13® is given as a 4-dose series at 2, 4, 6, and 12 to

15 months of age

• Transition schedule: Children who have received 1 or more doses of Prevnar® (Pneumococcal 7-valent Conjugate Vaccine [Diphtheria CRM197 Protein]) may complete the 4-dose immunization series with Prevnar 13®

• Catch-up schedule: Children 15 months through 5 years of age who are considered fully immunized with Prevnar® may receive 1 dose of Prevnar 13® to elicit immune responses to the 6 additional strains

• The immune responses from the transition or catch-up schedules might be lower for the 6 additional strains (types 1, 3, 5, 6A, 7F, and 19A) than if your child had received the full 4 doses of Prevnar 13®

Children 6 years through 17 years of age:• In children 6 years through 17 years of age, Prevnar 13® is

given as a single dose

WHO SHOULD NOT RECEIVE PREVNAR 13®?Children or adults who have had a severe allergic reaction to any component of Prevnar 13® or any diphtheria toxoid–containing vaccine should not receive Prevnar 13®

IMPORTANT FACTS

Prevnar 13® (pronounced “Prev • nar 13”)Generic Name: Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

WARNING • A temporary pause of breathing following vaccination has been

observed in some infants born prematurely. Decisions about when to give Prevnar 13® to infants born prematurely should be based on consideration of the individual infant’s medical status, and the potential benefits and possible risks of vaccination

• The safety and efficacy of Prevnar 13® when given to persons with a weakened immune system (such as HIV infection, damaged spleen, cancer, or kidney problems) is not known. Children or adults with a weakened immune system may have a reduced response to Prevnar 13®

BEFORE STARTING PREVNAR 13®

Tell your health care provider or your child’s health care provider about all medical conditions, including:• Previous allergic reactions to other vaccines• Especially tell the health care provider if your child or you

are taking medicines that can weaken the immune system, such as steroids (eg, prednisone) and cancer medicines, or are undergoing radiation therapy

• If you are pregnant or nursing, or if you plan to become pregnant

WHAT ARE THE POTENTIAL SIDE EFFECTS?• In adults, the common side effects were pain, redness, or

swelling at the injection site, limitation of arm movement, fatigue, headache, muscle pain, joint pain, decreased appetite, chills, or rash

• The most commonly reported serious adverse events in children were bronchiolitis (an infection of the lungs) (0.9%), gastroenteritis (inflammation of the stomach and small intestine) (0.9%), and pneumonia (0.9%)

• In children 6 weeks through 17 years, the most common side effects were tenderness, redness, or swelling at the injection site, irritability, decreased appetite, decreased or increased sleep, and fever. Most commonly reported side effects in children 5 years through 17 years also included hives

WHAT SHOULD I KNOW ABOUT RECEIVING PREVNAR 13® WITH OTHER VACCINES?• In adults, immune responses to Prevnar 13® were

reduced when given with injected seasonal flu vaccine• When given within 1 year following pneumococcal

polysaccharide vaccine, immune response to Prevnar 13® may be lower

ADDITIONAL IMPORTANT INFORMATION• The safety and effectiveness of Prevnar 13® when used in

children less than 6 weeks of age is not known• In a study in which children received acetaminophen prior to

Prevnar 13®, immune responses to some strains in the vaccine were lower compared with responses among children who received acetaminophen after vaccination only as needed

• Ask your health care provider about the risks and benefits of Prevnar 13®. Only a health care provider can decide if Prevnar 13® is right for you or your child

NEED MORE INFORMATION? • This is only a summary of important information. Ask your

health care provider or your child’s health care provider for complete product information

• Go to www.Prevnar13.com or call 1-800-666-7248

Rx only


N O V / D E C 2 0 1 5 19




Rya

N M

CVa

y/G

lOw

IMa

GEs

JOB: PF3-PRV-M99109ADOCUMENT NAME: 5D77458_PF3_a6.2_lc.indd

DESCRIPTION: 2015 Adult Important Facts (Label Update)BLEED: None

TRIM: 8.375" x 10.875"SAFETY: 6.875" x 10"

GUTTER: NonePUBLICATION: Better Homes & Gardens, All You, People, Country Living, Cooking Light,

Good Housekeeping, Web MD, Smithsonian, Woman’s Day, Time, VFW, The Elk, Saturday Evening Post, American Legion, Reader’s Digest Large Print

ART DIRECTOR: Greg Elkin 8-3759COPYWRITER: Kevin O’Donoghue 8-3352

ACCT. MGR.: Elizabeth Grund 8-4570ART PRODUCER: Loni Pont 8-3067PRINT PROD.: Jack Hughes 8-3504PROJ. MNGR.: Justin Kane 8-4832

This advertisement prepared by Young & Rubicam, N.Y.5D77458_PF3_a6.2_lc.indd

CLIENT: Pfizer TMG #: 5D77458 HANDLE #: 6 JOB #: PF3-PRV-M99109A BILLING#: PF3-PRV-Y98729DOCUMENT NAME: 5D77458_PF3_a6.2_lc.indd PAGE COUNT: 1 of 1 PRINT SCALE: None INDESIGN VERSION: CS6STUDIO ARTIST: paul gruberg LAST SAVE DATE: 6-25-2015 3:54 PM CREATOR: Paul Gruberg 6-9931 CREATION DATE: 6-19-2015 10:10 AM

DOCUMENT PATH: TMG:Volumes:TMG:Clients:YR:Pfizer:Jobs:2015:5D:5D77458_PF3-PRV-Y98729:Mechanicals:5D77458_PF3_a6.2_lc.inddFONT FAMILY: Arial (Bold, Regular, Italic, Bold Italic)LINK NAME: Prevnar_13_Logo_black_yr.ai, Pfizer_K_yr.aiINK NAME: Black

BLEED: NoneLARGEST TRIM: 8.375" x 10.875"SMALLEST TRIM: 7.375" x 10.5"

SAFETY: 6.875" x 10"

S:6.875"

S:10"

ST:7.375"

ST:10.5"

LT:8.375"

LT:10.875"

PREVNAR and PREVNAR 13 are registered trademarks of Wyeth LLC.Manufactured by Wyeth Pharmaceuticals Inc. © 2015 Pfizer Inc. All rights reserved. June 2015. Marketed by Pfizer Inc.

Based on LAB-0469-12.0 (May 2015)

WHO SHOULD RECEIVE PREVNAR 13® (Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein])?• Prevnar 13® is approved for adults 50 years and older for

the prevention of pneumococcal pneumonia and invasive disease caused by the 13 vaccine strains

• Prevnar 13® is a vaccine also approved for children 6 weeks through 17 years of age for the prevention of invasive disease caused by the 13 strains of Streptococcus pneumoniae included in the vaccine, and for children 6 weeks through 5 years for the prevention of ear infections caused by 7 of the 13 strains


Adults 50 years and older:• A single dose of Prevnar 13® is recommended for adults

aged 50 years of age and older

Children 6 weeks through 5 years of age:• Prevnar 13® is recommended for children 6 weeks through

5 years of age• Prevnar 13® is given as a 4-dose series at 2, 4, 6, and 12 to

15 months of age

• Transition schedule: Children who have received 1 or more doses of Prevnar® (Pneumococcal 7-valent Conjugate Vaccine [Diphtheria CRM197 Protein]) may complete the 4-dose immunization series with Prevnar 13®

• Catch-up schedule: Children 15 months through 5 years of age who are considered fully immunized with Prevnar® may receive 1 dose of Prevnar 13® to elicit immune responses to the 6 additional strains

• The immune responses from the transition or catch-up schedules might be lower for the 6 additional strains (types 1, 3, 5, 6A, 7F, and 19A) than if your child had received the full 4 doses of Prevnar 13®

Children 6 years through 17 years of age:• In children 6 years through 17 years of age, Prevnar 13® is

given as a single dose

WHO SHOULD NOT RECEIVE PREVNAR 13®?Children or adults who have had a severe allergic reaction to any component of Prevnar 13® or any diphtheria toxoid–containing vaccine should not receive Prevnar 13®

IMPORTANT FACTS

Prevnar 13® (pronounced “Prev • nar 13”)Generic Name: Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

WARNING • A temporary pause of breathing following vaccination has been

observed in some infants born prematurely. Decisions about when to give Prevnar 13® to infants born prematurely should be based on consideration of the individual infant’s medical status, and the potential benefits and possible risks of vaccination

• The safety and efficacy of Prevnar 13® when given to persons with a weakened immune system (such as HIV infection, damaged spleen, cancer, or kidney problems) is not known. Children or adults with a weakened immune system may have a reduced response to Prevnar 13®

BEFORE STARTING PREVNAR 13®

Tell your health care provider or your child’s health care provider about all medical conditions, including:• Previous allergic reactions to other vaccines• Especially tell the health care provider if your child or you

are taking medicines that can weaken the immune system, such as steroids (eg, prednisone) and cancer medicines, or are undergoing radiation therapy

• If you are pregnant or nursing, or if you plan to become pregnant

WHAT ARE THE POTENTIAL SIDE EFFECTS?• In adults, the common side effects were pain, redness, or

swelling at the injection site, limitation of arm movement, fatigue, headache, muscle pain, joint pain, decreased appetite, chills, or rash

• The most commonly reported serious adverse events in children were bronchiolitis (an infection of the lungs) (0.9%), gastroenteritis (inflammation of the stomach and small intestine) (0.9%), and pneumonia (0.9%)

• In children 6 weeks through 17 years, the most common side effects were tenderness, redness, or swelling at the injection site, irritability, decreased appetite, decreased or increased sleep, and fever. Most commonly reported side effects in children 5 years through 17 years also included hives

WHAT SHOULD I KNOW ABOUT RECEIVING PREVNAR 13® WITH OTHER VACCINES?• In adults, immune responses to Prevnar 13® were

reduced when given with injected seasonal flu vaccine• When given within 1 year following pneumococcal

polysaccharide vaccine, immune response to Prevnar 13® may be lower

ADDITIONAL IMPORTANT INFORMATION• The safety and effectiveness of Prevnar 13® when used in

children less than 6 weeks of age is not known• In a study in which children received acetaminophen prior to

Prevnar 13®, immune responses to some strains in the vaccine were lower compared with responses among children who received acetaminophen after vaccination only as needed

• Ask your health care provider about the risks and benefits of Prevnar 13®. Only a health care provider can decide if Prevnar 13® is right for you or your child

NEED MORE INFORMATION? • This is only a summary of important information. Ask your

health care provider or your child’s health care provider for complete product information

• Go to www.Prevnar13.com or call 1-800-666-7248

Rx only

Vanity Fare

Bloated? Constipated? Hung over? Nauseous? Feeling ill during the holidays can turn

merrymaking into misery—especially for guests who left home without packing medications to ease their symptoms.

“During the holidays, we all overindulge a little,” says Donna M. Feudo, BSPharm, RPh, adjunct clinical assistant professor in the Ernest Mario School of Pharmacy at Rutgers University. To address complaints ranging from digestive upset and headaches to allergies and minor inju-ries, Feudo suggests stocking the medicine cabinet in the guest bathroom with these essentials:• Heartburnreliefsuchasantacids• Digestiveaidstoeasediarrhea,indigestion,and

nausea• Acetaminophen,ibuprofen,oraspirinforfever

reduction and pain relief. (Remember, to avoid the risk of Reyes syndrome, children under 12 should never be given aspirin.)

• Antihistamines(forallergicreactions)• Antibacterialointment(forcutsorscrapes)• Bandages in several sizes• Adosagespoon,dropper,orcuptomeasure

liquid medications• Thermometer

Alreadyhavesomeoftheseitemsonhand?Check the expiration dates to make sure the prod-ucts are still safe for your guests to take.

If you need help deciding which over-the-counter remedies to choose, ask a pharmacist. Expert advice will help you feel more confident to handle illnesses that happen during the holidays.

But when should you call a doctor? Over-the-counter remedies might be effective antidotes to a headache or heartburn but even the most well-stocked medicine cabinet can’t ease serious symptoms.Acalltothedoctorisinorderifyourguests have these issues:

Theyhaveafever:Feeling chilly but warm to the touch? Check your thermometer and call a

Got guests? Stock your medicine cabinet with these staples this holiday seasonBy JODI HElMERREVIEwED By Hansa BHargava, MD, wEBMD MEDICal EDItOR

geT Morehealthy living


askthepharmacist

doctor if your guests have a fever (a temperature above100.4°For38°C).“Afeverisaredflagthat there is an infection or underlying illness that needs to be looked at,” Feudo says.

Symptomswon’tsubside:Regardless of the illness, see a doctor if symptoms are persistent and OTC medications offer no relief. Feudo advises reading medication labels for warn-ings—most list the number of days to take the medication before seeking medical attention. “You have to respect those recommendations,” Feudo says.

They’retakingothermedications: It’s a good idea to get medical advice before taking OTC medications to ensure they won’t interact with prescription drugs. Call the pharmacy before taking a pill or other medication from the medicine cabinet.


Less Expense. More Freedom. Simple, Affordable Diabetes Management

With a full range of dependable diabetes products, plus simple tips, info, and recipes online, ReliOn®

lets you spend less time worrying about diabetes so you can spendmore time on the things thatmatter most to you.

Visit ReliOn.com today

for total lifestyle support.

©2015 Wal-Mart Stores, Inc. All Rights Reserved. Pricing validthrough 12/31/15. Pricing not available in Alaska, Hawaii or Puerto Rico.

$9ReliOn® Prime Test Strips 50ct.

SAVE MORE WITH OR WITHOUT INSURANCE

foods tips with type 1 beyond brothers - walmart.com nov/dec 2015 health information from this...

Documents