West Virginia health officials are responding to opioid overdoses by distributing more than 8,000 kits with an antidote — Naloxone — that can get people breathing again if administered in time.
Money for the kits comes from a $1 million federal grant to West Virginia, which has had the nation's highest rate of overdose deaths.
"Naloxone is a lifesaving antidote that, if administered in a timely manner, can effectively reverse respiratory depression caused by opioid and opiate overdose and revive victims," said Dr. Rahul Gupta, commissioner of the Bureau for Public Health. "This collaboration represents an essential step toward turning around West Virginia's staggering overdose statistics."
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Federal data show West Virginia had 725 overdose deaths in 2015, the highest rate of any state at 41.5 per 100,000 people. Last year's numbers are expected to show little improvement. "We have seen a significant and steady increase in all drug overdose deaths in West Virginia over the last several years. Unfortunately, based upon the trend we are seeing, the number of overdose deaths has not yet peaked," Gupta said. "We expect our preliminary data for 2016 to further increase as more toxicology results are recorded." Meanwhile local emergency medical services agencies administered 4,186 doses of Naloxone last year, up from 3,351 the year before and 2,165 two years ago. Gupta said that data doesn't include uses by hospital emergency departments, urgent care centers, first responders and family members. The project is funded with a $1 million federal grant managed by the state Bureau for Behavioral Health and Health Facilities and administered by Gupta's bureau. West Virginia University's Injury Control Research Center will implement and evaluate the project.https://cemeterylize.tumblr.com/
More than 4,000 of the two-dose kits will go out in the next few weeks to high priority areas, including needle-exchange programs and police and fire departments in the cities of Huntington, Charleston, Wheeling and Morgantown and other urban and rural areas. Emergency medical personnel currently carry the antidote, but this project should make it more widely available to other first responders and to people at high risk, their family members, friends and caregivers, said Herb Linn, the center's deputy director. Source: http://www.foxnews.com/health/2017/02/07/west-virginia-distributing-8000-overdose-antidote-kits.htmlSaturday, May 16, 2026
Generic Bupropion: Bioequivalence, Formulation Complexity, and What Patients Should Know
Bupropion's multi-formulation landscape makes its generic discussion somewhat more nuanced than single-form medications. Three distinct release formulations exist: immediate-release, sustained-release, and extended-release. Each has been genericized separately, and the FDA evaluates bioequivalence for each formulation independently because release rate characteristics are part of the product definition. Generic bupropion immediate-release tablets were approved following the original Wellbutrin brand patent expiration. Generic sustained-release bupropion, referencing Wellbutrin SR, followed the SR patent expiration. Generic extended-release bupropion, referencing Wellbutrin XL, completed the generic landscape for this class of products. FDA bioequivalence standards for each formulation require equivalent drug delivery profiles for that specific release rate design. One historical episode relevant to extended-release bupropion generic reliability involved the generic product Budeprion XL 300 mg, which received FDA complaints from patients reporting inadequate therapeutic effect compared to Wellbutrin XL. Following investigation, the FDA found that the pharmacokinetic profile of Budeprion XL 300 mg was not equivalent to the brand reference and withdrew approval for that specific product. This episode led to refined testing standards for complex extended-release formulations. Since that regulatory correction, extended-release bupropion generics are evaluated under more stringent bioequivalence requirements. Approved generic XL products currently available have met these updated standards. Patients who were affected during the pre-correction period experienced a genuine bioequivalence gap that the FDA resolved through withdrawal of the non-equivalent product. For patients who are stable on a specific extended-release bupropion generic and concerned about a manufacturer change, monitoring clinical response after any transition is reasonable. If significant symptom changes occur, clinical evaluation by a prescriber is the appropriate next step. SR and IR formulations have longer established generic records without the specific equivalence concerns that affected XL formulations. These products carry standard bioequivalence track records consistent with expectations for mature generics. Patients taking bupropion for smoking cessation under the Zyban name should be aware that generic bupropion hydrochloride SR is therapeutically equivalent to Zyban, as both contain the same active compound in the sustained-release formulation, allowing cost-effective access through generic SR products. For patients who want to understand generic bupropion in detail across its formulation types, reviewing information about generic wellbutrin-bupropion reliability provides a grounded clinical perspective. For patients who want to compare bupropion's generic profile to other antidepressant classes, the resources at antidepressant medication category guides offer useful comparative context.
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