Drugs, Health Insurance, Health Policy

States struggle to help patients navigate insurance hurdle known as ‘step therapy’

Millions of Americans have experienced similar frustrations under protocols known as step therapy, or fail-first policies. Insurance companies, and the pharmacy benefit management companies that handle prescriptions for them, often refuse to cover a specific drug until after the patient has tried cheaper alternatives. Insurers argue that step therapy — taking drug treatment one step a time — prevents wasteful spending by directing patients to less expensive, but still effective, treatments.

Drugs, Mental Health

Psychedelics could make mental health worse in people with a personality disorder

Various personality disorders might respond differently to psychedelics. For instance, people with histrionic personality disorder (excessive attention-seeking and emotional overreaction) or borderline personality disorder (emotional instability, intense relationships and fear of abandonment) might feel worse or more unstable. And those with schizotypal personality disorder (social anxiety, odd beliefs and eccentric behaviour) could become more paranoid. People with narcissistic personality disorder (excessive self-importance, lack of empathy, and need for admiration) may struggle with the self-reflective nature of psychedelics because they often have a hard time handling criticism.

Microscopc image of pollen
Allergies, Drugs, Immunology

Know Which Medication Is Right for Your Seasonal Allergies

An allergy is your body’s reaction to an otherwise innocent substance that it has identified as an invader. If you have allergies and encounter a trigger (allergen), your immune system fights it by releasing chemicals, such as histamine (hence the term “antihistamine”). Histamine causes symptoms, such as runny nose, itchy nose, sneezing, and itchy and watery eyes.