Tobacco treatment practices of pharmacists in Montana.

Objectives: To assess the tobacco treatment practices of Montana pharmacists, evaluate pharmacist interest in addressing tobacco use, and identify perceived barriers to delivery of tobacco cessation services.

Design: Descriptive, nonexperimental, cross-sectional study.

Setting: Montana in February 2007.

Randomized trial assessing the effectiveness of a pharmacist-delivered program for smoking cessation.

Background: As trained and accessible healthcare professionals, pharmacists are in an ideal position to provide tobacco cessation interventions. Of the 15 studies identified in the literature assessing the effectiveness of tobacco cessation interventions delivered by pharmacists, this is the first randomized controlled trial conducted in the US of a pharmacist-delivered program for smoking cessation using biochemical confirmation.

Objective: To assess the effectiveness on smoking cessation of a face-to-face group program conducted by the pharmacist team compared with a brief standard care session delivered by a pharmacist over the telephone.

Tobacco interventions delivered by pharmacists: a summary and systematic review.

Background: As one of the most accessible health care professionals, pharmacists are in an ideal position to provide tobacco-cessation and prevention services. Although there is growing interest in expanding the pharmacist's role in tobacco treatment, few published studies have assessed the efficacy or effectiveness of tobacco-cessation services delivered by pharmacists in the United States.

Objective: To summarize and critique studies that examined pharmacist-delivered tobacco-cessation services.

Pharmacy practice, research, education, and advocacy for older adults.

In the United States, older adults have become the fastest growing segment of the population and are expected to double in number to 70 million by 2030. As a whole, older adults have different health care needs than younger patients, and some of these needs should be met by pharmacists. Clinical pharmacy practice affecting older adults occurs in a variety of settings, including community, ambulatory care, primary care, hospital, assisted living, nursing home, home health care, hospice, and Alzheimer's disease units.

Pharmacist-managed tobacco cessation program in Veterans Health Administration community-based outpatient clinic.

Objective: To describe an ongoing pharmacist-managed tobacco cessation clinic and assess the long-term effectiveness of the program.

Setting: Veterans Health Administration (VHA) community-based outpatient clinic in Missoula, Montana.

Participants: Pharmacy professor/clinical pharmacy specialist, advanced pharmacy practice experience students, and tobacco cessation participants.

Establishing an on-site pharmacy in a community health center to help indigent patients access medications and to improve care.

Objectives: To describe the establishment of an on-site pharmacy in a community health center (CHC) to improve access to medications for indigent patients, the implementation of pharmaceutical care programs and clinical pharmacy services to improve patient care and therapeutic outcomes, and the development of an ambulatory care site for training pharmacy students.

Setting: Partnership Health Center (PHC), a federally funded CHC in Missoula, Mont.

Practice Description: Establishment of an on-site pharmacy and strategies for accessing medications for indigent patients, including participation in the U.

Citalopram-induced priapism.

Citalopram is a relatively new selective serotonin reuptake inhibitor (SSRI) that is becoming widely administered for the treatment of depression. Selective serotonin reuptake inhibitors generally are associated with mild adverse sexual side effects; however, more serious reactions may occur. A 58-year-old man experienced priapism several hours after inadvertently taking three tablets of citalopram 20 mg, which he had mistaken for aspirin, in addition to his usual dosage of 20 mg twice/day.