Dr. White is the co-director of the Health Outcomes, Policy, and Evidence Synthesis (HOPES) research group and has authored over 400 research articles with over 12,320 citations and an h-Index of 59 (top 5% of all researchers for impact of work) including sentinel work in JAMA, Lancet, Annals of Internal Medicine, Circulation, Journal of the American College of Cardiology, Diabetes Care, and many others. His research interests are in the areas of comparative effectiveness, and preventing adverse events from drugs, devices, herbs, and illicit substances. Dr. White has received major media coverage by TV (NBC Nightly News, Good Morning America, Today Show, Dr Oz Show, BBC & CBC, PBS News Hour, CNN, MSNBC), newspaper (New York Times, Washington Post, Boston Globe, LA Times, Chicago Tribune), radio (WNPR, CBS Radio Network, Bloomberg Radio, SiriusXM, Colin McEnroe Show), and magazine/online (Vogue, The Scientist, Newsweek, The Conversation, Salon, Huffington Post, Inverse) media outlets among many others. Many of his publications have an Almetric score over 200, showing major uptake by major media outlets, and several were among the top three most read articles in the journal in the preceding year (Annals Pharmacotherapy, Journal of Clinical Pharmacology, Oral Diseases). He is an ACCP Young Investigator of the Year, AACP Lyman Award Winner, ASHP Sustained Contribution to the Literature (lifetime achievement award), and five time ASHP Foundation Drug Therapy Research Award recipient. He has a recurring TV segment called Ask the Pharmacist on Fox61 and a book entitled The Part-Time Diet. He is a University Teaching Fellow and a BOT Distinguished Professor, the highest designation for teaching and overall excellence bestowed by the University of Connecticut. Dr. White is also a Fellow of the American College of Clinical Pharmacologists and The American College of Clinical Pharmacy.
Areas of Expertise (8)
Drugs of Abuse
Opioids and Kratom
UConn School of Pharmacy/Hartford Hospital: Fellowship, Pharmacy 1998
Albany College of Pharmacy: Pharm.D, Pharmacy 1996
Albany College of Pharmacy: B.S., Pharmacy 1994
- Fellow of American College of Clinical Pharmacy and American College of Clinical Pharmacologists
- Member of American heart Association and American Society of Health System Pharmacists
Media Appearances (25)
Academic Minute: Psychedelics Reduce Anxiety and Depression in Cancer Patients
Inside Higher Ed online
Is there a better way to treat anxiety and depression for patients with cancer? In today’s Academic Minute, the University of Connecticut’s C. Michael White explores one possibility.
China is Ravaging Africa's Donkey Population
"Collagen in the skin is critical to provide structure and smoothness. As people age, collagen breaks down and this results in more saggy and wrinkly skin," Charles White, a pharmacy professor at the University of Connecticut School of Pharmacy, told Newsweek. "Aging collagen is degraded by oxidative stress (free radical damage) and inflammation. If old collagen is removed, it can be replaced with higher quality collagen." "While there is a whole industry selling solutions, there is really only evidence that sunscreens that protect against ultraviolet damage and retinols that can clear out older collagen allowing for newer collagen to be created have effectiveness in combating wrinkles. The jury is still out as to whether antioxidants can slow down the degradation of collagen or whether having animal collagen available so the body can make its own collagen more readily and put it into the skin."
Committees advise FDA to make Narcan available over-the-counter
If the FDA approves the recommendation, it represents a significant step in the effort to stem the tide in the avalanche of drug fatalities. The overdose epidemic kills more than 100,000 people annually. Michael White is a researcher, clinician and educator with the UConn School of Pharmacy. He said that over-the-counter availability for Narcanor some people know by it’s generic name, naloxone is what the U.S. needs given the acute opioid crisis.
Desperate People Are Turning to Illegal Online Pharmacies for Birth Control
When people talk about counterfeit birth control and contraceptives sold on rogue websites, they’re talking about medications or devices that do not work. Deliberately intended to look like other medications, these drugs (both branded and generic formulations) are often intentionally packaged to pass as the real thing but may contain completely different active ingredients or simply don’t contain enough active ingredients to work. In other instances, they could have contaminants or be repackaged expired products, says Dr. Michael C. White, of the University of Connecticut School of Pharmacy.
Academic Minute: What's in Your Dietary Supplement?
Inside Higher Ed online
What’s in your dietary supplement? In today’s Academic Minute, the University of Connecticut’s C. Michael White determines that it might be something you didn’t expect. White is a distinguished professor and chair of the school of pharmacy at UConn.
Marijuana: 4 essential reads on the uses, effects and potential of cannabis
The Conversation online
In 2018, the Food and Drug Administration approved a drug containing CBD to treat seizures from two rare forms of epilepsy. After that, health claims around CBD grew. C. Michael White, a University of Connecticut pharmacy professor, starts off debunking one of them. “There are no credible animal or human studies showing CBD has any effect on SARS-CoV-2 or the course of COVID-19 infection,” he writes.
Academic Minute: MDMA-Assisted Psychotherapy for PTSD Patients
Inside Higher Ed online
Treating mental disorders may require some out-of-the-box thinking. In today’s Academic Minute, the University of Connecticut’s C. Michael White discusses a form of treatment that is gaining steam and seeing positive results. White is a distinguished professor and chair of pharmacy practice at UConn.
We asked three medical experts who needs a multivitamin and how to choose the right one — here's what they said
As a PharmD, White said multivitamin intake is helpful if you have a specific deficiency or certain diseases. "If you have an issue with absorption because of something like Crohn's disease, ulcerative colitis, or had part of your intestines removed (bypass surgery), you're going to need a multivitamin," he said. "There's not necessarily going to be one vitamin or mineral you're deficient in. But other conditions, like macular degeneration, require a specific regimen."
FDA Warns, Pregnancy and Some Over-the-Counter Meds Shouldn’t Mix
BYU Radio radio
Guest: C. Michael White, Distinguished Professor of Pharmacy Practice, University of Connecticut Most drugs seem to be off-the-table for pregnant women because they’re potentially harmful to the baby. Add the most common pain relievers to that list, now. The FDA has just warned that taking NSAIDs like ibuprofen or aspirin after 20 weeks of pregnancy can be dangerous to both mother and fetus.
Video: What remdesivir treatment will look like; FDA concerns for pregnant women
Fox 61 tv
Dr. White, of the UConn School of Pharmacy, talks remdesivir and other COVID treatments.
Steroids Found to Improve Survival of Critically Ill COVID-19 Patients
Pharmacy Practice News online
Steroids appear to work by calming the inflammatory response, which occurs when the body’s immune system overreacts, damaging the lungs and surrounding tissue in seriously ill COVID-19 patients. “There is now strong evidence to suggest that the blockade of inflammation in COVID-19 is effective in severely ill patients,” said C. Michael White, PharmD, FCP, FCCP, the department head and a professor of pharmacy practice at the University of Connecticut School of Pharmacy, in Storrs. Dr. White was not part of the studies but has conducted systematic reviews into other treatment options for COVID-19 and was asked to comment.
Everyone — including Trump — has an opinion about this potential COVID-19 treatment, and that’s making it hard to find out if it works
Boston Globe print
Not only were the study designs flawed, the findings were contradictory. Some found no effect, some linked the drug to bad outcomes, including death, and a few found positive effects. “We know that it’s not poison. People have taken it for a long period of time,'' said C. Michael White, another author of the review and head of UConn’s Department of Pharmacy Practice. “But we can’t say the benefits are going to be worth those risks because we can’t say there’s any benefit.”
Hydroxychloroquine: What we know, what we don't know
Doctor Michael White of the UConn School of Pharmacy knows the drug well, he was part of a group that just finished a comprehensive review of studies on hydroxychloroquine. He said the interest in the drug was understandable, especially given the urgency of the situation. “One of the things that was really attractive about it was that it was relatively inexpensive and manufacturers were already making it so the chance that they would be able to gear up and have adequate supply of the drug, over a relatively short period of time, was high,” he said.
Weighing the Cardiac Risks of Hydroxychloroquine
Infectious Disease Special Edition online
However, since the French study was published, it has been the subject of heavy scrutiny. Because of such questions, the International Society of Antimicrobial Chemotherapy, which publishes the journal where the paper appeared, has flagged the paper, saying it did not meet its “expected standard." “The take-home message is that it is not clear whether or not hydroxychloroquine with or without azithromycin reduces hospitalization duration, hastens [patients] becoming virus free, or prevents clinical deterioration and how safe the use of hydroxychloroquine with or without azithromycin is in patients with COVID-19 infection,” said C. Michael White, PharmD, the department head and a professor of pharmacy practice at the University of Connecticut School of Pharmacy, in Storrs.
The Kratom Debate: Helpful Herb Or Dangerous Drug?
"The data to support either the benefits or the harms for kratom is really, really poor," says C. Michael White, head of the Department of Pharmacy Practice at the University of Connecticut. "A lot of the information we have comes from single-case reports." White says that animal studies suggest kratom could be an effective pain reliever, but the collection of human data has only just begun. He says scientists need to conduct a lot more research before the appropriate level of regulation is clear.
Serious Concerns Raised Over FDA’s Capacity to Inspect Overseas Drug Makers
The United States is more reliant than ever on other countries for its supply of pharmaceutical drugs. According to the FDA, roughly 40 percent of finished drugs and 80 percent of active drug ingredients are made overseas. The FDA is tasked with regularly inspecting drug manufacturing facilities in the U.S. and abroad to ensure they’re following best practices. “We’ve created a scenario where we don’t have the capacity to make a lot of those products in the U.S.,” said C. Michael White, head of the Department of Pharmacy Practice at the University of Connecticut. “We’ve concentrated them in areas where we have very little control, and very little knowledge of what they’re doing.”
Kratom Is a Lifesaver, Say Opioid Addicts. But Its Safety Is Questionable
“The data to support either the benefits or the harms for kratom is really, really poor," said C. Michael White, head of the Department of Pharmacy Practice at the University of Connecticut. "A lot of the information we have comes from single-case reports." White says animal studies suggest kratom could be an effective pain reliever but that the collection of human data has only just begun. He says scientists need to conduct a lot more research before the appropriate level of regulation is clear.
Should You Be Worried About the Latest Drug Recall?
“NDMA is in virtually all municipal water supplies to some extent,” says C. Michael White, a professor at the University of Connecticut School of Pharmacy. As it turns out, NDMA is a product of water treatment, and levels of up to 0.1 microgram per liter in drinking water are considered acceptable, according to the World Health Organization. It is even present in some of the food we eat, especially smoked products and processed grilled meat, such as bacon and burgers.
Trump administration reveals plan to import certain prescription drugs from Canada
Daily News online
Though the general consensus is that imported drugs would be less expensive, there are varying opinions on the safety of prescription drugs that come from other countries. "Importing drugs in this particular way cripples the patient-pharmacist relationship that is an important link in the medication safety chain and compromises the ability of the pharmacist to relay important information back to the prescribers," C. Michael White, PharmD, of the department of pharmacy practice at the University of Connecticut, said in an earlier interview. "In addition, this type of imported drug could be coming from a variety of sources and being mailed in from several countries, compromising the ability to detect and mitigate drug interactions or to provide medication therapy management."
Smart Pills Help Monitor Cancer Patients’ Therapy
The Scientist online
University of Connecticut pharmacist Charles White, who is not involved with the program, notes that the pills could provide doctors with valuable data about when a patient isn’t sticking to a treatment regimen—and why. Patients may not adhere to their treatment regimens for many reasons: they may have so many drugs to take that they cannot recall which ones they have taken, they may not understand why they need certain drugs, or they may not want to suffer the side effects associated with a treatment. “Sometimes it is a conscious choice,” White says. There may also be financial constraints; the patient may not fill the prescription because they can’t afford the copay. White says that smart pills could help start the conversation among patients, physicians, and pharmacists about these obstacles.
Drug Researchers Raise Concern Over "Misleading" Evidence in Kratom Studies
A February paper in Clinical Toxicology showed a rising number of calls to poison control centers for kratom, but as Inverse reported, without knowing how many people are using kratom, it’s impossible to know the likelihood of an adverse event like the ones reported in Eggleston’s study. “An important new finding would be that the calls to poison control centers from 2017 to 2018 is continuing to rise, but does this indicate that kratom is becoming more risky over time or that more people are using it and the overall risk is still low?” C. Michael White, Pharm.D., a professor of pharmacy practice at the University of Connecticut who studies kratom and was not involved with the study, tells Inverse.
Calls to poison control centers from Kratom have risen, but why?
“One of the things that’s likely playing a role is that, up until a couple of years ago, virtually no one had heard of Kratom,” said Dr. Michael White, from the UConn School of Pharmacy. He said it’s possible that many past problems with Kratom went overlooked or underreported because many people didn’t know what it is.
Health Watch: What is CBD oil used for?
So, where does the latest science stand? Dr. Michael White, from the UConn School of Pharmacy, said human studies are still few and far between, but there have been many more studies done on animals. “In single-cell studies and in animal studies [CBD oil has shown] that it can reduce pain, that it has an anti-anxiety effect, that it can reduce sebum production and it has an anti-inflammatory effect,” said Dr. White.
Opinion: What Jeff Sessions doesn’t understand about medical marijuana
On Jan. 4, Attorney General Jeff Sessions rescinded the Cole memo, a 2013 document that limits federal enforcement of marijuana laws. This opens the door for a crackdown in the nine states with legal recreational marijuana.
Should Kratom Be Banned?
Dr. Oz tv
Pharmacist Charles Michael White discusses the current research and anecdotes on kratom. Then, Hamilton Morris, host of “Hamilton’s Pharmacopeia”, weighs in on the controversy and Dr. Oz shares his final thoughts.
Anesthesia can cause disturbing sexual hallucinations, leading to lasting psychological traumaThe Conversation
Melody White and C. Michael White
Some patients can have vivid and detailed sexual hallucinations during anesthesia with sedative-hypnotic drugs like propofol, midazolam, diazepam and nitrous oxide. Some make suggestive or sexual comments or act out, such as grabbing or kissing medical professionals or touching themselves in a sexual way. Others awaken erroneously believing they were sexually assaulted. Why does this happen?
Psychedelics may better treat depression and anxiety symptoms than prescription antidepressants for patients with advanced cancerThe Conversation
In people with advanced cancer, psychedelic drugs like psilocybin, LSD and MDMA may significantly reduce the severity of depression and anxiety symptoms. Roughly 10% of patients with cancer experience anxiety, while 20% report depression. However, current research suggests that available prescription antidepressants do not significantly decrease depressive symptoms in cancer patients compared with a placebo.
Dangerous counterfeit drugs are putting millions of US consumers at risk, according to a new studyThe Conversation
The Food and Drug Administration took 130 enforcement actions against counterfeit medication rings from 2016 through 2021, according to my new study published in the journal Annals of Pharmacotherapy. Such actions might involve arrests, confiscation of products or counterfeit rings being dissolved. These counterfeiting operations involved tens of millions of pills, more than 1,000 kilograms (2,200 pounds) of active ingredient powder that could be turned into pills in the U.S. and hundreds of millions of dollars in sales. Unfortunately, with over 11,000 rogue pharmacy sites selling drugs on the internet, these actions barely scratch the surface.
The dietary supplement you’re taking could be tainted with prescription medications and dangerous hidden ingredients, according to a new studyThe Conversation
Many over-the-counter dietary supplement products – particularly those used for sexual enhancement and weight loss – are tainted with undisclosed pharmaceutical ingredients. That is the key finding of my recently published review in the Journal of Clinical Pharmacology. My assessment of the Food and Drug Administration’s Health Fraud Product Database turned up 1,068 unique dietary supplement products marketed between 2007 to 2021 that contained active ingredients found in prescription drugs or deemed too dangerous to be used in people. Among the tainted dietary supplements that my study identified, 54% were for sexual dysfunction and 35% were for weight loss. While many such products are removed from the market once detected by the FDA, other tainted dietary supplements can make their way onto the market in their place.
Latest trials confirm the benefits of MDMA – the drug in ecstasy – for treating PTSDThe Conversation
C. Michael White and Adrian V. Hernandez
For people with post-traumatic stress disorder, recalling memories of physical or sexual assault, combat or disaster-related events can induce intense anxiety or panic attacks as well as debilitating flashbacks. In the U.S., about 7% of people suffer from PTSD and lose an average of about four working days each month as a result. Trauma-specific psychotherapy, like cognitive processing or “talk” therapy, is the cornerstone of treatment for PTSD. But for approximately half of people, these traditional approaches are ineffective at fully addressing PTSD symptoms over the long term. Antidepressant drugs are frequently used if psychotherapy fails, or in combination with it, but the effects are usually modest.
The FDA’s lax oversight of research in developing countries can do harm to vulnerable participantsThe Conversation
The Food and Drug Administration provides less stringent oversight of overseas research trials used in deciding whether to approve a drug than those conducted domestically. That was the finding of my recent study, published in the Journal of Clinical Pharmacology. My study highlighted loopholes in the agency’s oversight processes that exploited vulnerable people and led to faulty data for drug approval decisions. Until the early 2000s, participants in FDA-reviewed research trials came almost entirely from the U.S. But a 2010 report from the Department of Health and Human Services found that 78% of research participants were enrolled overseas. Faster research subject recruitment and lower expenses – paired with these regulatory loopholes – seem to be driving this shift.
Why prescription drugs can work differently for different peopleThe Conversation
C. Michael White
Different people taking the same drug can have markedly different responses to the same dose. While many people will get the intended effects, some may get little to no benefit, and others may get unwanted side effects. As a pharmacist who researches the safety and effectiveness of drugs, I know there are several reasons why this occurs, including individual physical differences, drug interactions and inflammation.
Rat poison is just one of the potentially dangerous substances likely to be mixed into illicit drugsThe Conversation
Over 150 people in Illinois started bleeding uncontrollably after using synthetic cannabis-based products – including fake marijuana, Spice and K2 – that contained the rat poison brodifacoum in March and April 2018. By the end of July 2021, these banned products were still being sold in 10 states and the District of Columbia, resulting in hundreds of severe bleeds and several deaths. Illicit drug use was responsible for an estimated 166,613 deaths worldwide in 2017 due to overdose. The increased risk of disease and injury associated with illicit drug use caused an additional estimated 585,348 premature deaths. And it’s impossible to tease out whether people were harmed by the drugs themselves or by the myriad impurities added to them.
The FDA’s weak drug manufacturing oversight is a potentially deadly problemThe Conversation
Adrian V. Hernandez and C. Michael White
The latest setback for Johnson & Johnson’s COVID-19 vaccine was the U.S. Food and Drug Administration’s order on June 11, 2021, to discard 60 million doses that failed to meet quality and safety guidelines. A Baltimore manufacturing facility run by Emergent BioSolutions had been producing COVID-19 vaccines for both J&J and AstraZeneca and inadvertently mixed up ingredients from the two companies. The FDA regularly inspects manufacturing facilities to ensure that drugs meet rigorous quality standards. These standards are vital to protect patients from drugs that are incorrectly dosed, contaminated or ineffective.
The FDA’s big gamble on the new Alzheimer’s drugThe Conversation
The Food and Drug Administration set off a firestorm of debate when it approved a new drug, aducanumab, for Alzheimer’s disease via an accelerated approval pathway. This decision ignored the recommendation of the FDA’s external advisory panel to reject the drug. The FDA grants accelerated approvals for drugs to treat serious illnesses for which there are no known, or at least very few, treatments. The type of data used to support accelerated approvals is very different from the typical benchmark safety and efficacy data required for approval. As a pharmacist and researcher, I have documented several reasons drug research conducted in a laboratory environment differs substantially from what is ultimately seen in people. The challenge lies in striking a balance between taking the time to ensure a treatment works and meeting urgent patient need.
Why is the FDA funded in part by the companies it regulates?The Conversation
The Food and Drug Administration has moved from an entirely taxpayer-funded entity to one increasingly funded by user fees paid by manufacturers that are being regulated. Today, close to 45% of its budget comes from these user fees that companies pay when they apply for approval of a medical device or drug. As a pharmacist and medication and dietary supplement safety researcher, I understand the vital role that the FDA plays in ensuring the safety of medications and medical devices. But I, along with many others, now wonder: Was this move a clever win-win for the manufacturers and the public, or did it place patient safety second to corporate profitability? It is critical that the U.S. public understand the positive and negative ramifications so the nation can strike the right balance.
Are graphene-coated face masks a COVID-19 miracle – or another health risk?The Conversation
As a COVID-19 and medical device researcher, I understand the importance of face masks to prevent the spread of the coronavirus. So I am intrigued that some mask manufacturers have begun adding graphene coatings to their face masks to inactivate the virus. Many viruses, fungi and bacteria are incapacitated by graphene in laboratory studies, including feline coronavirus. Because SARS CoV-2, the coronavirus that causes COVID-19, can survive on the outer surface of a face mask for days, people who touch the mask and then rub their eyes, nose, or mouth may risk getting COVID-19. So these manufacturers seem to be reasoning that graphene coatings on their reusable and disposable face masks will add some anti-virus protection. But in March, the Quebec provincial government removed these masks from schools and daycare centers after Health Canada, Canada’s national public health agency, warned that inhaling the graphene could lead to asbestos-like lung damage.
How safe is your baby food? Company reports show arsenic, lead and other heavy metals – here’s what you need to knowThe Conversation
Heavy metals including lead, arsenic and mercury can be found in commercial baby foods at levels well above what the federal government considers safe for children, a new congressional report warns. Members of Congress asked seven major baby food makers to hand over test results and other internal documents after a 2019 report found that, out of 168 baby food products, 95% contained at least one heavy metal. Foods with rice or root vegetables, like carrots and sweet potatoes, had some of the highest levels, but they weren’t the only ones. How concerned should parents be and what can they do to reduce their child’s exposure?
How some drugs can turn into a cancer-causing chemical in the bodyThe Conversation
When consumers get a prescription drug from the pharmacy, they assume that it’s been tested and is safe to use. But what if a drug changes in harmful ways as it sits on the shelf or in the body? One dangerous result has been the creation of N-nitrosodimethylamine (NDMA), a probable carcinogen, in certain drugs. NDMA is found in chlorinated water, food and drugs in trace amounts. To minimize exposure, the Food and Drug Administration has set an acceptable level of NDMA in each pill at less than 96 nanograms.
Why the FDA is warning pregnant women not to use over-the-counter pain relieversThe Conversation
The Food and Drug Administation issued a warning on Oct. 15, 2020 to both health care professionals and women about the use of nonsteroidal anti-inflammatory drugs (NSAIDs) after 20 weeks of pregnancy. This comes after the FDA added its post-marketing surveillance data to the accumulating information appearing in medical journals. Consumers spent US$4.3 billion on more than 760 million bottles of NSAIDs in 2019. This includes those with brand names Motrin, Advil, Aleve, Ecotrin and Bayer Aspirin and generic versions with the names ibuprofen, naproxen and aspirin.
Hydroxychloroquine for COVID-19: A new review of several studies shows flaws in research and no benefitThe Conversation
President Donald Trump revealed on May 18, 2020 that he was taking hydroxychloroquine to prevent contracting COVID-19. News media reports run the gamut from saying hydroxychloroquine is 91% effective to it being both ineffective and dangerous. How do people know what to believe?
No, CBD is not a miracle molecule that can cure coronavirus, just as it won’t cure many other maladies its proponents claimThe Conversation
The claims for CBD’s alleged healing powers have been so exaggerated that it’s no surprise that a CBD maker was recently warned by the New York attorney general for claiming that the molecule can fight COVID-19. There are no credible animal or human studies showing CBD has any effect on SARS-CoV-2 or the course of COVID-19 infection. As professor and chair of the Department of Pharmacy Practice at the University of Connecticut, I’ve investigated many claims of vitamin cures for various illnesses over the decades, including CBD.
Natural supplements can be dangerously contaminated, or not even have the specified ingredientsThe Conversation
More than two-thirds of Americans take dietary supplements. The vast majority of consumers – 84% – are confident the products are safe and effective. They should not be so trusting. I’m a professor of pharmacy practice at the University of Connecticut. As described in my new article in the Annals of Pharmacotherapy, consumers take real risks if they use diet supplements not independently verified by reputable outside labs.
Why your generic drugs may not be safe and the FDA may be too laxThe Conversation
Generic prescription drugs have saved the U.S. about US $1.7 trillion over the past decade. The Food and Drug Administration approved a record 781 new generics in 2018 alone, including generic versions of Cialis, Levitra and Lyrica. They join generic versions of blockbusters from yesteryear, like Lipitor, Nexium, Prozac and Xanax. Seniors are the biggest purchasers of generics, because they take the most medications and are on fixed incomes, but virtually everyone has taken a generic antibiotic or pain pill at one time. This leads to a vital question: Are generics safe?
Generic Drugs Not as Safe as FDA Wants You to BelieveAnnals of Pharmacotherapy
2019 Food and Drug Administration (FDA) rules for the production of prescription drugs are very rigorous and, if followed, guarantees a safe drug supply. For many years, foreign manufacturers have produced substandard generic products and active pharmaceutical ingredients and shipped them into the United States.
Understanding and Preventing (N-Nitrosodimethylamine) NDMA Contamination of MedicationsAnnals of Pharmacotherapy
2019 N-nitrosodimethylamine (NDMA) is a hepatotoxic agent and carcinogen contaminant in commonly used medications such as valsartan, losartan, irbesartan, and ranitidine. NDMA can be produced during manufacture, introduced from contaminated ingredients procured elsewhere, or introduced from contaminated solvents and catalysts.
Loperamide: A Readily Available but Dangerous Opioid SubstituteThe Journal of Clinical Psychology
C. Michael White
2019 The antidiarrheal over‐the‐counter drug loperamide is increasingly being used to control opioid withdrawal or for opioid abuse. Taking many times above the normally recommended dose is dangerous with cardiovascular, respiratory, and neurological adverse events.
A Review of Human Studies Assessing Cannabidiol's (CBD) Therapeutic Actions and PotentialThe Journal of Clinical Psychology
C. Michael White
2019 Cannabidiol (CBD) is a highly touted product for many different disorders among the lay press. Numerous CBD products are available, ranging from a US Food and Drug Administration (FDA)‐approved product called Epidiolex to products created for medical marijuana dispensaries and products sold in smoke shops, convenience stores, and over the Internet.
Impact of a Perioperative Prophylaxis Guideline on Post–Cardiothoracic Surgery Atrial FibrillationAnnals of Pharmacotherapy
Rosanna Li, C Michael White, Jola Mehmeti, Spencer T Martin, Laura C Hobbs
2017 National practice guidelines do not provide clear recommendations on combination pharmacological regimens to reduce cardiothoracic surgery (CTS) postoperative atrial fibrillation (POAF). Objective: This study examines if there is a reduction in POAF rates after implementing a perioperative prophylaxis guideline that includes amiodarone, β-blockers, and high-intensity statins.
The Pharmacologic and Clinical Effects of Illicit Synthetic CannabinoidsJournal of Clinical Pharmacology
C. Michael White
2017 This article presents information on illicitly used synthetic cannabinoids. Synthetic cannabinoids are structurally heterogeneous and commonly used drugs of abuse that act as full agonists of the cannabinoid type-1 receptor but have a variety of additional pharmacologic effects. There are numerous cases of patient harm and death in the United States, Europe, and Australia with many psychological, neurological, cardiovascular, pulmonary, and renal adverse events.
Novel Use of Ranolazine as an Antiarrhythmic Agent in Atrial FibrillationAnnals of Pharmacotherapy
C Michael White, Elaine Nguyen
2017 Objective: To review the limitations of current antiarrhythmic drugs in atrial fibrillation (AF) and discuss the rationale and clinical trials supporting the use of ranolazine in AF. Data Sources: MEDLINE was searched from 1980 to September 2016 using the terms ranolazine, atrial fibrillation, coronary artery bypass grafting, and valve surgery. Study Selection and Data Extraction: English-language studies and reviews assessing antiarrhythmic drugs, including ranolazine, were incorporated. Data Synthesis: The use of ranolazine monotherapy has been evaluated in 2 clinical trials. In the RAFFAELLO trial, higher doses of ranolazine showed a trend toward lower AF recurrence versus placebo (P = 0.053), but further evidence is needed to support its use as a sole therapeutic agent. Ranolazine has shown utility in a limited number of studies as an adjunctive agent, which is critical for those in whom standard therapy is inadequate or the adverse event profile precludes optimized standard therapy. In the HARMONY trial, ranolazine 750 mg and dronedarone 225 mg twice daily reduced the AF burden by 59.1% from baseline (P = 0.008 vs placebo). In a trial by Koskinas and colleagues, patients receiving ranolazine 1500 mg once and intravenous amiodarone had a higher conversion rate than those receiving amiodarone alone (P = 0.024). There are also promising studies for the prevention and treatment of post–cardiothoracic surgery AF, which require further investigation. Conclusions: Ranolazine’s pharmacological properties and available evidence suggest potential for its use in AF.
Physical activity intensity and subjective well-being in healthy adultsJournal of Health Psychology
Gregory A Panza, Beth A Taylor, Paul D Thompson, C Michael White, Linda S Pescatello
2017 The effect of physical activity intensity on subjective well-being has not been well established. We examined this relationship among 419 healthy adults using objective and subjective physical activity measurements (sample size varied among well-being assessments). For accelerometers, light-intensity physical activity positively associated with psychological well-being (n = 150) and negatively associated with depression (n = 99); moderate intensity negatively associated with pain severity (n = 419) and positively associated with psychological well-being; sedentary behavior negatively associated with psychological well-being and positively associated with depression (ps
The antihypertensive effects of aerobic versus isometric handgrip resistance exerciseJournal of Hypertension
Garrett I Ash, Beth A Taylor, Paul D Thompson, Hayley V MacDonald, Lauren Lamberti, Ming-Hui Chen, Paulo Farinatti, William J Kraemer, Gregory A Panza, Amanda L Zaleski, Ved Deshpande, Kevin D Ballard, Mohammadtokir Mujtaba, C Michael White, Linda S Pescatello
2017 Background: Aerobic exercise reduces blood pressure (BP) on average 5–7 mmHg among those with hypertension; limited evidence suggests similar or even greater BP benefits may result from isometric handgrip (IHG) resistance exercise.