Pharmacy News

What is Medication Therapy Management (MTM)?

In a recent New York Times article, the Center for Disease Control (CDC) reported that the number of centenarians – those who 100 years old or even older – has increased by 44% since the year 2000. And they aren’t alone.Creative Care Pharmacy Medication Therapy

Our population is living and thriving well into older age thanks in no small part to medical advancements, medication therapy, and countless professional and family caregivers. With an aging population comes more and more medications, many of which are the source for such longevity. However, managing medications can become difficult as the number of pills or even injections per day grows and caregivers become responsible for care in place of their loved ones.At Creative Care Pharmacy, we have seen first-hand the difficulties patients and their caregivers face when it comes to managing medications. Patients have come to us unsure of what they are supposed to be taking, eventually discovering that they have been taking too much of dangerous medications. Others, such as caregivers, have come to us distraught when they have discovered that their loved ones have not been taking life-saving medications correctly or even at all.

Pharmacists are ideal for addressing these issues. As the most accessible health care provider and the medication experts, we are perfect for providing medication therapy management for our patients. The chart to the left describes in technical detail what medication therapy management is. We, however, believe that medication therapy management can be distilled down into providing better care for a better you.Phong and David, our Creative Care Pharmacist team, are well-trained in providing medication therapy management as described by the American Pharmacists Association, the premier authority on medication therapy management. As patient or caregiver, they can work with you one-on-one to select the best, safest, and most cost-effective medication therapies. They will continue to monitoring your medications, and will even contact your physician with safety or efficacy concerns. This comprehensive consult service can even include monthly pill box fills in order to help you stay on track. From experience with our medication therapy management patients, we have found the MedCenter 31 Day Pill Organizer as seen on the right to be highly effective for patients who take multiple prescriptions every day.


If you are a patient or caregiver and are having difficulties with managing your medications, please feel free to contact us at 405-562-1800 to learn more about our medication management services and our monthly pill box fills. We are here to guide you through your medications, coach and support you during your times of need, and provide the creative care you deserve. At Creative Care Pharmacy, it’s all about better care for a better you!


APhA MTM Central. The American Pharmacists Association.

MedCenter 31 Day Pill Organizer.

Tavernise, Sabrina. “Centenarians Proliferate, and Live Longer.” The New York Times. 21 Jan 2016.

Span, Paula. “More Caregivers Are No Spring Chickens Themselves.” The New York Times. 3 July 2015.

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Flu Shot Season

It’s that time of year for you to get your flu shot! Flu season usually runs between October to March and the flu vaccine is usually active for about 6 months after administration. Therefore, this is the perfect time to stop by Creative Care Pharmacy to receive your annual flu shot. According to the Centers of Disease Control and Prevention (CDC) patients over the age of 65 had the highest incidence of flu related hospitalizations and patients 0 to 4 years of age came in second.

You are probably wondering why you should receive the vaccine since last years was not as effective?Flu Shot Edmond Oklahoma

To answer that question, we have to begin by explaining how the flu vaccine is made. There are 3 main types of the seasonal flu viruses, type A, B and C. Each type is further subdivided based on the way proteins bind to the virus, and therefore, there can be over 144 possible versions of the flu virus. The World Health Organization works with several facilities to determine the virus’s suspected to trend at the highest rate each year. They usually pick 2 viruses from type A and 1 virus from type B to include in the flu vaccine. As a result, the flu vaccine targets different types of the flu virus every season. Unfortunately, one of the type A viruses that ended up predominating last season was not included in the flu vaccine. However, patients that were exposed to the other 2 viruses were protected. Therefore, the vaccine was still a necessity.

Types of Vaccines available:

The flu vaccine is available in two form live attenuated influenza vaccine (LIAV) and inactive influenza vaccine (IIV). Inactive vaccines are created by taking the virus and killing the disease causing portion of the virus by chemicals, heat, and radiation. Once the vaccine is injected, your body will create antibodies, which are molecules that will fight against the viruses if you are exposed. The live attenuated vaccine is made by taking the virus and structurally weakening the virus so it cannot cause the flu, however, you have to use caution in patients who have a weak immune system.

The CDC recommends all patients 6 months and older should receive the flu vaccine. There are several options available.


– Contains two different type A strains, and 1 type B strain.

– This vaccine is injected into your muscle.

– It is for patients 6 months and older.

– This vaccine does contain an egg product.


– Contains two different type A strains and 1 type B strain.

– This vaccine is injected into your muscle.

– It is for patients over 18 years of age.

– This vaccine does not contain any egg products.

High Dose Fluzone:

– Contains two different type A strains, and 1 type B strain.

– This vaccine is injected into your muscle.

– Recommended for patients over 65 years of age.

– This vaccine is 4 times more potent than the fluzone.

– Since patients over the age of 65 are more likely to have hospital related complications this form is recommended.

The high dose and regular dose also come in a quadrivalent formulation that means there are two type A strains and two type B strains. The quadrivalent formulations like the FluBlok are for patient preferences.


– Contains 2 different type A strains and 1 type B strain and is a live vaccine.

– It is for patients 2 years to 49 years of age and patients that are not pregnant.

– This can be taken by spraying the vaccine up your nose.

Can you get the flu by taking the flu shot?

This is highly unlikely because the flu vaccine uses an inactive or non-functioning virus. The vaccine does take about 2 weeks after administration to work since your body has to gradually create the antibodies. If you are exposed to the virus within the first 2 weeks after administration then you may not have had time to build up your immune system.

What side effects does the vaccine have?

You may experience some pain, redness and swelling at the injection site. You may also have some muscle pain, headache, and/or fever which usually resolves within 72 hours.

Why is it important for you to receive the vaccine?

If you have COPD, asthma, diabetes, congestive heart failure or any chronic illness, it is critical for you to receive the flu vaccine. If you do not and are exposed to the flu, you may intensify the symptoms of your illness.

Stop by Creative Care Pharmacy located at 14101 N Eastern Avenue in Edmond to learn more about steps you can take to avoid getting the flu and get your annual flu shot. We are also a full-service compounding pharmacy that can provide customized treatment options for patients who haven’t had success with traditional oral therapies.


Center of Disease Control and Prevention: Web site. Available at: Accessed on September 13th 2015

U.S. Department of Health & Human Services Web site. Available at: Accessed on September 9th 2015

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PTSD Awareness Day

June 27th is PTSD awareness day,

More than likely you have seen this acronym before. Most of you probably associate this acronym with current military personnel and veterans. Undoubtedly you have seen news stories, articles, and even advertisements that have made an effort to bring to light the alarming amount of US soldiers returning from war inflicted with this disorder. You’ve seen it on the big screen with the recent release of “American Sniper” and the story of Chris Kyle. But what is PTSD? Who can be impacted by this condition? What are its symptoms? How is it treated?

PTSD – Post Traumatic Stress Disorder is a mental disorder that can affect anyone who experiences or witnesses any terrifying or traumatic event that triggers fear, shock, horror, or helplessness. PTSD was first defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), published by the America Psychiatric Association (APA), in 1980. Even after thirty-five years, research into the cause, impact, and treatment of this disorder continues.

Traumatic events can include:

  • Military combat and atrocities of war
  • Natural disasters
  • Sexual assaul
  • Domestic abuseCreative Care Pharmacy in Edmond OK specializes in Compounding medication
  • Serious accidents
  • Violent death

Symptoms of PTSD:

  • Flashbacks (reliving the trauma event)
  • Nightmares
  • Avoidance and withdrawal from loved ones
  • Emotional numbness
  • Guilt, Depression, Worry
  • Loss of interest in once enjoyable activities
  • Easily startled and often “on edge”
  • Difficulty sleeping and loss of focus
  • Angry outbursts


If you or someone you love has experienced a traumatic event in their life and are currently experiencing any of the symptoms, we at Creative Care Pharmacy want you to know that there is hope. This condition is very treatable and we urge you to talk to your primary care physician or give us a call so we can refer you to one immediately. Treatment options usually include both working with a therapist and starting a drug regimen that works to alleviate the symptoms so you can manage and ultimately be free of your condition. Creative Care Pharmacy will work with you and your physician closely to help maximize and manage your drug therapy to ensure you are getting the best care possible. We look forward to being your partner on your road to recovery.

Here are a few more resources on PTSD and how to get involved:

Considering the topic of this blog and the fact that it is a little over a week away from the July 4th holiday, Creative Care Pharmacy would like to take this opportunity to thank current military personnel and veterans for their service to our country and the sacrifices they have made to ensure our freedoms. We are all in your debt. Have a safe and happy holiday!

Creative Care Team

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Men’s Health

In the United States, the average life expectancy of a woman is 81 years compared to 76.2 years for a man. That is a difference of nearly 5 years! Why is this? When it comes to healthcare, men generally take a backseat to women due to lack of early detection and prevention. Research shows that, compared to women, men are more likely to smoke and drink alcohol and generally lead less healthy lifestyles. In addition, men are more likely to put off routine checkups and also delay seeing a healthcare provider for symptoms of a health problem.  These themes represent why women live nearly half a decade longer than their male counterparts.

The top 5 health risks for men, according to the Centers for Disease Control and Prevention (CDC) are: heart disease, cancer, unintentional injuries (accidents), chronic respiratory disease, and strokes. Many of the health risks and diseases that affect men can be minimized through early detection, regular exams, preventative screenings and healthy lifestyle choices.

Pharmacists are the first point-of-contact when a patient receives a medication, and therefore in a prime position to ensure the patient understands and is confident about their medication regimen, including offering medication education, guidance on medication interactions, dosing instructions and side effects and helping the patient understand why complying with the prescriber’s medication instructions is important. At Creative Care Pharmacy, with the help of our skilled pharmacists, Phong Hoang and David George, men of any age can effectively manage their disease states and prolong the quality of their lives through a comprehensive treatment approach.  Our pharmacists can discuss with patients the best way to make their medication regimen fit their daily routine, and can prepare medications in containers to assist patients in remembering to take their medications.

Our pharmacists can also provide blood pressure screenings, including patient consultations on interpreting the blood pressure reading and collaborating with physicians by referring those patients with higher than normal blood pressure readings to their physicians for diagnosis. Our pharmacists can also provide glucose screenings and diabetes management counseling to patients with diabetes. Living with diabetes increases a man’s chances for high blood pressure, heart attack and stroke. Our pharmacists can also provide smoking cessation counseling. Smoking increases the risk of many heart related complications in men, including heart attack and stroke.

Our pharmacists can provide guidance on the right over-the counter medication for a condition and can help a patient decide whether an aspirin therapy may be right for them and which aspirin to choose in collaboration with the patient’s healthcare providers. This is helpful as there are OTC medications that men with cardiovascular problems should avoid.  Our team can also provide counseling on selecting the correct multivitamin and mineral supplement based off your diet and health care goals.

Creative Care Pharmacy is also a full-service Compounding Pharmacy that can provide customized treatment options for patients who haven’t had success with traditional oral therapies.   From hormone replacement therapy to creams for neuropathic, muscular, and arthritic pain, Creative Care can work with your physician to find alternative treatment options that are tailored to your needs.  Creative Care is a member of the Professional Compounding Centers of America (PCCA), a valuable resource that provides Creative Care with quality, tested ingredients and research to validate the compounds we create in our Compounding lab.

Creative Care is conveniently located in Edmond, OK close to the East Memorial and South Eastern intersection. With our individualized care and customer service model, you will wonder why you did not let our staff take care of your medication needs sooner!

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Did you know that a stroke happens every 40 seconds? Or that every 4 minutes someone dies from a stroke? Surprisingly, many Oklahomans still know very little about strokes and what causes them. Creative Care Pharmacy is fully prepared to educate patients about stroke prevention and healthy living in general. With Oklahoma being one of the top states in terms of stroke rate, Creative Care is also prepared to help patients cope and heal after suffering from a stroke.

What is a Stroke?

Stroke is the fifth leading cause of death in the U.S. and one of the most preventable diseases we have. Lifestyle contributes largely to the causes of stoke with high blood pressure being the number one cause.

A stroke occurs when blood flow to an area of brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.

There are two types of stroke, hemorrhagic and ischemic. Hemorrhagic strokes are less common—only 15% of all strokes are hemorrhagic but they are responsible for about 40% of all stroke deaths.

A hemorrhagic stroke is either a brain aneurism burst or a weakened blood vessel leak. Blood spills into or around the brain and creates swelling and pressure, damaging cells and tissue in the brain. There are two types of hemorrhagic stroke called intracerebral and subarachnoid.

Ischemic stroke-A blood vessel carrying blood to the brain is blocked by a blood clot (ischemic) is one type of stroke. High blood pressure is the most important risk factor for this type of stroke. Ischemic strokes account for about 87% of all strokes.

There is also something called a transient ischemic attack (TIA), which is sometimes called a partial stroke. A TIA occurs when blood flow to part of the brain stops for a short period of time. These appear and last less than 24 hours before disappearing.

Signs and Symptoms of a Stroke

(Note the time of the first symptom—this information is important and can affect treatment decisions.)

  • Sudden numbness or weakness of face, arm or leg, especially on one side of the body
  • Sudden confusion, trouble speaking, or understanding
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden severe headache with no known cause

*Call 911 immediately if you observe any of these symptoms


Another way to remember when to seek medical attention is by using the “FAST” method:

F-ace: ask the person to smile. Does one side of the face droop.

A-rms: ask the person to raise both arms. Does one arm drift downward

S-peech: ask the person to repeat a simple phrase. Is their speech slurred or strange?

T-ime: if you observe any of these signs, call 9-1-1 immediately

How can Creative Care Pharmacy help you?

Creative Care Pharmacy employs caring and knowledgeable staff that is ready to help you improve your health and well-being. Creative Care is conveniently located near Edmond, Oklahoma, a thriving community that is located just north of Oklahoma City. Phong, one of the pharmacists at Creative Care Pharmacy, has had special training in many areas with stroke being one of them. He will gladly answer any questions you may have and help you get on the right track to lowering your stroke risk.

Here are some ways to lower your risk of having a stroke:

  • Lower Blood Pressure: having high blood pressure can triple your risk of having a stroke. It is the biggest contributor to the risk of stroke as well as heart attack. Decrease your sodium intake and try to avoid foods high in cholesterol such as cheeseburgers and ice cream. Come to Creative Care Pharmacy to have your blood pressure checked for free!
  • Lose Weight: Obesity is also directly linked to strokes. If you’re overweight, losing as little as 10 pounds can significantly reduce your risk of having a stroke. Read your food labels and keep a food journal to help you track your caloric intake.
  • Exercise More: doing as little as 20 minutes of activity a day can decrease your chance of having a stroke. Edmond has several parks and recreational areas for you and your family. Make your exercise time a fun one by doing things you enjoy!
  • Quit Smoking: Smoking increases clot formation by thickening your blood and increasing the amount of plaque in your arteries. This is one of the most powerful lifestyle changes that will better your overall health!

Let Creative Care Pharmacy help you today!

Stop by our location near Edmond, Oklahoma to talk about how you can lower your stroke risk. We offer educational classes, vitamins and supplements, and exercise plans to help you get on the right track to better health and lower that risk. Stroke is in large part a preventable disease—reduce your chance today!

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Alzheimer’s Disease

Alzheimer’s Disease

The Alzheimer’s Association reports over 5 million people in the United States have Alzheimer’s1. With such a large number of people affected by this disease, it is important to know the symptoms of Alzheimer’s and what can be done to treat this challenging disease.

Alzheimer’s is a progressive disease that typically effects the elderly population and causes memory problems as well as difficulty thinking along with many other symptoms. Identify the early signs/symptoms of an alzheimer patient and help seek treatment sooner and begin to prepare for your future. Currently there is no cure for Alzheimer’s but there are treatment options to help you cope with the symptoms of the disease.

The staff at Creative Care Pharmacy wants to be sure you are educated about Alzheimer’s. Typically the warning signs of Alzheimer’s are more noticeable to the caregivers and loved ones of someone who may be suffering from this disease. It is important that caregivers are aware of the warning signs so they may help someone who might be in the early stages seek treatment before the disease advances.

10 Warning Signs of Alzheimer’s2:

  1. Memory loss such as forgetting important dates or asking for the same information over and over.
  2. Changes in ability to plan or work with numbers.
  3. May experience difficulty in performing daily tasks or driving to a familiar location.
  4. Unable to remember time or place such as having difficulty remembering where they are or how they got there.
  5. Difficulty reading or processing visual images such as not recognizing their own reflection in the mirror; may think that someone else is in the room with them.
  6. May have trouble continuing a conversation or may repeat their words during a conversation.
  7. Unable to find lost items by retracing their steps and may accuse others of stealing.
  8. Poor judgment or problems with decision-making. For example, giving large amounts of money to telemarketers.
  9. Avoidance of social situations due to their changes in memory.
  10. May experience depression, fearfulness, anxiety or confusion.

These warning signs are used in conjunction with tests given by skilled physicians to help determine if you have Alzheimer’s or if something else is causing the memory loss.

You may wonder if Alzheimer’s is preventable?

According to the National Institute on Aging, there are a few lifestyle changes you can make to help prevent the onset of Alzheimer’s, however there is no consensus within the scientific community on what changes are better or if any actually can prevent the onset of the disease. What scientists do agree on is that eating a healthy diet, controlling diabetes, lowering blood pressure and cholesterol and exercising can lower your risk of chronic diseases that may contribute to Alzheimer’s3.

Once a diagnosis of Alzheimer’s is made, your physician will consider medication therapy based on the symptoms and stage of disease. These medications are used to treat the symptoms and help you live a better life. The following medications are currently approved for use in people with Alzheimer’s disease: Aricept® (donepezil), Razadyne® (galantamine), Namenda® (memantine), Exelon® (rivastigmine) and Cognex® (tacrine)4. Let us know if you would like to talk to a Creative Care Pharmacy staff member to learn more about Alzheimer’s Disease.

  1. Alzheimer’s Association, 2014 Alzheimer’s Disease Facts and Figures, Alzheimer’s & Dementia, Volume 10, Issue 2. Retrieved February 04, 2015, from
  2. Alzheimer’s Association. Know the 10 Signs Early Detection Matters. Retrieved February 04, 2015, from
  3. Preventing Alzheimer’s Disease: What Do We Know (Sept 2012). Retrieved February 5, 2015, from
  4. Current Alzheimer’s Treatment. Retrieved February 5, 2015, from

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Know the Facts about Blood Pressure

At Creative Care Pharmacy, we care about our patients and we want you to know how to manage your health better. High blood pressure is a leading factor contributing to heart disease in the United States today.

The Center for Disease Control and Prevention (CDC) reports that 67 million American adults have high blood pressure. That’s an estimated 1 out of every 3 adults. Less than half of Americans have their high blood pressure controlled. Each year, high blood pressure costs the nation over $45 billion dollars. This amount includes medication fees, health care services, and missed days of work.


It is hard to know if you have high blood pressure because it usually has no symptoms. This is why many people go undetected for so long. Therefore, it is important to visit your doctor regularly and make sure to check your blood pressure often. There are also things you can do at home to reduce your risk.

Lifestyle modifications to prevent and manage high blood pressure:

  • Sodium Reduction – One teaspoon of salt contains over 2000 mg of sodium, a whole day’s limit for some people. The Dietary Guidelines for Americans recommends eating no more than 2,300 mg of sodium per day.
  • Exercise – It is recommended that patients with prehigh blood pressure or high blood pressure exercise for 30 minutes four days a week.
  • Limit Alcohol Consumption – Men should limit themselves to no more than 2 alcoholic drinks per day and women no more than 1 drink per day.
  • Dietary Changes – A diet high in fruits, vegetables, potassium, low-fat dairy products, and low in saturated fats is recommended.
  • Weight Loss – Weight loss is an important lifestyle change to decrease blood pressure. Studies show that a weight loss of 20 pounds can decrease systolic blood pressure from 5 to 20 mm Hg.
  • Smoking Cessation – Studies show that those who have high blood pressure and smoke have an increased chance of heart disease and stroke compared to those who don’t.

If you do have high blood pressure and are taking medication, make sure to be compliant and take your medication as directed. Do not abruptly discontinue any medication without talking with your provider. Here at Creative Care Pharmacy, we offer autofill prescriptions that will automatically refill your medications to save you the hassle of having to call it in every time.

At Creative Care Pharmacy, we also have a PharmaSmart Blood Pressure Kiosk. Patients can each have their own personal smart card that keeps track of their last 10 blood pressure readings. Patients can also register online to view their blood pressure results, print reports, and even e-mail “live links” to your health care provider. Talk to one of us today at Creative Care about the importance of monitoring your blood pressure and setting up a PharmaSmart Card profile.

-Creative Care Pharmacy Staff


“High Blood Pressure Facts.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 29 Oct. 2014. Web. 07 Dec. 2014.

Rosendorff, Clive, Henry R. Black, Christopher P. Cannon, Bernard J. Gersh, Joel Gore, Joseph L. Izzo, Norman M. Kaplan, Christopher M. O’connor, Patrick T. O’Gara, and Suzanne Oparil. “Treatment of High blood pressure in the Prevention and Management of Ischemic Heart Disease.” American Heart Association. American Heart Association, 14 May 2007. Web. 03 Dec. 2014.

Wexler, Randy, and Glen Aukermann. “Nonpharmacologic Strategies for Managing High blood pressure.” American Family Physician. American Academy of Family Physicians, 01 June 2006. Web. 04 Dec. 2014.

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Do you have Ebola or the Flu


Edmond Pharmacy Oklahoma Do I have Ebola of the FluATTENTION: If you suspect you have Ebola please seek medical attention immediatly.

Lately, we’ve been hearing about Ebola all over the news, but what is Ebola and what’s the difference between it and the flu?

Ebola is a rare disease caused by an Ebola virus infection, while the flu is a common respiratory infection caused by the influenza virus.2,4 One of the biggest confusions is how each are spread. Ebola can only be spread by blood and body fluids; not by air, water, or food. The flu, though, is easily spread by droplets from people sneezing, coughing, talking, or even on surfaces. Many people ask the question of when you are contagious. You can spread the flu before, during, and after being sick, but Ebola can only be spread when you are having symptoms. 2,4

Both Ebola and the flu begin with similar symptoms: fatigue, fever, muscle pain, and headache. The flu may also come with a cough, sore throat, and runny/stuffy nose and symptoms begin within 2 days of exposure.1,2,4 Ebola, on average, begins after 8-10 days and progresses into vomiting and diarrhea after 3-6 days and there could be possible bleeding or bruising.3,4

The risk of encountering Ebola occurs if you are a healthcare provider or in interaction with someone who has had contact with the blood or body fluids of anyone with Ebola.3,4 With the flu, anyone can catch it and those who are very young, older, or have certain health conditions are at an even higher risk of having serious difficulties. In other words, it is much easier to catch the flu than Ebola!

Many mistakenly believe that the flu isn’t dangerous. In reality, thousands are hospitalized and die from the flu each year from infections such as pneumonia. But this can easily be prevented! Well, doesn’t the vaccine give you the flu? No, you may feel minor effects that feel like the flu, but nothing compared to being extremely sick for several days or worse. The vaccine is recommended every year and can be given to children as young as 6 months. If you or your child hates needles that can easily be solved with a nasal spray vaccine good for ages 2-49 years. The flu season is from October-May, but the peak time is usually between December-February.4 This means that the best time to receive your flu vaccine is now and what better place to get it than at your Creative Care Pharmacy!

For more info about all the vaccinations we have available, give Creative Care a call and you can visit to learn more about these viruses.

-Debbie Tran


  1. Dolin R. Chapter 187. Influenza. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. Harrison’s Principles of Internal Medicine, 18e. New York, NY: McGraw-Hill; 2012. Accessed November 3, 2014.
  2. Njoku JC, Hermsen ED. Chapter 87. Influenza. In: DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey L. eds. Pharmacotherapy: A Pathophysiologic Approach, 9e. New York, NY: McGraw-Hill; 2014. Accessed November 3, 2014.
  3. Peters CJ. Chapter 197. Ebola and Marburg Viruses. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. Harrison’s Principles of Internal Medicine, 18e. New York, NY: McGraw-Hill; 2012. Accessed November 3, 2014.
  4. Available at: Accessed November 3, 2014.

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