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¬Our study adds to evidence of other studies showing that black box warnings do not work well as risk communication tools,‚ Dr. Anita Wagner said in a Medscape interview. ‚In fact, perhaps in response to limited adherence to black box warnings, the FDA and manufacturers increasingly implement strengthened risk management programs for certain drugs. ‚ Wagner suggested the FDA take a more aggressive approach such as the warning and reporting process implemented for users of Accutane. While the brand name drug was taken off the market in 2009, the generic isotretinoin is still available. The drug carries a black box for severe birth defects, but wholesalers, pharmacies, doctors and patients have responsibilities for ensuring women who take the drug are not pregnant or plan to be pregnant.

Observer Staff- ‚We are here to stay,‚ say the Advance Practice Nurses of Open Door Health and Community Services. Lela Shipman and Julie Thibodaux opened their doors to offer medical care to the citizens of south Washington County on April 15, 2013. Since that time the clinic has had about 1300 patient encounters, with over 400 patients.]