Serving pharmaceutical patients throughout the Roanoke, Virginia, area, Ashok Pinnamaraju has a strong knowledge of the needs of senior patients, and regularly visits nursing homes. Though his work with seniors, Ashok Pinnamaraju has experience with drugs that address the cognitive symptoms associated with Alzheimer’s disease.
There are two basic types of FDA-approved medications designed to mitigate confusion and memory loss: cholinesterase inhibitors, and memantine. The latter regulates activities of the chemical glutamate, which is critical in information processing, and enables some people to think more clearly and better perform daily activities. Common side effects include dizziness, constipation, and headache.
By contrast, cholinesterase inhibitors work to prevent the memory and learning-related chemical messenger acetylcholine from breaking down. This promotes high levels of acetylcholine, associated with proper nerve cell communication. Typically tolerated well by the body, cholinesterase inhibitors occasionally have side effects such as appetite loss, nausea, and an increase in bowel movement frequency.
A respected presence in the Roanoke, Virginia, community, Ashok Pinnamaraju owns the Williamson Road Pharmacy, providing client-centered service at his location as well as in local nursing homes. Ashok Pinnamaraju has an extensive knowledge of nonsteroidal anti-inflammatory drugs (NSAID), which are among the most common prescriptions for addressing arthritis.
Common non-prescription NSAIDs include ibuprofen and aspirin. More than simply pain relievers, they help reduce fevers and inflammation. Aspirin is also an anti-coagulant and can be effective in addressing heart disease through reduction of clotting. Unfortunately, the drug can increase susceptibility to bruising and decrease kidney function, while increasing the prevalence of ulcers and nausea.
With various formulas and strengths available, NSAIDs work to prevent the enzyme cyclooxygenase (COX) from fulfilling its core functions. They are effective against COX-2, which is generated when joints are inflamed or injured, and COX-1, which helps prevent harsh digestive chemicals and acids from eating away the stomach lining.
For those addressing inflammation, COX-2 inhibitors such as Celebrex are recommended, as they avoid the upset stomach and bleeding associated with traditional NSAIDs. However, these drugs are not effective against heart disease, and should not be taken in tandem with aspirin and other traditional NSAIDs.
American Public Health Association
Ashok Pinnamaraju earned his PhD in pharmacy from Oregon State University and a master’s degree in computer science from St. Cloud State University. At present, Ashok Pinnamaraju is a pharmacist at Lexcare Pharmacy. Mr. Pinnamaraju also holds memberships with the American Pharmacist Association, the Asian American Business Owners Association, and the American Health Association. The American Health Association offers a variety of education courses including those described below.
The CPR training course offered through the American Health Association teaches the most effective ways to provide basic life support for infants, children, and adults. Some of the concepts taught in the course include how to assess an emergency scene and the victim’s condition. Course participants also learn how to deal with foreign body airway obstruction and how to perform CPR with one and two rescuers.
The basic first aid course offered through the American Health Association provides training on how to care for adults, children, and infants in situations involving diabetic emergencies and sudden illnesses such as poisoning, stroke, and heart attack. This program also teaches participants how to handle traumas such as bleeding, burns, and bone and joint injuries.
The American Health Association’s course on blood-borne pathogens provides instruction on how to manage situations involving exposure to blood. This course explains how disease is spread and how to implement the most effective precautions and methods to control exposure.
Ashok Pinnamaraju is a Roanoke, Virginia-based pharmacist who emphasizes quality service in fulfilling prescription and nonprescription orders. Ashok Pinnamaraju strives to provide knowledgable advice on a full range of medications, while recommending that people consult with their physicians for definitive answers to questions regarding the medications they’ve been prescribed.
A recent Healthline article explores over the counter allergy drugs by comparing two popular choices, Claritin and Zyrtec. Both are nonsedating antihistamines marketed as having similar effects of calming the immune system and reducing the overactivity that causes many allergic reactions.
The active ingredients of the two drugs are different, with Claritin containing loratadine and Zyrtec cetirizine. A major practical difference between the drugs is that cetirizine is fast acting and typically takes effect within an hour. By contrast, loratadine requires more time to take effect but remains in the system for an extended period of up to 24 hours.
With serious side effects extremely rare, both antihistamines share a number of mild side effects that include sore throat, dry mouth, headache, and stomach pain. Both may also cause the drowsiness traditionally associated with antihistamines, although newer formulations make that much less of a problem than in the past.
Claritin and Zyrtec do present the possibility of more serious side effects, including swelling in the throat and mouth region, hives, difficulty breathing, and an elevated heart rate. In these cases, a physician should be consulted immediately to ensure that a serious health risk is not involved.