InpharmD™





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What is InpharmD™?


Literature searching is tedious. InpharmD™ is here to help.

Clinical pharmacists can ask any question, anytime, from anywhere, and we’ll perform a custom literature search.

(And a 32% chance it’s already been asked.)


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This is how InpharmD™ transforms LITERATURE.

What's Being Asked...

Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis
Can azithromycin oral suspension be kept in the refrigerator?
What are therapeutic alternatives for Acetylcysteine Oral?
Subclonal immune evasion in non-small cell lung cancer
Structure-guided design of a peripherally restricted chemogenetic system?

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InpharmD's Answer GPT's Answer

Author:Neil Patel, PharmD, BCPS + InpharmD™ AI

INTRODUCTION BY INPHARMD™ RESEARCHER

Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis

Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis

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A search of the published medical literature revealed 1 study investigating the researchable question:

Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis

Level of evidence
B - One high-quality study or multiple studies with limitations  

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InpharmD's Answer GPT's Answer

Author:Neil Patel, PharmD, BCPS + InpharmD™ AI

INTRODUCTION BY INPHARMD™ RESEARCHER

Per the prescribing information, azithromycin (both mono- and dihydrate) oral suspension can be stored between 5-30°C (41-86°F). Stability studies have further confirmed the stability of azithromycin oral suspension for up to 15 days under refrigerated conditions; however, the FDA labeling suggests using the suspension within 10 days.

A 2024 pharmaceutical stability assessment evaluated the chemical stability of azithromycin in a reconstituted oral suspension under various in-home storage conditions over a 10-day period. Azithromycin suspensions (AZRO® 200 mg/5 mL; Sanofi, Türkiye) were prepared using boiled tap water and stored at six different conditions: refrigeration (3–6°C), room temperature (20–25°C), three elevated temperatures (30°C, 40°C, and 50°C), and direct sunlight exposure (temperature fluctuating between 25–50°C with 20–60% relative humidity). Daily high-performance liquid chromatography (HPLC) analyses quantified azithromycin concentrations in triplicate. The concentration-time curves and statistical analyses compared azithromycin concentrations on days 0 and 10 across all conditions. The findings showed azithromycin demonstrated robust chemical stability in all tested storage conditions with no significant degradation over the 10-day period [see Table 1 for full results]. HPLC data showed that az...

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A search of the published medical literature revealed 1 study investigating the researchable question:

Can azithromycin oral suspension be kept in the refrigerator?

Level of evidence
C - Multiple studies with limitations or conflicting results  

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[1] Gokbulut C, Sari OF, Akyol BA, Sen F, Geyguc N. The stability of azithromycin in a reconstituted oral suspension under various in-home storage conditions. Pharm Chem J. 2024;57(11):1841-1847. doi: 10.1007/s11094-024-03087-0
[2] Stanley C, Igala S. Effect of different storage conditions on the stability and efficacy of some reconstituted oral antibiotic suspensions sold in port harcourt, nigeria. JPRI. 2018;20(3):1-10. doi: 10.9734/JPRI/2017/38553
[3] Amin F, Khan S, Shah SMH, et al. A new strategy for taste masking of azithromycin antibiotic: development, characterization, and evaluat...

InpharmD's Answer GPT's Answer

Author:gabrielle pak, PharmD, BCPS + InpharmD™ AI

INTRODUCTION BY INPHARMD™ RESEARCHER

The purpose of the present study was to determine the effects of oral antioxidant treatment with N-acetylcysteine (NAC) on respiratory, cardiovascular, and locomotor muscle function and exercise tolerance in patients with mild COPD. Thirteen patients [forced expiratory volume in 1 s (FEV1)-to-forced vital capacity ratio <lower limit of normal (LLN) and FEV1 ≥ LLN) were enrolled in a double-blind, randomized crossover study to receive NAC (1,800 mg/day) or placebo for 4 days. Severe-intensity ...

Hydrogenosomes, found in parabasalids, anaerobic chytrid fungi, and ciliates, metabolize pyruvate anaerobically to generate ATP, acetate, CO(2), and hydrogen gas, employing enzymes not typically associated with mitochondria. Mitosomes that have been studied have no apparent role in energy metabolism. Recent investigations of free-living anaerobic protists have revealed a diversity of MROs with a wider array of metabolic properties that defy a simple functional classification. Here we describe an expressed sequence tag (EST) survey and ultrastructural investigation of the anaerobic heteroloboseid amoeba Sawyeria marylandensis aimed at understanding the properties of its MROs. This organism expresses typical anaerobic energy metabolic enzymes, such as pyruvate:ferredoxin oxidoreductase, [FeFe]-hydrogenase, and associated hydrogenase maturases with apparent organelle-targeting peptides, indicating that its MRO likely functions as a hydrogenosome. We also identified 38 genes encoding ca...

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A search of the published medical literature revealed 1 study investigating the researchable question:

What are therapeutic alternatives for Acetylcysteine Oral?

Level of evidence
C - Multiple studies with limitations or conflicting results  

READ MORE→

InpharmD's Answer GPT's Answer

Author:Neil Patel, PharmD, BCPS + InpharmD™ AI

INTRODUCTION BY INPHARMD™ RESEARCHER

Cancers rarely respond completely to immunotherapy. While tumors consist of multiple genetically distinct clones, whether this affects the potential for immune escape remains unclear due to an inability to isolate and propagate individual subclones from human cancers. Here, we leverage the multi-region TRACERx lung cancer evolution study to generate a patient-derived organoid - T cell co-culture platform that allows the functional analysis of subclonal immune escape at single clone resolution...

Cancers rarely respond completely to immunotherapy. While tumors consist of multiple genetically distinct clones, whether this affects the potential for immune escape remains unclear due to an inability to isolate and propagate individual subclones from human cancers. Here, we leverage the multi-region TRACERx lung cancer evolution study to generate a patient-derived organoid - T cell co-culture platform that allows the functional analysis of subclonal immune escape at single clone resolution. We establish organoid lines from 11 separate tumor regions from three patients, followed by isolation of 81 individual clonal sublines. Co-culture with tumor infiltrating lymphocytes (TIL) or natural killer (NK) cells reveals cancer-intrinsic and subclonal immune escape in all 3 patients. Immune evading subclones represent genetically distinct lineages with a unique evolutionary history. This indicates that immune evading and non-evading subclones can be isolated from the same tumor, suggestin...

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A search of the published medical literature revealed 1 study investigating the researchable question:

Subclonal immune evasion in non-small cell lung cancer

Level of evidence
B - One high-quality study or multiple studies with limitations  

READ MORE→

InpharmD's Answer GPT's Answer

Author:Neil Patel, PharmD, BCPS + InpharmD™ AI

INTRODUCTION BY INPHARMD™ RESEARCHER

Designer receptors exclusively activated by designer drugs (DREADDs) are chemogenetic tools for remotely controlling cellular signaling, neural activity, behavior, and physiology. Using a structure-guided approach, we provide a peripherally restricted Gi-DREADD, hydroxycarboxylic acid receptor DREADD (HCAD), whose native receptor is minimally expressed in the brain, and a chemical actuator that does not cross the blood-brain barrier (BBB). This was accomplished by combined mutagenesis, analog...

The androgens and androgen receptor (AR) play key roles in the prostate cancer (PCa) development and progression via epithelium-stroma cross talk. Prostate cancer-associated fibroblasts (CAFs) are dominant components in PCa stroma and are essential in the malignant progression by supporting tumorigenesis and metastasis. However, the AR roles in CAFs are still obscure. We isolated and immortalized the CAFs from human PCa tissues and found the CAFs are AR positive. We then knocked down their AR with siRNA and co-cultured the resultant CAFs with PCa cell line PC3. The MTT, invasion, and colony formation assays were performed to study the PC3 biological behavior. The results showed that the PCa epithelial growth, invasion, and colony formation abilities decreased when knocking down the CAFs AR. By using the real-time quantitative polymerase chain reaction, we found the IGF1, FGF7, FGF10, SDF1, HGF, and TGFb2 expression levels decreased in the AR knocked down CAFs. The CAFs and NPFs we...

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A search of the published medical literature revealed 1 study investigating the researchable question:

Structure-guided design of a peripherally restricted chemogenetic system?

Level of evidence
C - Multiple studies with limitations or conflicting results  

READ MORE→

1. Chinni SR, Li Y, Upadhyay S, Koppolu PK, Sarkar FH. Oncogene. 2001 May 24;20(23):2927-36. doi: 10.1038/sj.onc.1204365.
2. Benitez DA, Pozo-Guisado E, Alvarez-Barrientos A, Fernandez-Salguero PM, Castellón EA. J Androl. 2007 Mar-Apr;28(2):282-93. doi: 10.2164/jandrol.106.000968. Epub 2006 Oct 18.

Find answers, not documents.

Before InpharmD™


BeforeTime
Your team spends hours per week cobbling together literature from different studies, many behind paywalls, leaving little time for action.
BeforeTime
TI opportunities are discovered (or presented by third parties) months after the fact, resulting in costly missed savings.
BeforeTime
Decisions may be made without a complete picture, or pushed out while gathering consensus.

After InpharmD™


BeforeTime
InpharmD™ delivers customized, actionable drug information in real time, so you can focus on execution.
BeforeTime
Your team stays informed immediately when new data emerges or prices change, and you’ll always be the first to know when any changes impact your formulary.
BeforeTime
With InpharmD™, your team can make faster, more informed decisions and move forward with confidence.

What Clinical Pharmacists Are Saying...


     

Assists in our research and is a great way or us to get an answer to a medical question without spending an average of 2 hours researching UptoDate or PubMed ourselves.


  Jordan C., PharmD, New Jersey

     

Huge time saver with thorough responses.


  Jane D., PharmD, Georgia

     

I’d never heard of a DI pharmacist before, now I have one. In. My. Pocket. Amazing!


     

Holy Shhh. Cow! Holy Cow! These summaries are beautiful.


  Jane D., PharmD, Georgia

     

I just want to say: This is such a brilliant idea! You people are genius.


     

OH MY GOD WHERE HAVE YOU BEEN ALL MY LIFE!


     

I can’t tell you how much time I spend literature searching. And how I CANNOT STAND PAYWALLS. THIS IS UNBELIEVABLE!! (covers face for sec) thank you, thank you, thank you!


     

So they’re basically connecting academic researchers with front line providers and then automating everything. It’s simply brilliant.


     

The clinical pharmacist was our secret weapon anyway. (Smiles wryly) This pharmacist AI seems superhuman. I’m just blown away, honestly. (Looks at camera somberly.)


     

It’s an ENTIRE DI DEPARTMENT, that lives in Epic. Give me a second. I’m just having a hard time wrapping my head around that.


     

Sorry just give me a second, my mind is blown.


     

Stop reading and just download the app already! I’ve tried all of them. This is by far the most advanced, best-in-class.


   

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