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Headaches are a common symptom of a stressful lifestyle, your body not feeling well and other issues. While headaches can be dealt with easily, migraines are not so easy to handle. Migraines are a type of headache that feels like severe throbbing and pulsing sensation, almost like you are hearing your own heartbeat in your brain, usually on one side of the brain. Many people believe that migraines are not that big of a deal because you just have to deal with the pain, but that is not all migraine is, some people find it very difficult to do their daily tasks as they experience dizzying spells, nausea and extreme sensitivity to light and sound! These attacks can last hours and make it difficult for people to go about their daily lives as well. While there are medications available for migraine patients, these medications need time to take effect, so you may be in a lot of pain, but there are not many quick reliefs you can have in place other than learning the symptoms of a migraine attack and taking medication before it happens. But a new approval by the FDA may change this!
The U.S. Food and Drug Administration (FDA) has approved Symbravo, a new medicine to treat acute migraine attacks in adults. This means adults can now use Symbravo to get relief from their migraine symptoms. The FDA's decision was based on the results of three big studies, called Phase 3 trials. These trials involved over 21,000 migraine attacks, so the FDA has a lot of information about how well Symbravo works and how safe it is. The FDA only approves medicines that have been shown to be both safe and effective through a thorough testing process.
"Migraine attacks can happen suddenly and really mess up people's lives. It's estimated that over 39 million people in the U.S. alone get migraines," said Herriot Tabuteau, M.D., CEO of Axsome Therapeutics told US News. This shows how common migraines are and how important it is to have good treatments. "Symbravo gives patients and doctors a new option that can quickly stop a migraine attack, keep it away, and let people get back to their normal activities, all with just one dose." Having a medicine that can give fast and long-lasting relief from migraine pain is a big deal for millions of people. This new treatment is a real step forward in how we treat migraines.
The trials took place in 3 steps, the Momentum trial study focused on people whose migraines had moderate to severe pain. The results showed that a lot more people taking Symbravo felt pain-free two hours after taking the medicine compared to those who took a placebo which is a dummy pill. Even better, many people felt relief for up to 24 and even 48 hours after just one dose. This long-lasting relief is really important for people with migraines because it means they can get back to their normal lives without worrying about the pain coming back. The study also looked at how many people were free from their worst symptom, like sensitivity to light or sound, or nausea. Symbravo worked better than the placebo in this area too.
While the intercept trial looked at people who took Symbravo when their migraine pain was still mild. Even when the pain was just starting, Symbravo was effective. The results were similar to the MOMENTUM trial, with many people getting pain relief and relief from their worst symptoms. Treating migraines early is often better because it can stop the pain from getting really bad.
And lastly the Movement trial which was to see how safe the medication is when people take it regularly. This study followed 706 people who had at least two migraines a month. The most common side effects people experienced were sleepiness and dizziness. While these side effects are important to know about, the study showed that Symbravo is generally safe for people to use on a regular basis.
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The Supreme Court of India has slammed the steep mark-ups private hospitals charge for cancer medicines, describing excessive pricing as “loot” and “dacoity” as it considers whether tighter regulations are needed to protect patients.
During a hearing on October 27, a bench of Justices Vikram Nath and Sandeep Mehta reserved its verdict on petitions seeking stronger controls on the prices of medicines.
The court highlighted the financial burden faced by people who need life-saving treatment, especially those battling cancer, and questioned whether the government’s current pricing framework protects patients from excessive healthcare costs.
Also read: India Caps Cancer Drug Trade Margins At 30%; Patients May Save Rs 2,500 Crore Annually
The Court was hearing a public interest litigation (PIL) filed by advocate Kishan Chand Jain who sought seeking mandatory generic drug prescriptions, stricter initial price controls on non-scheduled medicines, and statutory margin caps on medical devices under the Drug Price Control Order (DPCO).
One example cited by the court is of a medicine distributor whose wife was undergoing cancer treatment at a prominent private hospital.
According to the account presented during the hearing, the distributor offered to procure a chemotherapy injection at his dealer price of ₹11,000, but the hospital charged ₹1.3 lakh for the same medicine.
“Can you show any justification for this loot, please? Why this difference? Where does the money go?” the bench asked.
The judges also questioned the pricing of routine hospital supplies. A saline drip line with a cost ₹15 was reportedly being billed to patients at ₹250.
These examples raised questions about how medicine procurement costs, manufacturer discounts, hospital operating expenses and final patient bills are accounted for.
The Court also addressed Centre's recent decision to cap trade margins for anti-cancer drugs at 30 percent but how nearly 90 percent of medicines available in the market remain outside the purview of the Drug Price Control Order (DPCO).
"Why is the DPCO in place at all? The government is allowing this to happen. There have been three parliamentary committees on this. And their outcome is not very convenient to people who pull the strings, let us tell you," the Bench remarked.
Also read: 137 Cancer Drugs To Cost Up To 70% Less From November 9: NPPA Caps Trade Margins
India regulates prices of scheduled medicines under the Drugs (Prices Control) Order, 2013. The government has also introduced trade margin limits for a few anti-cancer medicines.
During the hearing, the Centre said trade margins on 137 anti-cancer medicines had been capped at 30% of the maximum retail price (MRP), a measure it estimated could save patients around ₹2,500 crore annually.
The court questioned why such interventions were limited to only a few medicines and whether a bigger and more comprehensive drug regulation was needed.
The petitions seek measures including mandatory generic prescriptions, controls on the initial prices of non-scheduled medicines and limits on trade margins for medical devices.
Representing private hospitals, senior advocate Mukul Rohatgi argued that healthcare institutions must maintain round-the-clock infrastructure and cover substantial operating costs. He also raised concerns about patients bringing medicines from outside, including the risk of counterfeit products.
The Centre maintained that medicine pricing policy must balance affordability with investment, competition and the sustainability of the pharmaceutical sector.
Additional Solicitor General Aishwarya Bhati told the court that the government continued to review its rules. The bench questioned whether these considerations addressed patients’ limited bargaining power when they need life-saving treatment.
"Your calibration is too wayward. ₹11,000 to ₹1,30,000 is no calibration. When you talk of patients and life, should we have such capitalistic thinking. Hospitals can survive through other means. Not through this dacoity,” the bench remarked, according to reports of the proceedings.
The Supreme Court has reserved its verdict. Until the order is delivered, no new price cap should be assumed. The court’s decision could influence future regulation of medicine prices and hospital mark-ups.
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The US Centers for Disease Control and Prevention (CDC) recently released a report that stated drug-resistant infections are causing an estimated 50,800 deaths and 9.7 million infections annually in the United States.
Common bacterial infections are usually treated with antibiotics but some germs develop the ability to resist the medicines designed to fight them. This is a grave threat to public health.
The agency has classified four pathogens as urgent threats, warning that resistance to antibiotics and antifungal medicines is making some infections difficult to treat.
The CDC’s 2026 Antimicrobial Resistance Threats Report, released on October 27, is based on data from 2023. It examines 19 drug-resistant bacterial and fungal threats, categorising them as urgent, serious or concerning based on factors including their effects, spread, preventability and the availability of effective treatments.
“Antimicrobial resistance threatens modern medicine and puts millions of Americans at risk every year,” CDC Director Dr Erica Schwartz said in a statement.
The federal health agency has identified the following four pathogens as requiring urgent and aggressive action.
Candida auris, a fungus that can cause severe infections, includes potentially fatal bloodstream infections, particularly in people who are already seriously ill. It is a major concern in hospitals and nursing homes because it can be transmitted through contaminated surfaces and medical equipment like catheters, and some strains resist multiple antifungal medicines.
The CDC recorded 4,523 cases in the United States in 2023. Cases increased by more than 50% between 2022 and 2023, according to the report.
People can carry the fungus on their skin without developing symptoms, allowing it to spread in healthcare environments.
Gonorrhoea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. The infection can be treated with antibiotics, but the bacterium has developed resistance to several medicines.
The CDC estimates that approximately 787,000 drug-resistant gonorrhoea infections occurred in the US in 2023. Untreated gonorrhoea can cause pelvic inflammatory disease, infertility and other reproductive complications.
The growing resistance leaves healthcare providers with fewer reliable treatment options, making surveillance and the development of new antibiotics important.
CRE are a group of bacteria, including some strains of Escherichia coli and Klebsiella, that resist carbapenems, a powerful class of antibiotics often reserved for difficult-to-treat infections.
These bacteria can cause infections in the bloodstream, lungs and urinary tract. They pose a particular risk to hospital patients, especially those with weakened immune systems, catheters or ventilators.
In 2023, CRE caused an estimated 14,878 infections among hospitalised patients and 1,252 deaths in the US. Drug resistance can leave doctors with few effective treatment options.
Carbapenem-resistant Acinetobacter is another group of bacteria that can cause serious infections, particularly among critically ill patients in healthcare settings. These include pneumonia, bloodstream infections and infections associated with wounds.
Resistance to carbapenems makes these infections difficult to treat and can increase the risk of complications and death.
The CDC is also monitoring six more kinds of germs. One is drug-resistant ringworm, a fungal skin infection that is becoming harder to treat with standard fungal medications. The health body says misusing over-the-counter antifungal creams and using steroid-antifungal cream combinations may contribute to resistance.
Antimicrobial resistance occurs when bacteria, fungi and other pathogens develop the ability to survive medicines designed to kill them or stop their growth. This can happen through genetic changes and the spread of resistance mechanisms between microbes. The unnecessary or inappropriate use of antimicrobial medicines can accelerate the process.
The consequences extend beyond infections themselves. Drug resistance can prolong hospital stays, increase healthcare costs and make procedures like surgery, cancer treatment and organ transplantation riskier because these depend on effective medicines to treat infections.
Infections commonly associated with healthcare settings accounted for more than 42,000 deaths and nearly $12 billion in US healthcare costs in 2023, according to the report.
The CDC also reported progress in some areas. Clostridioides difficile, a bacterium associated with severe diarrhoea and often linked to antibiotic use, was downgraded from an urgent to a serious threat. The agency attributed the change partly to improvements in infection prevention and antibiotic stewardship.
However, the CDC cautioned that its methods and data sources changed substantially since its previous report. The latest estimates therefore cannot be directly compared with older figures to determine how much the overall burden has increased.
The CDC recommends using antibiotics only when prescribed by a healthcare professional and taking them exactly as directed. Antibiotics do not treat viral infections like the common cold or flu.
Hand hygiene, vaccinations, infection-control measures in healthcare environments including appropriate prescribing practices can also help limit the spread of resistant pathogens.
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Joshua, 27, was diagnosed with autism at two and a half. He was nonverbal and experienced severe anxiety, while getting a full night's sleep remained a struggle for years.
An experimental drug called L1-79, touted as ‘Ozempic Of Autism' has reportedly brought significant improvements in his condition, according to the Daily Mail, raising interest in its potential to address core features of autism spectrum disorder (ASD).
Developed by Yamo Pharmaceuticals, L1-79 is an oral drug designed to target core symptoms of autism.
Joshua’s psychiatrist of eight years, Dr. Eric Bartky, an autism specialist involved in the US FDA trial of L1-79, asked his parents Linda and Jim Turteltaub to consider trying the drug.
The decision involved uncertainty. Taking part in the trial required Joshua to stop all his other medications, and the potential side effects of the new treatment were not fully known. Despite these concerns, his parents decided in 2015 to give it a try.
“We just wanted something to address the issues, to try and get him better so that he can at least communicate with us,” Linda said.
According to the report, Joshua showed his first notable improvement within a week of beginning treatment.
Also read: Autism Care Begins Early: Why the First 1,000 Days Matter Most, Says AIIMS Expert
Yamo Pharmaceuticals describes L1-79 as a selective inhibitor of tyrosine hydroxylase, an enzyme involved in the production of dopamine and norepinephrine.
The drug is intended to lower the production of these chemical messengers in an effort to regulate pathways that may contribute to sensory overload and social withdrawal in people with autism.
Dr. Bartky said the drug differs from existing approaches because it aims to address core features of autism, including social interaction and communication.
“What makes L1-79 different is that L1-79 treats the core symptoms of autism, things like socialization and communications, things that go along with that like eye contact, reciprocal conversation, nonverbal communication, such as reading social nuance. These are things that are extremely important for a person's emotional growth and functioning in society.”
The response to treatment has varied among Dr. Bartky's patients, reflecting the wide range of symptoms associated with ASD.
Read More: Stem Cell Therapy For Autism: What India’s New Advisory Means For Patients
There is currently no single medication that treats all the core features of autism spectrum disorder. Several medications are prescribed to manage particular behavioral patterns and associated conditions.
L1-79 is being investigated as a potential treatment that could address autism's underlying neurological features. The Daily Mail reported that 116 patients had participated in L1-79's three clinical trials.
The drug has received Fast Track designation from the US Food and Drug Administration (FDA). This program is intended to facilitate the development and review of treatments for serious conditions that address unmet medical needs.
Although the designation does not shorten the clinical trial process, it can make a drug eligible for priority review. Under this pathway, the FDA aims to complete its review within six months, compared with the standard 10-month timeline.
Dr. Bartky also pointed to what he described as L1-79's safety profile.
Some existing medications can cause serious side effects, including dyskinesia, which involves involuntary movements that can sometimes be permanent; metabolic syndrome, a group of conditions associated with increased risks of heart disease, stroke and type 2 diabetes; and hypertension. Dr. Bartky said L1-79 had “not had one single serious side effect.”
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