0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Orthostatic Hypotension and Chronic Fatigue Syndrome—Reply

Peter C. Rowe, MD; Hugh Calkins, MD; Stephen E. Straus, MD
JAMA. 2001;285(11):1441-1443. doi:10.1001/jama.285.11.1441.
Text Size: A A A
Published online

Extract

In Reply: We do not think the study method of packaging ground fludrocortisone in a hard gelatin capsule with a methylcellulose filler would have interfered with absorption of the active drug, as Dr Baschetti suspects. In examining the dissolution rates of medications packed with various fillers into hard gelatin capsules, Shah and Moore1 identified a delay in dissolution of the medication only when starch was added as the filler to the capsule. Capsules containing ground tablets and various other fillers had varying (and sometimes faster) rates of dissolution than the unground, unencapsulated tablets themselves.1 Their concerns about bias therefore would not apply to the sort of capsule formulation used in our trial, since the capsules were not packaged with starch. We believe that Baschetti has misinterpreted the results of the study by Shah and Moore.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();