BUYERS' GUIDE 2013 - Podiatry Management

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BUYERS' GUIDE 2013 - Podiatry Management
2013
 BUYERS’ GUIDE
          I
               f knowledge is power, then time is surely money. That’s the idea be-
               hind the Podiatry Management Annual Buyers’ Guide. To save you time
               by providing you an easy and convenient source of all the major podi-
          atric products and services you use in the everyday course of running your
          practice.
              This year’s guide is divided into two parts. Part I lists company names
          alphabetically and provides pertinent address and phone/fax/website infor-
          mation, with additional product and/or service data for advertisers in this
          special edition.
              Part II, which starts on page 163, lists companies or organizations ac-
          cording to the type of product or service they provide. Listings in many
          cases feature both company/organization and product name; thus, if you’re
          looking for Naftin under ‘Pharmaceuticals: Anti-Fungals,’ you can find this
          brand name even if you don’t know that Merz is the manufacturer.
              Another cross-referencing feature makes it easier for you to find relat-
          ed products. For example, if you’re looking in the ‘Orthotics, Prefabricat-
          ed’ category, you will also find the cross-reference ‘See also: Insoles, Heel
          Supports, and Pads.’
              If you have an office manual, we recommend that you photocopy
          these pages and add them to your source lists. That way, the next time
          you run short of x-rays, for example, you can quickly locate a supplier. In-
          cidentally, we encourage you to support these suppliers. Collectively, they
          provide the advertising dollars necessary to support magazines such as
          this; and many, as well, contribute to podiatric student scholarships and
          research.
                                                                        Continued on page 126

www.podiatrym.com                                                MARCH 2013 | PODIATRY MANAGEMENT | 125
BUYERS' GUIDE 2013 - Podiatry Management
2013
                                                                                  2013
                                                            BUYERS’ GUIDE
                                         PART I: WHO’S WHO
A

             1ST PROVIDERS                          and become a Fellow while grand-        and develop products that prevent       AETREX
             CHOICE                                 fathering still exists. APWH is the     pain and injury and help patients       WORLDWIDE, INC.
WHO’S WHO

               (480) 782-1116                       ONLY physician-specific member-         heal as quickly and comfortably as         414 Alfred Ave.
               www.1st providerschoice.com          ship organization in the US provid-     possible, in the most appropriate          Teaneck, NJ 07666
             20/20 IMAGING                          ing physician-directed education,       way. Active Innovations has solu-          (800) 526-2739
               471 Jennings Dr., Ste. A             advocacy and representation. The        tions not only for the foot and            Fax: (201) 833-1485
               Lake in the Hills, IL 60156          APWH represents physicians deal-        ankle, but also the knee, hand,            www.aetrex.com
               (866) 734-6234                       ing with at-risk patients to legisla-   wrist and elbow.                           e-mail: info@aetrex.com
               www.2020imaging.net                  tures and administrators address-                     RSN 3;                    Aetrex Worldwide Inc., is widely
               email: info@2020imaging.net          ing the ongoing changes in the Na-               see adv. p. 179                recognized as a global leader in
                                                    tional Healthcare delivery system.                                              pedorthic footwear and orthotics.
                                                    Educational directives differ from      ADVANTAGE LAB                           We are proud to offer the most

             A                                      other wound healing organizations
                                                    because the APWH addresses
                                                    physicians’ needs while other or-
                                                                                              130B E. Jefryn Blvd.
                                                                                              Deer Park, NY 11729
                                                                                              (866) 548-3668
                                                                                                                                    comprehensive line of PDAC veri-
                                                                                                                                    fied diabetic footwear that pro-
                                                                                                                                    vides superior comfort and pro-
             THE ACADEMY OF                         ganizations have a large nursing                                                tection in fashion-forward styles.
             AMBULATORY FOOT AND                    and physical therapy membership         AEROLASE                                Ideal for those requiring maximum
             ANKLE SURGERY (AAFAS)                  influencing the educational pro-            777 Old Saw Mill River Rd.          adjustability, advanced technologi-
                1601 Walnut St., Ste. 1005          gramming. APWH educational                  Tarrytown, NY 10591                 cal features and state of the art
                Phila., PA 19102                    goals and objectives focus on how           (914) 345-8300                      materials to help you lead a
                (800) 433-4892                      to both manage and treat the dis-           Fax: (914) 345-8303                 healthy and active lifestyle. The
                (215) 569-3303                      ease, in addition to the wound. As          www.aerolase.com                    newly launched Custom Diabetic
                Fax: (215) 569-3310                 physicians we differ from nurses        The LightPod Forte ®, Nd:YAG            Orthotics Program provides a
                www.aafas.org                       and other healthcare professionals      1064nm laser by Aerolase, brings        “one stop shop” experience and
             The mission of the Academy of          in that we are responsible for diag-    new revenue streams and an ex-          ensures a perfect fit each and
             Ambulatory Foot & Ankle Surgery        nosis, writing orders and manage-       cellent potential return on in-         every time.
             (AAFAS) is the promotion and ed-       ment. This necessitates an organi-      vestment to the podiatrist. No             And with our unique in-house
             ucation of minimal invasive foot       zation that reflects the differences    costly service contract, gels or        display program to showcase the
             and ankle surgery. The Academy         between doctors and the other           consumables limit your cost of          different style options and sizing
             of Ambulatory Foot & Ankle             wound care team members. Learn          ownership solely to the initial         runs, your practice will benefit from
             Surgery is an international associa-   more about our “Congressional           purchase. LightPod lasers repre-        increased sales, efficient operations
             tion of multi-disciplined surgeons,    Physician” program as well as           sent a new technology platform,         and improved patient care.
             including podiatrists, orthopedic      other aspects and/or join the           which eliminates fiber-optic ca-                       RSN 5;
             surgeons and allopathic physicians,    Academy at www.APWH.org                 bles and water-cooling subsys-                      see adv. p. 5
             who are dedicated to the correc-                      RSN 2;                   tems, thus avoiding system
             tion of foot and ankle pathology                 see adv. p. 93                downtime and repair costs to            AGEWELL
             using minimal invasive procedures.                                             keep your practice running              PHARMACY
             The mission is to improve public       ACOR                                    smoothly and profitably.                  191 W Burton Mesa Blvd, Ste. 4
             health through education, ambula-      ORTHOPAEDIC                                 With a much higher power out-         Lompoc, CA 93436
             tion, rehabilitation and research.       18530 S. Miles Pkwy.                  put than some other podiatry              (805) 733-2061
             Membership includes physicians in        Cleveland, OH 44128                   lasers, the LightPod Forte® enables     ALI-MED
             North America, Central America,          (800) 237-2267 (ACOR)                 safe, quick, and effective laser          297 High St.
             South America, Europe, Asia and          (216) 662-4500                        treatments. It delivers treatment         Dedham, MA 02026
             Middle East.                             Fax: (216) 662-4547                   times of 5-15 minutes to optimize         (800) 225-2610
                            RSN 1;                    www.acor.com                          your schedule and fit more pa-          ALGEOS
                        see adv. p. 116               e-mail: email@acor.com                tients into each day. Fluences of         PO Box 116
                                                                                            up to 318 j/cm2 ensure superior           Manhattan Beach, CA 90267
             THE ACADEMY OF                         ACTIVE                                  efficacy rates for a highly satisfied     (310) 466-2280
             PHYSICIANS IN WOUND                    INNOVATIONS                             patient base.                             www.algeos.us
             HEALING (APWH)                            PO Box 1001                              Truly portable at just 22 lbs.,
                3524 Yadkinville Rd.,                  Gardner, KS 66030                    with only one handpiece, the            ALLIED OSI LABS
                Suite # 194                            (800) 800-2896                       LightPod Forte ® features more            6299 Guion Rd.
                Winston Salem, NC 27106                Fax (913) 884-5626                   than 10 applications ,including co-       Indianapolis, IN 46268
                (336) 923-5604                      www.activeinnovations.net               agulation of soft tissue, warts,          (800) 444-3632
                www.APWH.org                        email: info@activeinnovations.net       spider veins, scars, tattoos and          Fax: (800) 233-2280
             The Academy of Physicians in           Active Innovations, medical divi-       many other medical and aesthetic          www.alliedosilabs.com
             Wound Healing (APWH) com-              sion of Active Ankle—subsidiary of      treatments.                               e-mail: cmeyer@aolabs.com
             pletely addresses the needs of the     Cramer Products—works with                             RSN 4;                   For custom orthotics and AFOs or
             physician in wound healing. Join       medical professionals to design                    see adv. p. 151
                                                                                                                                              Continued on page 127

            126 | MARCH 2013 | PODIATRY MANAGEMENT                                                                                               www.podiatrym.com
BUYERS' GUIDE 2013 - Podiatry Management
This Little Piggy Had ONMEL                                                                      ™

                                 (itraconazole) 200-mg tablets

                                             Provide the efficacy of itraconazole
                                                in a single, once-daily tablet1

Indications and Usage
ONMEL is indicated for the treatment of onychomycosis of the toenail due to Trichophyton rubrum or T. mentagrophytes in
non-immunocompromised patients. Prior to initiating treatment, appropriate nail specimens for laboratory testing (KOH preparation,
fungal culture, or nail biopsy) should be obtained to confirm the diagnosis of onychomycosis.
Important Safety Information for ONMEL

 WARNING: CONGESTIVE HEART FAILURE, CARDIAC EFFECTS, AND DRUG INTERACTIONS
 Do not administer ONMEL for the treatment of onychomycosis in patients with evidence of ventricular dysfunction
 such as congestive heart failure (CHF) or a history of CHF. When itraconazole was administered intravenously to dogs and
 healthy human volunteers, negative inotropic effects were seen. If signs or symptoms of congestive heart failure occur during
 administration of ONMEL, discontinue administration.
 Drug Interactions: Co-administration of cisapride, pimozide, quinidine, dofetilide, levacetylmethadol (levomethadyl),
 felodipine, oral midazolam, nisoldipine, triazolam, lovastatin, simvastatin, ergot alkaloids such as dihydroergotamine,
 ergometrine (ergonovine), ergotamine and methylergometrine (methylergonovine) or methadone with ONMEL
 is contraindicated. ONMEL, a potent cytochrome P450 3A4 isoenzyme system (CYP3A4) inhibitor, may increase plasma
 concentrations of drugs metabolized by this pathway. Serious cardiovascular events, including QT prolongation, torsades de pointes,
 ventricular tachycardia, cardiac arrest, and/or sudden death have occurred in patients using cisapride, pimozide, levacetylmethadol
 (levomethadyl), methadone or quinidine concomitantly with itraconazole and/or other CYP3A4 inhibitors.

                            Please see Important Safety Information included in accompanying
                            full Prescribing Information for ONMEL, including BOXED WARNING.
                                    For more information, please visit www.ONMEL.com

                                                                                            Reference: 1. ONMEL [package insert].
                                                                                            Greensboro, NC: Merz Pharmaceuticals, LLC; 2012.
                                                                                            ONMEL and the ONMEL logo are trademarks
                                                                                            of Merz Pharmaceuticals, LLC. © 2013 Merz
                                                                                            Pharmaceuticals, LLC. All rights reserved.
                                                                                            5011975 January 2013
BUYERS' GUIDE 2013 - Podiatry Management
ONMEL™ (itraconazole)                            Anaphylaxis and hypersensitivity have been         those of itraconazole. In addition, itraconazole   Ear and labyrinth disorders: Transient or per-       Drug plasma concentration increased by
Initial U.S. Approval: 1992                      reported with use of itraconazole. ONMEL is        can inhibit the metabolism of calcium channel      manent hearing loss, tinnitus                        itraconazole
                                                 contraindicated for patients who have shown        blockers. Therefore, caution should be used        Cardiac disorders: Congestive heart failure          Antiarrhythmics: digoxin, dofetilide, quini-
Brief Summary: For complete details,             hypersensitivity to itraconazole products.         when co-administering itraconazole and cal-
please see full Prescribing Information.                                                                                                                                                                    dine, disopyramide
                                                                                                    cium channel blockers due to an increased risk     Respiratory, thoracic and mediastinal disor-
                                                 WARNINGS AND PRECAUTIONS                           of CHF. Concomitant administration of ONMEL        ders: Pulmonary edema                                Anticonvulsants: carbamazepine
WARNING: CONGESTIVE HEART                        Congestive Heart Failure, Peripheral
FAILURE, CARDIAC EFFECTS, AND                                                                       and nisoldipine is contraindicated.                Gastrointestinal disorders: Abdominal pain,          Anti-HIV Agents: indinavir, ritonavir, saquina-
                                                 Edema, and Pulmonary Edema                                                                                                                                 vir, maraviroc
DRUG INTERACTIONS                                                                                                                                      vomiting, dyspepsia, nausea, diarrhea, consti-
                                                 Cases of CHF, peripheral edema, and pulmo-         Neuropathy
Do not administer ONMEL for the                                                                                                                        pation, dysgeusia                                    Antineoplastics: busulfan, docetaxel, vinca
                                                 nary edema have been reported with itracon-        If neuropathy occurs that may be attributable
treatment of onychomycosis in pa-                azole administration among patients being                                                             Hepato-biliary disorders: Serious hepato-            alkaloids
                                                                                                    to ONMEL, the treatment should be discon-
tients with evidence of ventricular              treated for onychomycosis and/or systemic                                                             toxicity (including some cases of fatal acute        Antipsychotics: pimozide
                                                                                                    tinued.
dysfunction such as congestive heart             fungal infections.                                                                                    liver failure), hepatitis, reversible increases in
failure (CHF) or a history of CHF. When                                                                                                                                                                     Benzodiazepines: alprazolam, diazepam, mid-
                                                                                                    Hearing Loss                                       hepatic enzymes
itraconazole was administered intravenously                                                                                                                                                                 azolam,2 triazolam
                                                 Cardiac Dysrhythmias                               Transient or permanent hearing loss has been
to dogs and healthy human volunteers, neg-       Life-threatening cardiac dysrhythmias and/or                                                          Skin and subcutaneous tissue disorders: Toxic        Calcium Channel Blockers: dihydropyridines
                                                                                                    reported in patients receiving treatment with
ative inotropic effects were seen. If signs or   sudden death have occurred in patients using       itraconazole. Several of these reports included    epidermal necrolysis, Stevens-Johnson syn-           (including nisoldipine and felodipine), ver-
symptoms of congestive heart failure occur       cisapride, pimozide, levacetylmethadol (levo-      concurrent administration of quinidine which       drome, exfoliative dermatitis, leukocytoclas-        apamil
during administration of ONMEL, discontinue      methadyl), methadone, or quinidine concom-         is contraindicated. The hearing loss usually       tic vasculitis, erythema multiforme, alopecia,
                                                                                                                                                                                                            Gastrointestinal Motility Agents: cisapride
administration.                                  itantly with itraconazole and/or other CYP3A4      resolves when treatment is stopped, but can        photosensitivity, rash, urticaria, pruritus
                                                                                                                                                                                                            HMG CoA-Reductase Inhibitors: atorvastatin,
Drug Interactions: Co-administration             inhibitors. Concomitant administration of          persist in some patients.                          Musculoskeletal and connective tissue disor-         cerivastatin, lovastatin, simvastatin
of cisapride, pimozide, quinidine,               these drugs with ONMEL is contraindicated.                                                            ders: Myalgia, arthralgia
dofetilide, levacetylmethadol (levo-                                                                ADVERSE REACTIONS                                                                                       Immunosuppressants: Cyclosporine, tacroli-
                                                 Cardiac Disease                                    Clinical Trials Experience                         Renal and urinary disorders: Urinary inconti-        mus, sirolimus
methadyl), felodipine, oral midazo-
                                                 ONMEL should not be administered in patients       Because clinical trials are conducted under        nence, pollakiuria
lam, nisoldipine, triazolam, lovasta-                                                                                                                                                                       Oral Hypoglycemics: oral hypoglycemics
tin, simvastatin, ergot alkaloids such           with evidence of ventricular dysfunction such      widely varying conditions, the adverse re-         Reproductive system and breast disorders:            (repaglinide)
as dihydroergotamine, ergometrine                as congestive heart failure (CHF) or a history     action rate observed in the clinical trials of a   Menstrual disorders, erectile dysfunction
                                                 of CHF.                                            drug cannot be directly compared to rates in                                                            Opiate Analgesics: fentanyl, levacetylmeth-
(ergonovine), ergotamine and meth-                                                                                                                     General disorders and administration site con-
                                                                                                    the clinical trials of another drug and may not                                                         adol (levomethadyl), methadone
ylergometrine (methylergonovine) or              Itraconazole has been shown to have a neg-                                                            ditions: Peripheral edema
methadone with ONMEL is contraindi-              ative inotropic effect. When itraconazole was      reflect the rates observed in clinical practice.                                                        Polyene Antifungals: amphotericin B
cated. ONMEL, a potent cytochrome P450           administered intravenously to anesthetized         Patients in the trial for toenail onychomycosis    DRUG INTERACTIONS                                    Other: ergot alkaloids, halofantrine, alfentanil,
3A4 isoenzyme system (CYP3A4) inhibitor,         dogs, a dose-related negative inotropic effect     were treated with a dosing regimen of 200 mg       Effects of ONMEL on Other Drugs                      buspirone, methylprednisolone, budesonide,
may increase plasma concentrations of drugs      was documented. In a healthy volunteer study       once daily for 12 consecutive weeks.               Itraconazole and its major metabolite, hy-           dexamethasone, fluticasone, warfarin, ci-
metabolized by this pathway. Serious cardio-     of itraconazole injection, transient, asymp-                                                          droxy-itraconazole, are strong inhibitors of         lostazol, eletriptan, fexofenadine, loperamide
                                                                                                    The most commonly reported adverse reac-
vascular events, including QT prolongation,      tomatic decreases in left ventricular ejection                                                        the cytochrome P450 3A4 isoenzyme system
                                                                                                    tion leading to discontinuation of ONMEL was                                                            Decrease plasma concentration of itraconazole
torsades de pointes, ventricular tachycardia,    fraction were observed using gated SPECT im-                                                          (CYP3A4). Therefore, concomitant adminis-
                                                                                                    increased hepatic enzyme (6 subjects, 1.0%),                                                            Anticonvulsants: carbamazepine, phenobarbi-
cardiac arrest, and/or sudden death have oc-     aging; these resolved before the next infusion,                                                       tration of ONMEL and certain drugs metabo-
                                                                                                    followed by dizziness (3 subjects, 0.5%). No                                                            tal, phenytoin
curred in patients using cisapride, pimozide,    12 hours later.                                    other adverse reaction leading to discontinua-     lized by the cytochrome CYP3A4 may result            Anti-HIV Agents: nevirapine, efavirenz
levacetylmethadol (levomethadyl), metha-
                                                 For patients with risk factors for congestive      tion occurred in more than one subject.            in increased plasma concentrations of those
done or quinidine concomitantly with itracon-                                                                                                                                                               Antimycobacterials: isoniazid, rifabutin, ri-
                                                 heart failure, physicians should carefully re-                                                        drugs due to decreased elimination, leading
azole and/or other CYP3A4 inhibitors.                                                               The adverse reactions reported by at least 1%                                                           fampin
                                                 view the risks and benefits of ONMEL therapy.                                                         to potentially serious and/or life-threatening
                                                                                                    of ONMEL-treated patients (N=582) and pla-
INDICATIONS AND USAGE                            These risk factors include cardiac disease such                                                       adverse events. Itraconazole is also an inhib-       Gastric Acid Suppressors/Neutralizers: ant-
                                                                                                    cebo (N=191) during 12 weeks of treatment,
ONMEL is indicated for the treatment of ony-     as ischemic and valvular disease; significant                                                         itor of P-glycoprotein (P-gp) transporter and        acids, H2-receptor antagonists, proton pump
                                                                                                    respectively, were upper respiratory tract
chomycosis of the toenail due to Trichophyton    pulmonary disease such as chronic obstructive                                                         may result in increased plasma concentrations        inhibitors
                                                                                                    infection (6.0%, 7.3%), bacteriuria (1.4%,
rubrum or T. mentagrophytes in non-immuno-       pulmonary disease; and renal failure and other                                                        of drugs whose gastrointestinal absorption           Increase plasma concentration of itraconazole
                                                                                                    1.6%), urinary tract infection (1.0%, 0.5%),
compromised patients. Prior to initiating        edematous disorders. Such patients should be                                                          is regulated by P-gp. Whenever possible,
                                                                                                    hepatic enzymes increased (2.9%, 0.0%),                                                                 Macrolide Antibiotics: clarithromycin, eryth-
treatment, appropriate nail specimens for        informed of the signs and symptoms of CHF,                                                            plasma concentrations of these drugs should
                                                                                                    electrocardiogram abnormal (1.4%, 1.6%),                                                                romycin
laboratory testing (KOH preparation, fungal      should be treated with caution, and should
                                                                                                    hypoacusis (3.3%, 3.1%), headache (2.2%,           be monitored, and dosage adjustments                 Anti-HIV Agents: indinavir, ritonavir
culture, or nail biopsy) should be obtained to   be monitored for signs and symptoms of CHF
                                                                                                    1.6%), dizziness (1.2%, 0.0%), abdominal           made after concomitant ONMEL therapy is
confirm the diagnosis of onychomycosis.          during treatment. If signs or symptoms of CHF                                                                                                              This list is not all-inclusive.
                                                                                                                                                                                                            1
                                                                                                    pain or discomfort (1.7%, 2.6%), diarrhea          initiated. When appropriate, clinical moni-
                                                 appear during administration of ONMEL, dis-
                                                                                                    (1.7%, 3.1%), nausea (1.7%, 1.6%), fatigue         toring for signs or symptoms of increased or         2
                                                                                                                                                                                                                For information on parenterally administered
CONTRAINDICATIONS                                continue administration.
                                                                                                    (1.5%, 2.6%), sinus bradycardia (1.0%, 0.0%),      prolonged pharmacologic effects is advised.              midazolam, see the Benzodiazepine para-
Congestive Heart Failure: Do not administer                                                         cough (1.2%, 0.0%), pharyngolaryngeal pain
                                                 Hepatic Effects                                                                                       Upon discontinuation, itraconazole plasma                graph below.
ONMEL for the treatment of onychomycosis in                                                         (1.0%, 0.5%), and back pain (1.2%, 2.1%).
patients with evidence of ventricular dysfunc-   Itraconazole has been associated with rare                                                            concentrations decline gradually (especially in      Selected drugs that are contraindi-
tion such as congestive heart failure (CHF) or   cases of serious hepatotoxicity, including liver                                                      patients with hepatic cirrhosis or in those re-      cated for use with itraconazole1
                                                                                                    Post Marketing Experience
a history of CHF.                                failure and death. Some of these cases had                                                            ceiving CYP3A4 inhibitors). This is particularly     Antipsychotics: pimozide
                                                                                                    The following adverse reactions have been
                                                 neither pre-existing liver disease nor a serious                                                      important when initiating therapy with drugs
Drug Interactions: Concomitant administration                                                       identified during post-approval use of                                                                  Antiarrhythmics: dofetilide, quinidine
                                                 underlying medical condition, and some of                                                             whose metabolism is affected by itraconazole.
of ONMEL and certain drugs that are metabo-                                                         itraconazole (all formulations). Because these
                                                 these cases developed within the first week                                                                                                                Benzodiazepines: oral midazolam2, triazolam
lized by the cytochrome P450 3A4 isoenzyme                                                          reactions are reported voluntarily from a          Effects of Other Drugs on ONMEL
                                                 of treatment. If clinical signs or symptoms                                                                                                                Calcium Channel Blockers: Nisoldipine, felodipine
system (CYP3A4) or where gastrointestinal                                                           population of uncertain size, it is not always
                                                 develop that are consistent with hepatotoxic-                                                         Inducers of CYP3A4 may decrease the plasma
absorption is regulated by P-gp may result                                                          possible to reliably estimate their frequency                                                           Ergot Alkaloids: dihydroergotamine, ergota-
                                                 ity, treatment should be discontinued imme-                                                           concentrations of itraconazole. ONMEL may
in increased plasma concentrations of those                                                         or establishing a causal relationship to drug                                                           mine, ergometrine (ergonovine), methylergo-
                                                 diately and liver function testing performed.                                                         not be effective in patients concomitantly tak-
drugs, leading to potentially serious and/or                                                        exposure.                                                                                               metrine (methylergonovine)
                                                 In patients with elevated or abnormal liver                                                           ing ONMEL and one of these drugs. Therefore,
life-threatening adverse events.                                                                    Blood and lymphatic system disorders: Leuko-
                                                 enzymes or active liver disease, or who have                                                          administration of these drugs with ONMEL is          Gastrointestinal Motility Agents: cisapride
Co-administration of cisapride, dofetilide,                                                         penia, neutropenia, thrombocytopenia               not recommended.
                                                 experienced liver toxicity with other drugs,                                                                                                               HMG CoA-Reductase Inhibitors: lovastatin,
ergot alkaloids such as dihydroergotamine,                                                          Immune system disorders: Anaphylaxis;
                                                 treatment with itraconazole is not recom-                                                             Inhibitors of CYP3A4 may increase the plasma         simvastatin
ergotamine, ergometrine (ergonovine), and                                                           anaphylactic, anaphylactoid and allergic re-
                                                 mended. Liver function monitoring should                                                              concentrations of itraconazole. Patients who         Opiate Analgesics: levacetylmethadol (levo-
methylergometrine       (methylergonovine),                                                         actions; serum sickness; angioneurotic edema
                                                 be done in patients with pre-existing hepatic                                                         must take ONMEL concomitantly with one of            methadyl), methadone
felodipine, levacetylmethadol (levo-
                                                 function abnormalities or those who have           Metabolism and nutritional disorders: Hyper-       these drugs should be monitored closely for
methadyl), lovastatin, methadone, oral                                                                                                                                                                      This list is not all-inclusive.
                                                                                                                                                                                                            1
                                                 experienced liver toxicity with other medica-      triglyceridemia, hypokalemia                       signs or symptoms of increased or prolonged
midazolam, nisoldipine, pimozide, quinidine,
                                                 tions and should be considered in all patients                                                        pharmacologic effects of ONMEL.
                                                                                                                                                                                                            2
                                                                                                                                                                                                                For information on parenterally administered
simvastatin, and triazolam with ONMEL is                                                            Nervous system disorders: Peripheral neurop-
                                                 receiving ONMEL.                                                                                                                                               midazolam, see the Benzodiazepine para-
contraindicated.                                                                                    athy, paresthesia, hypoesthesia, headache,         The following are selected drugs that altered            graph below.
Do not administer ONMEL for the treatment        Calcium Channel Blockers                           dizziness                                          or are predicted to alter the plasma concen-
of onychomycosis to pregnant patients or to      Calcium channel blockers can have negative         Eye disorders: Visual disturbances, including      tration of itraconazole or have their plasma         Antiarrhythmics
women contemplating pregnancy.                   inotropic effects which may be additive to         vision blurred and diplopia                        concentration altered by ONMEL.1                     The Class IA antiarrhythmic, quinidine and
BUYERS' GUIDE 2013 - Podiatry Management
class III antiarrhythmic, dofetilide are known      were given concomitantly with rifabutin or          itraconazole is impaired when gastric acid          administration of ONMEL and methadone or           tal abnormalities have been reported with
to prolong the QT interval. Co-administration       rifampin. In vivo data suggest that rifabutin is    production is decreased. ONMEL should be            levacetylmethadol are contraindicated.             itraconazole drug products in post-market-
of quinidine or dofetilide with itraconazole        metabolized in part by CYP3A4. ONMEL may            administered with a cola beverage if the pa-                                                           ing reports. Therefore, ONMEL should not be
                                                                                                                                                            Fentanyl plasma concentrations could be in-
may increase plasma concentrations of quini-        inhibit the metabolism of rifabutin. Although       tient has achlorhydria or is taking H2-receptor                                                        administered to pregnant women, women
dine or dofetilide, which could result in serious   no formal study data are available for isoni-                                                           creased or prolonged by concomitant use of
                                                                                                        antagonists or other gastric acid suppressors.      itraconazole and may cause potentially fatal       planning pregnancy, or women of child bear-
cardiovascular events. Therefore, concomitant       azid, similar effects should be anticipated.        It is advised that antacids be administered at                                                         ing potential unless these onychomycosis
administration of ONMEL and quinidine or            Therefore, the efficacy of ONMEL could be                                                               respiratory depression.
                                                                                                        least 1 hour before or 2 hours after admin-                                                            patients are using effective contraception
dofetilide is contraindicated.                      substantially reduced if given concomitantly                                                            In vitro data suggest that alfentanil is metabo-
                                                                                                        istration of ONMEL. In a clinical study, when                                                          measures to prevent pregnancy. Effective
                                                    with one of these agents and co-administra-                                                             lized by CYP3A4. Administration with itracon-
The Class IA antiarrhythmic, disopyramide                                                               itraconazole capsules were administered with                                                           contraceptive measures should continue
                                                    tion is not recommended.                                                                                azole may increase plasma concentrations of
has the potential to increase the QT interval                                                           omeprazole (a proton pump inhibitor), the                                                              throughout the treatment period and for two
at high plasma concentrations. Caution is                                                               bioavailability of itraconazole was significant-    alfentanil.                                        months thereafter. ONMEL should be used
                                                    Antineoplastics
advised when ONMEL and disopyramide are             ONMEL may inhibit the metabolism of busul-          ly reduced.                                                                                            during pregnancy only if the potential benefit
administered concomitantly.                                                                                                                                 Other
                                                    fan, docetaxel, and vinca alkaloids.                                                                                                                       justifies the potential risk to the fetus.
Concomitant administration of digoxin and                                                               Gastrointestinal Motility Agents                    • Elevated concentrations of ergot alka-
                                                                                                                                                              loids can cause ergotism, i.e., a risk for       Itraconazole produced a significant dose-re-
itraconazole has led to increased plasma            Antipsychotics                                      Co-administration of itraconazole with
concentrations of digoxin via inhibition of                                                                                                                   vasospasm potentially leading to cerebral        lated increase in maternal toxicity, embryo-
                                                    Pimozide is known to prolong the QT inter-          cisapride can elevate plasma cisapride con-
P-glycoprotein.                                     val and is partially metabolized by CYP3A4.                                                               ischemia and/or ischemia of the extremi-         toxicity, and teratogenicity in rats at dose
                                                                                                        centrations, which could result in serious
                                                    Co-administration of pimozide with itracon-                                                               ties. Concomitant administration of ergot        levels of 40-160 mg/kg/day (2-10 times
                                                                                                        cardiovascular events. Therefore, concomitant
Anticonvulsants                                     azole could result in serious cardiovascular                                                              alkaloids such as dihydroergotamine, er-         the maximum recommended human dose
                                                                                                        administration of ONMEL with cisapride is
Carbamazepine, phenobarbital, and phenyto-          events. Therefore, concomitant administra-                                                                gometrine (ergonovine), ergotamine and           [MRHD], based on mg/m2/day comparisons),
                                                                                                        contraindicated.
in are all inducers of CYP3A4. Reduced plasma       tion of ONMEL and pimozide is contraindi-                                                                 methylergometrine (methylergonovine)             and in mice at 80 mg/kg/day (2 times MRHD,
concentrations of itraconazole were reported        cated.                                                                                                    with ONMEL is contraindicated.                   based on mg/m2/day comparisons). Terato-
                                                                                                        3-Hydroxy-3-Methyl-Glutaryl CoA-
when itraconazole was administered con-                                                                                                                                                                        genic changes in rats included major skeletal
                                                    Increases in plasma aripiprazole concentra-         Reductase Inhibitors                                • Halofantrine has the potential to prolong
comitantly with phenytoin. Although interac-                                                                                                                                                                   defects; encephalocele and/or macroglossia
                                                    tions have been demonstrated in subjects            Human pharmacokinetic data suggest that               the QT interval at high plasma concentra-
tions with carbamazepine and phenobarbital                                                                                                                                                                     developed in mice.
                                                    concomitantly receiving ketoconazole,               itraconazole inhibits the metabolism of               tions. Caution is advised when ONMEL and
have not been studied, concomitant admin-
                                                    requiring a reduction of the aripiprazole           atorvastatin, cerivastatin, lovastatin, and
istration of ONMEL and these drugs would                                                                                                                      halofantrine are administered concomi-           Nursing Mothers
                                                    dose. Because of the similarities between           simvastatin, which may increase the risk of
be expected to result in decreased plasma                                                                                                                     tantly.                                          Itraconazole is excreted in human milk; there-
                                                    ketoconazole and itraconazole, a similar dose       skeletal muscle toxicity, including rhabdomy-
concentrations of itraconazole. In addition, in                                                                                                                                                                fore, the expected benefits of ONMEL therapy
                                                    reduction for aripiprazole is recommended                                                               • Human pharmacokinetic data suggest that
vivo studies have demonstrated an increase in                                                           olysis. Concomitant administration of ONMEL
                                                    when patients concomitantly receive itracon-                                                              concomitant administration of itraconazole       for the mother should be weighed against the
plasma carbamazepine concentrations in sub-                                                             with 3-Hydroxy-3-Methyl-Glutaryl (HMG)
                                                    azole and aripiprazole.                                                                                   and buspirone results in significant increas-    potential risk from exposure of itraconazole to
jects concomitantly receiving ketoconazole.                                                             CoA-Reductase inhibitors, such as lovastatin
Although there are no data regarding the                                                                                                                      es in plasma concentrations of buspirone.        the infant.
                                                    Benzodiazepines                                     and simvastatin, is contraindicated.
effect of itraconazole on carbamazepine me-                                                                                                                 • Itraconazole may inhibit the metabolism
                                                    Concomitant administration of itraconazole                                                                                                                 Pediatric Use
tabolism, because of the similarities between                                                           Immunosuppressants                                    of certain glucocorticosteroids such as
                                                    and alprazolam, diazepam, oral midazolam,                                                                                                                  The safety and effectiveness of ONMEL in pe-
ketoconazole and itraconazole, concomitant                                                              Concomitant administration of ONMEL                   budesonide, dexamethasone, fluticasone
administration of ONMEL and carbamazepine           or triazolam could lead to increased plasma                                                                                                                diatric patients have not been established. No
                                                    concentrations of these benzodiazepines. In-        and cyclosporine or tacrolimus has led to             and methylprednisolone.
may inhibit the metabolism of carbamaze-                                                                                                                                                                       pharmacokinetic data on ONMEL are available
                                                    creased plasma concentrations could potenti-        increased plasma concentrations of these            • Itraconazole enhances the anticoagulant
pine.                                                                                                                                                                                                          in children.
                                                    ate and prolong hypnotic and sedative effects.      immunosuppressants. Similarly, concomitant            effect of coumarin-like drugs, such as
Anti-HIV Agents                                     Concomitant administration of ONMEL and             administration of ONMEL and sirolimus could           warfarin.                                        Geriatric Use
Non-nucleoside Reverse Transcriptase Inhibi-        oral midazolam or triazolam is contraindicat-       increase plasma concentrations of sirolimus.                                                           ONMEL was evaluated in 42 of 593 subjects
                                                                                                                                                            • Cilostazol and eletriptan are CYP3A4
tors (NNRTI) such as nevirapine and efavirenz       ed. If midazolam is administered parenterally,      Monitoring of blood concentrations of cyclo-                                                           (7.1%) greater than 65 years of age.
are inducers of CYP3A4. Human pharmacoki-                                                                                                                     metabolized drugs that should be used
                                                    special precaution and patient monitoring           sporine, tacrolimus, or sirolimus are recom-          with caution when co-administered with           Transient or permanent hearing loss has
netic studies have shown that efavirenz, when       is required since the sedative effect may be        mended when ONMEL are co-administered                 ONMEL.                                           been reported in elderly patients receiving
concomitantly administered with itracon-            prolonged.                                          with these immunosuppressants and appro-                                                               treatment with itraconazole. Several of these
azole, greatly decreased serum concentrations                                                           priate dosage adjustments should be made.           • Co-administration of itraconazole with
of itraconazole and hydroxyl-itraconazole.                                                                                                                                                                     reports included concurrent administration of
                                                    Calcium Channel Blockers                                                                                  meloxicam decreased peak plasma con-
Concomitant use of ONMEL and efavirenz is                                                                                                                                                                      quinidine which is contraindicated. Itracon-
                                                    Calcium channel blockers can have a negative        Macrolide Antibiotics                                 centrations and the exposure of meloxicam
not recommended.                                                                                                                                                                                               azole should be used with care in elderly
                                                    inotropic effect which may be additive to           Erythromycin and clarithromycin are known             by 64% and 37%, respectively. Monitor
                                                                                                                                                                                                               patients.
In vivo studies have shown that nevirapine          those of itraconazole; itraconazole can inhibit     inhibitors of CYP3A4 and may increase plasma          patients for responses to meloxicam when
induces the metabolism of ketoconazole,             the metabolism of calcium channel blockers          concentrations of itraconazole.                       itraconazole is concomitantly administered       Renal Impairment
significantly reducing the bioavailability of       such as dihydropyridines (e.g., nifedipine,                                                               and dose adjustment should be considered         Limited data are available on the use of oral
ketoconazole. Studies involving nevirapine          nisoldipine, and felodipine) and verapamil.         Oral Hypoglycemic Agents                              if warranted.                                    itraconazole in patients with renal impair-
and itraconazole have not been conducted.           Therefore, caution should be used when              Severe hypoglycemia has been reported in
However, because of the similarities between                                                                                                                • Co-administration of itraconazole with           ment. Caution should be exercised when
                                                    co-administering itraconazole and calcium           patients concomitantly receiving azole anti-                                                           ONMEL is administered to patients with renal
ketoconazole and itraconazole, concomitant                                                                                                                    fexofenadine increased the peak plasma
                                                    channel blockers due to an increased risk of        fungal agents and oral hypoglycemic agents.                                                            impairment.
administration of ONMEL and nevirapine is                                                                                                                     concentration and the total exposure of
                                                    CHF.                                                A human pharmacokinetic study showed that
not recommended.                                                                                                                                              fexofenadine by approximately 3-fold and
                                                                                                        co-administration with itraconazole and a                                                              Hepatic Impairment
Concomitant administration of ONMEL and             Concomitant administration of ONMEL and                                                                   augmented its anti-histamine effects.
                                                                                                        single dose of repaglinide (on the third day of                                                        Limited data are available on the use of oral
protease inhibitors metabolized by CYP3A4,          nisoldipine results in clinically significant in-                                                       • Co-administration of itraconazole with
                                                                                                        a regimen of 200 mg initial dose, twice-daily                                                          itraconazole in patients with hepatic impair-
such as indinavir, ritonavir, and saquinavir,       creases in nisoldipine plasma concentrations,                                                             loperamide increased peak plasma con-
                                                                                                        100 mg itraconazole) resulted in a 1.4-fold                                                            ment. Caution should be exercised when ON-
may increase plasma concentrations of these         which cannot be managed by dosage reduc-                                                                  centrations of loperamide by 3-fold and
                                                                                                        higher repaglinide AUC. Blood glucose con-                                                             MEL is administered to patients with hepatic
protease inhibitors. In addition, concomitant       tion, therefore the concomitant administra-                                                               the total exposure by 3.9-fold. In addition,
                                                                                                        centrations should be carefully monitored                                                              impairment.
administration of ONMEL and indinavir and           tion of ONMEL and nisoldipine is contraindi-                                                              itraconazole is an inhibitor of P-glycopro-
ritonavir (but not saquinavir) may increase                                                             when ONMEL and oral hypoglycemic agents               tein and may inhibit the transport of loper-
                                                    cated. A clinical study showed that felodipine                                                                                                             OVERDOSAGE
plasma concentrations of itraconazole. Cau-                                                             are co-administered.                                  amide out of the brain, leading to elevated
                                                    exposure was increased by co-administration                                                                                                                Itraconazole is not removed by dialysis. In the
tion is advised when ONMEL and protease             of itraconazole, resulting in approximately                                                               concentrations of loperamide in the brain.
                                                                                                        Polyenes Antifungal Agents                                                                             event of accidental overdosage, supportive
inhibitors must be given concomitantly.             6-fold increase in the AUC and 8-fold increase                                                            Patients should be monitored for signs and
                                                                                                        Prior treatment with itraconazole, like other                                                          measures, including gastric lavage with
Concomitant administration of ONMEL and                                                                                                                       symptoms of loperamide overdose, such
                                                    in the Cmax. The concomitant use of ONMEL           azoles, may reduce or inhibit the activity of                                                          sodium bicarbonate, should be employed.
maraviroc has been reported to increase                                                                                                                       as CNS depression, including drowsiness,
                                                    and felodipine is contraindicated.                  polyenes such as amphotericin B. However,
plasma concentration of maraviroc. The dose                                                                                                                   dizziness and respiratory depression, and a
                                                    Edema has been reported in patients concom-         the clinical significance of this drug effect has     dose or dosing frequency should be adjust-       Manufactured by:
of maraviroc should be decreased to 150 mg
                                                    itantly receiving itraconazole and dihydropy-       not been clearly defined.                             ed as necessary.                                 Sanico N.V.
twice daily when given in combination with
                                                    ridine calcium channel blockers. Appropriate                                                                                                               2300 Turnhout, Belgium
itraconazole.                                                                                           Opiate Analgesics
                                                    dosage adjustment may be necessary.                                                                     USE IN SPECIFIC POPULATIONS
                                                                                                        Levacetylmethadol (levomethadyl) and                Pregnancy                                          Manufactured for
Antimycobacterials                                                                                                                                                                                             Merz Pharmaceuticals, LLC
Drug interaction studies have demonstrated          Gastric Acid Suppressors/Neutralizers               methadone are known to prolong the QT in-           Teratogenic effects.
                                                                                                                                                                                                               4215 Tudor Lane
that plasma concentrations of azole antifun-        Reduced plasma concentrations of itracon-           terval and are metabolized by CYP3A4. Co-ad-        Pregnancy Category C                               Greensboro, NC 27410
gal agents and their metabolites, including         azole were reported when administered               ministration of methadone or levacetylmeth-         There are no adequate and well-controlled
itraconazole and hydroxyitraconazole, were          concomitantly with H2-receptor antago-              adol with itraconazole could result in serious      clinical trials in the pregnant women with         SAP item #5011957
significantly decreased when these agents           nists. Studies have shown that absorption of        cardiovascular events. Therefore, concomitant       itraconazole. However, cases of congeni-           Rev date 01/2013
BUYERS' GUIDE 2013 - Podiatry Management
2013
                                                                        2013
                                                 BUYERS’ GUIDE
 over the counter products for chil-     heats a focused spot on the nail         and other members, and an “ask          AMERICAN ASSOCIATION

                                                                                                                                                                   WHO’S WHO
 dren and adults, call Allied OSI        bed, allowing for concentration in       the experts” program to help            OF HOSPITAL AND
 Labs. We have the products you          areas where the fungus lives. The        members get great solutions to          HEALTHCARE PODIATRISTS
 need to treat your patient’s foot       1064nm Nd:YAG module slowly              tough practice management prob-         (AAHHP)
 and ankle diagnoses. Let us help        heats the entire nail bed, killing the   lems. AAPPM also offers all mem-          c/o Frank Rinaldi, DPM
 you decide which product best fits      yeast organisms responsible for          bers discounts from our Corpo-            8508 18th Ave.
 into your treatment plan and your       the nail infection. Through this in-     rate Sponsors, free mentoring             Brooklyn, NY 11214-2912
 patient’s budget.                       novative platform, physicians and        conference calls on specific topics       (718) 259-1822
               RSN 6;                    aesthetic providers have added           and open forums, and weekly               Fax: (718) 259-4002
            see adv. p. 17               versatility in delivery options that     blast fax and email pearls. It’s only     www.hospitalpodiatrists.org
                                         can enhance the level of efficacy        $369 for doctor members; $169             e-mail: drdefoot@verizon.net
 ALL-PRO IMAGING, INC.                   for their patients.                      for associates in practice 4 years      AMERICAN ASSOCIATION
     1295 Walt Whitman Rd.                  “At Alma Lasers, we’re com-           and less; and $139 for podiatric        FOR WOMEN PODIATRISTS

                                                                                                                                                                   A
     Melville, NY 11747-3062             mitted to delivering the most ad-        staff members to join and take            www.aawpinc.com
     (888) 862-4050                      vanced, efficacious aesthetic and        your practice to the next level.
     Fax: (516) 433-3831                 medical solutions that add to clini-     Members of the AAPPM must               AMERICAN BOARD OF
     www.allproimaging.com               cal outcomes, promote positive           also be members of the APMA.            LOWER EXTREMITY
 The new ScanX ® 12 SE Digital           patient experience and maximize          Change your practice, change            SURGERY (ABLES)
 Imaging System features sharp dig-      return on investment for our cus-        your life! Visit www.AAPPM.org              6421 Inkster Rd., Ste. 102
 ital images, contoured design and a     tomers,” said Avi Farbstein, Exec-       and join AAPPM.                             Bloomfield Hills, MI 48301
 contemporary, light color scheme.       utive Vice President and General              RSN 9; see adv. p. 177                 (248) 855-7740
 Standard 10” x 12” imaging plates       Manager of the North American                                                        Fax: (248) 855-7743
 are ready for viewing in just 35        Operation. “We are excited to            AMERICAN ACADEMY OF                         e-mail:
 seconds and 8” x 10” plates can be      offer this unique technology to be       PODIATRIC SPORTS                            howardlazar@comcast.net
 viewed in about 30 seconds. The         accessible to patients worldwide.”       MEDICINE                                Because board certification is
 ScanX ®12 SE Package includes                          RSN 8;                       3121 NE 26th St                      widely accepted as the touchstone
 imaging software, computer hard-                   see adv. p. 117                  Ocala, FL 34470                      of physician quality, and is coveted
 ware, and three 10” x 12” imaging                                                   (352) 620-8562                       by physicians for the professional
 plates and accessories. Upgrading       AMERICAN ACADEMY OF                         Fax: (352) 620-8765                  esteem derived from this rigorous,
 to digital with the ScanX®12 SE is      PAIN MANAGEMENT                             www.aapsm.org                        intellectually invasive peer review
 extremely simple and the entire           13947 Mono Way, Ste. A                    email: ritayates2@aol.com            process, it must never be gratu-
 system requires minimal training          Sonora, CA 95370                       The AAPSM serves to advance             itously granted.
 so staff is up to speed in no time.       (209) 533-9744                         the understanding, prevention               ABLES has established a fair and
 The ScanX®12 SE Digital Imaging           Fax: (209) 533-9750                    and management of lower ex-             reliable process by which the sum
 System offers a unique advantage                                                 tremity sports and fitness injuries.    of one’s academic knowledge and
 over flat panel systems in that the     AMERICAN ACADEMY OF                      The Academy believes that pro-          that special wisdom borne of ex-
 self-contained imaging plates en-       PODIATRIC PRACTICE                       viding such knowledge to the            perience may be evaluated to
 able image acquisition wherever         MANAGEMENT                               profession and the public will op-      show that he merits certification
 your patient is—for example, pa-           1000 West St. Joseph Hwy              timize enjoyment and safe partici-      by this board via either of its two
 tients who are wheelchair bound,           Ste. 200                              pation in sports and fitness activi-    methods. ABLES has also imple-
 or in other situations where an or-        Lansing, MI 48915                     ties. The Academy accomplishes          mented an unmatched, mandato-
 thoposer cannot be utilized.               (517) 484-1930                        this mission through professional       ry, periodic, performance-based
        RSN 7; see adv. p. 99               Fax: (517) 485-9408                   education, scientific research,         recertification process by which
                                            www.aappm.com                         public awareness and member-            those who are certified by this
 ALMA LASERS                                e-mail: office@aappm.org              ship support.                           board may demonstrate continued
 (CLEAR CHOICE™)                         The American Academy of Podi-                 RSN 10; see adv. p. 134            merit.
    485 Half Day Rd. #100                atric Practice Management                                                            ABLES has set for itself the task
    Buffalo Grove, IL 60089              (AAPPM), an APMA affiliate, has a        AMERICAN ACADEMY OF                     of creating an interprofessional
    (866) 414-ALMA                       proud, 52-year history of provid-        WOUND MANAGEMENT                        membership. ABLES already has
    Fax (224) 377-2050                   ing members with the practice              1255 23rd St. NW, #200                MDs and DOs among it members.
    www.almalasers.com                   management education and re-               Washington, DC 20037-1174             This will foster the exchange of in-
 For the 35 million people world-        sources they need to practice              (202) 521-0368                        formation on scientific advances
 wide who suffer from onychomy-          more efficiently and profitably.           Fax: (202) 833-3636                   and evolving professional philoso-
 cosis, treatment for nail fungus has    AAPPM has over 2,220 DPM and               www.aawm.org                          phies. It will facilitate the creation
 been a challenge because the in-        podiatric staff members and is the         e-mail: woundnet@aawm.org             of a uniform standard of care for
 fection is embedded within the nail     premier practice management as-          THE AMERICAN                            all professionals treating the lower
 and is difficult to reach. But Alma     sociation educational resource in        ASSOCIATION OF                          extremity. It will help to obliterate
 Lasers’ innovative ClearChoice ap-      podiatry.                                COLLEGES OF PODIATRIC                   senseless discrimination among
 proach addresses onychomychosis            The Academy offers five world         MEDICINE (AACPM)                        academic degrees and organiza-
 from the inside out by targeting        class practice management meet-            15850 Crabbs Branch Way,              tional affiliations in the matter of
 the fungus located deep beneath         ings annually, an information-             Ste. 320                              professional privileging in hospitals
 the nail bed for visible results. The   packed web site, www.aappm.org             Rockville, MD 20855                   and MCOs.
 Q-switched module fires short           , a unique personal mentoring              (301) 948-9760                              RSN 11; see adv. p. 157
 bursts of higher energy and quickly     program for new practitioners              www.AACPM.org
                                                                                                                                    Continued on page 128

www.podiatrym.com                                                                                           MARCH 2013 | PODIATRY MANAGEMENT | 127
2013
                                                           2013
                                     BUYERS’ GUIDE
 AMERICAN BOARD OF              www.abmsp.org                       different podiatric specialties, in-   vation and Salvage.
 MULTIPLE SPECIALTIES IN        e-mail: abmsp@ptcny.com             cluding two specialty areas which         The ABMSP is excited to an-
 PODIATRY                     The American Board of Multiple        are unique to our board. Certifi-      nounce that we have recently be-
   1350 Broadway, 17th Flr.   Specialties in Podiatry has Provid-   cation is offered in Primary Care      come accredited by URAC.
   New York, NY 10018         ed excellence in podiatric certifi-   in Podiatric Medicine, Podiatric       URAC accredits many types of
   (888) 852-1442             cation for over 26 years. The         Surgery, Diabetic Foot Wounds          health care organizations including
   Fax: (212) 356-0678        ABMSP offers certification in four    and Footwear and Limb Preser-          hospitals, health plans, HMOs,
                                                                                                           PPOs, TPAs, and provider groups.
                                                                                                           The ABMSP is the first certifica-
                                                                                                           tion organization to be accredited
                                                                                                           by URAC.
                                                                                                                        RSN 12;
                                                                                                                    see adv. p. 175

                                                                                                           AMERICAN BOARD OF
                                                                                                           PODIATRIC MEDICINE
                                                                                                           (ABPM)
                                                                                                              3812 Sepulveda Blvd,
                                                                                                              Ste. 530
                                                                                                              Torrance, CA 90505
                                                                                                              (310) 375-0700
                                                                                                              Fax: (310) 375-1386
                                                                                                              www.ABPMed.org
                                                                                                              e-mail: admin@abpmed.org
                                                                                                           The American Board of Podiatric
                                                                                                           Medicine (ABPM) conducts com-
                                                                                                           prehensive board qualification
                                                                                                           and certification examination pro-
                                                                                                           cesses in podiatric medicine and
                                                                                                           orthopedics.
                                                                                                                        RSN 13;
                                                                                                                     see adv. p. 176

                                                                                                           AMERICAN BOARD OF
                                                                                                           PODIATRIC SURGERY
                                                                                                           (ABPS)
                                                                                                             1601 Dolores St.
                                                                                                             San Francisco, CA 94110
                                                                                                             (415) 826-3200
                                                                                                           AMERICAN COLLEGE OF
                                                                                                           FOOT AND ANKLE
                                                                                                           ORTHOPEDICS AND
                                                                                                           MEDICINE (ACFAOM)
                                                                                                             5272 River Rd., Ste. 630
                                                                                                             Bethesda, MD 20816
                                                                                                             (800) 265-8263
                                                                                                             Fax: (301) 656-0989
                                                                                                             www.acfaom.org
                                                                                                             e-mail: info@acfaom.org
                                                                                                           AMERICAN COLLEGE OF
                                                                                                           FOOT AND ANKLE
                                                                                                           PEDIATRICS
                                                                                                             8th and Race Streets
                                                                                                             Philadelphia, PA 19107
                                                                                                             (215) 629-0300 (ext. 354)

                                                                                                           AMERICAN COLLEGE OF
                                                                                                           FOOT AND ANKLE
                                                                                                           SURGEONS
                                                                                                             8725 W. Higgins Rd. #555
                                                                                                             Chicago, IL 60631-2724
                                                                                                             (773) 693-9300
                                                                                                             Fax: (773) 693-9304
                                                                                                                    Continued on page 129

128 | MARCH 2013 | PODIATRY MANAGEMENT                                                                                  www.podiatrym.com
2013
                                                                    2013
                                                BUYERS’ GUIDE
    www.acfas.org                        AMERICAN COLLEGE OF                   (800) 366-8227               Fax: (631) 924-1731

                                                                                                                                            WHO’S WHO
 Founded in 1942, ACFAS is a pro-        PODIATRIST RADIOLOGISTS               www.apma.org                 www.americanregent.com
 fessional society of more than            One Lincoln Road Bldg.            AMERICAN PODIATRIC          Luitpold Pharmaceuticals, parent
 6,300 foot and ankle surgeons.            Miami Beach, FL 33139             MEDICAL STUDENTS            company of American Regent, ac-
 The College promotes the art and        AMERICAN HEALTHCARE                 ASSOCIATION                 quired PharmaForce, a specialty
 science of foot, ankle and related      BILLING SERVICES                      9312 Old Georgetown Rd.   injectable company, in 2009.
 lower extremity surgery, address-         6604 Elvedon Dr., Ste. 100          Bethesda, MD 20814        American Regent is now the dis-
 es the concerns of foot and ankle         Dallas, TX 75248-1324               (301) 493-9667            tributor of Betamethasone Sodium
 surgeons, as well as advances and         (866) 880-4252                    AMERICAN PODIATRIC          Phosphate and Betamethasone
 improves the standards of educa-          ahcbs@tx.rr.com                   MEDICAL WRITERS             Acetate Injectable Suspension,
 tion and surgical skill to ensure the   AMERICAN ORTHOTIC                   ASSOCIATION                 USP.
 highest level of patient care.          LAB CO., INC.                         P.O. Box 750129                        RSN 15;
               RSN 14;                     20-32 119th St.                     Forest Hills, NY 11375          see adv. pp. 131-132

                                                                                                                                            A
           see adv. p. 181                 College Point, NY 11356           AMERICAN PROFESSIONAL
                                           (718) 886-1388                    WOUND CARE                  AMERICAN SOCIETY
 AMERICAN COLLEGE OF                     AMERICAN ORTHOTICS                  ASSOCIATION (APWCA)         OF PODIATRIC
 LOWER EXTREMITY                         LAB., INC.                            406 W Street Rd.          DERMATOLOGY
 SURGEONS (ACLES)                          P.O. Box 9174                       Feasterville, PA 19053      C/o Dr. Joel Morse
   PO Box 211                              St. Louis, MO 63117                 (215) 942-6095;             (202) 966-4811
   Greenwich, NY 12834                     (800) 644-3579;                     Fax: (215) 942-6098         e-mail: foxhalffoot@aol.com
   (518) 692-0602                          www.americanorthotics.com           www.apwca.org             THE AMERICAN SOCIETY OF
   Fax: (518) 692-8939                     email:                                                        PODIATRIC MEDICAL
   www.aclesurg.org                        contactus@americanorthotics.com   AMERICAN REGENT, INC        ASSISTANTS
 AMERICAN COLLEGE OF                     AMERICAN PODIATRIC                   One Luitpold Dr.             (888) 88 ASPMA (27762)
 PODIATRIC MEDICAL                       MEDICAL ASSOCIATION                  PO Box 9001                  www.ASPMA.org
 REVIEW                                    9312 Old Georgetown Road           Shirley, NY 11967            e-mail: aspmaex@aol.com
   www.acpmr.org                           Bethesda, MD 20814                 (800) 645-1706                      Continued on page 130

www.podiatrym.com                                                                              MARCH 2013 | PODIATRY MANAGEMENT | 129
2013
                                                                                        2013
                                                                  BUYERS’ GUIDE
                   AMERICAN SOCIETY OF                    APIS FOOTWEAR CO.                       ARTHREX                                     W. Palm Beach, FL 33401
WHO’S WHO A - B

                   PODIATRIC MEDICINE                        2239 Tyler Ave. #B                     1370 Creekside Blvd.                      (888) AVI-LASER
                     7331 Collins Avenue                     S. El Monte, CA 91733                  Naples, FL 34108                          Fax: (561) 820-9646
                     Miami Beach, FL 33141                   (888) YES-APIS (937-2747);             (239) 643-5553                            email: info@avicennalaser.com
                                                             Fax: (888) 990-2245                  ARTHROCARE SPORTS
                   AMERX                                     www.BigNwideShoes.com                MEDICINE
                   HEALTH CARE
                   CORPORATION
                      (800) 448-9599;
                                                          Apis Footwear Company believes
                                                          there is a shoe for everyone. A fa-
                                                          vorite for those who wear hard-
                                                                                                    680 Vaqueros Ave.
                                                                                                    Sunnyvale, CA 94085
                                                                                                    (408) 736-0224 (main #)
                                                                                                                                            B
                      www.amerigel.com                    to-find sizes, each style is offered      (800) 797-6520 (order entry)            BAJA PROJECT FOR
                      e-mail: info@amerxhc.com            in a multitude of sizes and widths.       Fax: (888) 994-2782                     CRIPPLED CHILDREN
                   Amerx Health Care manufactures         If you are seeking footwear for           (order entry)                             c/o Robert Anavian, D.P.M.
                   the Amerigel® Advanced Skin and        therapeutic purposes, Apis’ shoes         e-mail: info@arthocare.com                19000 Hawthorne Blvd., #204
                   Wound Care product line with           are ideal for athletic walking or       ART OF SURGERY, THE (DR.                    Torrance, CA 90503
                   Oakin ® , including: AmeriGel          simply adhering to your general         MERCADO VIDEO SERIES)                       (310) 542-1501
                   Wound Dressing, AmeriGel® Satu-        comfort needs. Apis Footwear              (800) footvideo                           ranavian@ix.netcom.com
                   rated Gauze, AmeriGel® Post-Op         Company strives to produce vari-          www.artofsurgery.org
                   Surgical Kits, Amerigel® Wound         ety in style while maintaining its      ASCENSION ORTHOPEDICS                     BAKO PODIATRIC
                   Wash, Amerigel® Care Lotion and        therapeutic functions.                    8700 Cameron Rd., Ste. 100              PATHOLOGY SERVICES
                   Amerigel ® Barrier Lotion. The               RSN 17; see adv. p. 94              Austin, TX 78754                            c/o Bradley W. Bakotic, DPM, DO
                   proprietary ingredient Oakin® is a                                               (877) 370-5001                              6240 Shiloh Rd.
                   natural oak extract that provides      APP MED SOFTWARE                          www.ascensionortho.com                      Alpharetta, GA 30005
                   broad-spectrum antimicrobial,            2402 Harbor Ridge Way                 ASICS TIGER CORP.                             (877) 376-7284
                   anti-fungal and anti-inflammatory        Lindenhurst, IL 60046                   10540 Talbert Ave., West Bldg.              Fax: 770-475-0533
                   properties through the use of tan-       (800) 854-0031                          Fountain Valley, CA 92708                   www.bakopathology.com
                   nins. This unique ingredient has         www.appmed.com                          (800) 678-9435                              email: brad@bakopathology.com
                   been proven to reduce healing            e-mail: sales@appmed.com                                                        Bako Podiatric Pathology Services
                   time for post-surgical wounds,         APPOINTMENT DESK                        ASSOCIATION OF                            is a physician-owned provider of a
                   chronic ulcers and challenging skin      9741 Preston Rd., Ste. 105            EXTREMITY NERVE                           wide array of pathology services
                   conditions. Oakin’s unique bene-         Frisco, TX 75034                      SURGEONS (AENS)                           ranging from histopathologic ex-
                   fits are also why AmeriGel ®             (888) 244-5150                            (888) 708-9575                        amination of bone, soft tissue, and
                   Wound Dressing has been rated            www.appointmentdesk.us                    www.aens.us                           skin/nail unit, to microbiology and
                   Podiatry’s        #1        Topical                                            The AENS is an approved APMA              epidermal nerve fiber density test-
                   Wound/Ulcer and Post-Matrixec-         ARIZONA AFO                             affiliate specialty society that focus-   ing. We pride ourselves on provid-
                   tomy treatment since 2003.                 4825 E. Ingram St.                  es on extremity nerve treatment           ing the best available customer
                      Amerx continues to fund prod-           Mesa, AZ 85205                      and research.                             service, concise reports with ther-
                   uct and clinical research to devel-        (877) 780-8382;                         The society is made up of             apeutic options, photomicrograph-
                   op natural and innovative products         Fax: (480) 461-5199                 DPMs, MDs and affiliated profes-          ic imaging, compliant and patient-
                   for the skin and wound care mar-           www.arizonaafo.com                  sionals who treat peripheral nerve        friendly billing policies, internet-
                   kets. Amerx is proud to support            e-mail:                             disorders. Intensive training cours-      based report access/EMR interface
                   the future of podiatry through ed-         don.pierson@arizonaafo.com          es are offered, in addition to mi-        capability, and a client/patient
                   ucational grants at state, regional    Arizona AFO, Inc is your best           crosurgical courses and an annual         comes-first business model.
                   and national conferences; podiatric    source for custom made lower ex-        symposium. The society also sup-              At Bako Pathology Services,
                   college and research grants; and       tremity bracing. It is a given that     ports a research foundation and           we’re not just providing a premium
                   national podiatric associations such   we are recognized as the “Gold          medical mission to Ecuador. The           pathology service; we’re dedicated
                   as the APMA and AAPPM.                 Standard” for custom molded             AENS can sponsor speakers for             to the advancement of this great
                                 RSN 16;                  leather gauntlets, but we also offer    medical meetings. To request a            profession through education, re-
                              see adv. p. 13              a full line of plastic AFOs, foot or-   speaker, surgical DVDs, course in-        search, and financial Support.
                                                          thotics and synthetic covered de-       formation, sponsorships or refer-                        RSN 20;
                   AMFIT, INC.                            vices such as the Moore Balance         rals, contact info@aens.us.                           see adv. p. 15
                     5408 NE 88th St.,                    Brace (MBB), which is used as an                       RSN 18;
                     Bldg. D-406                          integral part of a comprehensive                    see adv p. 100                BAREFOOT SCIENCE
                     Vancouver, WA 98665                  fall prevention program, and the                                                    1300 Contour Dr.
                     (800) 356-FOOT (3668)                AZ Breeze, which has similar fea-       ATLANTIC MEDICAL LLC                        Mississauga, ONT L5H-1B2
                     (360) 573-9100;                      tures to the Arizona Brace, yet is        4539 Metropolitan Ct., Ste. 289           (415) 237-3027
                     Fax: (360) 566-1380                  lightweight and machine-washable.         Frederick, MD 21704                       www.barefoot-science.com
                     www.amfit.com                                       RSN 19;                    (888) 383-8858                          BARRY UNIVERSITY
                     email: sales@amfit.com                          see adv. p. 105                Fax: (800) 840-6675                       11300 NE 2nd Ave.
                   ANGEL SALES                                                                      www.atlanticmedicalllc.com                Miami Shores, FL 33161
                     4147 N Ravenswood Ave.               AROBELLA MEDICAL, LLC                     e-mail:                                   (305) 899-3255 or
                     Chicago, IL 60613                      5929 Baker Rd., Ste. 470                info@atlanticmedicalllc.com               (305) 899-3266
                     (888) 737-1017                         Minnetonka, MN 55345                  AVICENNA LASER                              Fax: (305) 899-6106
                     Fax: (773) 883-8889                    (866) 968-6370                        TECHNOLOGY                                  www.barry.edu
                     www.angelsales.com                     www.arobella.com                        1209 N. Flagler Dr.
                                                                                                                                                     Continued on page 133

                  130 | MARCH 2013 | PODIATRY MANAGEMENT                                                                                                 www.podiatrym.com
2013
                                                                     2013
                                               BUYERS’ GUIDE
 BAUERFEIND USA, INC.                  zote, Eva, polypropylene, polyethy-    BIOFREEZE                                 Give us a call today to learn

                                                                                                                                                          WHO’S WHO B - C
   55 Chastain Rd., Ste. 112           lene, and graphite (very flexible,       (see Performance Health)              how to join our $10K Club and
   Kennesaw, GA 30144                  semi flexible, and rigid)              BIOMEDICAL MODELS CO.                   add ten thousand dollars per
   1-800-423-3405                         Casting Equipment-Bergmann            P.O. Box 620                          month to your revenue by dis-
   www.bauerfeindusa.com               Optical Scanner-first optical scan-      Ramsey, NJ 07446                      pensing Blaine Labs products.
 BAYSTONE MEDIA                        ner to replace in office plaster         (201) 931-1019                                     RSN 26;
   99 Jericho Tpke, Ste. 203           casting for orthotics.The only neu-                                                      see adv. p. 33
   Jericho, NY 11753                   tral position scanner that takes the   BIOMEDIX
   (888) web-5580                      sides as well as the bottom of the        178 East 9th St.                     BLUEWATER
   www.onlinepodiatrysites.com         foot in neutral suspension, semi-         St. Paul, MN 55101                   MARKETING GROUP
 BEAVER-VISITEC                        weight bearing and full weight            (877) 854-0014                         402 Main St., Ste. 100-280
 INTERNATIONAL                         bearing                                   Fax (651) 762-4014                     Metuchen, NJ 08840
   411 Waverly Oaks Rd                               RSN 22;                     www.biomedix.com                       (732) 744-9119
   Waltham, MA 02452                              see adv. p. 212             TRAKnet™ PM-DPM Edition EHR               www.bluewatermarketinggroup.com
   (781) 906-7939                                                             and practice management solution,       BRACEMASTERS
   Fax: (781) 906-7992                 BETTERFORM, INC                        and PADnet™+ in-office vascular         INTERNATIONAL
   www.beaver-visitec.com                1135 E Nine Mile Rd.                 testing device work together to           5075 S. Emmer Dr.
 BEIERSDORF, INC.                        Ferndale, MI 48220                   optimize workflow and increase            New Berlin, WI 53151
   P.O. Box 5529                         (800) 955-foot                       quality of care in podiatric offices.     (262) 797-9771
   Norwalk, CT 06856                     Fax: (248) 542-1412                     BioMedix™ is a leader in soft-         www.bracemasters.com
   (203) 853-8008                        www.betterforminc.com                ware, products and services that        B.C.ASSOCIATION OF
 BENEHEALTH LTD                                                               connect healthcare providers in a       PODIATRISTS
   3500 Sunset Ave.,                   BIANCO                                 continuum of collaborative care.          (604) 602-0400
   Ste. D-13                           BROTHERS                               BioMedix supports connected care        BROOKS SHOE, INC.
   Ocean, NJ 07712                         6301 10th Ave.                     communities with integrated solu-         11720 N. Creek Pkwy. N.
   (866) 703-2929                          Brooklyn, NY 11219                 tions designed to cost-effectively        Bothell, WA 98011
   Fax: 888 316-3701                       (800) 217-0817;                    exchange information, optimize            (206) 488-3131;
   www.benehealthonline.com                Fax: (718) 833-3778                resources and improve patient             (800) 2BROOKS
                                           www.BiancoBrothers.com             outcomes.                                 www.brooksrunning.com
 BERGMANN ORTHOTICS                        e-mail: BiancoB@aol.com                          RSN 25;                   BUFFALO BRACE
 LABORATORY                            Bianco Brothers International of-                 see adv. p. 36                 36 Mason Street
    1730 Holder Lane                   fers a complete line of surgical in-                                             Buffalo, NY 14213
    Northfield, IL 60093               struments for routine care of the      BIO PRO                                   (800) 435-0065
    (800) 323-8267;                    foot and ankle. The finest instru-       17 Seventeenth St.                      Fax: (716) 881-0349
    Fax: (847) 446-3079                ments in the world, made in              Port Huron, MI 48060                    www.buffalobrace.net
    www.bergmannlab.com                America from only the finest stain-      (800) 252-7707                        BURNS PODIATRIC LAB
    e-mail: johnortho@aol.com          less steel and cobalt steel. Top it      Fax: (810) 982-7794                     P.O. Box 879
 Founded in 1939, Bergmann Or-         all off with the best repair service     www.bioproimplants.com                  McCook, NE 69001
 thotic Lab is dedicated to manu-      agreement by the world’s greatest                                                (800) 26-BURNS
 facturing successful outcomes for     craftsmen. Deal direct and save.       BLAINE LABS, INC.
 your orthotic patients.To accom-      Dominic Bianco, president and              11037 Lockport Pl.
 plish this, we use the most ad-
 vanced manufacturing techniques,
 combined with the highest quality
                                       CEO; Vincent Bianco, V.P.; Joseph
                                       Bianco, V. P.
                                                      RSN 23;
                                                                                  Santa Fe Springs, CA 90670
                                                                                  (800) 307-8818
                                                                                  www.blainelabs.com
                                                                                                                      C
 orthotic materials and the latest                see adv. p. 124             Blaine Labs has been a leading          CAERVISION
 biomechanics concepts. Our guid-                                             manufacturer and distributor of         PODIATRY NETWORK
 ing concept is to maintain the        BINTZ COMPANY                          essential podiatric products over         4539 Metropolitan Ct.,
 unique biomechanics, size, shape,        905 W. Liberty Dr.                  the last two decades. Ranging             Ste. 289
 and contour of each foot. Dr. John       Wheaton, IL 60187                   from antifungals to emollients to         Frederick, MD 21704
 Bergmann, who is an orthotic             (800) 235-8458                      hydrogels, Blaine Labs has created        (888) 841-2237
 consult for many orthotic labs,          Fax: (630) 653-5077                 dozens of proven, industry-leading        www.caervision.com
 professional sports teams, and the       www.bintzco.com                     products which are dispensed by         CAL LEATHER COMPANY
 automated orthotic consultant for        e-mail: bintz@bintzco.com           doctors across the nation.                1752 Riverside Dr.
 Podiatry Management, is always        Bintz Company is your source for           After a record-breaking 2012,         Glendale, CA 91201
 available for orthotic consult. If    ready-to-wear orthotics and com-       Blaine Labs is looking to continue        (818) 242-3148
 you are looking for a new direc-      fort foot products by Birkenstock,     to support the industry by intro-         fax: (818) 242-4375
 tion in your orthotic partnership     Pedag, Pedifix, Powerstep, Spenco      ducing new, dispensable products          email: calleather@gmail.com
 please give us a call. You can con-   and more. With no minimum or-          at affordable prices. With dozens       CALIFORNIA
 tact Dr. Bergmann via e-mail:         ders, personalized customer ser-       of products ranging from their          ORTHOPAEDIC LAB
 Johnortho@aol.com or call 800-        vice and same day shipping, we         flagship Tineacide antifungal brand       2250 Obispo Ave., #103
 323-8267.                             create a partnership that feels like   to the revolutionary Vibration            Signal Hill, CA 90806
    Orthotics types-functional, full   family.                                Anesthesia Device, Blaine Labs is a       (800) 433-0882;
 contact, and accommodative                          RSN 24;                  one-stop shop for any podiatric           Fax: (562) 985-9974
    Shell Materials-leather, plasta-              see adv p. 69               office.
                                                                                                                               Continued on page 134

www.podiatrym.com                                                                                       MARCH 2013 | PODIATRY MANAGEMENT | 133
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