Search
Now showing items 41-60 of 711
Which medications can be split without compromising efficacy and safety?
(Family Physicians Inquiries Network, 2006)
for lowering cholesterol (SOR: B, based on retrospective cohort studies). Extended-release, entericcoated, or tablets that cannot be split accurately are not appropriate for splitting (SOR: C, based on observational studies); the accuracy of splitting also...
What is the most beneficial diet for patients with diverticulosis?
(Family Physicians Inquiries Network, 2006)
A diet high in fiber (particularly fruit and vegetable fiber) and low in fat and red meat may help to decrease the risk of symptomatic diverticular disease (strength of recommendation [SOR]: C, case-control studies and a large prospective cohort...
Treatment of Calf Deep Venous Thrombosis
(Family Physicians Inquiries Network, 2005)
(RCTs)] If anticoagulation is contra-indicated, physicians should monitor for proximal thrombus extension with duplex ultrasound twice weekly for two weeks. [Strength of recommendation: C, based on consensus guideline]...
How long is expectant management safe in first-trimester miscarriage?
(Family Physicians Inquiries Network, 2005)
More than 80% of women with a first-trimester spontaneous abortion have complete natural passage of tissue within 2 to 6 weeks with no higher complication rate than that from surgical intervention (strength of recommendation [SOR]: A, based...
Are drug therapies effective in treating Bell's palsy?
(Family Physicians Inquiries Network, 2003)
Early use of corticosteroid therapy results in less autonomic synkinesis and possibly improved rates of recovery in adults (strength of recommendation: C); there is no proven benefit in children (SOR: B). Adding acyclovir (Zovirax) to prednisone...
How can you prevent migraines during pregnancy?
(Family Physicians Inquiries Network, 2006)
must be used, base the selection on both effectiveness for nonpregnant patients and established pregnancy safety from surveillance studies (SOR: C, expert opinion)....
For those intolerant to ACE inhibitors and ARBs, what is the best therapy for reducing the risk of diabetic nephropathy?
(Family Physicians Inquiries Network, 2005)
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) are the first-line agents for reducing the risk of diabetic nephropathy. For patients intolerant to these agents, non-dihydropyridine ...
How should we manage infants at risk for group B streptococcal disease?
(Family Physicians Inquiries Network, 2003)
Asymptomatic term infants whose mothers received adequate intrapartum antibiotic prophylaxis (defined as intravenous penicillin or ampicillin at least 4 hours before delivery) for group B streptococcal disease do not need ...
What treatments are safe and effective for mild to moderate hypertension in pregnancy?
(Family Physicians Inquiries Network, 2004)
There is considerable debate concerning the treatment of mild to moderate essential hypertension during pregnancy. Evidence suggests that because of the potential risk of fetal intrauterine growth restriction, treatment ...
Does physical therapy improve symptoms of fibromyalgia?
(Family Physicians Inquiries Network, 2003)
Physical therapy is minimally effective in the treatment of fibromyalgia, with immediate post-treatment improvement in pain and tender points, and both short- and longer-term improved self-efficacy (confidence in performing ...
What's the best treatment for CIN 2 or 3?
(Family Physicians Inquiries Network, 2007)
Excision or ablation of the transformation zone are equally effective for treating an initial diagnosis of cervical intraepithelial neoplasia (CIN) grades 2 or 3 in women with a satisfactory colposcopy and no suggestion of microinvasive or invasive...
What are the best treatments for herpes labialis?
(Family Physicians Inquiries Network, 2007)
There are 3: valacyclovir, acyclovir, and topical penciclovir. Valacyclovir, 2g twice in 1 day taken during the prodromal stage of herpes labialis, reduces the episode duration and time to healing. Acyclovir, 400 mg, taken 5 times a day for 5 days...
Which late-stage Alzheimer's patients should be referred for hospice care?
(Family Physicians Inquiries Network, 2005)
Medicare guidelines are used to determine eligibility for hospice care (strength of recommendation [SOR]: C, based on expert opinion), but they correlate with 6-month mortality no better than an experienced clinician's judgment (SOR: B, based on 1...
Which nondrug alternatives can help with insomnia?
(Family Physicians Inquiries Network, 2007)
Cognitive behavioral therapy (CBT) interventions -- particularly stimulus control and sleep hygiene -- are well-validated, effective treatments for chronic insomnia that are equivalent or superior to pharmacological ...
What is the risk of bowel strangulation in an adult with an untreated inguinal hernia?
(Family Physicians Inquiries Network, 2007)
of Anesthesiologists class III and IV) (SOR: C, based on expert opinion and case series). It is reasonable to offer elective surgery or watchful waiting to low-risk patients who understand the risks of strangulation (SOR: C, based on expert opinion and case series)....
What hormonal contraception is most effective for obese women?
(Family Physicians Inquiries Network, 2007)
Depot medroxyprogesterone acetate (DMPA; Depo-Provera) and the combination contraceptive vaginal ring (NuvaRing) are most effective for obese women because they don't appear to be affected by body weight (strength of ...
Are there big differences among beta-blockers in treating essential hypertension?
(Family Physicians Inquiries Network, 2007)
debate on the effectiveness of the agents in preventing adverse outcomes. The level of evidence has reached the point where the practice of using beta-blockers as monotherapy should be questioned (SOR : C, expert opinion)....
Treatment of Herpes Zoster
(Family Physicians Inquiries Network, 2006)
Resolution of acute pain related to herpes zoster is accelerated with any of the following: oral acyclovir (Zovirax) 800 mg five times daily for seven days; valacyclovir (Valtrex) 1,000 mg three times daily for seven days; ...
Which drugs are most effective for moderate to severe depression in adolescents?
(Family Physicians Inquiries Network, 2008)
Fluoxetine is the only selective serotonin-reuptake inhibitor (SSRI) approved by the US Food and Drug Administration (FDA) to treat depression in children 8 years of age and older; it also has the most favorable benefit-to-risk ...
What are effective treatments for oppositional defiant behaviors in adolescents?
(Family Physicians Inquiries Network, 2006)
of recommendation [SOR]: C, based on extrapolation from systematic reviews of younger children with ODD and adolescents with conduct disorder). ODD most commonly does not occur as a solitary diagnosis.When ODD is associated with attention deficit/ hyperactivity...