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Now showing items 41-60 of 218
This obscure herb works for the common cold
(Family Physicians Inquiries Network, 2008)
Offer patients Pelargonium sidoides (30 drops 3 times a day) to reduce the severity and duration of common cold symptoms and to get patients back to work sooner. Stength of recommendation: B: A single well-designed randomized ...
Double-dose vitamin D lowers cancer risk in women over 55
(Family Physicians Inquiries Network, 2007)
Increasing the dose of vitamin D3 from the current standard of 400-600 IU per day to 1000 IU per day lowers future risk of cancer in women older than age 55 who do not get adequate vitamin D from sun exposure or diet. ...
Initiating antidepressant therapy? Try these 2 drugs first
(Family Physicians Inquiries Network, 2009)
When you initiate antidepressant therapy for patients who have not been treated for depression previously, select either sertraline or escitalopram. A large meta- analysis found these medications to be superior to other ...
Less is more when it comes to ketorolac for pain
(Family Physicians Inquiries Network, 2019)
Less is more when it comes to ketorolac for pain. It's time to review our dosing with ketorolac for acute pain management. PRACTICE CHANGER: Using a low dose (10 mg) of intravenous ketorolac for moderate to severe acute ...
PSA testing: When it's useful, when it's not
(Family Physicians Inquiries Network, 2011)
Do not routinely screen all men over the age of 50 for prostate cancer with the prostate-specific antigen (PSA) test. Consider screening men younger than 75 with no cardiovascular or cancer risk factors -- the only patient ...
Suspect an eating disorder? Suggest CBT
(Family Physicians Inquiries Network, 2009)
Refer patients with eating disorder not otherwise specified (NOS) for cognitive behavioral therapy. CBT, which has proven to be the most useful behavioral treatment for bulimia, has now been shown to be effective for ...
When to suggest this OC alternative
(Family Physicians Inquiries Network, 2009)
Recommend continuous or extended use of the transvaginal contraceptive ring to women who want fewer days of menstrual bleeding and have trouble remembering to, or prefer not to, take a daily pill. If breakthrough bleeding ...
ACE inhibitors and ARBs: One or the other -- not both -- for high-risk patients
(Family Physicians Inquiries Network, 2009)
Avoid prescribing an angiotensin-converting enzyme (ACE) inhibitor and an angiotensin receptor blocker (ARB) for patients at high risk of vascular events or renal dysfunction. The combination does not reduce poor outcomes, ...
Treat depressed teens with medication and psychotherapy
(Family Physicians Inquiries Network, 2008)
Refer adolescents with moderate to severe depression for cognitive behavioral therapy (CBT) to improve their outcomes. Stength of recommendation: B: Two well-done randomized controlled trials (RCTs).
Rethinking daily aspirin for primary prevention
(Family Physicians Inquiries Network, 2020)
An updated meta-analysis of newer RCTs seems to settle the matter as to whether to use aspirin in individuals with no known history of atherosclerotic CVD. PRACTICE CHANGER: Do not routinely use aspirin for primary prevention of cardiovascular...
Steroids for acute COPD - but for how long?
(Family Physicians Inquiries Network, 2014)
Prescribe a 5-day regimen of glucocorticoid therapy for acute chronic obstructive pulmonary disease (COPD) exacerbations; the shorter course of treatment appears to be as effective as a 14-day regimen.
Is this pregnancy viable?
(Family Physicians Inquiries Network, 2013)
Measure serum progesterone levels of women with bleeding or pain and inconclusive ultrasound in early pregnancy to rule out viability, potentially eliminating the need for serial b-hormone human chorionic gonadotropin ...
Prescribing an antibiotic? Pair it with probiotics
(Family Physicians Inquiries Network, 2013)
Recommend that patients taking antibiotics also take probiotics, which have been found to be effective both for the prevention and treatment of antibiotic-associated diarrhea (AAD). Stength of recommendation: A: Based on ...
Think thiazides are old hat? ALLHAT says think again
(Family Physicians Inquiries Network, 2008)
Use thiazide-type diuretics for hypertension in patients with metabolic syndrome to reduce stroke and heart failure. Stength of recommendation: B: Single well done randomized controlled trial.
Is your patient still using rosiglitazone?
(Family Physicians Inquiries Network, 2011)
Do not initiate rosiglitazone therapy for patients with diabetes, and consider switching those who are already taking it to pioglitazone. Stength of recommendation: A: Based on a meta-analysis of 56 randomized trials.
It's time to use an age-based approach to D-dimer
(Family Physicians Inquiries Network, 2014)
Use an age-adjusted D-dimer cutoff (patient's age in years [multiplied by] 10 mcg/L) for patients over age 50 years when evaluating for venous thromboembolism (VTE); it reduces false positives without substantially increasing ...
Can extended anticoagulation prophylaxis after discharge prevent thromboembolism?
(Family Physicians Inquiries Network, 2022)
A meta-analysis confirmed the benefit of thromboprophylaxis with a direct oral anticoagulant for high-risk nonsurgical patients after hospital discharge.
Finally, a way to relieve cancer-related fatigue
(Family Physicians Inquiries Network, 2014)
A 4-week course of American ginseng, taken while patients are undergoing radiation or chemotherapy, can reduce cancer-related fatigue. PRACTICE CHANGER: Recommend American ginseng 1000 mg twice daily for 4 weeks to improve ...
This is not the time to modify a HTN regimen
(Family Physicians Inquiries Network, 2021)
This is not the time to modify a HTN regimen. Intensifying hypertension regimens at discharge increases risk in older patients. PRACTICE CHANGER: Avoid intensifying antihypertensive medication regimens at hospital discharge ...
This asthma treatment has a lasting side effect in children
(Family Physicians Inquiries Network, 2013)
Before prescribing inhaled corticosteroids (ICS) for a child with asthma, tell the patient -- and parents -- that their use could lead to a small but permanent effect on adult height. Stength of recommendation: B: Based ...