• Add a fibrate to a statin? 

    Lounsbery, Jody; Prasad, Shailendra; Rowland, Kate (Family Physicians Inquiries Network, 2010-10)
    Do not routinely add a fibrate to a statin for patients with type 2 diabetes who are at high risk for cardiovascular events. Strength of Recommendation: B: Based on a good-quality randomized controlled trial.
  • An antiemetic for irritable bowel syndrome? 

    Levy, Robert; Corbo, Jason; Prasad, Shailendra (Family Physicians Inquiries Network, 2014-10)
    An antiemetic for irritable bowel syndrome? A drug used for cancer patients may provide some relief to patients with IBS. Practice changer: Consider prescribing ondansetron up to 24 mg/d for patients who have irritable ...
  • Consider this option for heavy menstrual bleeding 

    Levy, Robert; Prasad, Shailendra; Rowland, Kate (Family Physicians Inquiries Network, 2011-07)
    Offer tranexamic acid to patients with heavy menstrual bleeding. The extended-release formulation is effective and well tolerated. Strength of Recommendation A: Based on 1 good-quality randomized controlled trial (RCT).
  • Corticosteroids for a sore throat? 

    Bergeson, Keri; Rogers, Nina Vergari; Prasad, Shailendra (Family Physicians Inquiries Network, 2013-07)
    Consider prescribing a single dose of corticosteroids for patients with sore throat, which has been found to bring quicker pain relief and resolution of symptoms. Strength of recommendation A: Based on a meta-analysis ...
  • Easing the discomfort of a speculum exam 

    VandenBerg, Nicole; Prasad, Shailendra (Family Physicians Inquiries Network, 2012-09)
    Put lubricating gel, not water, on the speculum every time you do a pelvic exam. Strength of recommendation B: Based on one good-quality, randomized controlled trial (RCT).
  • Is this pregnancy viable? 

    Slattengren, Andrew H.; Prasad, Shailendra; Oyola, Sonia (Family Physicians Inquiries Network, 2013-06)
    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 ...
  • Patient overusing antianxiety meds? Say so (in a letter) 

    Levy, Robert; Prasad, Shailendra (Family Physicians Inquiries Network, 2012-11)
    Express your concern about long-term use of benzodiazepines in a letter—a simple intervention that patients often respond to by reducing or eliminating their use of the drug. Strength of recommendation: A: Based on a ...
  • Prolotherapy: A nontraditional approach to knee osteoarthritis 

    Slattengren, Andrew H.; Christensen, Trent; Prasad, Shailendra; Jones, Kohar (Family Physicians Inquiries Network, 2014-04)
    Recommend prolotherapy for patients with knee osteoarthritis (OA) that does not respond to conventional therapies.
  • Should breastfeeding babies be given pacifiers? 

    Wellington, Laura; Prasad, Shailendra (Family Physicians Inquiries Network, 2012-05)
    Do not discourage the use of pacifiers by healthy infants who are breastfeeding. Strength of recommendation A: Based on a good-quality meta-analysis
  • Should you consider antibiotics for exacerbations of mild COPD? 

    Tanner, Tanner; Prasad, Shailendra (Family Physicians Inquiries Network, 2014-04)
    Consider antibiotics for patients with exacerbations of mild to moderate chronic obstructive pulmonary disease (COPD).
  • Should you screen for postpartum depression? 

    Slottengren, Andrew H.; Prasad, Shailendra; Kaiseruddin, Altaf (Family Physicians Inquiries Network, 2013-11)
    Make depression screening a routine part of the postpartum visit.
  • The shrinking case for saw palmetto 

    Ricco, Jason; Prasad, Shailendra (Family Physicians Inquiries Network, 2012-07)
    Advise men with benign prostatic hyperplasia (BPH) not to take saw palmetto for urinary symptoms. Explain that it has not been found to alleviate symptoms, even at triple the standard dose. Strength of recommendation ...
  • Skip the compression stockings following DVT 

    Bergeson, Keri; Prasad, Shailendra; Benson, Janice (Family Physicians Inquiries Network, 2014-07)
    Although commonly used, compression stockings do not effectively prevent post-thrombotic syndrome. Practice changer: Do not recommend elastic compression stockings (ECS) to decrease the incidence of post-thrombotic syndrome ...
  • Skip this step when checking lipid levels 

    Wootten, Michael; Stulberg, Debra B.; Prasad, Shailendra; Rowland, Kate (Family Physicians Inquiries Network, 2015-02)
    Skip this step when checking lipid levels. Practice changer: requiring your patients to fast before undergoing lipid testing. Nonfasting total cholesterol (TC), high-density lipoprotein cholesterol (HDL), and low-density ...
  • Statins for patients with nonalcoholic fatty liver? 

    Egan, Mari E.; Prasad, Shailendra (Family Physicians Inquiries Network, 2011-09)
    Treat patients with hyperlipidemia and presumed nonalcoholic fatty liver disease with atorvastatin to reduce the risk of cardiovascular events. Strength of Recommendation B: Based on a single prospective randomized ...
  • This asthma treatment has a lasting side effect in children 

    Nissly, Tanner; Prasad, Shailendra (Family Physicians Inquiries Network, 2013-09)
    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. Strength of recommendations B: Based on one ...