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An alternative to oral NSAIDs for acute musculoskeletal injuries
(Family Physicians Inquiries Network, 2011)
For patients with acute musculoskeletal injuries, topical NSAIDs are an effective alternative for pain relief. Stength of recommendation: A: Based on a meta-analysis of 47 high-quality randomized clinical trials.
Colicky baby? Here's a surprising remedy
(Family Physicians Inquiries Network, 2011)
This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Stength of recommendation: A: A good-quality ...
Help for recurrent bacterial vaginosis
(Family Physicians Inquiries Network, 2011)
Recommend high-dose vaginal probiotic capsules to prevent recurrent bacterial vaginosis. Stength of recommendation: B: Based on a single high-quality randomized controlled trial (RCT).
Time to try this warfarin alternative?
(Family Physicians Inquiries Network, 2011)
Consider dabigatran, an oral anticoagulant that does not require monitoring, for the prevention of stroke and thromboembolism in patients with atrial fibrillation. Stength of recommendation: B: Based on a single well-done ...
More help for patients with less severe heart failure
(Family Physicians Inquiries Network, 2011)
Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) [less than or equal to] 30%. Eplerenone has been found to ...
Postprostatectomy incontinence? Here's help
(Family Physicians Inquiries Network, 2011)
Postprostatectomy incontinence? Here's help. Behavioral therapy is an effective treatment for incontinence related to prostatectomy. Practice changer: Recommend behavioral therapy--incorporating pelvic floor muscle training ...
Offer this contraceptive to breastfeeding new moms
(Family Physicians Inquiries Network, 2011)
Recommend the etonogestrel implant to new mothers who plan to breastfeed; the insertion of this contraceptive within the first few days postpartum does not alter breastfeeding outcomes. Stength of recommendation: B: Based ...
Bromocriptine: Its place in type 2 diabetes Tx
(Family Physicians Inquiries Network, 2011)
For obese patients with type 2 diabetes (T2D) who do not tolerate other diabetes medications or for patients who need only a minimal reduction in glycosylated hemoglobin (A1c) to reach goal, bromocriptine may be a therapeutic ...
Arthritis pain? These supplements provide little relief
(Family Physicians Inquiries Network, 2011)
Tell patients with large joint arthritis that glucosamine and chondroitin have been found to be little better than placebo. Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: ...
Statins for patients with nonalcoholic fatty liver?
(Family Physicians Inquiries Network, 2011)
Treat patients with hyperlipidemia and presumed nonalcoholic fatty liver disease with atorvastatin to reduce the risk of cardiovascular events. Stength of recommendation: B: Based on a single prospective randomized controlled ...
Ear wax removal: Help patients help themselves
(Family Physicians Inquiries Network, 2011)
Suggest that patients use drops to soften the wax in their ears and a bulb syringe to remove it. Reassure them that the process is safe, easy, and effective. Stength of recommendation: B: A single well-designed randomized ...
Consider this option for heavy menstrual bleeding
(Family Physicians Inquiries Network, 2011)
Offer tranexamic acid to patients with heavy menstrual bleeding. The extended-release formulation is effective and well tolerated. Stength of recommendation: A: Based on 1 good-quality randomized controlled trial (RCT).
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.
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 ...