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Now showing items 1-16 of 16
Would this long-acting bronchodilator be better for your patient?
(Family Physicians Inquiries Network, 2012)
Consider adding tiotropium to the medication regimen of patients with moderate to very severe chronic obstructive pulmonary disease (COPD), as a multinational study found it to be more effective than salmeterol in preventing ...
Counseling is a must with this smoking cessation aid
(Family Physicians Inquiries Network, 2012)
Inform patients who are interested in taking varenicline (Chantix) that there is a small cardiovascular (CV) risk associated with it, as well as neuropsychiatric risks -- and consider recommending that smokers with a history ...
Combatting lice in a single treatment
(Family Physicians Inquiries Network, 2012)
Consider prescribing spinosad -- a recently approved topical pediculicide that is more effective than permethrin and eliminates the need for nit combing -- for children with head lice.
BP meds: this simple change improves outcomes
(Family Physicians Inquiries Network, 2012)
Advise patients with uncontrolled hypertension to take at least one of their blood pressure (BP) medications at bedtime instead of in the morning. Nighttime dosing leads to better control and lowers the risk of major ...
Pulse oximetry for newborns: should it be routine?
(Family Physicians Inquiries Network, 2012)
Ensure that all newborns undergo pulse oximetry screening before discharge -- and that abnormal results are immediately followed up with echocardiography. Stength of recommendation: B: Based on a single cohort study ...
Easing the discomfort of a speculum exam
(Family Physicians Inquiries Network, 2012)
Put lubricating gel, not water, on the speculum every time you do a pelvic exam. Stength of recommendation: B: Based on one good-quality, randomized controlled trial (RCT).
What's best for IBS?
(Family Physicians Inquiries Network, 2012)
Recommend antispasmodics or antidepressants for patients with irritable bowel syndrome (IBS) and explain that, while fiber may have other benefits, it is unlikely to relieve IBS symptoms. Stength of recommendation: A: Based ...
An alternative to warfarin for patients with PE
(Family Physicians Inquiries Network, 2012)
Consider treating patients with acute pulmonary embolism (PE) with rivaroxaban, a factor Xa inhibitor; it works as well as low-molecular-weight heparin (LMWH) followed by warfarin, but may cause fewer major bleeds. Stength ...
Injection may be the best bet for young athletes' knee pain
(Family Physicians Inquiries Network, 2012)
Consider giving dextrose/lidocaine injections to adolescents with Osgood-Schlatter disease (OSD) that persists despite physical therapy. Stength of recommendation: A: Based on one well-designed, randomized controlled trial (RCT).
Consider adding this drug to fight COPD that's severe
(Family Physicians Inquiries Network, 2012)
Consider prescribing daily azithromycin for patients with chronic obstructive pulmonary disease (COPD) and a history of exacerbations --but do a careful risk-benefit analysis first. Stength of recommendation: B: Based on ...
The shrinking case for saw palmetto
(Family Physicians Inquiries Network, 2012)
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. Stength of recommendation: A: ...
Treating pulmonary embolism at home?
(Family Physicians Inquiries Network, 2012)
Treat low-risk patients with pulmonary embolism (PE) with low-molecular-weight heparin (LMWH) in an outpatient setting. Stength of recommendation: B: Based on one good quality randomized controlled trial (RCT).
Should breastfeeding babies be given pacifiers?
(Family Physicians Inquiries Network, 2012)
Do not discourage the use of pacifiers by healthy infants who are breastfeeding. Stength of recommendation: A: Based on a good-quality meta-analysis
A safer way to prevent VTE recurrence
(Family Physicians Inquiries Network, 2012)
After patients with unprovoked venous thromboembolism (VTE) complete a 6- to 18-month course of oral anticoagulation therapy, consider a switch to aspirin. Stength of recommendation: A: Based on one well-designed, randomized ...
Rethinking antibiotics for sinusitis-again
(Family Physicians Inquiries Network, 2012)
Stop prescribing amoxicillin for acute rhinosinusitis. It's unlikely to provide a speedier recovery than over-the-counter (OTC) remedies alone. Stength of recommendation: B: Based on a single high-quality randomized ...
Patient overusing antianxiety meds? Say so (in a letter)
(Family Physicians Inquiries Network, 2012)
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. Stength of recommendation: A: Based on a ...