Monthly Archives: July 2016

Headaches – red flags and orange flags

Red flags Probability of underlying tumour >1%. Investigate urgently. Focal neurology Significant alterations in consciousness Memory loss or confusion Co-ordination problems Seizures Known cancer Orange flags Probability of underlying tumour: 0.1 – 1%. Monitor carefully and have low threshold for … Continue reading

Posted in Headache, Neurology | Leave a comment


These divide into two groups: Sumatriptan, Rizatriptan, Zolmitriptan, Eletriptan and Almotriptan have a higher speed of onset. Naratriptan & Frovatriptan have a lower side-effect profile, and also possibly less chance of headache recurrence. Interestingly, someone who hasn’t responded to one … Continue reading

Posted in Medication, Migraine, Neurology | Leave a comment

NICE guidance on statin use

This comes from NICE guideline CG181. Lipid checks for primary prevention can now be non-fasting (even for triglycerides), which is going to make life somewhat simpler. Rather than LDL, we should now be focusing on non-HDL, which apparently is simpler … Continue reading

Posted in Cardiovascular, Hyperlipidaemia | Leave a comment