Category Archives: BJGP

BRONJ (bisphosphonate-related osteonecrosis of the jaw)

The latest BJGP carries an article about this. Recommended management from the GP point of view: Asymptomatic BRONJ (exposed bone with no pain or evidence of local infection): Routine max-facs referral Antimicrobial mouth rinse, such as chlorhexidine 0.12% Pain/evidence of … Continue reading

Posted in BJGP, Credits 2017, Medication | Leave a comment

Time of taking blood pressure tablets

I often have patients asking me if it matters when they take their tablets. Of course, sometimes it does; other times, I tell them that the best time to take them is when they’re most likely to remember. In the … Continue reading

Posted in BJGP, Credits 2017, Medication | Leave a comment

Stopping benzodiazepines

Interesting post in February’s BJGP – a three-arm RCT looked at how to persuade patients on long-term BZDs to stop. The group looked at were adults (18 – 80 yrs) who had used BZDs daily for at least six months … Continue reading

Posted in Addiction, BJGP, Credits 2016, Medication | Leave a comment

GPs asking patients to self-rate their health

This was the title of a qualitative study in the BJGP (2015; 65: 470 – 1 or DOI: 10.3399/bjgp15X686557) in which GPs asked patients with chronic problems (diabetes, pain, or unexplained symptoms) this question: How would you assess your general … Continue reading

Posted in BJGP, Communication, Credits 2015 | Leave a comment

Snippets

Ovestin vaginal cream does not increase circulating oestradiol, and thus can be considered for treatment of vaginal dryness in women who’ve had breast cancer. Evidence varies on whether systemic oestrogen increases recurrence risk (HABIT trial vs. Stockholm trial) but it’s … Continue reading

Posted in BJGP, Cardiovascular, HRT, Hypertension, Medication | 1 Comment

BJGP June 2012

Interesting cited study, here, where researchers used the Good Palliative-Geriatric Practice Algorithm to reduce the numbers of drugs a group of elderly people were on, thus significantly improving their well-being as a result. Page 2 of the study has the … Continue reading

Posted in BJGP, Cardiovascular, Credits 2012, Elderly Medicine | Leave a comment

Temporal arteritis

Bear in mind that approximately a quarter of patients present without headache. Just to make life even more complicated, they seem to be more likely to develop visual loss. Non-headache presenting symptoms include: Jaw claudication Visual loss (yup, it can … Continue reading

Posted in BJGP, Credits 2012, Rheumatology | Leave a comment