Category Archives: Medication

Don’t use bath additives for children’s eczema

A simple and extremely useful study result; in children with eczema, don’t bother prescribing those additives that you put in the bath water. The BATHE study studied children from 1 to 11 with eczema (‘very mild’ eczema was excluded) who … Continue reading

Posted in Credits 2018, Dermatology, Medication | Leave a comment

Slow initiation of warfarin protocol.

We’re all familiar with the usual 5mg warfarin initiation protocol (and many of us have distant memories of the 10-10-5 regimes started in hospital, or at least that’s what was being done when I was a junior doctor, back in … Continue reading

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Ulipristal warning

There’s a new warning out about ulipristal acetate 5 mg tabs (Esmya); it has been found to cause serious liver injury in some cases. The advice from the MHRA is that no new courses should be started, even in patients … Continue reading

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Migraine in pregnancy

The good news is that pre-existing migraine often gets better in pregnancy, especially migraine without aura and premenstrual migraine. However, it’s important to know a) how to treat it when it occurs and b) how to avoid confusing more dangerous … Continue reading

Posted in Credits 2018, Medication in pregnancy, Migraine, Pregnancy and Childbirth | Leave a comment

Steroids for sore throats

An update on this problem: a systematic review and meta-analysis in the BMJ. This found that there is, in fact, moderate quality evidence that a one-off dose of steroid can improve pain in sore throat. Not the speed with which … Continue reading

Posted in Credits 2017, Medication, Minor but annoying | Leave a comment

Antiplatelet therapy with anticoagulation therapy?

A BMJ article addressing an important and common question; in patients who have an indication for antiplatelet therapy plus an indication for anticoagulant therapy, should we give both or just one? In most cases, we should just give the anticoagulant, … Continue reading

Posted in Anticoagulants, Cardiovascular, Credits 2017, Haematology, Medication | Leave a comment

Snippets

Bits and bobs from the BMJ of 9th September: A systematic review in PLoS Medicine found gabapentin and pregabalin to be not particularly helpful with chronic low back pain; any benefits from them were outweighed by the risk of side-effects … Continue reading

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