Category Archives: Medication

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

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Snippets

Some interesting bits and bobs in the latest BMJ: The three most effective NSAIDs for hip and knee osteoarthritis appear to be, in descending order, diclofenac, etoricoxib, and rofecoxib. Now, of course, that’s of limited use, given the high risk … Continue reading

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Steroids – not all that useful for sore throats

There’s been some evidence in the past that steroids might be of help for sore throats, so it was interesting to see a JAMA study on the subject mentioned on Richard Lehman’s blog page. Comparison of a single 10 mg … Continue reading

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Treatment of urinary tract infection in pregnancy

A couple of useful points from a BMJ article: Nitrofurantoin is now considered safe in all three trimesters, but not at term; it can increase the risk of haemolysis Trimethoprim is considered safe after the first trimester Amoxicillin and cefalexin … Continue reading

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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

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Bits and bobs

Useful bunch of motley learning points from the 15th April BMJ: A double-blind trial reported in NEJM has looked at the effects of treating borderline thyroid results (raised TSH with normal T4) in the elderly. It didn’t show any benefit … Continue reading

Posted in BMJ, Cardiovascular, Credits 2017, Endocrinology, Hypertension, Medication, Paediatrics, Thyroid | Leave a comment

Snippets

A few quick snippets from the 19th Nov BMJ: Duloxetine increases the risk of adverse psychiatric events – anxiety, agitation, self-harm, psychotic behaviour – by more than five times, according to a new Nordic Cochrane Centre meta-analysis although this article … Continue reading

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