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Category Archives: Formulary & Pharmacy Issues

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Which works better in acute asthma attacks, nebulizers or MDIs?

Posted on February 25, 2014 by RMoore
1

Before answering, be forewarned it is kind of a trick question.

For both adult and pediatric patients, asthma is one of the more common diagnoses we encounter in our clinics, EDs, and hospitals. And despite our best efforts to encourage Continue reading →

Posted in Asthma, Formulary & Pharmacy Issues, Medical Practice | 1 Reply

Low-dose aspirin and gout

Posted on February 18, 2014 by RMoore
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Aspirin use in gout patients can be challenging. Indeed, aspirin embodies the yin and yang of medical practice. At low-doses, it can be cardioprotective but it also blocks urate excretion by the kidneys. At higher doses Continue reading →

Posted in Formulary & Pharmacy Issues, Medical Practice | Leave a reply

Follow-up on topical NSAIDs

Posted on December 23, 2013 by RMoore
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The following comments are from Bill Hunter, MD, Medical Director of Open Door Community Health Centers, based in Arcata with clinic sites in many Northern California communities:

I was confused by your recent blog post on topical NSAIDs Continue reading →

Posted in Chronic Pain, Formulary & Pharmacy Issues, Medical Practice | Leave a reply

Children coughing in the night

Posted on December 17, 2013 by RMoore
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A landmark study from turn-of-the-century England documented that a teaspoon dose of sucrose could improve medication administration and palatability (Poppins M, et.al, 1910, referenced at http://en.wikipedia.org/wiki/A_Spoonful_of_Sugar). But what if Continue reading →

Posted in Formulary & Pharmacy Issues, Medical Practice | Leave a reply

Topical NSAIDs in the treatment of osteoarthritis pain

Posted on December 9, 2013 by RMoore
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Osteoarthritis pain is one of the more frustrating problems we primary care clinicians have to manage. It is a ubiquitous problem. It is a bothersome complaint. And treatment options are not great. NSAID’s can provide some relief, but Continue reading →

Posted in Chronic Pain, Formulary & Pharmacy Issues, Medical Practice | Leave a reply

The paradox of opioid-induced hyperalgesia

Posted on December 2, 2013 by RMoore
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Something has clearly gone awry with our efforts to manage chronic non-cancer pain. Emergency departments in the U.S. are facing an epidemic of opioid overdoses. Deaths from opioid overdoses now exceed those from Continue reading →

Posted in Formulary & Pharmacy Issues, Medical Practice | Leave a reply

More information on antibiotics for bronchitis

Posted on November 22, 2013 by RMoore
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The evidence against using antibiotics to treat acute bronchitis continues to mount. Most recently, a study published in the October 4, 2013, BMJ looked at outcomes among patients treated with Augmentin, ibuprofen, or placebo. Not surprisingly, Continue reading →

Posted in Formulary & Pharmacy Issues, Medical Practice | Leave a reply

Motives for nonmedical opioid use

Posted on September 23, 2013 by RMoore
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Adults in a residential addiction treatment center had high rates of prescription opioid use for reasons other than pain relief, according to a recent article in Clinical Psychiatry News referencing a study published in  Continue reading →

Posted in Chronic Pain, Formulary & Pharmacy Issues, Medical Practice | Leave a reply

How to respond when an older women has a fracture

Posted on August 7, 2013 by RMoore
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Osteoporosis is a significant problem in older people, especially women. Osteoporosis is a major risk factor for hip fractures, and hip fractures are quite problematic. Almost half of those who suffer a hip fracture never regain their prior level of Continue reading →

Posted in Formulary & Pharmacy Issues, Medical Practice, Prevention | Leave a reply

Brand name vs generic medications

Posted on July 30, 2013 by RMoore
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We at PHC are big supporters of generic medications. They work as well as brand name drugs and cost less. Generic medications save society money and lower health care costs.

Let me also say Continue reading →

Posted in Formulary & Pharmacy Issues, Medical Practice | Leave a reply

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