If you request Lexapro (escitalopram) for your patient, the PHC formulary requires a trial and failure or a contraindication to two formulary agents, one of which must be citalopram . Why?  Is it just to make things difficult, or is there an actual sensible Continue reading →

Effective management of pain from OA of the knee can be frustrating, for patient and clinician alike. When NSAID’s and physical therapy prove ineffective, we often turn to intra-articular injections of steroids. If they don’t work, intra-articular hyaluronic Continue reading →

NSAID use is very common. Myocardial infarctions are very common. And the use of NSAID’s in patients with coronary artery disease is very common. But a study published last year in Circulation (May 25, 2011) offers a cautionary tale about Continue reading →