Recently updated guidelines for treatment of high cholesterol levels have just been released by the American College of Cardiology – American Heart Association Task Force on Practice Guidelines. They represent a change Continue reading
Monthly Archives: December 2013
Follow-up on topical NSAIDs
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
Children coughing in the night
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
Topical NSAIDs in the treatment of osteoarthritis pain
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
The paradox of opioid-induced hyperalgesia
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