Medication

Antidepressants in primary care

WEBINAR: Associate Professor David Menkes and Professor Bruce Arroll discussed the evidence for the benefit for antidepressants in primary care, as well as cases to support key points.

Clozapine. Malignant constipation can kill

Clozapine is used for treatment-resistant schizophrenia. Agranulocytosis and neutropenia are the usual concerns but there are more deaths from ileus/megacolon.

Webinar: Prescribing antipsychotics in primary care

Webinar with Associate Professor David Menkes. David is an academic psychiatrist with a background in psychology and pharmacology (PhD 1983, Yale), and a continuing interest in the optimal use and toxicology of drug treatments in psychiatry.

Webinar: Statins; who, when, where and why

In this webinar Dr Tony Scott, cardiologist talked about the use of statins in primary care and dealt with questions such as 'are all statins equal?' and 'how do you prescribe statins and maintain medication compliance?" 

Also covered was how to approach discussions around the size of the benefit to enable patients to be fully informed (re taking statins) and how to discuss potential harms eg., dementia, diabetes, fatigue and muscle aches.

 

Beta-blockers no longer first line for simple hypertension

Initiating treatment of hypertension with beta-blockers leads to modest CVD reductions and little or no effects on mortality (atenolol mainly studied).

Intensive blood pressure control in the elderly - Bruce Arroll

Professor Bruce Arroll discusses the issues around intensive blood pressure control in the elderly. Bruce is a GP in south Auckland and professor of general practice at the University of Auckland.

Alprazolam and benzodiazepine prescribing - Rob Shieff

Rob Shieff talks about the removal of alprazolam (Xanax) from the New Zealand pharmaceutical schedule and issues around benzodiazepine prescribing. Rob is a general adult psychiatrist practising in Auckland. His special interest is in the evaluation and management of anxiety and mood disorders.

Webinar: An update on adult asthma

Professor John Kolbe reviewed the plethora of new inhalers that have come onto the market. 

The role of inflammation versus spasm in the lungs and the role of inhaled corticosteroids in the management of asthma was covered, as well as inhaled steroids and pneumonia.

The webinar was introduced and moderated by Professor Bruce Arroll, Director of the Goodfellow Unit. 

Pharmacology in sports medicine

There are a variety of medications which are commonly used in a sports medicine setting. These are usually used to manage pain or in an attempt to reduce inflammation. Elite athletes may be subject to drug testing. For these athletes, doctors can be very ‘dangerous’ people as the use of many common medications can lead to a positive drug test. 

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