Medication

Antidepressants in primary care

WEBINAR archive 2017: 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: 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).

Anti-inflammatory reliever (AIR) therapy for mild asthma

This MedCase offers a framework for managing asthma in adolescents using the new 2020 NZ Adolescent and Adult Asthma Guidelines.

The Medication Interest Model (MIM)

A discussion with international expert Dr Shawn Shea MD, on the medication interest model (MIM). Shawn is the Director of the Training Institute for Suicide Assessment and Clinical Interviewing.

Medicinal cannabis and chronic pain

Chronic or persistent pain is becoming one of the health systems greatest challenges, seriously affecting the quality of life of thousands of people. Without new treatment options the number of patients suffering with chronic pain will continue to grow, particularly with an ageing population.

Chronic pain is a complex condition that can be related to injury, infection, surgery, or associated with an underlying disorder including cancer, arthritis, diabetes mellitus, cardiovascular disease and neurologic disease.

Responsible opioid prescribing

Dr Helen Fulcher, Goodfellow GP Advisor talks with Northland General Practitioner and Addiction Medicine Specialist Dr Alistair Dunn about opioids in the context of pain management in the non-palliative setting.

Topics covered include:

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