Medication

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:

Minimising harm in opioid drug prescribing

Prescribing opioid medications can be problematic due to potential for dependence and misuse. Therefore, care must be taken to prescribe safely and appropriately to minimise associated harms.

Opioid medications that may be prescribed in general practice include morphine, fentanyl, methadone, oxycodone, tramadol, codeine and dihydrocodeine.

Opioid analgesic overuse and dependence is a growing problem in Australasia and internationally. Opioid dependence tends to be a chronic relapsing disorder with significant associated morbidity and mortality.

Medication update

Professor Bruce Arroll discusses updates in New Zealand medication for general practice. Bruce is a GP in South Auckland, director of the Goodfellow Unit and a Professor in General Practice at the University of Auckland.

HIV PrEP: Ongoing management

This MedCase considers how to renew prescriptions for patients already taking HIV PrEP, with a discussion of current issues for GPs to consider.

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