Medication

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.

Managing DVT with Rivaroxaban

MEDCASE: Rivaroxaban for treatment of deep vein thrombosis

Vildagliptin: a new option for managing type 2 diabetes

MEDCASE: This recently funded hypoglycaemic medication allows you to better tailor a treatment regime to individual patient needs.

Deprescribing medications

Leanne Te Karu talks with us about deprescribing medications. Leanne is a prescribing pharmacist with over 25 years experience across a wide range of settings. She has worked for the quality safety commission and also BPAC. Leanne was a founding member of the Māori pharmacists association and was the inaugural recipient of clinical pharmacist of the year award.

Antibiotic prescribing challenges

PODCAST: Professor Bruce Arroll talks about antibiotic use and the prescribing challenges that GPs face.

Management of gout in Aotearoa New Zealand

Dr Helen Fulcher, Goodfellow GP Advisor talks with Rheumatologist, Professor Nicola Dalbeth and Consultant Prescribing Pharmacist Leanne Te Karu talks about the management of gout in New Zealand.

Cannabinoids for pain management - Giresh Kanji

Dr Giresh Kanji talks about prescribing cannabinoids for pain management in primary care. Giresh is a musculoskeletal pain specialist who competed a PhD in chronic pain in 2013. He is currently performing a randomised control trial in chronic low back pain.

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