The safe and effective use of dabigatran and warfarin in primary care

Patients taking oral anticoagulants require appropriate management in order to receive the maximum benefit from treatment with the minimum risks. This includes deciding whether dabigatran or warfarin is most appropriate, managing risk factors for...

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An update on managing patients with atrial fibrillation

Most patients with atrial fibrillation can be managed in primary care. Patients should be referred for an initial assessment with echocardiograph.

Hepatitis C: you can’t treat it if you don’t test for it

Approximately half of people with hepatitis C virus (HCV) infection in New Zealand are unaware they have it.

Beta-blockers for cardiovascular conditions: one size does not fit all patients

Metoprolol succinate accounts for almost three-quarters of the beta-blockers dispensed in New Zealand. There is, however, little evidence...

The bpacnz antibiotic guide: 2017 edition

The 2017 edition of the bpacnz antibiotics guide; Antibiotics: choices for common infections, is now available online. There are several new features of this guideline, along with some changes in advice.

Antibiotics: choices for common infections

The following information is a consensus guide. It is intended to aid selection of an appropriate antibiotic for typical patients with infections commonly seen in general practice.

Could improvement science be the game changer for quality improvement in primary care?

With increasing health care costs, an ageing population, new technologies and DHB...

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Blood pressure and lipids.

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Our next theme will be “Mental Health”

Allison Maskill

I have increased my prescribing of crystaderm more lately. I also am discouraging those who ask for foban by name. This has been a helpful article.

Prescribing topical medicines for skin infection

Barnett Bond

Question for your microbiologist - what is the utility of taking ear swabs in otitis externa or otitis media with effusion?

Microbiological assessment of infected wounds: when to take a swab and how to interpret the results

The Editor

Hi Rebekah. Sedating antihistamines are contraindicated in children aged under two years - this is based on information in the New Zealand Formulary for Children, medicine datasheets and a Medsafe advisory in 2013

We note that the Starship article you refer to was last updated in 2014 and the recommendation for use of sedating antihistamines in this setting is linked to a 2007 NICE guideline. It may be that the advice contained in the Starship guide is intended for use in a hospital setting. There may occasionally be clinical reasons for use of sedating antihistamines in children aged under two years, at the discretion of the prescriber.

Treating childhood eczema - a topical solution for a topical problem

Rebekah Sands

Would you please be able to clarify about the appropriate age of sedating antihistamines in children? In this article, it suggests not before the age of 2, while in this SSH article it suggests okay over the age of 6 months during severe flares?

Treating childhood eczema - a topical solution for a topical problem

Louise Kuegler

I read this article hoping to find the answer to my older male patients problem with B blockers- Erectile dysfunction...

Beta-blockers for cardiovascular conditions: one size does not fit all patients

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