Clozapine: safe prescribing

In 2014 bpacnz published an article on the safer prescribing of clozapine. Since this time, a number of fatalities, along with new research, has reiterated the need for close monitoring of patients treated with this high-risk medicine.

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Prescribing statins to reduce cardiovascular risk

Lowering lipid levels should be viewed as one aspect of reducing a patient’s overall cardiovascular disease risk.

Treatment of hepatitis C (HCV) has changed

Treatment for HCV genotype 1b in primary care with Viekira Pak is now for eight weeks (previously 12 weeks).

Helping patients with epilepsy adhere to their medicines

People with epilepsy require good adherence to anti-epileptic medicines for optimal seizure control. However, maintaining...

Go low or no? Managing blood pressure in primary care

There is much debate as to whether intensive blood pressure management, i.e. aiming for a systolic blood pressure less than...

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...

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.

Coming up...

Insomnia, medicines for depression, suicide prevention

Coming soon...

Our next theme will be “Managing Pain”

Ben Nieuwoudt

Are you presuming that doctors will classify tonsillitis treatment under pharyngitis? I see many doctors are prescribing Augmentin as primary 'go to' antibiotic for uncomplicated tonsillitis (including almost every other category of infection).

Antibiotics: choices for common infections

The editor

Stephen Hoskin, a general practitioner from Te Anau sent us the following comments

Perhaps the main practical implication of these studies is to consider the patient’s condition rather than their age. The SPRINT study applied to people living in the community and showed benefits from tight blood pressure control across all ages, including those over 75 years old. Contrast that with an 80% higher mortality for frail elderly rest home residents with two or more anti-hypertensives and systolic BP less than 130mmHg

Go low or no? Managing blood pressure in primary care

Ian Milne

Richard makes excellent points, particularly re diminishing returns. I would add the following: 1. "treating by numbers" seldom makes for good clinical practice.

Go low or no? Managing blood pressure in primary care

Professor Robert Walker

Several points. Firstly there is a difference in a reduction in eGFR due to anti hypertensive therapy which is an appropriate response to therapy (especially ACEI /ARB) in the setting of CKD, which is not evidence of acute kidney injury, this was not considered in ACCORD, rather jsut reported as an adverse event.

Go low or no? Managing blood pressure in primary care

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