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Neurology

Managing patients with neuropathic pain

Neuropathic pain results from a lesion or disease affecting the somatosensory system. There are a range of causes of neuropathic... View Article

May 2016

Melatonin: is it worth losing any sleep over?

Modified-release melatonin is an unsubsidised medicine that is approved for, and moderately effective at, improving sleep quality... View Article

August 2015

Medicine updates

Two newly funded medicines for Chronic Obstructive Pulmonary Disease (COPD) | Rivastigmine patches (Exelon) now funded for patients... View Article

December 2014

The role of triptans in the treatment of migraine in adults

Paracetamol or a non-steroidal anti-inflammatory drug (NSAID) can be used first-line for pain relief in acute migraine. A triptan... View Article

July 2014

The management of Parkinson’s disease: Which treatments to start and when?

The treatment of patients with Parkinson’s disease usually involves a multidisciplinary approach to care. The role of the general... View Article

February 2014

Managing patients with dementia: What is the role of antipsychotics?

Concerns have been raised, both in New Zealand and internationally, about the increasing off-label use of antipsychotics, and... View Article

December 2013

Hazardous substances series: Pyrethroid toxicity and its management

Contributed by Dr Michael Beasley and Dr Wayne Temple, National Poisons Centre View Article

December 2013

Multiple sclerosis: Managing shades of grey

Multiple sclerosis (MS) is an inflammatory disease of the central nervous system (CNS) resulting in neurological deficits, which... View Article

August 2013

H1N1 influenza vaccination and the risk of childhood narcolepsy

IN MARCH, 2012 A SIGNIFICANT INCREASE in the rate of childhood narcolepsy associated with the influenza vaccine Pandemrix (GlaxoSmithKline)... View Article

April 2013

The night time hustle: managing restless legs syndrome in adults

Restless legs syndrome is a common neurological disorder that can significantly affect a patient's quality of life. Lifestyle... View Article

December 2012

Sleep disturbances: managing parasomnias in general practice

The term "parasomnia" describes a group of sleep disorders associated with unnatural movements, behaviours, emotions, perceptions... View Article

November 2012

Silencing tinnitus

Tinnitus is the perception of sound within the ear or head, without a corresponding external stimulus for that sound. It is a... View Article

October 2012

A delicate balance: managing vertigo in general practice

Vertigo is a symptom, not a diagnosis. Although usually benign, vertigo can be a symptom of a significant underlying problem.... View Article

September 2012

Prescribing atypical antipsychotics in general practice

The use of atypical antipsychotics such as quetiapine and olanzapine is increasing. In many cases, these medicines are used for... View Article

November 2011

Raynaud's phenomenon: a whiter shade to winter's pale

Raynaud's phenomenon is a circulatory disorder, characterised by episodic attacks where arteries in the fingers and toes spasm,... View Article

August 2011

The fear of enabling; misuse of prescription medicines

Misuse of prescription opioids is increasing worldwide and many doctors are becoming reluctant to prescribe these medicines for... View Article

June 2011

Investigating mercury toxicity

Although there are many potential sources of exposure to mercury and its compounds, most people can be reassured that they are... View Article

November 2010

The pharmacological management of Alzheimer’s disease: The place of donepezil

From November 1, 2010 donepezil will be funded without Special Authority, on the Pharmaceutical Schedule. Donepezil and other... View Article

August 2010

Snippets: Dextropropoxyphene & Donepezil

Donepezil to be funded on pharmaceutical schedule | Dextropropoxyphene - finding alternatives View Article

July 2010

Snippets: Gabapentin Humalog & Tramadol

Humalog, Tramadol and Gabapentin View Article

June 2010

Prescribing issues associated with anticonvulsant medications for epilepsy

The goal of successful pharmacological treatment in epilepsy is the complete control of seizures, however for some people this... View Article

November 2009

Having a senior moment?

Differentiating normal age-related memory loss from early onset dementia Normal age-related memory loss affects everybody. Assessing... View Article

September 2009

Five-minute back examination with neurological assessment

Instructions and illustrations for performing a quick examination on a patient presenting with acute low back pain and neurological... View Article

June 2009

Medication-overuse headache: when the cure becomes the cause

Medication-overuse headache is a complex disorder best described as an interaction between a therapeutic agent used excessively... View Article

September 2008

Pharmacological management of neuropathic pain

The treatment of neuropathic pain involves a different step-wise approach. View Article

September 2008

The problem of pain memory: persistent central sensitisation pain

Pain memory occurs when the nervous system has become up-regulated from a previous trauma or severe pain. This is a particularly... View Article

September 2008

Managing insomnia

Insomnia affects many adults in New Zealand, however management is only required if it leads to an impairment of daytime function.... View Article

June 2008

Dilemmas: Recognition and treatment of pain in elderly people

Chronic pain is common in elderly people, however it is often unrecognised, treated sub-optimally or not treated at all. Regular... View Article

February 2008

Snippets: Drug information of topical interest


• Calcium Supplementation and the risk of myocardial infarction
• Use of eGFR for drug dose adjustment
• Compulsive gambling...
View Article

December 2007

Dear Dave

Do timolol eye drops cause cold extremeties and tiredness?Dave discusses the systemic absorption of drugs from eye drops and ways... View Article

October 2007

Headache in primary care

Advice on diagnosis and management of primary headaches View Article

August 2007

Parkinson's disease

Covers diagnosis and management of Parkinson's disease View Article

August 2007

CARM Reports; Serotonin Syndrome and Neuroleptic Malignant Syndrome

Covers the symptoms and causes of Serotonin Syndrome and Neuroleptic Malignant Syndrome View Article

February 2007

Dear Dave

Can smoking cessation affect the dose of antipsychotics?Do statins cause nightmares?How important is it to give simvastatin at... View Article

February 2007

Practice Debate: antipsychotics in the treatment of dementia

This article covers the role and safety concerns of antipsychotics in the treatment of behavioural and psychological symptoms... View Article

February 2007