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BPJ 4 April 2007

Best Practice Journal

Managing heartburn undifferentiated dyspepsia and functional dyspepsia in general practice

Heartburn, undifferentiated dyspepsia and functional dyspepsia are common and management requires an individually tailored combination of lifestyle modification and drug treatment. In the absence of red flags, the presence of heartburn with or without dyspepsia is the single most important feature determining management when a patient presents with indigestion. View Article

Management of acute asthma

In this article we pose four scenarios and asked Respiratory Physician, Professor Robin Taylor to discuss what he would advise in these situations. Consider how you would respond to these acute asthma scenarios and then read Professor Taylor’s comments. View Article

Interactions with Warfarin

Warfarin has the potential to interact with numerous drugs resulting in significant morbidity and potentially fatal bleeds. Loss of anticoagulant control is one of the most frequent causes of drug related hospital admissions in New Zealand and in many cases the event is precipitated by an agent which alters the anticoagulant effect of warfarin. View Article

Opportunistic interventions in primary care can reduce stroke risk

Stroke is the third leading cause of death in New Zealand, after ischaemic heart disease and all cancers combined and is the most important cause of adult disability. Clearly a concerted effort is required across all population groups but there are specific issues for Māori, Pacific people and women. View Article

Herceptin the facts

A focus on the clinical issues surrounding the use of Herceptin including latest results from clinical trials. View Article

Clozapine - Safe and Effective Use

Clozapine is the gold-standard treatment for people with schizophrenia who are unresponsive to, or intolerant of, other antipsychotics. Unfortunately there can be some significant adverse effects and interactions associated with its use. GPs have a vital role in detecting and managing these. View Article

Dear Dave

Is there an association between the use of the combined oral contraceptive and Vitamin B12 deficiency View Article

10 minute audit: omeprazole

This audit is designed to identify people in your practice on omeprazole View Article