NPS Direct – April 2013
Published in NPS Direct
Date published: About this date
Drugs and the QT interval
There are a number of medicines with known QT interval effects. Prescription of these medicines may lead to the development of fatal arrhythmias. Are you aware which medicines prolong the QT interval and how to prescribe them for your patients?
Manage hepatitis C
The direct-acting antivirals boceprevir and telaprevir will soon be reimbursed for treatment of hepatitis c virus infection. The landscape of treatment may be changing but you still hold the key to expanding access to treatment and play an important role in managing your patients.
Prevent adolescent suicide
Adolescent suicide remains an ongoing problem. Many people see a GP preceding a suicide attempt, providing an opportunity for you to introduce interventions that may positively impact suicide prevention. What are the current treatment strategies that you can use?
Five messages from NPS MedicineWise about:
1. 2013 flu season recommendation
Vaccination is the single best way to protect against influenza infection. Updated recommendations for this flu season are available. Of note, fluvax is no longer approved in Australia for children under 5 years of age.
2. Get your patients vaccinated!
Influenza vaccination is available to all people who want protection. Offer free vaccination to your patients with increased risk of complications, including pregnant women and people over 65.
3. Children's cough and cold medicines
Do not recommend over-the-counter cough and cold medicines for children under the age of six. The potential risks outweigh the limited benefits and their continued use in this age group is not supported by evidence.
4. Antibiotic resistance and RTIs
Prescribing antibiotics for self-limiting RTIs increases individual and community risk of antibiotic resistance with little or no benefit for your patient. When prescribing antibiotics, consider resistance at both a population and individual level.
5. Symptomatic management pad
Patients with a RTI may expect an antibiotic prescription. However, they can often self-manage symtoms and avoid unnecessary antibiotics. This pad will help you remind patients of the things they can do.
Managing warfarin and bleeding risk: what's new?
The Australasian Society of Thrombosis and Haemostasis have updated their warfarin guidelines covering areas such as preventing and treating warfarin over anticoagulation. Do you know what is new in warfarin best practice and reversal?
April NPS RADAR now available!
The new issue reviews the evidence around the new PBS listed medicines pregabalin for neuropathic pain, imiquimod cream for superficial basal cell carcinoma and fixed-dose combination sitagliptin with simvastatin for type 2 diabetes and hypercholesterolaemia.
Using quality data to reduce practice complexity
A new NPS MedicineWise program called MedicineInsight will seamlessly collect non-identifiable patient information from existing general practice software, providing for the first time, a long-term and comprehensive picture of prescribing and clinical activity.
Improve management of type 2 diabetes
By participating in a clinical e-audit more than a third of GPs changed their practice to incorporate absolute CVD risk assessment for people with type 2 diabetes. Find out how your practice compares to your peers.
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