Rheumatoid arthritis: optimising treatment
How can you optimise a patient’s methotrexate therapy for the management of rheumatoid arthritis?
Medication management on sick days
Patients may be susceptible to adverse drug events during acute illness due to comorbidities or medicine use.
Community use of naloxone for opioid overdose
Naloxone is a competitive antagonist at opioid receptors. It can be administered to reverse the effects of an opioid overdose.
Chronic heart failure
The clinical diagnosis of heart failure should be confirmed by echocardiogram to determine the underlying mechanism and to measure the left ventricular ejection fraction.
Peptic ulcer disease and non-steroidal anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs including low-dose aspirin are some of the most commonly used medicines. They are associated with gastrointestinal mucosal injury.
Appropriate use of dose administration aids
Dose administration aids can improve medicines management for some people. However, they have a number of limitations and are not suitable for all patients.
Rohan A Elliott, Aust Prescr 2014;37:46-50
Statins: promoting adherence, addressing intolerance
Optimise your patients’ adherence to lipid-modifying medicines and improve your confidence in assessing suspected statin-associated muscle symptoms.
The management of gastro-oesophageal reflux disease
If there are no features of serious disease, suspected gastro-oesophageal reflux disease can be initially managed with a trial of a proton pump inhibitor for 4–8 weeks. This should be taken 30–60 minutes before food for optimal effect.
Charlotte Keung and Geoffrey Hebbard, Aust Prescr 2016:39:6-10