Sydney sexual health physician Louise Tomlins outlines gender-affirming hormone therapy for transgender patients. Treatments are relatively straightforward and safe following similar principles to the treatment of postmenopausal women and hypogonadal men. The article includes a discussion of treatment for young people.
Empirical evidence shows that shorter courses of antibiotics are nearly always as effective as longer ones, writes infectious diseases physician Heather Wilson. When antibiotics are indicated, evidence supports short antibiotic courses for many common infections including acute rhinosinusitis, mild community-acquired pneumonia and acute uncomplicated urinary tract infection.
Associate professor in public health Melissa Kang discusses the challenges of prescribing for adolescents. Regarding safety and efficacy, adolescents are not ‘mini-adults’. Some medicines require paediatric dosing, while others are safe to use in adult doses. Capacity for consent to treatment develops as the adolescent matures, and the shifting power dynamics in the adolescent-parent-clinician triad is a challenge for many clinicians.
Other articles in the February issue of Australian Prescriber include:
- Does size matter? Addressing pack size and antibiotic duration
- Nitrofurantoin and fosfomycin for resistant urinary tract infections: old drugs for emerging problems
- The hot patient: acute drug-induced hyperthermia
- New drugs: alirocumab for hypercholesterolaemia, apalutamide for prostate cancer, baricitinib for rheumatoid arthritis, emicizumab for haemophilia A, migalastat for Fabry syndrome, rufinamide for seizures, tildrakizumab for psoriasis
Matthew Harris 02 8217 9229, 0419 618 365 or firstname.lastname@example.org
Australian Prescriber is an independent peer-reviewed journal providing critical commentary on therapeutic topics for health professionals. It is published by NPS MedicineWise, an independent, not-for-profit organisation for quality use of medicines funded by the Australian Government Department of Health. Australian Prescriber is published every two months and is available online at nps.org.au/australianprescriber.