This edition of FP EssentialsTM will cover recent updates about the adverse effects of commonly used drugs, herbal medicines, and dietary supplements. The content should include: related general concepts; adverse effects of commonly used drugs in children and adolescents; adverse effects of commonly used drugs in adults; and adverse effects of herbal medicines and dietary supplements. The content should emphasize recent, relevant literature, rather than provide a general review of the four topics.
This edition of FP Essentials should be approximately 10,000 words in length, divided into 4 sections of approximately 2,500 words each, plus an abstract of no more than 200 words for each section, key practice recommendations, a maximum of 15 tables and figures, recommended readings, and references. This edition should focus on what is new in each topic and should answer the key questions listed for each section. Each section should begin with an illustrative case, similar to the examples provided, with modifications to emphasize key points; each case should have a conclusion that demonstrates resolution of the clinical situation. The references suggested here include information that should be considered in preparation of this FP Essentials. However, these references are only a useful starting point that should be used to identify additional information to review.
Example case: Emily, a 46-year-old woman, has type 2 diabetes that does not require insulin, hypertension, hyperlipidemia, morbid obesity, lumbar spinal stenosis, and gout. She presents to your office after being discharged from the hospital for treatment of acute low back pain. During the hospitalization, the hospitalist made modifications and an addition to her drug regimen. Since discharge, she reports sleepiness and dizziness. She thinks she is having an adverse reaction to the new drug.
Key questions to consider:
Initial references to consider:
Example case: Lily, a 7-year-old girl, is brought to your office by her mother Augusta. Augusta reports Lily has had low-grade fever, rhinorrhea, and cough for the last few days. She has a history of seizures and takes phenobarbital and phenytoin daily. Lately, Augusta has been giving Lily over-the-counter acetaminophen, guaifenesin, and pseudoephedrine for the cold symptoms.
Initial references to consider:
Example case: Mr. Burns, a 77-year-old man presents for a routine health maintenance examination. At the beginning of the examination, you conduct a drug reconciliation and see substantial polypharmacy. The patient is currently taking 14 prescription drugs and, sometimes, 3 to 5 over-the-counter drugs/day. Mr. Burns says that he has multiple health care professionals who prescribe his drugs, and that he does not read the drug information pamphlets given to him by the pharmacist.
Example case: Laura, a 33-year-old woman, presents to your office for a follow-up visit for migraine headache, worsening fibromyalgia, and desire to lose weight. She currently takes sumatriptan as needed for migraines, and cyclobenzaprine and tramadol up to three times daily to control the fibromyalgia pain. In addition, today she has brought a bag with more than 10 herbal medicines and dietary supplements recommended to her by a friend to reduce her pain and help with weight loss. Laura reports that she takes these sporadically, but cannot give details on exactly how often or in what quantities.
Share this page
Alert: Message field is required.
You must sign in before you can share a page on AAFP connection.
Call for Authors
Adverse Effects of Commonly Used Drugs, Herbal Medicines, and Dietary Supplements