AFP DEPARTMENT COLLECTION

FPIN's Clinical Inquiries

Clinical Inquiries from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

Apr 1, 2020 Issue
Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis
Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.


Mar 1, 2020 Issue
Tai Chi for Fibromyalgia
The practice of Yang-style tai chi for one hour twice weekly for 12 to 24 weeks is moderately effective in improving quality of life in patients with fibromyalgia.


Feb 1, 2020 Issue
Treatments for Postmenopausal Hypoactive Sexual Desire Disorder
Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications


Jan 1, 2020 Issue
Exercise to Reduce Falls in Older Adults
Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.


Dec 1, 2019 Issue
Alpha Blockers for Nephrolithiasis
The alpha blocker tamsulosin (Flomax) can be used to improve clearance of stones larger than 5 mm, shorten expulsion times, and reduce hospitalization.


Nov 1, 2019 Issue
Aspirin for Colon Cancer Risk Prevention
Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.


Oct 15, 2019 Issue
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease
Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over aspirin alone.


Sep 1, 2019 Issue
Gabapentin for Treatment of Radicular Low Back Pain
Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.


Jun 15, 2019 Issue
H. pylori Screening Before Initiation of Long-term NSAIDs
Physicians should perform laboratory screening for and eradicate H. pylori before initiating long-term NSAID therapy in NSAID-naive patients to reduce the risk of peptic ulcer disease.


Apr 15, 2019 Issue
Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation
A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were bridged during warfarin interruption.


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