Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ...
Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/1215/p756.html
Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...
Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/1201/p649.html
Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician
Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0901/od2.html
Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ...
Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0901/p271.html
Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ...
Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p247.html
OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ...
Feb 1, 2020 - OnabotulinumtoxinA reduces the number of migraine days per month by two days compared with placebo in adults with chronic migraines.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0201/p144.html
Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...
Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1201/p672.html
No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...
Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p460.html
Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...
Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0201/p188a.html
Migraine Headache Prophylaxis - American Family Physician
Jan 1, 2019 - Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0101/p17.html
Pregabalin (Lyrica) for Acute Fibromyalgia Pain - Medicine by the Numbers - American ...
May 1, 2018 - Pregabalin (Lyrica) provides good pain relief to some patients with acute fibromyalgia pain but does not work for most persons. Learn more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0501/od1.html
Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...
Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0401/od2.html
Acute Migraine Headache: Treatment Strategies - American Family Physician
Feb 15, 2018 - Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0215/p243.html
Topical Capsaicin for Treatment of Chronic Neuropathic Pain in Adults - Medicine by the...
Dec 1, 2017 - Based on low-quality evidence, high-concentration capsaicin patches reduce neuropathic pain from herpes and human immunodeficiency virus infection by 30% to 50% compared with the low-concentration capsaicin control group.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/1201/od1.html
Treatments for Nocturnal Leg Cramps - FPIN's Help Desk Answers - American Family Physician
Oct 1, 2017 - Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2017/1001/od3.html
Alpha-adrenergic Agonists for the Management of Opioid Withdrawal - Medicine by the ...
Jan 1, 2017 - Alpha-adrenergic agonists were more efficacious than placebo in the management of opioid withdrawal, but are best reserved as an alternative to methadone.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0101/od1.html
Family Medicine: An Underutilized Resource in Addressing the Opioid Epidemic? - Graham ...
Sep 1, 2016 - Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to ...
American Family Physician : Graham Center Policy One-Pagers
https://www.aafp.org/afp/2016/0901/p350.html
Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic ...
Aug 15, 2016 - Behavioral and psychological symptoms of dementia pose management challenges for caregivers and clinicians. Firstline nonpharmacologic treatments include eliminating physical and emotional stressors, modifying the patient’s environment, and establishing daily routines. Family members ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0815/p276.html
Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms ...
Aug 15, 2016 - In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to treat to harm ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0815/p319.html
Treating Painful Diabetic Peripheral Neuropathy: An Update - American Family Physician
Aug 1, 2016 - Painful diabetic peripheral neuropathy occurs in approximately 25% of patients with diabetes mellitus who are treated in the office setting and significantly affects quality of life. It typically causes burning pain, paresthesias, and numbness in a stocking-glove pattern that progresses...
American Family Physician : Article
https://www.aafp.org/afp/2016/0801/p227.html
Caring for Patients with Job Insecurity Who Are Experiencing Chronic Work-Related Pain ...
Jul 15, 2016 - In addition to providing direct medical care, the physician can help this patient by obtaining an occupational history, formulating hypotheses about the cause of the pain and potential interventions, and establishing a therapeutic relationship.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2016/0715/p145.html
Topical NSAIDs for Acute Musculoskeletal Pain in Adults - Medicine by the Numbers - ...
Jul 1, 2016 - Studies show that patients had improved pain control with diclofenac gel, ketoprofen gel, and ibuprofen gel with no increase in local or systemic adverse events. See why.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/0701/od1.html
Gabapentin for Chronic Neuropathic Pain - Medicine by the Numbers - American Family ...
Dec 1, 2015 - Studies show that 1 in 6 patients were helped with diabetic neuropathy and 1 in 8 were helped with postherpetic neuralgia. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2015/1201/od1.html
Gabapentin Equals Epidural Steroid for Radicular Pain - POEMs - American Family Physician
Nov 1, 2015 - After controlling for the placebo effect that may accompany an epidural steroid injection, treatment with gabapentin is as effective as the injection in reducing radicular leg pain in the short term (three months). A placebo bump in response, if present, is likely to be transient.
American Family Physician : POEMs
https://www.aafp.org/afp/2015/1101/p814a.html
Exercise Programs for Older Patients with Dementia - Cochrane for Clinicians - American...
Sep 1, 2014 - There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2014/0901/p287.html
Aspirin With or Without Antiemetic for Acute Migraine Headaches in Adults - Cochrane ...
Feb 1, 2014 - Aspirin, with or without an antiemetic, is an effective treatment for acute migraine headache. Adding the antiemetic metoclopramide (Reglan) significantly reduces migraine-related nausea and vomiting compared with aspirin alone.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2014/0201/p176.html
Insulin for Glycemic Control in Acute Ischemic Stroke - Cochrane for Clinicians - ...
Dec 1, 2012 - Administering insulin to maintain glycemic control does not improve the rates of mortality or dependency, or the final neurologic outcome after an acute ischemic stroke. Additionally, in randomized controlled trials, patients in the intervention groups (those under tight glycemic ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2012/1201/p1008.html
Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment - American ...
Sep 15, 2012 - Interventions following a transient ischemic attack are aimed at preventing a future episode or stroke. Hypertension, current smoking, obesity, physical inactivity, diabetes mellitus, and dyslipidemia are all well-known risk factors, and controlling these factors can have dramatic ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0915/p527.html
Treatment of Alzheimer Disease - American Family Physician
Jun 15, 2011 - Alzheimer disease is the most common form of dementia, affecting more than one-third of Americans older than 85 years. It is characterized by progressive memory loss and cognitive decline. Amyloid plaque accumulation, neurofibrillary tau tangles, and depletion of acetylcholine are among...
American Family Physician : Article
https://www.aafp.org/afp/2011/0615/p1403.html
Dopamine Agonists for Early Parkinson Disease - Cochrane for Clinicians - American ...
Jul 1, 2009 - Dopamine agonists, such as pramipexole (Mirapex), ropinirole (Requip), pergolide (formerly Permax), and apomorphine (Apokyn), improve the motor fluctuations and dyskinesias that commonly occur with levodopa, but at the expense of increasing nonmotor adverse effects and noncompliance. An...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2009/0701/p28.html
Treatment of Early Parkinson's Disease - FPIN's Clinical Inquiries - American Family ...
Aug 1, 2005 - Treatment of early Parkinson’s disease with either selegiline (Eldepryl), a dopamine agonist (pramipexole [Mirapex], ropinirole [Requip], or bromocriptine [Parlodel]), or the combination of levodopa and carbidopa (Sinemet) or levodopa and cabidopa with entacapone (Stalevo) improves ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2005/0801/p497.html
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