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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

Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ... Restricted content. Login required.

Apr 15, 2020 - In otherwise healthy adults with severe and frequent migraine or cluster headaches, galcanezumab may provide a modest reduction in debilitating headache frequency in the short term.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0415/p502.html

Guidelines for Managing Alzheimer's Disease: Part II. Treatment - American Family ...

Jun 15, 2002 - Once the clinical diagnosis of Alzheimer's disease has been made, a treatment plan must be developed. This plan should include cholinesterase inhibitor therapy to temporarily improve cognition or slow the rate of cognitive decline, management of comorbid conditions, treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0615/p2525.html

Guidelines for Prescribing Antiepileptic Drugs - Practice Guidelines - American Family ...

Jan 15, 2005 - Advertisement << Previous article Next article >> Jan 15, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Jan 15;71(2):384-386. Guidelines for Prescribing Antiepileptic Drugs The American Academy of Neurology (AAN) has released evidence-based...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0115/p384.html

Guidelines on Migraine: Part 2. General Principles of Drug Therapy - Practice ...

Oct 15, 2000 - The U.S. Headache Consortium guidelines on the pharmacologic management of acute migraine emphasize the need for physicians and patients to work together to decide how to treat acute attacks.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/1015/p1915.html

Guidelines on Migraine: Part 3. Recommendations for Individual Drugs - Practice ...

Nov 1, 2000 - The U.S. Headache Consortium guidelines on the pharmacologic management of acute migraine include recommendations for individual drugs. The headache consortium developed efficacy and safety profiles of each drug.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/1101/p2145.html

Headache (Chronic Tension Type) - Clinical Evidence Handbook - American Family Physician

Sep 1, 2003 - What are the effects of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0901/p929.html

Headache (Chronic Tension-Type) - Clinical Evidence Handbook - American Family Physician

Jul 1, 2007 - What are the effects of drug and nondrug treatments for chronic tension-type headache?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0701/p114.html

Herniated Lumbar Disk - Clinical Evidence Handbook - American Family Physician

Apr 1, 2006 - What are the effects of surgery and drug and nondrug treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0401/p1240.html

Herpes Zoster and Postherpetic Neuralgia: Prevention and Management - American Family ...

Jun 15, 2011 - Herpes zoster (shingles) is diagnosed clinically by recognition of the distinctive, painful vesicular rash appearing in a unilateral, dermatomal distribution. An estimated 1 million cases occur in the United States each year, and increasing age is the primary risk factor. Laboratory ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0615/p1432.html

Herpes Zoster and Postherpetic Neuralgia: Prevention and Management - American Family ...

Sep 15, 2005 - The recognizable appearance and the dermatomal distribution of herpes zoster lesions usually enable a clinical diagnosis to be made easily. Herpes zoster and postherpetic neuralgia occur mainly in older patients. The role of the varicella vaccine in preventing herpes zoster is ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0915/p1075.html

Ibuprofen and Morphine Provide Similar Post-op Pain Relief in Kids; Ibuprofen Has Fewer...

Mar 15, 2018 - This carefully designed and adequately powered study found no difference in pain reduction between ibuprofen and oral morphine in children with postoperative pain. Adverse effects, however, were much more likely with morphine.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0315/p408a.html

Ibuprofen for Treatment of Episodic Tension-Type Headaches - Medicine by the Numbers - ...

May 1, 2016 - Studies show that 1 in 14 patients were parin-free at two hours and none experienced adverse events. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0501/od1.html

Ibuprofen Plus Acetaminophen Equals Opioid Plus Acetaminophen for Acute Severe ...

Mar 1, 2018 - In adults presenting to the emergency department with acute extremity pain severe enough to warrant radiologic investigation, ibuprofen plus acetaminophen was equally effective in reducing pain intensity at two hours compared with three different opioid and acetaminophen combination ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0301/p348.html

ICSI Releases Guideline on Chronic Pain Assessment and Management - Practice Guidelines...

Aug 15, 2010 - The Institute for Clinical Systems Improvement (ICSI) released a guideline on the assessment and management of chronic pain in adults and physiologically mature adolescents 16 to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0815/p434.html

Infiltrative Anesthesia in Office Practice - American Family Physician

Jun 15, 2014 - When choosing an infiltrative anesthetic agent, the type of procedure, the length of time required for anesthesia, and the pharmacodynamics of each medication are important considerations. Distraction techniques and buffering with sodium bicarbonate can be used to decrease the pain ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0615/p956.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

Integrating Medical Acupuncture into Family Medicine Practice - Editorials - American ...

Jul 15, 2019 - Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0715/p76.html

Is Intensive Blood Pressure Control Beneficial in Patients with Acute Intracerebral ...

Jan 15, 2014 - It seems to be safe to lower systolic blood pressure to a target of 140 mm Hg in those with an acute hemorrhagic stroke. However, there seems to be no clinical benefit to this approach when the data are adjusted for baseline NIH Stroke Scale scores.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2014/0115/p120.html

Is the San Francisco Syncope Rule Reliable? - AFP Journal Club - American Family Physician

Sep 15, 2009 - Can the San Francisco Syncope Rule successfully determine which patients can be safely discharged after an acute syncopal episode? External validation suggests that the sensitivity of the rule is lower than first reported. Physicians need to apply their clinical acumen and override the ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0915/p558.html

Key Practice Points in the Management of Fibromyalgia - Editorials - American Family ...

Jul 15, 2007 - Advertisement << Previous article Next article >> Jul 15, 2007 Issue Editorials Key Practice Points in the Management of Fibromyalgia CHRISTINE N. HUYNH, MD, LEANNE M. YANNI, MD, and LAURA A. MORGAN, PharmD, Virginia Commonwealth University School of Medicine, Richmond, Virginia Am...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0715/p195.html

Management of Cluster Headache - American Family Physician

Feb 15, 2005 - Cluster headache, an excruciating, unilateral headache usually accompanied by conjunctival injection and lacrimation, can occur episodically or chronically, and can be difficult to treat. Existing effective treatments may be underused because of underdiagnosis of the syndrome. Oxygen ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p717.html

Management of Head and Neck Injuries by the Sideline Physician - American Family Physician

Oct 15, 2006 - Injuries to the head and neck are common in sports. Sideline physicians must be attentive and prepared with an organized approach to detect and manage these injuries. Because head and neck injuries often occur simultaneously, the sideline physician can combine the head and neck ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1357.html

Management of Herpes Zoster (Shingles) and Postherpetic Neuralgia - American Family ...

Apr 15, 2000 - Herpes zoster (commonly referred to as

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2437.html

Management of Normal Pressure Hydrocephalus - American Family Physician

Sep 15, 2004 - Gait instability, urinary incontinence, and dementia are the signs and symptoms typically found in patients who have normal pressure hydrocephalus. Estimated to cause no more than 5 percent of cases of dementia, normal pressure hydrocephalus often is treatable, and accurate recognition ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1071.html

Management of Patients with Newly Diagnosed Epilepsy: A Systematic Literature Review - ...

Sep 1, 2004 - Advertisement << Previous article Next article >> Sep 1, 2004 Issue Editorials Management of Patients with Newly Diagnosed Epilepsy: A Systematic Literature Review SUSAN ROSS, M.D., and RHONDA P. ESTOK, R.N., B.S.N., MetaWorks, Inc., Medford, Massachusetts SAMEER S. CHOPRA, M.A.,...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0901/p824.html

Management of Seizures and Epilepsy - American Family Physician

Apr 1, 1998 - While the evaluation and treatment of patients with seizures or epilepsy is often challenging, modern therapy provides many patients with complete seizure control. After a first seizure, evaluation should focus on excluding an underlying neurologic or medical condition, assessing the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1589.html

Management of Status Epilepticus - American Family Physician

Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p469.html

Managing Chronic Pain in the Primary Care Setting - Editorials - American Family Physician

Jul 1, 2002 - Advertisement << Previous article Next article >> Jul 1, 2002 Issue Editorial Managing Chronic Pain in the Primary Care Setting Dawn A. Marcus, M.D. University of Pittsburgh Medical Center Pittsburgh, Pennsylvania Am Fam Physician. 2002 Jul 1;66(1):36-42. The National Center for...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0701/p36.html

Managing Pain in the Dying Patient - American Family Physician

Feb 1, 2000 - End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Starting with an appropriate assessment and following recommended guidelines on the use of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p755.html

Manipulative Therapies: What Works - American Family Physician

Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p248.html

Medications for Migraine Prophylaxis - American Family Physician

Jan 1, 2006 - Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p72.html

Medications Ineffective to Prevent Cognitive Decline or Dementia - POEMs - American ...

Aug 15, 2018 - None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p248a.html

Memantine (Namenda) for Moderate to Severe Alzheimer's Disease - STEPS - American ...

Mar 15, 2004 - Memantine is well tolerated, but its clinical benefits for the treatment of moderate to severe AD appear modest. The reduction in caregiver time requires confirmation in another trial. As with other drugs for AD, memantine does not reverse deterioration.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0315/p1491.html

Methadone Treatment for Pain States - American Family Physician

Apr 1, 2005 - Methadone is a synthetic opioid with potent analgesic effects. Although it is associated commonly with the treatment of opioid addiction, it may be prescribed by licensed family physicians for analgesia. Methadone's unique pharmacokinetics and pharmacodynamics make it a valuable option ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1353.html

Migraine Headache - Clinical Evidence Handbook - American Family Physician

May 1, 2002 - What are the effects of drug treatments for acute migraine headache?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/0501/p1871.html

Migraine Headache in Children - Clinical Evidence Handbook - American Family Physician

Dec 15, 2009 - What are the effects of treatments for acute attacks and prophylaxis of migraine headache in children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1215/p1445.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

Migraine Headache, Evidence-Based Guidelines, and the AAFP - Editorials - American ...

Dec 1, 2002 - Advertisement << Previous article Next article >> Dec 1, 2002 Issue Editorials Migraine Headache, Evidence-Based Guidelines, and the AAFP ERIC M. WALL, M.D., M.P.H. Portland, Oregon Am Fam Physician. 2002 Dec 1;66(11):2050. Related Article The article by Aukerman and colleagues1...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/1201/p2050.html

Mind-Body Therapies for Headache - American Family Physician

Nov 15, 2007 - Headache is one of the most common and enigmatic problems encountered by family physicians. Headache is not a singular entity, and different pathologic mechanisms are involved in distinct types of headache. Most types of headache involve dysfunction of peripheral or central nociceptive ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1518.html

Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain - ... Restricted content. Login required.

Jul 15, 2020 - Using mindfulness, meditation, hypnosis, therapeutic suggestion, and cognitive behavior therapy, in addition to opioid treatment of acute or chronic pain, provides an additional benefit to patients by reducing pain scores.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p119.html

Monitoring Therapy for Patients with Alzheimer's Disease - FPIN's Clinical Inquiries - ...

Jun 1, 2007 - Patients with Alzheimer's disease who undergo treatment of any kind should be monitored eight weeks after initiation of therapy and at least every six months thereafter.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0601/p1703.html

Multiple Sclerosis - Clinical Evidence Handbook - American Family Physician

May 15, 2013 - What are the effects of interventions aimed at reducing relapse rates and disability and to improve symptoms during acute relapse in persons with multiple sclerosis? What are the effects of treatments for fatigue and spasticity in persons with multiple sclerosis? What are the effects of...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0515/p712.html

Nerve Blocks: Part I. Upper Extremity - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Procedural anesthesia is administered by family physicians for a variety of conditions, including neuropathies, fracture reduction, foreign body removals, and complex wound management. A nerve block may be preferred because it provides effective regional anesthesia with less anesthetic....

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p654.html

Nerve Blocks: Part II. Lower Extremity - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Family physicians use anesthesia to provide diagnostic and procedural analgesia for conditions such as neuropathies, fracture reduction, foreign body removals, and complex wound management. Local infiltration of anesthetics is commonly used in this setting because of the ease of use, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p669.html

New Concepts In Acute Pain Therapy: Preemptive Analgesia - American Family Physician

May 15, 2001 - Pain, which is often inadequately treated, accompanies the more than 23 million surgical procedures performed each year and may persist long after tissue heals. Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p1979.html

New Drugs for Alzheimer's Disease - American Family Physician

Oct 1, 1998 - Alzheimer's disease is characterized by degeneration of various structures in the brain, with development of amyloid plaques and neurofibrillary tangles. Deficiencies of acetylcholine and other neurotransmitters also occur. Pharmacologic treatment of the disease generally seeks to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1175.html

New Guideline for Treatment of Dementia: Is There Really Anything New? - Editorials - ...

Apr 15, 2008 - Advertisement << Previous article Next article >> Apr 15, 2008 Issue Editorials New Guideline for the Treatment of Dementia: Is There Really Anything New? ALAN M. ADELMAN, MD, MS, Pennsylvania State University College of Medicine, Hershey, Pennsylvania DAVID R. MEHR, MD, MS,...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0415/p1080.html

Newer Anti-Eptileptic Drugs: Gabapentin, Lamotrigine, Felbamate, Topiramate and ...

Feb 1, 1998 - Twenty-five to 40 percent of patients with epilepsy continue to have seizures despite optimal treatment with traditional antiepileptic drugs. Treatment with standard anticonvulsants such as phenytoin, carbamazepine, valproic acid and phenobarbital is often complicated by side effects ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p513.html

Newer Intranasal Migraine Medications - American Family Physician

Jan 1, 2000 - Two new intranasal migraine medications, sumatriptan and dihydroergotamine mesylate, may offer specific advantages for patients who are seeking alternatives to various oral or parenteral migraine abortive therapies. Placebo-controlled clinical studies demonstrate that both intranasal ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p180.html

No Added Benefit with Higher Doses of Ketorolac for Treatment of Acute Pain in the ...

Aug 15, 2017 - A 10-mg dose of ketorolac is as effective as higher doses for the short-term treatment of acute pain for patients in the emergency department.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p262.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

Nonoperative Management of Cervical Radiculopathy - American Family Physician

May 1, 2016 - Cervical radiculopathy describes pain in one or both of the upper extremities, often in the setting of neck pain, secondary to compression or irritation of nerve roots in the cervical spine. It can be accompanied by motor, sensory, or reflex deficits and is most prevalent in persons 50 ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0501/p746.html

Nonopioids Equivalent to Opioids for Severe Chronic Back, Hip, or Knee Pain with Fewer ...

Sep 1, 2018 - Nonopioid medications were at least as effective as opioid medications for improving pain-related function over 12 months in adults with severe chronic back pain or knee or hip osteoarthritis pain. The evidence that opioids are not superior to nonopioid medications for chronic and acute...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0901/p316.html

Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and ... Restricted content. Login required.

May 15, 2020 - Nonpharmacologic approaches to agitation or aggression in patients with dementia are more effective than medication (e.g., haloperidol). Outdoor activities, multidisciplinary care, and massage and touch therapy with or without music are all effective.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p631a.html

NSAIDs for Postpartum Perineal Pain - FPIN's Help Desk Answers - American Family Physician

Jun 1, 2018 - Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od3.html

Occupational Therapy Improves Activities of Daily Living After Stroke - Cochrane for ...

Jun 1, 2007 - Compared with standard rehabilitation, ADL-based occupational therapy significantly decreases death or institutionalization and deterioration in the ability to perform ADL after stroke. The optimal length and type of therapy is not well defined.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0601/p1651.html

OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

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

Opioid Dependence - Clinical Evidence Handbook - American Family Physician

Sep 15, 2012 - What are the effects of drug treatments for stabilization (maintenance), withdrawal, and relapse prevention in persons with opioid dependence?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0915/p565.html

Oral Analgesics for Acute Nonspecific Pain - American Family Physician

Mar 1, 2005 - Physicians most often recommend or prescribe oral medication for relief of acute pain. This review of the available evidence supports the use of acetaminophen in doses up to 1,000 mg as the initial choice for mild to moderate acute pain. In some cases, modest improvements in analgesic ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0301/p913.html

Osteopathic Manipulative Treatment: A Primary Care Approach - Editorials - American ...

Feb 15, 2019 - Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0215/p214.html

Parkinson's Disease - Clinical Evidence Handbook - American Family Physician

Apr 1, 2007 - What are the effects of drug treatments in persons with early stage Parkinson's disease? What are the effects of adding other treatments in persons with motor complications from levodopa? What are the effects of surgery and nursing and rehabilitation treatments in persons with ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0401/p1045.html

Pharmacologic Interventions for Apathy in Patients with Alzheimer Disease - Cochrane ...

Jan 1, 2019 - Methylphenidate may improve apathy in select patients with AD (mean difference [MD] = –4.99 on the apathy evaluation scale; 95% confidence interval [CI], –9.55 to –0.43), although the clinical significance associated with these findings remains unclear and the evidence is considered low...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p14.html

Pharmacologic Management of Pain at the End of Life - American Family Physician

Jul 1, 2014 - Although many patients experience debilitating pain at the end of life, there are many options to improve analgesia and quality of life. Pain assessment using a validated tool, with attention to patient function and specific goals, helps tailor individual treatment plans. The World ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0701/p26.html

Pharmacologic Therapy for Acute Pain - American Family Physician

Jun 1, 2013 - The approach to patients with acute pain begins by identifying the underlying cause and a disease-specific treatment. The first-line pharmacologic agent for the symptomatic treatment of mild to moderate pain is acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID). The choice ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0601/p766.html

Pharmacologic Treatment of Alzheimer's Disease: An Update - American Family Physician

Oct 1, 2003 - Alzheimer's disease is characterized by the development of senile plaques and neurofibrillary tangles, which are associated with neuronal destruction, particularly in cholinergic neurons. Drugs that inhibit the degradation of acetylcholine within synapses are the mainstay of therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1365.html

Physical Fitness Training for Patients with Stroke - Cochrane for Clinicians - American...

Jun 1, 2017 - There is moderate-quality evidence that physical fitness training improves disability after stroke. Cardiovascular training that includes only aerobic exercise has a moderate effect on disability (standard mean difference [SMD] = 0.52 on a pooled disability scale), although it is not ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0601/p701.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

Postherpetic Neuralgia - Clinical Evidence Handbook - American Family Physician

Sep 15, 2011 - What are the effects of interventions aimed at preventing herpes zoster and subsequent postherpetic neuralgia? What are the effects of interventions during an acute attack of herpes zoster aimed at preventing postherpetic neuralgia? What are the effects of interventions to relieve ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0915/p690.html

Postherpetic Neuralgia - Clinical Evidence Handbook - American Family Physician

Apr 1, 2003 - What are the effects of interventions to prevent postherpetic neuralgia? What are the effects of treatments in established postherpetic neuralgia?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0401/p1557.html

Practical Considerations in the Early Treatment of Ischemic Stroke - American Family ...

Jan 1, 1998 - Successful treatment of patients with ischemic stroke depends on the ability to treat within three hours of onset, because tissue plasminogen activator has not yet been proved effective beyond this time frame. The two major causes of delay in treatment are failure, on the part of the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p73.html

Practice Guidelines - Jul 15, 2004 - American Family Physician

Jul 15, 2004 - Advertisement << Previous article Next article >> Jul 15, 2004 Issue Practice Guideline Briefs Treatment of Infantile Spasms CARRIE MORANTZ, BRIAN TORREY Am Fam Physician. 2004 Jul 15;70(2):399. Treatment of Infantile Spasms The American Academy of Neurology and the Child Neurology...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p399.html

Practice Guidelines - Jul 15, 2004 - American Family Physician

Jul 15, 2004 - Advertisement << Previous article Next article >> Jul 15, 2004 Issue Practice Guideline Briefs Treatment of Infantile Spasms CARRIE MORANTZ, BRIAN TORREY Am Fam Physician. 2004 Jul 15;70(2):399-400. Dystocia and Augmentation of Labor The American College of Obstetricians and...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p399a.html

Practice Guidelines - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - Advertisement << Previous article Next article >> Mar 1, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Mar 1;71(5):1019-1020. Treatment of Migraine Headache in Children and Adolescents The American Academy of Neurology Quality Standards...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0301/p1019.html

Practice Guidelines - May 15, 2006 - American Family Physician

May 15, 2006 - The Centers for Disease Control and Prevention (CDC) is investigating an outbreak of mumps that began in Iowa in December 2005. Other cases that were thought to be linked to the Iowa outbreak were being investigated in Illinois, Kansas, Minnesota, Missouri, Nebraska, and Wisconsin.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0515/p1847.html

Practice Guidelines - May 15, 2006 - American Family Physician

May 15, 2006 - A subcommittee of the American Academy of Neurology (AAN) reviewed articles on carotid endarterectomy to assess the effectiveness of the procedure in preventing stroke in patients with internal carotid artery stenosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0515/p1847a.html

Pramipexole (Mirapex) for Restless Legs Syndrome - STEPS - American Family Physician

Apr 15, 2007 - Although many patients with RLS do not need pharmacologic therapy, pramipexole is one option for treating moderate to severe symptoms. As with other agents used to manage RLS, potentially serious adverse reactions are possible.

American Family Physician : STEPS

https://www.aafp.org/afp/2007/0415/p1239.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

Pregabalin (Lyrica) for the Management of Pain Associated with Diabetic Neuropathy - ...

Dec 15, 2006 - Pregabalin is safe and effective for the management of neuropathic pain associated with diabetic peripheral neuropathy. Drawbacks include the cost and the lack of studies demonstrating equivalence or superiority to other treatments. However, pregabalin’s ease of dosing titration, ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/1215/p2093.html

Pregabalin Does Not Decrease the Pain of Sciatica - POEMs - American Family Physician

Aug 15, 2017 - Pregabalin does not relieve pain in patients with sciatica.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p260.html

Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...

Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0415/p458.html

Preventing Stroke in Patients with Transient Ischemic Attacks - American Family Physician

Nov 15, 1999 - Stroke is the third most common overall cause of death and the leading cause of adult disability in the United States. New therapeutic interventions instituted in the period immediately after a stroke have revolutionized the approach to ischemic cerebrovascular disease. Recognition of a...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2329.html

Prevention and Treatment of Motion Sickness - American Family Physician

Jul 1, 2014 - Motion sickness is a common syndrome that occurs upon exposure to certain types of motion. It is thought to be caused by conflict between the vestibular, visual, and other proprioceptive systems. Although nausea is the hallmark symptom, it is often preceded by stomach awareness, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0701/p41.html

Prognosis Following Mild Head Injury in Children - Point-of-Care Guides - American ...

Dec 15, 2016 - Concussion, also referred to as mild traumatic brain injury, is a common injury in children. It is defined as a transient disturbance in mental status following head trauma, and it can cause a variety of physical, cognitive, and emotional sequelae. Symptoms continuing for more than 28 ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/1215/p1006.html

Quality of Life in Older Persons with Dementia Living in Nursing Homes - FPIN's ...

Apr 1, 2008 - There is no gold standard to measure the QOL in older persons with dementia. For those requiring increased care, nursing homes may offer some benefit, including more frequent physician assessment and treatment of pain and depression, compared with assisted living/residential care ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0401/p1011.html

Rational Use of Opioids for Management of Chronic Nonterminal Pain - American Family ...

Aug 1, 2012 - Opioid prescribing for chronic nonterminal pain has increased in recent years, although evidence for its long-term effectiveness is weak and its potential for harm is significant. Nonmedical use of prescription opioids, diversion, and overdose deaths have also increased sharply, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0801/p252.html

Real-World Study Finds Lower Mortality and Stroke Risk with Dabigatran, but More GI ...

Sep 15, 2015 - In this well-designed observational study, older patients given an initial prescription of dabigatran had lower all-cause mortality and fewer ischemic and hemorrhagic strokes, but a higher risk of gastrointestinal (GI) bleeding, than a matched group of patients given warfarin.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0915/p529.html

Recommendations for Prescribing New Antiepileptic Drugs - Practice Guidelines - ...

Sep 15, 2004 - According to a meta-analysis by the American Academy of Neurology (AAN) and the American Epilepsy Society (AES), several new antiepileptic drugs (AEDs) are effective in treating selected patients with partial or mixed seizure disorders, but evidence for their efficacy in patients with ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1167.html

Reducing Headache Disability in Children and Adolescents - Editorials - American Family...

Feb 15, 2002 - Advertisement << Previous article Next article >> Feb 15, 2002 Issue Editorials Reducing Headache Disability in Children and Adolescents DAWN A. MARCUS, M.D., University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Am Fam Physician. 2002 Feb 15;65(4):554-558. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0215/p554.html

Regional Anesthesia For Office Procedures: Part I. Head and Neck Surgeries - American ...

Feb 1, 2004 - Although local anesthesia usually is used in surgical procedures, field or nerve blocks can provide more effective anesthesia in some situations. In a field block, local anesthetic is infiltrated around the border of the surgical field, leaving the operative area undisturbed. In field ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p585.html

Regional Anesthesia For Office Procedures: Part II. Extremity and Inguinal Area ...

Feb 15, 2004 - The hand can be anesthetized effectively with blocks of the median, ulnar, or radial nerve. Each digit is supplied by four digital nerves, which can be blocked with injections on each side of the digit. Anterior or posterior ankle blocks can be used for regional anesthesia for the foot....

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p896.html

Restless Legs Syndrome - American Family Physician

Jul 15, 2008 - Restless legs syndrome is a common neurologic movement disorder that affects approximately 10 percent of adults. Of those affected with this condition, approximately one third have symptoms severe enough to require medical therapy. Restless legs syndrome may be a primary condition, or ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p235.html

Rivaroxaban vs. Warfarin for Stroke Prevention in Patients with Nonvalvular Atrial ...

Mar 15, 2012 - How does rivaroxaban compare with warfarin for stroke prevention in patients with nonvalvular atrial fibrillation? This study concluded that rivaroxaban is noninferior to warfarin. However, noninferiority trials do not meet the same rigorous design and statistical format of traditional ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0315/p577.html

Routine Oxygen Supplementation After Acute Stroke Does Not Improve Functional Outcomes ...

Apr 15, 2018 - For nonhypoxic patients with acute stroke, routine oxygen therapy for 72 hours, either continuously or at night only, does not improve functional outcomes at 90 days. Long-term outcomes were not assessed in this study, and the question remains whether 90 days is an adequate length of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0415/p533.html

Rural Opioid Use Disorder Treatment Depends on Family Physicians - Graham Center Policy...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.html

Sertraline Reduces Risk of Depression in Adults After Traumatic Brain Injury - POEMs - ...

Feb 1, 2017 - This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0201/p194.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

Short-Term Clopidogrel Plus Aspirin Prevents Second Ischemic Stroke Better Than Aspirin...

Aug 15, 2019 - Combined treatment with clopidogrel and aspirin, started within 24 hours of the first event, will decrease the likelihood of a recurrent stroke in an additional 2% of patients compared with aspirin alone, with a slight increase in the risk of extra-cranial bleeding.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249.html

Sialorrhea--A Management Challenge - American Family Physician

Jun 1, 2004 - Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson's disease or have had a stroke. It is most commonly caused by poor oral and facial muscle ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2628.html

Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ... Restricted content. Login required.

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

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