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Are Some Antidepressants Safer than Others Regarding Suicide Risk? - POEMs - American ...

Jul 1, 2015 - Mirtazapine (Remeron) and venlafaxine are associated with higher rates of completed suicide in primary care patients. Rates of suicide attempts and completion are similar with the use of selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0701/p52a.html

Are SSRIs Effective for Treating OCD? - Cochrane for Clinicians - American Family ...

May 1, 2008 - SSRIs are effective for the treatment of OCD. If it is assumed that 10 percent of persons with OCD will recover without treatment, then 12 persons with OCD need to be treated for one additional person to have a response within six to 13 weeks. If it is assumed that 20 percent of persons...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0501/p1252.html

Are You Talking to Your Patients About CAM? - Editorials - American Family Physician

Aug 1, 2009 - Advertisement << Previous article Next article >> Aug 1, 2009 Issue Editorials Are You Talking to Your Patients About CAM? SUMI SEXTON, MD, Georgetown University Medical Center, Washington, DC Am Fam Physician. 2009 Aug 1;80(3):228-230. In June 2008, the National Center for...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0801/p228.html

Aripiprazole as Adjunctive Therapy in Patients with Major Depressive Disorder - AFP ...

Aug 1, 2008 - Does augmentation with aripiprazole help patients with major depressive disorder who have not responded to initial therapy? Adding aripiprazole to SSRIs or SNRIs did not significantly improve depression in this study. However, this study did not compare the study drug with a real-world ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0801/p308.html

Aripiprazole vs. Other Atypical Antipsychotics for Schizophrenia - Cochrane for ...

Jun 1, 2010 - Aripiprazole is less effective in treating schizophrenia than olanzapine (Zyprexa), but has fewer metabolic and sedative adverse effects. There is no difference in effectiveness between aripiprazole and risperidone (Risperdal); however, aripiprazole may be associated with less dystonia,...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0601/p1335.html

Aripiprazole vs. Placebo or Haloperidol for Schizophrenia - Medicine by the Numbers - ...

Dec 1, 2016 - Aripiprazole was shown to have one major benefit over placebo, but favorable outcomes with haloperidol throw its effectiveness into question. Are the differences merely anomalies?

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/1201/p877.html

Aromatase Inhibitors Such as Letrozole (Femara) vs. Clomiphene (Clomid) for Subfertile ...

May 1, 2019 - When treated with letrozole, subfertile women with PCOS who are trying to conceive have increased chances of pregnancy (number needed to treat [NNT] = 11) and live birth (NNT = 10) compared with those treated with clomiphene.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0501/p545.html

ART for HIV: Recommendations from the International Antiviral Society—USA Panel - ...

Mar 15, 2015 - The International Antiviral Society—USA Panel has provided recommendations for management of HIV infection with antiretroviral therapy (ART). Evidence has shown that ART for treatment of human immunodeficiency virus (HIV) infection is effective in preventing transmission among couples. ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0315/p396.html

Arthroscopic Meniscal Surgery Is Equivalent to Nonoperative Management - POEMs - ...

Jul 1, 2017 - The existing research base, with biases that typically make interventions look better, is unable to demonstrate that arthroscopy for meniscal injuries is any better than nonoperative approaches. Because this is a costly intervention and is being used more often, perhaps insurance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0701/p55.html

Arthroscopic Surgery for Knee Osteoarthritis - Cochrane for Clinicians - American ...

Aug 1, 2008 - Compared with other modalities of treatment such as sham surgery, joint lavage, and joint washout, arthroscopic debridement does not improve outcomes for patients with osteoarthritis of the knee.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0801/p331.html

As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...

Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646a.html

As-Needed Use of Budesonide Plus Formoterol As Good As Daily Use of Steroid - POEMs - ...

Nov 15, 2018 - As-needed use of budesonide/formoterol is as effective as the daily use of maintenance budesonide plus as-needed terbutaline at preventing severe exacerbations, and results in a much lower cumulative steroid dose.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1115/od4.html

Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

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

Aspirin Combined with Clopidogrel (Plavix) Decreases Cardiovascular Events in Patients ...

Dec 1, 2007 - A combination of aspirin and clopidogrel decreased cardiovascular events in patients at high risk of cardiovascular disease and in those with acute coronary syndrome. However, the risk of major bleeding events outweighed the benefits in all high-risk patients except those with acute ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1201/p1643.html

Aspirin in Patients with Actue Ischemic Stroke - FPIN's Clinical Inquiries - American ...

Feb 1, 2009 - Aspirin in a daily dose of 160 to 300 mg initiated within 48 hours of symptom onset results in a net decrease in morbidity and mortality caused by acute ischemic stroke, based on a systematic review), regardless of the availability of computed tomography (CT).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0201/p226.html

Aspirin Is as Safe and Effective as LMWH for Extended Thromboprophylaxis After Total ...

Dec 1, 2013 - Aspirin is as effective as dalteparin for extended thromboprophylaxis in patients who had total hip arthroplasty and had initially received 10 days of dalteparin prophylaxis postoperatively. Because of its relative safety, low cost, and easy administration, aspirin is an attractive ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/p739.html

Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA - POEMs - ...

Aug 15, 2018 - Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p248.html

Aspirin Plus a High-Dose PPI Prevents Death and Progression in Patients with Barrett ...

Mar 15, 2019 - In this study, patients with Barrett esophagus were less likely to die or develop esophageal cancer or high-grade dysplasia if they took high-dose esomeprazole (Nexium) alone or in combination with aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od5.html

Aspirin Use in Children for Fever or Viral Syndromes - FPIN's Clinical Inquiries - ...

Dec 15, 2009 - Aspirin should not be used to treat acute febrile viral illness in children.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/1215/p1472.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

Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...

Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/1001/p465.html

Asthma - Clinical Evidence Handbook - American Family Physician

Jul 1, 2004 - What are the effects of treatments for chronic and acute asthma?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0701/p143.html

Asthma and Other Wheezing Disorders in Children - Clinical Evidence Handbook - American...

Dec 1, 2006 - What are the effects of treatments for acute asthma in children? What is the effect of single-agent prophylaxis in children taking inhaled beta agonists as needed for asthma?What are the effects of additional prophylactic treatments in patients with childhood asthma that is inadequately...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/1201/p1901.html

Asthma Update: Part II. Medical Management - American Family Physician

Sep 15, 2004 - The National Asthma Education and Prevention Program recently updated its guidelines for the management of asthma. An evidence-based approach was used to examine several key issues regarding appropriate medical therapy for patients with asthma. The updated guidelines have clarified ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1061.html

Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ... Restricted content. Login required.

Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0615/p762.html

Atomoxetine for ADHD - STEPS - American Family Physician

Nov 1, 2003 - Atomoxetine is more effective than placebo for treating symptoms of ADHD in children and adults, based on short-term studies. Given safety concerns (growth retardation, potential adverse effects in slow metabolizers) and its high cost, atomoxetine should be considered only as an ...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1101/p1827.html

Atopic Dermatitis: A Review of Diagnosis and Treatment - American Family Physician

Sep 15, 1999 - Atopic dermatitis is a common, potentially debilitating condition that can compromise quality of life. Its most frequent symptom is pruritus. Attempts to relieve the itch by scratching simply worsen the rash, creating a vicious circle. Treatment should be directed at limiting itching, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1191.html

Atrial Fibrillation (Acute) - Clinical Evidence Handbook - American Family Physician

May 1, 2004 - What are the effects of interventions to prevent embolism? What are the effects of interventions for conversion to sinus rhythm? What are the effects of interventions to control heart rate?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0501/p2173.html

Atrial Fibrillation (Chronic) - Clinical Evidence Handbook - American Family Physician

Sep 1, 2007 - What are the effects of oral medical treatments to control heart rate in persons with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for persons with persistent nonvalvular atrial fibrillation?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0901/p701.html

ATS, CDC, and IDSA Update Recommendations on the Treatment of Tuberculosis - Practice ...

Nov 1, 2003 - Recommendations for the treatment of tuberculosis in settings where mycobacterial cultures, radiographic facilities, and drug susceptibility testing are available have been published by the American Thoracic Society (ATS), the Centers for Disease Control and Prevention (CDC), and the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/1101/p1854.html

Attention-Deficit/Hyperactivity Disorder - Clinical Evidence Handbook - American Family...

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

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0501/p1969.html

Atypical Antipsychotics for Disruptive Behavior Disorders in Children and Adolescents -...

Jun 1, 2018 - Risperidone reduces measures of aggression and improves conduct in children with disruptive behavior disorders; however, only short-term use is recommended. Weight gain of 2 to 2.5 kg (4.4 to 5.5 lb) is common. There is insufficient evidence to evaluate the benefits of other ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0601/p715.html

Atypical Pathogens and Challenges in Community-Acquired Pneumonia - American Family ...

Apr 1, 2004 - Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia. Antibiotic treatment is empiric and includes coverage for both typical and atypical organisms. Doxycycline, a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1699.html

AUA Updates Guidelines on Management of Erectile Dysfunction - Practice Guidelines - ...

Jan 15, 2006 - The American Urological Association (AUA) has updated its 1996 recommendations on the treatment of erectile dysfunction (ED). ED results from a combination of vascular, neurologic, hormonal, and psychologic factors.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0115/p340.html

Augmentation of Antidepressant Treatment Offers Little Benefit - POEMs - American ... Restricted content. Login required.

Dec 15, 2019 - The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is weak.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od3.html

Autism - Clinical Evidence Handbook - American Family Physician

Sep 15, 2008 - What are the effects of early, intensive, multidisciplinary intervention programs in children with autism? What are the effects of dietary interventions in children with autism? What are the effects of drug and nondrug treatments in children with autism?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0915/p758.html

Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice...

Jun 1, 2003 - Although the percentage of patients who are treated for hypertension has increased, the percentage of those who demonstrate control of blood pressure has declined. As a result of this trend, clinicians may increasingly rely on ambulatory blood pressure monitoring to improve the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2343.html

Bacterial Conjunctivitis - Clinical Evidence Handbook - American Family Physician

Sep 15, 2010 - What are the effects of empiric treatment in adults and children with suspected bacterial conjunctivitis? What are the effects of treatment in adults and children with culture-confirmed bacterial or suspected or clinically confirmed gonococcal conjunctivitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0915/p665.html

Baloxavir Marboxil (Xofluza) for Influenza - STEPS - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a ...

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1215/p776.html

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of... Restricted content. Login required.

Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od4.html

Bariatric Surgery Improves Quality of Life and Results in More Weight Loss Than ...

Jun 15, 2017 - Bariatric surgery using Roux-en-Y gastric bypass or sleeve gastrectomy was more effective than intensive medical therapy at improving quality of life and helping patients lose weight and reduce the need for medications. Anemia was more common with sleeve gastrectomy, and approximately ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0615/p805.html

Bariatric Surgery: Too Many Unanswered Questions - Editorials - American Family Physician

Apr 15, 2006 - Advertisement << Previous article Next article >> Apr 15, 2006 Issue Editorials Bariatric Surgery: Too Many Unanswered Questions ARTHUR FRANK, M.D., George Washington University, Washington, D.C. Am Fam Physician. 2006 Apr 15;73(8):1335-1336. Related Article One of the obvious...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0415/p1335.html

Bartholin Duct Cyst and Gland Abscess: Office Management - American Family Physician

Jun 15, 2019 - The Bartholin glands, located in the base of the labia minora, have a role in vaginal lubrication. Because of the presence of other glands, removal of a Bartholin gland does not affect lubrication. Ductal blockage of these typically pea-sized structures can result in enlargement of the ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p760.html

Basal Cell Carcinoma - Clinical Evidence Handbook - American Family Physician

Jul 15, 2008 - What are the effects of interventions on treatment response and recurrence (within one year of therapy) and long-term recurrence (a minimum of two years after treatment) in persons with basal cell carcinoma?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0715/p248.html

Basic Rules of Influenza: How to Combat the H1N1 Influenza (Swine Flu) Virus - ...

Jun 1, 2009 - Advertisement << Previous article Next article >> Jun 1, 2009 Issue Editorials Basic Rules of Influenza: How to Combat the H1N1 Influenza (Swine Flu) Virus JONATHAN L. TEMTE, MD, PhD, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin Am Fam Physician....

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0601/p938.html

Becaplermin (Regranex) for Diabetic Foot Ulcers - STEPS - American Family Physician

Jul 15, 2008 - Although patients treated with becaplermin are more likely to experience complete and faster ulcer healing than patients continuing good wound care alone, the increased risk of cancer mortality and significant cost outweigh the possible benefits in most patients.

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0715/p255.html

Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ... Restricted content. Login required.

Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0401/p434a.html

Beers Criteria for Inappropriate Medication Use in Older Patients: An Update from the ... Restricted content. Login required.

Jan 1, 2020 - The 2019 American Geriatrics Society update of the Beers Criteria uses the five criteria outlined in 2015; these include medications that should typically be avoided in most older patients, medications that should be avoided in older patients with certain conditions, medications that ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0101/p56.html

Behavior Disorders of Dementia: Recognition and Treatment - American Family Physician

Feb 15, 2006 - Psychosis may pose a greater challenge than cognitive decline for patients with dementia and their caregivers. The nature and frequency of psychotic symptoms varies over the course of illness, but in most patients, these symptoms occur more often in the later stages of disease. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p647.html

Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, ...

May 15, 2016 - A 40-year-old woman presents for a routine antepartum visit. She is 20 weeks pregnant and smokes half a pack of cigarettes per day despite efforts to quit. She has no other concerns, and her physical examination findings are normal. The patient asks if your clinic offers services to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0515/p861.html

Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, ...

May 15, 2016 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/0515/od1.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

Behavioral Interventions Reduce Inappropriate Antibiotic Prescribing for Acute ...

Jun 15, 2016 - Requiring clinicians to justify antibiotic prescribing in the permanent electronic health record and to undergo periodic peer comparisons of prescribing rates are effective interventions for reducing inappropriate antibiotic prescribing for acute respiratory tract infections. Helpful ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0615/p1037.html

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...

Apr 15, 2019 - A.C., a 32-year-old woman, presents for her annual wellness visit. She recently had blood work completed that showed normal glucose and lipid levels. Her blood pressure is 124/76 mm Hg, weight is 221.8 lb (100.6 kg), height is 5 feet 6 inches (172 cm), and body mass index (BMI) is 34 kg...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0415/p515.html

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...

Apr 15, 2019 - The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0415/od1.html

Bell Palsy - Clinical Evidence Handbook - American Family Physician

Oct 15, 2011 - What are the effects of drug, surgical and physical treatments for Bell palsy in adults and children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/1015/p947.html

Benefits and Risks of Psychiatric Medications During Pregnancy - American Family Physician

Aug 15, 2002 - Traditionally, psychiatric medications were withheld during pregnancy because of fear of teratogenic and other effects. The emergence of evidence of the safety of most commonly used psychiatric medications, the availability of this information in the form of online databases, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p629.html

Benign Prostatic Hyperplasia - Clinical Evidence Handbook - American Family Physician

Oct 1, 2004 - What are the effects of treatment?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/1001/p1325.html

Benign Prostatic Hyperplasia and Male Lower Urinary Tract Symptoms - Clinical Evidence ...

Aug 15, 2012 - What are the effects of medical, herbal, and surgical treatments in men with BPH?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0815/p359.html

Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ... Restricted content. Login required.

Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0401/od1.html

Best Alternatives to Statins for Treating Hyperlipidemia - FPIN's Clinical Inquiries - ...

Oct 1, 2007 - Most alternatives to statin therapy reduce cholesterol levels but do not consistently demonstrate a reduction in cardiac-related and all-cause mortality in patients with or without coronary heart disease (CHD). Fibrates and niacin decrease the risk of major coronary events; however, no ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/1001/p1027.html

Beta Blocker Therapy for Chronic Heart Failure - American Family Physician

Nov 15, 2000 - Recent studies have shown that beta blocker therapy improves survival and reduces hospitalizations in patients who have chronic heart failure and left ventricular systolic dysfunction, the majority of whom are under the management of primary care physicians. Appropriate patient ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2267.html

Beta Blockers and Congestive Heart Failure - Editorials - American Family Physician

Dec 1, 2000 - Advertisement << Previous article Next article >> Dec 1, 2000 Issue Editorials Beta Blockers and Congestive Heart Failure ASSAD MOVAHED, M.D., East Carolina University School of Medicine, Greenville, North Carolina Am Fam Physician. 2000 Dec 1;62(11):2402-2404. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/1201/p2402.html

Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension - ...

Feb 1, 2018 - Although beta blockers seem to have a positive impact on patient-oriented evidence that matters in patients with hypertension, they appear to be inferior when compared with other medications.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0201/od1.html

Beta-Blocker Use in Patients with COPD - Cochrane for Clinicians - American Family ...

Dec 1, 2006 - In 20 studies of cardioselective beta blockers in patients with COPD, participants had no adverse pulmonary or respiratory effects. Because of their salutary cardiovascular effects, cardioselective beta blockers should not be withheld from patients with COPD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1201/p1858.html

Beta-Lactam Not as Effective as Beta-Lactam Plus Macrolide for Treating CAP in the ...

May 15, 2015 - In this noninferiority trial, monotherapy with a beta-lactam was not as effective as combination therapy with a beta-lactam and a macrolide for achieving clinical stability in seven days for hospitalized patients with moderately severe CAP.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0515/p720.html

Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis - Cochrane ...

May 1, 2017 - There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0501/p551.html

Beta2 Agonists in the Treatment of Asthma - Editorials - American Family Physician

Jul 15, 2006 - Advertisement << Previous article Next article >> Jul 15, 2006 Issue Editorials Beta2 Agonists in the Treatment of Asthma BARBARA YAWN, M.D., M.SC., Olmsted Medical Center, Rochester, Minnesota Am Fam Physician. 2006 Jul 15;74(2):232. The alert by the U.S. Food and Drug...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0715/p232.html

Beyond Analgesia in Palliative Care and End-of-Life Interventions - Editorials - ...

Jul 1, 2014 - Family physicians need a basic skill set that includes facilitating discussions on advance planning and goals, identifying and treating depression and anxiety, and managing pain and symptoms at the end of life.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0701/p20.html

Bipolar Disorder - Clinical Evidence Handbook - American Family Physician

Apr 1, 2004 - What are the effects of treatments in mania and bipolar depression? What are the effects of interventions to prevent relapse?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0401/p1715.html

Bisphosphonate-Related Osteonecrosis of the Jaw in Patients with Osteoporosis - ...

Jun 15, 2012 - In 2007, more than 5.4 million patients in the United States were taking oral bisphosphonates. However, bisphosphonates are under scrutiny because of the risk of bisphosphonate-related osteonecrosis of the jaw.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0615/p1134.html

Bisphosphonates: Safety and Efficacy in the Treatment and Prevention of Osteoporosis - ...

May 1, 2000 - Osteoporosis affects more than 28 million Americans. With the advent of accessible and affordable diagnostic studies, awareness and recognition of this disease by patients and clinicians are growing. Osteoporotic fractures of the spine and hip are costly and associated with significant ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2731.html

Bleeding with Anticoagulants: ACC Releases Expert Consensus Decision Pathway to Guide ...

Jul 1, 2018 - This Expert Consensus Decision Pathway from the American College of Cardiology (ACC) aims to provide physicians with decision-making assistance for managing bleeding events in patients taking anticoagulants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0701/p57.html

Blood Pressure Goal of 140 to 150 mm Hg Is Best for Patients with Diabetes - POEMs - ...

Jul 1, 2016 - Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are still a few holdouts that suggest aggressive treatment. This analysis shows that the ideal range for hypertension control in patients with diabetes is between 140 and 150...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0701/p59a.html

Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...

Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p276.html

Blood Pressure Treatment Targets for Uncomplicated Hypertension - Cochrane for ...

Apr 1, 2010 - To date, there is no evidence to support treating patients with uncomplicated hypertension to blood pressure goals lower than the standard blood pressure target of less than or equal to 140 to 160/90 to 100 mm Hg. In randomized controlled trials, patients treated to lower blood pressure...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p848.html

Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ... Restricted content. Login required.

Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p30.html

BMI Monitoring in the Management of Obesity in Toddlers - Editorials - American Family ...

Nov 1, 2006 - Advertisement << Previous article Next article >> Nov 1, 2006 Issue Editorials BMI Monitoring in the Management of Obesity in Toddlers QING HE, PH.D.,New York Obesity Research Center, St. Luke’s-Roosevelt Hospital, Institute of Human Nutrition and Department of Pediatrics, Columbia...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1101/p1483.html

Bone Density Testing to Monitor Osteoporosis Therapy in Clinical Practice - Editorials:...

Oct 1, 2010 - The bottom line in caring for patients with osteoporosis is that monitoring for treatment effect is appropriate and desirable. A statistically significant BMD loss may lead to further evaluation and possibly a change in treatment. The strategy of monitoring therapy with BMD testing is ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1001/p749.html

Botulinum Toxin Injection for Facial Wrinkles - American Family Physician

Aug 1, 2014 - Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure in the United States, and it is one of the most common entry procedures for clinicians seeking to incorporate aesthetic treatments into their practice. Treatment of frown lines...

American Family Physician : Article

https://www.aafp.org/afp/2014/0801/p168.html

Braces and Splints for Common Musculoskeletal Conditions - American Family Physician

Nov 15, 2018 - Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p570.html

Braces and Splints for Musculoskeletal Conditions - American Family Physician

Feb 1, 2007 - Braces and splints can be useful for acute injuries, chronic conditions, and the prevention of injury. There is good evidence to support the use of some braces and splints; others are used because of subjective reports from patients, relatively low cost, and few adverse effects, despite...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p342.html

Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ... Restricted content. Login required.

Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0101/od1.html

Breast Cancer Prevented in Some Women with Drug Treatment - POEMs - American Family ...

Nov 1, 2013 - In some postmenopausal women at higher-than-average risk of breast cancer, tamoxifen and, to a lesser extent, raloxifene (Evista) will prevent the development of breast cancer. For every 1,000 women who receive the prophylaxis, there will be seven to nine fewer cases of diagnosed breast...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/p608.html

Breast Pain - Clinical Evidence Handbook - American Family Physician

May 15, 2016 - What are the effects of treatments for breast pain?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2016/0515/p872.html

Breast-Conserving Surgery for Breast Cancer - American Family Physician

Dec 15, 2002 - Surgical treatment of breast cancer has changed significantly in recent years. Fine-needle aspirations or core-needle biopsies can be used in the diagnostic process, thus avoiding scarring incisions. The preferred method of treatment for many women with early breast cancer is ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1215/p2271.html

Bridging Anticoagulation in Patients with Atrial Fibrillation Associated with More ...

Sep 1, 2015 - This study provides more evidence that bridging in patients with nonvalvular atrial fibrillation does not improve outcomes, and is actually associated with a higher risk of bleeding complications and cardiovascular events.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0901/p398.html

Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...

Apr 15, 2019 - 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 ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0415/p519.html

Brief Interventions for Weight Management in Kids Are Not Effective - POEMs - American ...

Feb 1, 2017 - Calculating the BMI of children and adolescents in primary care practices and counseling those who are overweight is ineffective to reduce BMI in children over several years of follow-up.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0201/p194a.html

Broad-Spectrum Antibiotics Increase Adverse Events in Children with Acute Respiratory ...

Apr 1, 2018 - Broad-spectrum antibiotics are no more effective than narrow-spectrum antibiotics for treating acute respiratory tract infections in infants and children, and adverse events are significantly more common in children treated with broad-spectrum antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0401/p474a.html

Bromocriptine Mesylate (Cycloset) for Type 2 Diabetes Mellitus - STEPS - American ...

May 15, 2013 - Cycloset will lower A1C levels by 0.3 to 0.5 percent when taken alone or in combination with a sulfonylurea, without undesirable adverse effects such as hypoglycemia and weight gain. It will not cause further improvement of glucose control when used with insulin, metformin, or other ...

American Family Physician : STEPS

https://www.aafp.org/afp/2013/0515/p718.html

Bronchitis (Acute) - Clinical Evidence Handbook - American Family Physician

Aug 1, 2004 - What are the effects of treatment in people without chronic respiratory disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0801/p557.html

Bronchodilators for Bronchiolitis - Cochrane for Clinicians - American Family Physician

Nov 1, 2014 - Albuterol does not improve any clinical outcomes in the outpatient or inpatient setting and should not be used in the treatment of bronchiolitis in a child 24 months or younger.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1101/p622.html

Bronchodilators for Bronchiolitis - Medicine by the Numbers - American Family Physician

Sep 1, 2015 - Studies show that none were helped and the impact of harms such as decreased oxygen saturation and tachycardia was uncertain.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0901/od1.html

Bulimia Nervosa - Clinical Evidence Handbook - American Family Physician

Jun 1, 2007 - What are the effects of treatments for bulimia nervosa in adults? What are the effects of discontinuing treatment in persons in remission?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0601/p1699.html

Buprenorphine Maintenance vs. Methadone Maintenance or Placebo for Opioid Use Disorder ...

Feb 1, 2015 - At dosages greater than 2 mg per day, buprenorphine maintains treatment retention better than placebo. When flexible dosing (doses adjusted based on patient symptoms) is used, the effectiveness of buprenorphine is comparable to that of methadone in suppressing opioid use.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0201/p165.html

Buprenorphine Maintenance vs. Placebo for Opioid Dependence - Medicine by the Numbers -...

Mar 1, 2017 - Buprenorphine causes lower physical dependence, milder withdrawal symptoms, and is less likely to cause an overdose than methadone in the treatment of opioid dependence.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0301/od1.html

Buprenorphine Therapy for Opioid Use Disorder - American Family Physician

Mar 1, 2018 - Opioid misuse, including the use of heroin and the overprescribing, misuse, and diversion of opioid pain medications, has reached epidemic proportions in the United States. As a result, there has been a dramatic increase in opioid use disorder and associated overdoses and deaths. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0301/p313.html

Buprenorphine: Effective Treatment of Opioid Addiction Starts in the Office - ...

May 1, 2006 - Advertisement << Previous article Next article >> May 1, 2006 Issue Editorials Buprenorphine: Effective Treatment of Opioid Addiction Starts in the Office DAVID A. FIELLIN, M.D., Yale University School of Medicine, New Haven, Connecticut Am Fam Physician. 2006 May 1;73(9):1513-1514....

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0501/p1513.html

Burns (Minor Thermal) - Clinical Evidence Handbook - American Family Physician

Jun 15, 2010 - What are the effects of treatments for minor thermal burns?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0615/p1437.html

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