I dream of sleep: managing insomnia in adults - Part 1

Adults with insomnia have difficulty initiating or maintaining sleep with adverse effects on their daytime functioning. Non-pharmacological approaches, such as sleep hygiene and bedtime restriction, are preferred first-line treatments.

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I dream of sleep: managing insomnia in adults - Part 2

Pharmacological approaches to managing insomnia are a second-line option for adults who do not improve sufficiently...

Clozapine: safe prescribing

In 2014 bpacnz published an article on the safer prescribing of clozapine. Since this time, a number of fatalities, along with new research, has reiterated the..

Prescribing statins to reduce cardiovascular risk

Lowering lipid levels should be viewed as one aspect of reducing a patient’s overall cardiovascular disease risk.

Treatment of hepatitis C (HCV) has changed

Treatment for HCV genotype 1b in primary care with Viekira Pak is now for eight weeks (previously 12 weeks).

Helping patients with epilepsy adhere to their medicines

People with epilepsy require good adherence to anti-epileptic medicines for optimal seizure control. However, maintaining...

Go low or no? Managing blood pressure in primary care

There is much debate as to whether intensive blood pressure management, i.e. aiming for a systolic blood pressure less than...

Coming up...

Medicines for depression, suicide prevention

Coming soon...

Our next theme will be “Managing Pain”

Stephen Hoskin

Optimal ICS dose for severe COPD remains unclear e.g. on the COPD tool the fluticasone dose with vilanterol is once daily...

The optimal management of patients with COPD - Part 2: Stepwise escalation of treatment

Ben Nieuwoudt

Are you presuming that doctors will classify tonsillitis treatment under pharyngitis? I see many doctors are prescribing Augmentin as primary 'go to' antibiotic for uncomplicated tonsillitis (including almost every other category of infection).

Antibiotics: choices for common infections

The editor

Stephen Hoskin, a general practitioner from Te Anau sent us the following comments

Perhaps the main practical implication of these studies is to consider the patient’s condition rather than their age. The SPRINT study applied to people living in the community and showed benefits from tight blood pressure control across all ages, including those over 75 years old. Contrast that with an 80% higher mortality for frail elderly rest home residents with two or more anti-hypertensives and systolic BP less than 130mmHg

Go low or no? Managing blood pressure in primary care

Ian Milne

Richard makes excellent points, particularly re diminishing returns. I would add the following: 1. "treating by numbers" seldom makes for good clinical practice.

Go low or no? Managing blood pressure in primary care

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