| GP guide to some topical eye treatments |
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Some eye medications are used when there is high risk of visual loss and their misuse can increase this risk.
Initiation and monitoring often require specialist expertise as well as the availability of, and ability to use, specialist equipment. Primary care still plays a valuable role. Clinicians, particularly prescribers, need to understand the actions of these medications and how to avoid and identify possible adverse effects.
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| Self monitoring in diabetes |
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Self-monitoring of blood glucose (SMBG) is an important component of diabetes management for some people. But, which people?
SMBG is required for people with diabetes treated with insulin, a pragmatic approach is recommended for all others.
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| Brand change update: Ritalin SR now available by special access |
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| In response to concerns raised by Medsafe and the Centre for Adverse Reactions Monitoring, PHARMAC has agreed to allow patients, who experience serious adverse reactions while on Rubifen SR, to return to Ritalin SR under a special access arrangement. |
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| A Māori/Pacific nursing service in a mainstream PHO |
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| A PHO shares its experience and outcomes of establishing a unique service targeted at Māori and Pacific patients and whanau. |
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| Smart? |
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| In view of the recent promotion of the SMART regimen, the use of inhalers containing a combination of a long acting beta agonist and inhaled corticosteroid is reviewed. |
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| COPD in primary care: reminder and update |
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| Managing COPD continues to be a major feature of primary care, particularly in practices with a high proportion of Mäori and Pacific peoples. The “COPDX” management framework is revisited and updated. |
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| Update of New Zealand smoking cessation guideline |
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| The recently overhauled New Zealand smoking cessation guideline is well presented and contains important new messages. The guideline has been delivered to all practices and we advise clinicians to read and review it. |
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| Role of calcium channel blockers in hypertension |
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| Thiazides are considered to be appropriate initial treatment for most people with hypertension. Choice of other antihypertensives, including calcium channel blockers, is decided on an individual basis. |
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| Essentials |
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