More articles from Current Drug Therapy
- Dabigatran: Will it change clinical practice?
This new oral anticoagulant has advantages over warfarin (Coumadin), but it is more expensive, which may pose a barrier to its wider use.
- What is the optimal duration of bisphosphonate therapy?
It is reasonable to stop bisphosphonates after 5 years of use and then to follow patients with markers of bone turnover.
- Vancomycin: A 50-something-yearold antibiotic we still don’t understand
To use vancomycin appropriately, we need to recognize its changing minimum inhibitory concentrations, select proper doses and dosing intervals, and know how to monitor its use.
- Insulin treatment for type 2 diabetes: When to start, which to use
Many patients with type 2 diabetes eventually need insulin. This review addresses practical approaches.
- Dronedarone for atrial fibrillation: How does it compare with amiodarone?
Dronedarone’s precise role is yet to be defined, but if it is as well tolerated as hoped, it may help clinicians pursue a rhythm control strategy more often.
- MAO inhibitors: Risks, benefits, and lore
Monoamine oxidase inhibitors were the first antidepressants introduced. Interest in their use is reviving.
- Coenzyme Q10: A therapy for hypertension and statin-induced myalgia?
These supplements appear to be safe, but larger trials are needed to determine if they are truly effective.
- Omeprazole and clopidogrel: Should clinicians be worried?
The FDA has warned of a possible interaction between omeprazole (Prilosec) and clopidogrel (Plavix), but for the time being we should not change the way we manage patients.
- Acetaminophen: Old drug, new warnings
Often, patients overdose because they take more than one acetaminophen product and are unaware that both products contain the drug.
- Prasugrel for acute coronary syndromes: Faster, more potent, but higher bleeding risk
Prasugrel (Effient) is faster and more consistent in its effects, but patients at high bleeding risk should still receive clopidogrel (Plavix).