Drug Therapy

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Can procalcitonin guide decisions about antibiotic management?
    Robert J. Fakheri, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 307-311; DOI: https://doi.org/10.3949/ccjm.86a.18074

    Yes, but clinical judgment must still be exercised.

  • An obese 48-year-old man with progressive fatigue and decreased libido
    An obese 48-year-old man with progressive fatigue and decreased libido
    Ala’a N. Farkouh and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 321-331; DOI: https://doi.org/10.3949/ccjm.86a.18097

    Men with hypogonadism usually present with nonspecifi c symptoms.

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

  • Unusual effects of common antibiotics
    Maria Elena Ruiz, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 277-281; DOI: https://doi.org/10.3949/ccjm.86a.17050

    Less recognized but potentially serious adverse effects of commonly prescribed antibiotics.

  • Flu or strep? Rapid tests can mislead
    Burke A. Cunha, MD, MACP and Nonso Osakwe, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 161-162; DOI: https://doi.org/10.3949/ccjm.86a.18094

    Group A streptococci are common colonizers with viral pharyngitis.

  • Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

  • When can I stop dual antiplatelet therapy in patients with drug-eluting stents?
    Juan Simon Rico-Mesa, MD, Carlos Uribe, MD, FACC, FSCAI, Megha Prasad, MD and Sushil Allen Luis, MBBS, FRACP
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 13-16; DOI: https://doi.org/10.3949/ccjm.86a.17033

    The decision requires balancing the risk of thrombosis against the risk of bleeding. A cardiologist can help.

  • Should metformin be used in every patient with type 2 diabetes?
    Vinni Makin, MBBS, MD, FACE and M. Cecilia Lansang, MD, MPH
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 17-20; DOI: https://doi.org/10.3949/ccjm.86a.18039

    Most patients should receive it, with exceptions. Nevertheless, it is underused.

  • Who needs to carry an epinephrine autoinjector?
    T. Ted Song, DO, FAAAI, FACP and Phil Lieberman, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 66-72; DOI: https://doi.org/10.3949/ccjm.86a.17123

    Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.

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