NHSE document on prescription restrictions Headlice http://www.bad.org.uk/for-the-public/patient-information-leaflets/head-lice/?showmore=1&returnlink=http%3A%2F%2Fwww.bad.org.uk%2Ffor-the-public%2Fpatient-information-leaflets#.XZR045NKjfY https://www.bmj.com/content/331/7513/384 verucca /warts https://www.ncbi.nlm.nih.gov/pubmed/11686980 out of the chemicals dimeticone best https://www.ncbi.nlm.nih.gov/pubmed/31510998 NSAID gel https://www.cochrane.org/CD007402/SYMPT_topical-non-steroidal-anti-inflammatory-drugs-acute-musculoskeletal-pain-adults Cold sores A Systematic Review on the Efficacy of Topical Acyclovir, Penciclovir, and Docosanol for the Treatment of Herpes Simplex Labialis https://cks.nice.org.uk/herpes-simplex-oral
Continue Reading →Inside Health 8/10/19 – anticoagulants, antiplatelets, gastric protection
the key trials are these two COMPASS and US retrospective study pharmaceutical journal report medication safety report NICE guidance growth in DOAC use other issues https://www.amjmed.com/article/S0002-9343(15)00926-2/fulltext risk of bleeding scores after blood clots https://www.thrombosisresearch.com/article/S0049-3848(17)30047-6/fulltext https://link.springer.com/article/10.1007/s10840-014-9930-y This systematic review focused the high bleeding-risk category of commonly used risk scores in AF. Our main findings were as follows: (1) Overall […]
Continue Reading →Inside Health 8/10/19- anticoagulants and gastric protection
the key trials are these two COMPASS and US retrospective study pharmaceutical journal report medication safety report NICE guidance growth in DOAC use other issues https://www.amjmed.com/article/S0002-9343(15)00926-2/fulltext risk of bleeding scores after blood clots https://www.thrombosisresearch.com/article/S0049-3848(17)30047-6/fulltext https://link.springer.com/article/10.1007/s10840-014-9930-y This systematic review focused the high bleeding-risk category of commonly used risk scores in AF. Our main findings were as follows: […]
Continue Reading →Inside Health 1/10/19 OTC statins
https://www.longtermplan.nhs.uk/online-version/ https://www.england.nhs.uk/2019/09/nhs-to-review-making-statins-available-direct-from-pharmacists-as-part-of-long-term-plan-to-cut-heart-disease/ https://www.nice.org.uk/guidance/cg181/chapter/1-Recommendations#identifying-and-assessing-cardiovascular-disease-cvd-risk-2
Continue Reading →compulsory MMR – Inside Health 24/9/19
The UK is no longer classed as measles-free : The last few years have seen a decline in children having the MMR vaccination. https://www.bmj.com/content/362/bmj.k3967 In 2018 there were 991 confirmed cases of measles in England and Wales, compared with 284 cases in 2017. This means that the UK has lost it’s measles free status, which had […]
Continue Reading →RCGP council 20/9/19
This is what I said, sorry if it’s disjointed, no point repeating what anyone else has said. So Royal Patrons – if RCGP ever asked for, must ensure that process includes a commitment to evidence based healthcare 2) China process: concerns this is being seen as a commercial enterprise ; my belief is that […]
Continue Reading →Inside Health 7/7/19 – suncream
overall advice updated advice here – http://www.bad.org.uk/for-the-public/skin-cancer/sunscreen-fact-sheet debate about UV light, melanoma, and sunscreen https://www.bmj.com/bmj/section-pdf/186530?path=/bmj/337/7663/Head_to_Head.full.pdf background https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041476/ case control study http://cebp.aacrjournals.org/content/early/2010/05/21/1055-9965.EPI-09-1249.abstract review article https://onlinelibrary.wiley.com/doi/pdf/10.1111/bjd.16111 RCT follow up with subgroup analysis https://www.ncbi.nlm.nih.gov/pubmed/21135266 also some evidence re reducing risk of squamous cell carcinoma https://jamanetwork.com/journals/jamadermatology/fullarticle/479276 https://www.cochrane.org/CD011161/SKIN_sun-protection-including-sunscreens-prevent-basal-cell-carcinoma-and-cutaneous-squamous-cell early studies shown sunscreen increased melanoma use https://jamanetwork.com/journals/jamadermatology/article-abstract/478092 bias – in that […]
Continue Reading →prescription payment certificates Inside Health 30/6/19
https://www.nhs.uk/using-the-nhs/help-with-health-costs/get-help-with-prescription-costs/ https://www.nhs.uk/using-the-nhs/help-with-health-costs/save-money-with-a-prescription-prepayment-certificate-ppc/ https://www.gov.uk/government/speeches/nhs-prescription-charges-from-april-2019
Continue Reading →catch up items
Things over the last few months How doctors are peddling pointless vitamin drips a few things in the Telegraph but all behind a paywall, here Tell Me Where It Hurts, a programme for Radio 4 about what does/doesn’t/should happen in GP consultations, and why it’s so important
Continue Reading →More or Less 17/5/19
https://qrisk.org/2017/index.php https://qintervention.org/index.php https://qrisk.org/three/index.php http://www.assign-score.com/estimate-the-risk/ https://www.nice.org.uk/guidance/cg181/resources/patient-decision-aid-pdf-243780159
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