Article
Does XR injectable naltrexone prevent relapse as effectively as daily sublingual buprenorphine-naloxone?
- Author:
- Matthew Roe, MD
- Courtenay Gilmore Wilson, PharmD, BCPS, BCACP, CDE, CPP
- Carriedelle Wilson Fusco, FNP-BC
- Stephen Hulkower, MD
- Sue Stigleman, MLS
EVIDENCE-BASED ANSWER: Yes. Monthly extended-release injectable naltrexone (XR-NTX) treats opioid use disorder as effectively as daily sublingual...
Article
Which oral nonopioid agents are most effective for OA pain?
- Author:
- Benjamin Gilmer, MD, MS
- Stephen Hulkower, MD
- Courtenay Gilmore Wilson, PharmD, BCPS, BCACP, CDE, CPP
- Brittney Macdonald, MD
- Jonathan Pozner, MS4
- Sue Stigleman, MLS
EVIDENCE-BASED ANSWER: Nonsteroidal anti-inflammatory drugs (NSAIDs), when used at the maximum clinically effective dose, reduce osteoarthritis (...
Article
How often does long-term PPI therapy cause clinically significant hypomagnesemia?
- Author:
- Timothy Plaut, MD
- Katelyn Graeme, DO
- Sue Stigleman, MLS
- Stephen Hulkower, MD
- Tasha Woodall, PharmD
EVIDENCE-BASED ANSWER: Rarely. Proton pump inhibitors (PPIs) may be associated with decreases in serum magnesium laboratory...
Article
What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events?
- Author:
- Justin Mutter, MD, MSc
- Rebecca Grandy, PharmD, BCACP, CPP
- Stephen Hulkower, MD
- Sue Stigleman, MLS
EVIDENCE-BASED ANSWER: One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years (...
Article
What is the best beta-blocker for systolic heart failure?
- Author:
- Stephen Hulkower, MD
- Benjamin A. Aiken, MD, MSPH
- Sue Stigleman, MLS
EVIDENCE-BASED ANSWER: Three beta-blockers—carvedilol, metoprolol succinate, and bisoprolol—reduce mortality equally (by about 30% over one year)...
Article
Does surgery relieve the pain of a herniated disc?
- Author:
- Betsey Sorensen, MD
- Stephen Hulkower, MD
- Sue Stigleman, MLS
EVIDENCE-BASED ANSWER: YES, in the short term. Patients with an acute episode of low back pain, radicular symptoms, and evidence of a herniated...
Article
What’s the best treatment for sebaceous cysts?
- Author:
- Brian R. Moore, MD
- Blake E. Fagan, MD
- Stephen Hulkower, MD
- Deborah C. Skolnik, MLS
EVIDENCE-BASED ANSWER: Punch biopsy excision appears to be superior to traditional wide elliptical excision for the treatment of sebaceous cysts...
Article
Do preparticipation clinical exams reduce morbidity and mortality for athletes?
- Author:
- Stephen Hulkower, MD
- Blake Fagan, MD
- Jana Watts, MD
- Elizabeth Ketterman, MLS
EVIDENCE-BASED ANSWER: Though clinical preparticipation exams (PPE) are recommended by experts and required in most states, we found no medium- or...
Article
Supraventricular Tachycardia Resistant to Treatment in a Pregnant Woman
- Author:
- Kevin Treakle, MD
- Barbara Kostic, PharmD
- Stephen Hulkower, MD