December 2015 Issue of Clinical Advisor

December 2015 Issue of Clinical Advisor

Beyond Rx: OTC Corner

natural modalities and OTC treatments

Insomnia can be treated via nonprescription medications and modalities.


Intensive blood pressure lowering may provide greater cardiovascular benefits

Reducing blood pressure to a lower level than recommended in hypertension guidelines may further decrease the risk of heart attack and stroke.

Early antibiotic treatment may be beneficial for children with respiratory infections and wheezing

Early administration of an antibiotic may be more effective than traditional oral corticosteroids in preventing severe lower respiratory infections in children.

Drug combos not more effective than naproxen alone for acute low back pain

When compared to naproxen alone, the combination of either cyclobenzaprine or oxycodone/acetaminophene plus naproxen does not as effectively improve acute, nontraumatic lower back pain.

Risky drug use reduced by primary care interventions

Use of psychoactive drugs may be reduced through a combination of interactions with primary care physicians and follow-up calls from coaches.

Stepping down asthma meds 
can be safe

Patients with well-controlled asthma may safely reduce their current level of medication, according to a study published in the Journal of Allergy and Clinical Immunology.

Pediatric pulmonary hypertension guidelines issued

New guidelines released by the American Heart Association and the American Thoracic Society are the first for the diagnosis and treatment of pediatric pulmonary hypertension.

Young patients, women unaware of modifiable cardiac risk factors

Both women and young patients are often unaware that they have modifiable cardiac risk factors.

Death rates increase among middle-aged white Americans

Mortality rates among non-Hispanic white men and women have increased significantly between 1999 and 2013.

Advisor Forum

The CDC's statistics on influenza—fact or hype?

Clinicians debate the fact or hype present in the CDC's most recently released statistics on influenza death rate.

The right touch

One clinician encourages the use of touch when taking a patient's history.

Analogies for patients in the battle against medical noncompliance

Medical noncompliance is a huge deterrent to patients achieving their treatment goals.

Clinical Feature

A clinician's guide for managing patient perceptions of the flu vaccine

By presenting research on the safety and efficacy of the flu vaccine, clinicians can successfully promote vaccination to patients in their care.


The flu shot remains a vital healthcare tool

Even if the flu shot "misses," as it did last year, it remains one of the best tools we have to help our patients live ...

Alternative Meds Update

Coconut oil may improve lipid profiles, reduce abdominal adiposity

Virgin coconut oil may be beneficial for lipid levels and the risk of cardiovascular disease.

Stat Consult

Stat Consult: Influenza in adults

Learn how to diagnose and treat influenza in adults.

Legal Advisor

Emergency ignored in an alcoholic

Clinicians assume symptoms in a patient who regularly presents intoxicated are due to alcohol.

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