Testing options for chronic dysuria
When trying to determine the cause of chronic dysuria, test for herpes simplex virus 1 and 2.
When trying to determine the cause of chronic dysuria, test for herpes simplex virus 1 and 2.
Should patients with calcium oxalate kidney stones and osteopenia be given vitamin D and calcium?
Is there an OTC product or herbal remedy that has proven effective?
Level 1: Likely reliable evidence Guidelines for secondary prevention of cardiovascular disease (CVD) from the American Heart Association and the American College of Cardiology call for complete smoking cessation and complete avoidance of environmental tobacco smoke. While the second goal may be difficult to accomplish, a new randomized trial with 714 patients provides strong evidence…
Level 2: Mid-level evidence When antibiotics are needed for treating acute otitis media (AOM) in children, amoxicillin is the first-line agent recommended by the American Academy of Pediatrics. Macrolides, such as azithromycin or clarithromycin, are recommended as alternatives for patients with type 1 hypersensitivity reactions. A recent systematic review of low-quality trials comparing macrolide antibiotics…
Level 3: Lacking direct evidence Dalfampridine (Ampyra) extended release tablets, previously called Fampridine-SR, have been approved by the FDA to improve walking in patients with multiple sclerosis. In two clinical trials with 507 patients, the drug was associated with consistent improvement in walking speed on a 25-foot walk when compared with placebo (NNT 4). However,…
Level 1: Likely reliable evidence Relapsing-remitting multiple sclerosis (MS) is commonly treated with parenteral drugs that can lead to adverse events and poor adherence. Three phase 3 randomized trials evaluated the efficacy and safety of two oral drugs, cladribine (Mylinax) and fingolimod, for patients with MS. The CLARITY trial compared cladribine vs. placebo in 1,326…
Where can I find find a liquid bifidobacteria supplement?
Are there any nonpharmacologic treatment measures that have been effective in managing pain associated with sickle-cell disease?