Print Issue: December 01, 2008

Limit colorectal screening in the elderly?

Limit colorectal screening in the elderly?

The U.S. Preventive Services Task Force (USPSTF) is calling for an end to colorectal cancer (CRC) screening for persons older than 85 years and is recommending against routine screening for those aged 76-85 years.

Help for a migraine sufferer

A 41-year-old man uses zolmitriptan (Zomig Nasal Spray) every other day, sometimes daily, for severe migraine headache. He has hyperlipidemia and metabolic syndrome, and he is under stress. Is there any danger to his using zolmitriptan so frequently? Should he reduce his usage? Or stop it entirely? It’s the only medication that seems to help.—S.…

Stopping meds post atrial fibrillation flutter

How long should a patient whose cardiac chambers show no evidence of enlargement remain on antiarrhythmic and anticoagulation medications after conversion from atrial fibrillation flutter to sinus rhythm?—NELSON C. YU, MD, Baxter, Ky. If this was an isolated instance, two weeks will do. If this is a recurrent problem, consideration should be given to continued…

Combo therapy for pneumonia?

Is it appropriate to use levofloxacin (Levaquin) and ceftriaxone (Rocephin) together in the treatment of community-acquired pneumonia (CAP) and/or neutropenia? Or is the combined use of these drugs redundant?—Charles E. Smith, MD, Holdrege, Neb. A third-generation cephalosporin plus a quinolone is not presently recommended for the conditions described. CAP guidelines recently issued by the American…

Vitamin supplementation with diabetes

What vitamin or mineral supplements are most important for patients who have type 2 diabetes?—Suzanne L. Skrypak, CRNP, MSN, Canonsburg, Pa. Although the American Diabetes Association does not routinely recommend any supplementation of vitamins and minerals, there are studies that show potential metabolic benefits for several. One review article (Diabetes Educ. 1992;18:420-427) lists the following as…

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