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Clinical - Page 4

Antidepressant withdrawal syndrome and its management

In April 2020, NICE published new guidance on how to help patients to safely stop antidepressant use. To help GPs to implement this guidance in their practice, Stevie Lewis from the International Institute for Psychiatric Drug Withdrawal and Mark Horowitz have published
18 May 2022
6 mins read
5

Vitals are vital

Ayesha Siddqui shares a clinical case to remind GPs why it is vital to heed clinical cues and check patient vital signs
19 January 2022
2 mins read
1

A multifactorial approach to improve immunity

The immune-system is complex and is interconnected with the central nervous and endocrine systems. Regina Ford discusses a wide range of scientific research that looks at diet, supplements, exercise, sleep quality and stress/mental health, to give us a holistic overview of health
6 October 2021
10 mins read

GPDPR vs GDPR

GPDPR is a new initiative from NHS Digital to collect data held in GP medical records, to be available to third parties for research and planning. Unlike most other projects, patients have to actively opt out if they do not want their
4 June 2021
2 mins read
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Childhood trauma

Most children removed from their birth family have experienced multiple traumas. Hannah Milton finds that when talking to patients about anxiety, depression, addiction, relationship problems and difficulties with their own children’s behaviour, one her most useful history taking techniques is a simple
26 May 2021
1 min read

Confronting the urinalysis tyrant

As GPs we know a lot about recurrent urinary tract infections. James Malone-Lee is Emeritus Professor of Medicine, University College London. His research suggests that most of what we think we know is wrong. Here he explains the evidence.
19 March 2021
5 mins read
5

Diabetes: Is it time to flatten the curve?

Half of patients with elevated blood sugars, with an HbA1c greater than 42, are not clinically obese. As well as the usual measures Sarah Blake asks whether we need to pay more attention to post prandial blood sugar spikes - is it
12 February 2021
2 mins read

Drugs for chronic pain — we still need them

Chronic primary pain is a relatively new concept. Ensuring its definition is consistent within new guidelines is key. Here, members of the National Advisory Committee for Chronic Pain provide a number of observations on the use of drugs in chronic pain management,
2 February 2021
3 mins read
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Are we safer cycling?

We know that cycling makes for a healthier commute for all, but GPs need evidence to help them allay patient's concerns if we are to incorporate active travel into our standard health promotion toolkit. Bethan Jones gives us the evidence.
19 October 2020
3 mins read
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Everybody Hurts Sometimes

30 years ago we were told we were not treating pain adequately. There was a push to give people more analgesia. So, armed with our opioids and gabapentinoids we went and we medicated. But peoples' pain got worse. Katie Barnett examines what
9 October 2020
4 mins read
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