Debbie Rigby takes a look at the latest in research news
Anticonvulsants in the treatment of low back pain and lumbar radicular pain
A systematic review and meta-analysis has demonstrated moderate- to high-quality evidence that anticonvulsants, including topiramate, gabapentin and pregabalin, are ineffective for treatment of low back pain or lumbar radicular pain. There is high-quality evidence that gabapentinoids have a higher risk for adverse events. The most common adverse events reported in participants taking a gabapentinoid were drowsiness or somnolence, dizziness and nausea.
Exploration of data obtained from the UK New Medicine Service between 2011 and 2012 shows community pharmacists can effectively manage most patients initiated on antihypertensive medicines. Only 4.5% of patients were referred by the pharmacist to the GP within the first 2 weeks of starting a new antihypertensive medication., mainly for reported side effects.
Br J Gen Pract 2018;68:e541-50.
The mainstay of hypertension management is medication intervention. Pharmacists are likely to have the necessary knowledge to identify potential medication risks, such as side effects, drug interactions, and polypharmacy. The management of hypertension is driven by algorithms in national guidelines, which give much clarity and certainty in this area of clinical care, and is less likely to require hypothetic-deductive reasoning and pattern recognition.
Br J Gen Pract 13 August 2018; bjgp18X698573.
Motivational interviewing represents a powerful tool for helping patients taper their opioids. This article highlights the use of motivational interviewing in a case specific to opioids by presenting an annotated version of how a conversation might go between a male physician attempting to use a motivational approach with a patient who takes opioids.
Canadian Family Physician August 2018;64(8):584-587.