Research Roundup


Debbie Rigby takes a look at the latest in research news

Checking Inhaler Technique in the Community Pharmacy: Predictors of Critical Errors

Up to 92% of patients demonstrate at least one critical error when using an inhaler, which can lead to decreased effectiveness of the inhaled drug. in this study conducted in community pharmacies, possession of more than one inhaler, use of rescue inhaler, and poor control of asthma were found to be significant predictors of having at least one critical error.

Pharmacy 2020;8(1):6.

 

Potentially inappropriate medications in older adults

In this Canadian retrospective population-based cohort study including over 1 million patients, almost one out of two community-dwelling older adults (48.3%) use a potentially inappropriate medicine (PIM) according to the 2015 Beers criteria. The most prevalent PIMs were benzodiazepines (25.7%), proton-pump inhibitors (21.3%), antipsychotics (5.6%), antidepressants (5.0%) and long-duration sulfonylureas (3.3%).

Family Practice 2020:173-9.

 

Management of dental pain in primary care

Dental pain is usually acute, unilateral and localised within the mouth. Paracetamol and ibuprofen are more effective in combination than either of them alone, with or without opioids. Antibiotics are only indicated as an adjunct to dental treatment when there are signs of systemic involvement, progressive and rapid spread of infection, or when the patient is immunocompromised.

Aust Prescr 2020;43:39–44.

Dental note

 

Antiemetic drugs: what to prescribe and when

Nausea and vomiting are common symptoms with many possible causes, including the adverse effects of drugs. This article guides the choice of antiemetic drug, detailing the most appropriate drugs for gastroenteritis, nausea and vomiting induced by opioids, migraine, vestibular causes, chemotherapy, and radiation, and postoperative nausea and vomiting.

Aust Prescr 2020;43:49–56.

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