Category: Meds

Goodbye, Benadryl: It is time for you to retire

Sometimes, old ideas and time-tested treatments remain the best. Newer doesn’t always mean better. Except in the case of one of our oldest antihistamines, tried-and-true Benadryl. It is time for that old drug to be retired, sent off to pasture, and nev…

Antibiotic resistance is the climate change of medicine

Imagine a looming global crisis that threatens the health of countless people, confounding scientists and governments with its sheer magnitude and complexity and growing at a pace that will quickly exceed our ability to reverse course. Sounds a little …

Prescribing medication from a patient’s and physician’s perspective

At least a few times a year, I am asked to prescribe antibiotics to people who are not my patients. From my point of view, there is only one answer that makes sense here – no. I have the same reaction when patients call me for a refill or advice when I…

Black boxes: health warning or profit warning?

“Boxed warnings” or “black boxes” are the strictest FDA label warnings. They appear on cigarettes, fluoroquinolones (for tendon rupture), Lamictal (for SJS and TEN), Accutane (birth defects), and other products with well-known r…

How to help your patients understand antibiotic stewardship

Antibiotics are ubiquitous in today’s society. Prescriptions for these bacterial killers have become so prevalent that a wonder drug cure phenomenon for any illness has become the cultural norm. The evidence is overwhelming that antibiotics are far too…

When should you prescribe statins for older adults?

Although I have never been a big fan of modeling studies, viewing their appropriate role as hypothesis-generating rather than clinical decision-supporting, a study published in the Annals of Internal Medicine deserves kudos for trying to do what neithe…

Stop cutting patients off their prescribed benzodiazepines

In the wake of the opioid epidemic, benzodiazepines have been called “our other prescription drug problem” and “the next U.S. drug crisis.” Prescriptions are on the rise, with over 30 million Americans reporting benzodiazepine use in the previous year….

Hormone replacement therapy is still linked to cancer

It is a fluke of the news cycle that if we don’t hear a product warning frequently, we can “forgive” that product and think it has somehow become safe. While no one would “forgive” cigarettes, lead in drinking water or mer…

CBD oil: Natural does not mean it is safe

At the age of three months, Charlotte Figi had her first seizure. She was later diagnosed with Davet Syndrome, a rare form of epilepsy. Her seizures continued, increasing in both frequency and severity. In a CNN interview, Charlotte’s mother Paige said…

Beyond the EpiPen: Irrational drug prices are now pervasive

There was outrage over the sudden rise in the price of the EpiPen. But the rise in many other pharmaceutical prices gets less attention but is just as concerning. It can be easy to forget issues like this until they affect us personally. My two encount…