Category: Meds

MKSAP: 45-year-old woman with type 2 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 45-year-old woman is evaluated for management of type 2 diabetes mellitus diagnosed 3 months ago. She was asymptomatic at diagnosis with an…

Think beyond benzodiazepines for anxiety

An excerpt from Understanding Medicines for Anxiety. Although the SSRIs (selective serotonin reuptake inhibitors) are among the most widely prescribed medicines for depression, they also have a useful role to play in treating anxiety disorders. In this…

Are benzodiazepines “the worst thing that’s ever happened to people”?

Although Arnold Knutsen and I “met” virtually five years ago, we only first spoke on the phone recently when he called to share his story. He’s the eldest member of the online benzodiazepine support group we cohabitate. His posts in t…

Treating schizophrenia with long-acting injectables

It happens all too often. You have not been taking good care of yourself. You don’t eat, you sleep poorly, and you neglect your medical health. Over months or sometimes years, you begin to isolate yourself from your friends and family. You can’t seem t…

The art of off-label prescribing

Some drugs are used for indications beyond their original FDA approved ones that make complete sense. I mean, if old seizure medications help nerve pain, it might be reasonable to try new ones for the same purpose if everything else fails. Sometimes th…

The basics of the MMR vaccine from a pediatrician

As the U.S. endures its largest measles outbreak in 25 years — one that’s almost certainly going to get worse before it gets better — we’re getting a lot of calls and questions at my office. What’s measles, what’s the best way to prevent it…

The allure of complementary and alternative medicine

“Complementary and alternative medicine” (CAM) is a category that includes all the methods of physical or mental healing that do not fall under the umbrella of western medicine. Examples include comprehensive healing traditions from other cultures, suc…

The allure of complementary and alternative medicine

“Complementary and alternative medicine” (CAM) is a category that includes all the methods of physical or mental healing that do not fall under the umbrella of western medicine. Examples include comprehensive healing traditions from other cultures, suc…

How hospitals can help with the opioid epidemic

Nearly half a million individuals with opioid use disorders are hospitalized each year in the United States. While they are in the hospital, medical providers often treat complications of this disorder, such as bloodstream infections, but rarely direct…

The ethics behind the world’s most expensive medication

With the recent FDA approval, Zolgensma became the world’s most expensive medication. Priced at $2.125 million per patient, the one-dose gene therapy is a potential life-saver for children with spinal muscular atrophy (SMA). Now, the treatment is at th…