The Medic's Mic GP Podcast

We chat to Dr Paul Ryan of Prescription Revision about how to determine whether a patient’s asthma is well-controlled, based on inhaler use.

Paul has a number of upcoming Prescription Revision courses coming up, including Athlone on Thursday 7 March 2019 at the Hodson Bay Hotel. Details and tickets can be found at : https://www.eventbrite.ie/o/dr-paul-ryan-16871941613

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In today’s show I’m joined once again by Paul Ryan, Founder of pharmabuddy.ie, to discuss lab monitoring for common drugs.

Paul is a dual-trained pharmacist and GP, and runs regular education courses in therapeutics for healthcare professionals including GPs and pharmacists, including an upcoming primary care therapeutics course in Dublin on Thursday 14th November at The Clayton Hotel in Liffey Valley, where he will review 12 conditions commonly encountered in GP practice, incorporating the latest Irish guidelines. Tickets are available here:

https://www.eventbrite.ie/e/gp-study-day-what-should-i-prescribe-tickets-43402397740

Please email any feedback and suggestions to [email protected]

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

Chapters:

00:01:07 Methotrexate

00:03:08 Lithium

00:04:53 NOACs/Amiodarone/Statins

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In today’s show I’m joined once again by Paul Ryan, Founder of pharmabuddy.ie, to discuss prescribing in the setting of fluid depletion.

Paul is a dual-trained pharmacist and GP, and runs regular education courses in therapeutics for healthcare professionals including GPs and pharmacists, including an upcoming study day reviewing 12 conditions commonly encountered in GP practice, and incorporating the latest Irish guidelines, in Dublin on Thursday 14th November at The Clayton Hotel in Liffey Valley. Tickets are available here:

https://www.eventbrite.ie/e/gp-study-day-what-should-i-prescribe-tickets-43402397740

Please email any feedback and suggestions to [email protected]

Spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

Chapters:

00:02:01 Intro

00:03:54 ACE Inhibitors

00:06:15 Nitrofurantoin

00:07:36 Metformin

00:09:45 Options in T2DM and impaired GFR

00:12:06 NSAIDs

00:18:06 Role of PPIs with NSAIDs

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Music courtesy of Boost Music

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In today’s show we discuss the August 2018 Therapeutics Today newsletter with Mary Teeling and MaryJo McAvin, Medical Advisors with The National Medicines Information Centre (NMIC) and co-authors of the newsletter. 

Today we discuss new recommendations from UK Faculty of Sexual & Reproductive Health (FSRH) on contraceptive advice for women on potentially teratogenic drugs, a new Cochrane review showing that Omega-3 fatty acids have little or no effect on cardiovascular disease, and a US multicentre RCT comparing Cardiovascular safety of febuxostat vs. allopurinol.

You can receive the newsletter online at nmic.ie, or by post, by sending your details to [email protected]. You’ll get the most out of these discussions if you have the 2 page newsletter to hand. And as a reminder, I include lots of useful resources in the show notes, including hotlinks to the August 2018 NMIC newsletter discussed today, links to the original journal abstracts, and time stamps so you can jump to the section that interests you.

Please email any feedback and suggestions to [email protected]

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

NMIC Therapeutics Today August 2018 Newsletter:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/Therapeutics%20Today%20August%202018%20-.pdf

NMIC Management Bulletins:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/

Chapters:

00:00:00 Intro

00:02:01 Contraceptive advice for women on potentially teratogenic drugs

00:06:08 Cardiovascular safety of febuxostat vs. allopurinol

00:10:44 Omega - 3 fatty acids have little or no effect on cardiovascular disease

Links:

• FSRH Contraceptive advice for women on potentially teratogenic drugs:

https://www.fsrh.org/standards-and-guidance/clinical-statements/contraception-for-specific-populations/

• Cardiovascular safety of febuxostat vs. allopurinol (NEJM):

https://www.nejm.org/doi/10.1056/NEJMoa1710895

• Omega - 3 fatty acids have little or no effect on cardiovascular disease (Cochrane):

https://www.cochrane.org/news/new-cochrane-health-evidence-challenges-belief-omega-3-supplements-reduce-risk-heart-disease

Feedback and suggestions:

Email: [email protected]

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Twitter: @themedicsmic

Website: www.themedicsmic.com

Music courtesy of Boost Music: http://boostmusic.com/

In today’s show we continue our monthly Therapeutics Today (TT) newsletter discussion with Mary Teeling and MaryJo McAvin, Medical Advisors with The National Medicines Information Centre (NMIC) and co-authors of the TT newsletter.

Today we discuss papers on benzodiazepine and z-drug prescribing in Ireland, the impact of the HPV vaccine on prevalence of type-specific HPV, polypharmacy, and the effect of long term PPI use on pneumonia incidence.

You can receive the newsletter online at nmic.ie, or by post, by sending your details to [email protected]. You’ll get the most out of these discussions if you have the 2 page newsletter to hand. And as a reminder, I include lots of useful resources in the show notes, including hotlinks to the July NMIC newsletter discusses today, links to the original journal abstracts, and time stamps so you can jump to the section that interests you.

Please email any feedback and suggestions to [email protected]

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

NMIC Therapeutics Today July 2018 Newsletter:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/TherapeuticsToday2018/Therapeutics%20Today%20July%202018.pdf

NMIC Management Bulletins:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/

Chapters:

00:00:00 Intro "TT Jun 2018 Newsletter Link"

00:01:39 BZD and Z Drugs in Ireland (BJCP)

00:04:03 Medicines Management Programme

00:05:21 HPV Vaccination UK (JID)

00:10:46 Polypharmacy Guidance 2018 (Scotland)

00:15:13 PPI Use and Pneumonia Risk (J Am Geriatr Soc)

Links to Abstracts:

1) BJCP Feb 2018: Cadogan et al “Benzodiazepine and Z‐drug prescribing in Ireland: analysis of national prescribing trends from 2005 to 2015”

https://www.ncbi.nlm.nih.gov/pubmed/29488252

2) JID Jun 2018: Mesher et al “The Impact of the National HPV Vaccination Program in England Using the Bivalent HPV Vaccine: Surveillance of Type-Specific HPV in Young Females, 2010–2016”

https://www.ncbi.nlm.nih.gov/pubmed/?term=The+Impact+of+the+National+HPV+Vaccination+Program+in+England+Using+the+Bivalent+HPV+Vaccine%3A+Surveillance+of+Type-Specific+HPV+in+Young+Females%2C+2010%E2%80%932016

3) Polypharmacy Guidance – Realistic Prescribing 3rd Ed 2018

https://www.therapeutics.scot.nhs.uk/wp-content/uploads/2018/04/Polypharmacy-Guidance-2018.pdf

4) J Am Geriatr Soc July 2018: Zirk-Sadowski et al “Proton-Pump Inhibitors and Long-Term Risk of Community-Acquired Pneumonia in Older Adults”

https://www.ncbi.nlm.nih.gov/pubmed/29676433

Other Links:

MMP (Medicines Management Programme) Tips and Tools:

https://www.hse.ie/yourmedicines

Feedback and suggestions:

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Website: www.themedicsmic.com

Music courtesy of Boost Music: http://boostmusic.com/

A quick 2 minute update outlining plans for the year ahead (out 1st birthday is next month - woop!)

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

NMIC Therapeutics Today Newsletters Online:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/

NMIC Management Bulletins:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/

Feedback and suggestions:

Email: [email protected]

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Website: www.themedicsmic.com

Music courtesy of Boost Music

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In today’s show we’re discussing the contents of the June 2018 edition of the Therapeutics Today monthly newsletter produced by The National Medicines Information Centre (NMIC) based in St James Hospital Dublin. I’m joined once more by Mary Teeling and MaryJo McAvin, Medical Advisors with NMIC.

We’ll cover updates on the efficacy of emollient baths in eczema, barriers to compliance with statins, and comparison of DOACs and warfarin in frail patients.

You can receive the newsletter online at nmic.ie, or by post, by sending your details to [email protected].

This podcast aims to serve as an companion piece to the Therapeutics Today newsletter, and we hope you find it of value. Please email any feedback and suggestions to [email protected]

As usual, hotlinks to resources and further reading can be found in the show notes, which you can access by tapping or swiping on the show icon on your smart device.

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

NMIC Therapeutics Today Newsletters Online:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/

NMIC Management Bulletins:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/

Chapters:

00:00:14 Intro

00:01:07 Emollient Baths in Eczema – BMJ

00:01:18 NMIC Bulletin - Eczema Management

00:05:09 Statin Usage - Patients' Perspectives - BJGP

00:09:47 Frail Patients: DOACs Vs Warfarin - JAHA

Useful Links:

1) June 2018 Therapeutics Today:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/TherapeuticsToday2018/Therapeutics%20Today%20June%202018.pdf

2) Emollient Baths in Eczema – BMJ Abstract:

https://www.bmj.com/content/361/bmj.k1332

3) NMIC Bulletin - Eczema Management:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/NMICBulletins2017/NMIC%20Bulletin%20Update%20on%20Management%20of%20Atopic%20Eczema%20with%20Ref.pdf

4) Statin Usage - Patients' Perspectives –BJGP Abstract:

https://bjgp.org/content/68/671/e408.short?rss=1

5) Frail Patients: DOACs Vs Warfarin - JAHA DOAC Abstract: https://www.ahajournals.org/doi/abs/10.1161/JAHA.118.008643

Feedback and suggestions:

Email: [email protected]

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Website: www.themedicsmic.com

Music courtesy of Boost Music

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In today’s show we’re discussing the contents of the May 2018 edition of the Therapeutics Today monthly newsletter produced by The National Medicines Information Centre (NMIC) based in St James Hospital Dublin. We’ll cover updates on sodium valproate (Epilim) and lyme disease. You can receive the newsletter online at nmic.ie, or by post, by sending your details to [email protected].

I’m joined once more by Mary Teeling, Medical Advisor with NMIC.

This podcast aims to serve as an companion piece to the May 2018 Therapeutics Today newsletter, and we hope you find it of value. Please email any feedback and suggestions to [email protected]

As usual, hotlinks to resources and further reading can be found in the shownotes, which you can access by tapping or swiping on the show icon on your smart device.

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

NMIC Therapeutics Today Newsletters Online:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/

NMIC Management Bulletins:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/ 

Chapters:

00:11 May 2018 Therapeutics Today Intro

01:13 Valproate - Teratogenicity "HPRA Epilim Page"

08:34 Lyme Disease Guidance

Useful Links:

1) NMIC Therapeutics Today Newsletter:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/TherapeuticsToday2018/Therapeutics%20Today%20May%202018.pdf

2) HPRA Valproate Page:

https://www.hpra.ie/homepage/medicines/special-topics/valproate-(epilim)

3) HSPC Lyme Disease Page:

http://www.hpsc.ie/a-z/vectorborne/lymedisease/informationforhealthcareprofessionals/

Feedback and suggestions:

Email: [email protected]

Facebook: www.facebook.com/themedicsmic

Twitter: @themedicsmic

Website: www.themedicsmic.com

Music courtesy of Boost Music

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In today’s show we’re trialling a new format where we review the April 2018 edition of the Therapeutics Today monthly newsletter produced by The National Medicines Information Centre (NMIC) based in St James Hospital Dublin.

We are joined by Mary Teeling and MaryJo MacAvin, Medical Advisors with The National Medicines Information Centre (NMIC) based in St James Hospital Dublin, and are involved in writing the NMIC monthly Therapeutics Today newsletter and bimonthly bulletin.

The newsletter helps busy doctors stay up to date by reviewing clinically relevant journal articles in a succinct manner, and will be well known to many listeners. If you haven’t signed up to receive the free newsletter, you can do so by contacting the NMIC, and I’ll provide contact details to join the mailing list at the end of the show.

This podcast aims to serve as a companion piece to the April 2018 edition of the newsletter, and we hope you find it of value. Please email any feedback and suggestions to [email protected]

As usual, hotlinks to resources and further reading can be found in the show notes, which you can access by tapping or swiping on the show icon on your smart device.

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

NMIC Therapeutics Today Newsletters Online:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/TherapeuticsToday/

NMIC Management Bulletins:

http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/NMICBulletins/

Chapters and Journal References:

01:00 NMIC - Intro to the NMIC Service

06:15 Trimethoprim use in older patients

BMJ 2018;360:k341

09:53 How to improve medication adherence in cardiovascular disease

Heart 2018; doi.10.1136/heartjnl-2017-312571

16:59 Do not exceed the recommended dose of paracetamol

Br J Clin Pharmacol 2018, DOI:10.1111/bcp.13551

Feedback and suggestions:

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Website: www.themedicsmic.com

Music courtesy of Boost Music

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We are joined by Dr Deirdre Lundy, Women’s Health Faculty with ICGP, and Dr Shirley McQuade, Medical Director of Dublin Well Woman Centre.

Deirdre and Shirley discuss recent developments in contraception including LARC in the younger woman, back-to-back pill prescribing, and practical pearls from the experts.

As usual, hotlinks to resources and further reading can be found in the shownotes, which you can access by tapping or swiping on the show icon on your smart device.

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

Chapters:

01:57 LARC in Younger Women
06:17 Ethical Dilemma
12:18 Back to Back OCP
17:50 OCP Reminder
20:59 Coil in the Nulliparous Woman/Post LLETZ
23:46 The Holistic Consultation

26:18 Practical Pearls from the Experts

Episode 15 Selected Websites & Resources (Mentioned during the show):

John Guillebaud Contraception Today (Book on Amazon):

https://www.amazon.co.uk/Contraception-Today-Eighth-John-Guillebaud/dp/1498714609

My Pill App (Smart Phone App):

https://mypill.app/

Feedback and suggestions:

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Website: www.themedicsmic.com

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