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Topiramate (Topamax) for Migraine Prevention - STEPS - American Family Physician

Oct 15, 2005 - Topiramate is more effective than placebo for migraine prevention. Its effectiveness appears to be similar to that of other antiepileptic drugs and beta blockers. Because of the high cost of topiramate and the relative frequency of adverse effects, other approaches to migraine ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/1015/p1563.html

Is Telmisartan Effective for Stroke Prevention? - AFP Journal Club - American Family ...

Nov 15, 2009 - Does telmisartan therapy after stroke prevent recurrence and adverse cardiovascular events? Despite lowering blood pressure, telmisartan did not provide preventative benefit. This study reflects problems with publication bias and that surrogate markers, such as blood pressure control, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/1115/p1042.html

Epilepsy - Clinical Evidence Handbook - American Family Physician

Nov 15, 2009 - What are the benefits and risks of starting antiepileptic drug treatment after a single seizure? What are the effects of monotherapy in newly diagnosed partial epilepsy? What are the effects of monotherapy in newly diagnosed generalized epilepsy (tonic-clonic type)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1115/p1151.html

AAN and EFNS Guideline on Diagnosing and Treating Trigeminal Neuralgia - Practice ...

Jun 1, 2009 - Experts from the American Academy of Neurology (AAN) and the European Federation of Neurological Societies (EFNS) reviewed the literature on the diagnosis and treatment of trigeminal neuralgia. Trigeminal neuralgia is defined as sudden, usually unilateral, severe, brief, stabbing, ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0601/p1001.html

Is the San Francisco Syncope Rule Reliable? - AFP Journal Club - American Family Physician

Sep 15, 2009 - Can the San Francisco Syncope Rule successfully determine which patients can be safely discharged after an acute syncopal episode? External validation suggests that the sensitivity of the rule is lower than first reported. Physicians need to apply their clinical acumen and override the ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0915/p558.html

Pramipexole (Mirapex) for Restless Legs Syndrome - STEPS - American Family Physician

Apr 15, 2007 - Although many patients with RLS do not need pharmacologic therapy, pramipexole is one option for treating moderate to severe symptoms. As with other agents used to manage RLS, potentially serious adverse reactions are possible.

American Family Physician : STEPS

https://www.aafp.org/afp/2007/0415/p1239.html

Effect of Antiepileptic Drugs on Oral Contraceptives - FPIN's Clinical Inquiries - ...

Sep 1, 2008 - We found no studies that measure, or even estimate, any increase in pregnancy rates in women taking antiepileptic drugs. Antiepileptic drugs known to induce the hepatic cytochrome P450 (CYP450) isoenzyme cause decreased sex hormone levels in women taking oral contraceptives, raising the...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0901/p634.html

Dopamine Agonists for Early Parkinson Disease - Cochrane for Clinicians - American ...

Jul 1, 2009 - Dopamine agonists, such as pramipexole (Mirapex), ropinirole (Requip), pergolide (formerly Permax), and apomorphine (Apokyn), improve the motor fluctuations and dyskinesias that commonly occur with levodopa, but at the expense of increasing nonmotor adverse effects and noncompliance. An...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p28.html

Antiepileptic Drug Level Monitoring - FPIN's Clinical Inquiries - American Family ...

Aug 1, 2008 - Routine monitoring of antiepileptic drug levels does not alter seizure or side effect rates.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0801/p385.html

Aerobic Activity for Cognitive Function - Cochrane for Clinicians - American Family ...

Apr 1, 2009 - Physical activity improves cardiovascular fitness in persons older than 55 years. Cognitive speed and auditory and visual attention are increased in healthy older adults who exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0401/p562.html

Acyclovir or Steroids as Pharmacologic Treatment of Bell Palsy - AFP Journal Club - ...

Mar 15, 2009 - Does acyclovir or steroids speed recovery in adults with Bell palsy? This study suggests that it is reasonable to start prednisolone in some cases, but physicians should not forget about practical considerations, such as lubricant eye drops, pain management, and chewing instruction. ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0315/p435.html

Febrile Seizures - Clinical Evidence Handbook - American Family Physician

Nov 15, 2008 - What are the effects of treatments given during episodes of fever in children with one or more previous simple febrile seizures? What are the effects of long-term (daily, longer than one month) anticonvulsant treatment in children with a history of simple febrile seizures? What are the ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/1115/p1199.html

Screening for Carotid Artery Stenosis - Putting Prevention into Practice - American ...

Jan 15, 2009 - Case study: K.A. is a 63-year-old man who presents for a routine wellness examination. His blood pressure and cholesterol level are within normal limits, and he has no history of tobacco use or heart disease.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/0115/p95.html

ACEP Policy on Evaluating Patients with Syncope in the Emergency Department - Practice ...

Aug 15, 2008 - In 2007, the American College of Emergency Physicians (ACEP) updated its 2001 clinical policy on assessing patients with syncope in the emergency department. Syncope, which involves a brief loss of consciousness followed by spontaneous recovery, accounts for 1 to 1.5 percent of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0815/p516.html

Predicting Prognoses in Patients with Acute Stroke - Point-of-Care Guides - American ...

Jun 15, 2008 - A number of clinical decision models and scoring systems have been developed and validated to assist physicians in assessing the prognosis of patients with acute stroke.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0615/p1719.html

AAFP and ACP Release Guideline on Dementia Treatment - Practice Guidelines - American ...

Apr 15, 2008 - A guideline created by the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP) reviews the data on the effects of pharmacologic treatment of dementia for improving cognition, global function, behavior/mood, and quality of life (QOL)/activities of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0415/p1173.html

Differential Diagnosis of Tremor - FPIN's Clinical Inquiries - American Family Physician

May 1, 2008 - The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0501/p1305.html

AAN Guideline Reassesses the Use of Neuroimaging in the Evaluation of Seizure - ...

Apr 1, 2008 - The Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology (AAN) has reassessed the use of neuroimaging in patients presenting to the emergency department with seizure.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0401/p1024.html

Quality of Life in Older Persons with Dementia Living in Nursing Homes - FPIN's ...

Apr 1, 2008 - There is no gold standard to measure the QOL in older persons with dementia. For those requiring increased care, nursing homes may offer some benefit, including more frequent physician assessment and treatment of pain and depression, compared with assisted living/residential care ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0401/p1011.html

Treatment of Acute Ischemic Stroke with t-PA - AFP Journal Club - American Family ...

Apr 1, 2008 - Does the widespread use of the thrombolytic tissue plasminogen activator (t-PA) more beneficial or harmful in patients with acute stroke? The benefits must be balanced against the harms. Informed consent is necessary when making the decision.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0401/p901.html

Screening for Carotid Artery Stenosis: Recommendation Statement - U.S. Preventive ...

Apr 1, 2008 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for carotid artery stenosis and the supporting scientific evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2nd ed.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2008/0401/p1006.html

AAN Releases Recommendations for Treating Lyme Disease Neuroborreliosis - Practice ...

Mar 1, 2008 - The Quality Standards Subcommittee of the American Academy of Neurology (AAN) has released recommendations for treating Lyme disease, a multisystem, tick-borne infection that often affects the nervous system (neuroborreliosis).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0301/p700.html

Combative Delirium - Curbside Consultation - American Family Physician

Jan 15, 2008 - In the context of their usual office or hospital settings, family physicians are not often called upon to deal with violent or hostile patients. However, just like advanced cardiac life support training prepares physicians for rare and unexpected cardiac arrest situations, knowing how ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0115/p237.html

Combative Delirium - Curbside Consultation - American Family Physician

Feb 1, 2008 - In the context of their usual office or hospital settings, family physicians are not often called upon to deal with violent or hostile patients. However, just like advanced cardiac life support training prepares physicians for rare and unexpected cardiac arrest situations, knowing how ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0201/p363.html

Predicting Delirium in Hospitalized Older Patients - Point-of-Care Guides - American ...

Nov 15, 2007 - Delirium is a common complication in hospitalized older patients, particularly in those in the intensive care unit.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/1115/p1527.html

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