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Marketing Authorisations
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A NSAID for postoperative pain: no proven advantage
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Too many unknowns for use in atopic eczema
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Breast cancer: not just a question of short-term cardiac effects
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No advantage in agitated patients
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Cutaneous lymphoma: too many adverse effects
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A minimally assessed me-too for erectile dysfunction
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Reduces mortality, but probably less effective than carvedilol
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Highly irritant and poorly effective in Kaposi
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Me-too: inferior to latanoprost in glaucoma
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Adverse Effects
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Keep in mind risky drugs and risky situations
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Agitation, sucking problems, breathing difficulties
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Reviews
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Risk-benefit balance in the hot seat
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WHI trial results: the risk of dementia emerges and the lack of cardiovascular benefit is confirmed. Other large cohort studies provide interesting data.
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Keep a close check on CD4+ cell count and viral load
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Stopping smoking slows disease progression
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Long-term medical treatments do not improve outcome but offer only symptom relief, notably inhaled bronchodilators. Inhaled steroids reduces the frequency of exacerbations by 30%.
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Glycaemic control first; simple analgesics, and tricyclics if needed
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Second-line alternatives are poorly assessed: carbamazepine, gabapentin, etc. Patients should be informed that these drugs are only partly effective.
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Outlook
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Any problem compromising rational drug use should be reported.
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Team work and strict quality control procedures
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A victory for independent information sources.
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