Long‐acting reversible contraceptives (LARCs) – intrauterine contraceptives and progestogen‐only implants and injections – are cost‐effective and reliable but uptake is still relatively low. This article summarises the main LARC products available in the UK and their advantages and disadvantages.
{"title":"Choice and use of long‐acting reversible contraceptives","authors":"Kirsty Moore","doi":"10.1002/psb.2030","DOIUrl":"https://doi.org/10.1002/psb.2030","url":null,"abstract":"Long‐acting reversible contraceptives (LARCs) – intrauterine contraceptives and progestogen‐only implants and injections – are cost‐effective and reliable but uptake is still relatively low. This article summarises the main LARC products available in the UK and their advantages and disadvantages.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81090911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The new NICE guideline on assessing, managing and preventing self‐harm (NG225) provides best‐practice guidance to people who work with adults or children who have self‐harmed, including those in the health, social care, education and criminal justice systems. This article summarises the main recommendations.
{"title":"NICE on the assessment and management of self‐harm","authors":"S. Chaplin","doi":"10.1002/psb.2033","DOIUrl":"https://doi.org/10.1002/psb.2033","url":null,"abstract":"The new NICE guideline on assessing, managing and preventing self‐harm (NG225) provides best‐practice guidance to people who work with adults or children who have self‐harmed, including those in the health, social care, education and criminal justice systems. This article summarises the main recommendations.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73225095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The recent mpox outbreak arrived hot on the heels of the COVID‐19 pandemic, adding further pressure to an already overstretched health service. This article discusses the characteristics of the outbreak, its management and its impact on sexual health services in the UK.
{"title":"Mpox: a new outbreak of a once exotic infection","authors":"M. Greener","doi":"10.1002/psb.2035","DOIUrl":"https://doi.org/10.1002/psb.2035","url":null,"abstract":"The recent mpox outbreak arrived hot on the heels of the COVID‐19 pandemic, adding further pressure to an already overstretched health service. This article discusses the characteristics of the outbreak, its management and its impact on sexual health services in the UK.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87402501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acute flares of gout can cause severe pain and the condition is associated with long‐term complications, but current management is often suboptimal. The new NICE guideline (NG219) aims to optimise outcomes for patients with gout by improving its diagnosis and acute and long‐term management.
{"title":"New guidance on the diagnosis and management of gout","authors":"S. Chaplin","doi":"10.1002/psb.2025","DOIUrl":"https://doi.org/10.1002/psb.2025","url":null,"abstract":"Acute flares of gout can cause severe pain and the condition is associated with long‐term complications, but current management is often suboptimal. The new NICE guideline (NG219) aims to optimise outcomes for patients with gout by improving its diagnosis and acute and long‐term management.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80194841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Some people take a plethora of vitamin and mineral supplements, leading to a risk of duplication of ingredients. A thorough medication history, including both over‐the‐counter and prescribed vitamin and mineral supplements, can help ensure patients are not consuming excessive doses and risking harm.
{"title":"Vitamins and minerals: beware of ingredient duplication!","authors":"A. Thompson","doi":"10.1002/psb.2028","DOIUrl":"https://doi.org/10.1002/psb.2028","url":null,"abstract":"Some people take a plethora of vitamin and mineral supplements, leading to a risk of duplication of ingredients. A thorough medication history, including both over‐the‐counter and prescribed vitamin and mineral supplements, can help ensure patients are not consuming excessive doses and risking harm.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82749099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The NHS Long Term Plan recognised the importance of providing smoking cessation services to inpatient smokers, but the level of treatment currently being offered in hospitals often falls short of guidelines. This article describes some of the projects and models of care that are helping to improve UK stop‐smoking services in hospital and on transfer to the community.
{"title":"Improving hospital smoking cessation services","authors":"Angela Dowden","doi":"10.1002/psb.2027","DOIUrl":"https://doi.org/10.1002/psb.2027","url":null,"abstract":"The NHS Long Term Plan recognised the importance of providing smoking cessation services to inpatient smokers, but the level of treatment currently being offered in hospitals often falls short of guidelines. This article describes some of the projects and models of care that are helping to improve UK stop‐smoking services in hospital and on transfer to the community.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75646904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pulmonary hypertension can be very difficult to identify and patients often experience a long delay before diagnosis. This article aims to raise awareness of pulmonary hypertension in the primary care setting, and discusses the role of the GP in diagnosis and management, with a focus on pulmonary arterial hypertension.
{"title":"Pulmonary hypertension in the primary care setting","authors":"S. Lua, C. Church","doi":"10.1002/psb.2022","DOIUrl":"https://doi.org/10.1002/psb.2022","url":null,"abstract":"Pulmonary hypertension can be very difficult to identify and patients often experience a long delay before diagnosis. This article aims to raise awareness of pulmonary hypertension in the primary care setting, and discusses the role of the GP in diagnosis and management, with a focus on pulmonary arterial hypertension.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76291308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many drugs are associated with QT prolongation and certain patient factors can increase this effect, leading to a significant risk of arrhythmias. This article describes the drug and patient factors that can lead to QT prolongation and discusses how the risks can be reduced.
{"title":"Mechanisms and management of drug‐induced QT prolongation","authors":"G. Parsons","doi":"10.1002/psb.2023","DOIUrl":"https://doi.org/10.1002/psb.2023","url":null,"abstract":"Many drugs are associated with QT prolongation and certain patient factors can increase this effect, leading to a significant risk of arrhythmias. This article describes the drug and patient factors that can lead to QT prolongation and discusses how the risks can be reduced.","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83427714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why we shouldn't keep things simple","authors":"","doi":"10.1002/psb.2021","DOIUrl":"https://doi.org/10.1002/psb.2021","url":null,"abstract":"","PeriodicalId":88184,"journal":{"name":"The Prescriber","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87279846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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