Time to Prescribe Dual instead of Mono

Should I prescribe sunlight instead of vitamin D?

CMAJ • NOVEMBER 23, 2010 • 182(17) © 2010 Canadian Medical Association or its licensors E802 With the increased understanding of the effects of vitamin D on the body and the growing evidence that people living in northern climes have inadequate levels of vitamin D during the winter months, I wondered whether I should be prescribing sunlight for my patients. After all, a mild sunburn after 5 to ...

Time of day and the decision to prescribe antibiotics.

Clinicians make many patient care decisions each day. The cumulative cognitive demand of these decisions may erode clinicians' abilities to resist making potentially inappropriate choices. Psychologists, who refer to the erosion of self-control after making repeated decisions as decision fatigue, 1,2 have found evidence that it affects nonmedical professionals. For example, as court sessions we...

Should I prescribe a topical antiseptic cream instead of a topical antibiotic for minor skin infections?

In October, 2014 we published an article outlining appropriate use of topical antibiotics in response to concerns over increasing rates of bacterial resistance, in particular to fusidic acid (See: “Topical antibiotics: very few indications for use”, BPJ 64). In early 2015 we updated our advice on the management of eczema in children (See: “Treating childhood eczema: a topical solution for a top...

Power to prescribe.

How to prescribe optimal haemodialysis.

The characteristics of patients starting renal replacement therapy (RRT) have changed significantly over the last few years. The last EDTA-ERA Registry Report [1] showed that 37% of patients starting RRT in 1992 were over 65 years old. The median age of patients starting RRT was 62 years. On the other hand, primary renal disease has also changed considerably over the past years. In Europe, 17% ...