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Navigating the New Diabetes Drugs Cardiovascular benefits and when to use

The recent introduction of antihyperglycaemic medications that not only improve glycated haemoglobin (HbA1c) levels but also provide cardiovascular, renal and overall mortality benefit renews hope for better management of diabetes. The new sodium-glucose cotransporter-2 (SGLT-2) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists are potential game changers for people with T2D. Evidence shows that besides improving glyacaemic control, these drugs have renal, cardiovascular and all-cause mortality benefits.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter Endocrinology

Pulmonary Hypertension A rare but important cause of dyspnoea

Pulmonary hypertension can be a devastating disease that is easily missed in the early stages because of its typically nonspecific presentation with gradually increasing dyspnoea, and may coexist with other sources of dyspnoea. With advances in management, most forms of pulmonary hypertension are treatable with medication. Early diagnosis and treatment are key to improving functional and haemodynamic outcomes and survival.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter Pulmonology

Moxonidine, Centrally Acting Antihypertensive with Reduced Side Effects

Moxonidine is a second generation centrally acting antihypertensive drug. As it acts on a different pathway to the previous centrally acting antihypertensive drugs, it has fewer side effects, and in addition, has some possible beneficial effects besides.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter Cardiology Uncategorized

Allergic Rhinitis often goes undetected

Allergic rhinitis is a common disorder that is strongly linked to asthma and conjunctivitis. It is usually a long-standing condition that often goes undetected in the primary-care setting. The classic symptoms of the disorder are nasal congestion, nasal itch, rhinorrhoea and sneezing. A thorough history, physical examination and allergen skin testing are important for establishing the diagnosis of allergic rhinitis. Second-generation oral antihistamines and intranasal corticosteroids are the mainstay of treatment. Allergen immunotherapy is an effective immune-modulating treatment that should be recommended if pharmacologic therapy for allergic rhinitis is not effective or is not tolerated, or if chosen by the patient. This article provides an overview of the pathophysiology, diagnosis, and appropriate management of this disorder.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter Allergies

Managing Interstitial Cystitis/ Bladder Pain Syndrome

Managing Interstitial Cystitis/Bladder Pain Syndrome

IC/BPS is a poorly understood syndrome, commonly diagnosed in the fourth decade or later in life. Several studies have documented its negative impact on various health-related quality of life domains as well as psychosocial functioning. The exact aetiology and pathogenesis of IC/BPS is poorly understood.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter Womens Health

Dydrogesterone, Supporting Female Reproductive Health

Introduced in the 1960s, dydrogesterone is a progesterone agonist used to support female reproductive health, and is particularly useful due to its high bioavailability and highly selective nature.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter Womens Health

In COVID, a Catalyst for Changing Healthcare Delivery

During lockdown, health systems globally have had to cope with the challenge of sustaining capacity to provide care for COVID patients, as well as providing continued care for those suffering from other ailments that require ongoing management.

Modern Medicine – Issue 5 2020

October 20, 2020 by Peter COVID

Issue 4, 2020

The latest Issue of Modern Medicine is available for you to read. We have some great articles featured in this edition; topics covered include:

Ethics (CPD) – When a doctor becomes a patient
Pulmonology (CPD) – Asthma and COVID risk
CNS – Adult Bipolar Disorder
Woundcare – Moisture management
Cardiology (CPD) – Atrial Fibrillation Management
Gastroenterology (CPD) – Eosinophilic Oesophagitis
… and many more !

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online

Modern Medicine, the journal that’s with you wherever you go.

August 14, 2020 by Peter Uncategorized

Considerations when Prescribing Topical Corticosteroids

Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Successful treatment depends on an
accurate diagnosis and consideration of the steroid’s delivery vehicle, potency, frequency of application, duration of treatment, and side effects.

Modern Medicine – Issue 4 2020

August 14, 2020 by Peter Dermatology

Timely Diagnosis of Pancreatic Exocrine Insufficiency is Key

Pancreatic exocrine insufficiency (PEI) may be caused by pancreatic disorders, including chronic pancreatitis (CP), cystic fibrosis (CF), pancreatic resection and pancreatic cancer. PEI may also result from extra-pancreatic conditions, including coeliac disease, Zollinger-Ellison syndrome and gastric surgery.

Modern Medicine – Issue 4 2020

August 14, 2020 by Peter Endocrinology

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