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AGA does not endorse all patients stopping popular diabetes and weight loss drugs prior to endoscopy

The American Gastroenterological Association suggests a balanced approach when treating patients on GLP-1 RAs undergoing endoscopic procedures. AGA recommends proceeding with the procedure as planned for patients who followed standard pre-procedure fasting instructions and do not have symptoms suggesting retained gastric contents.

SourceAmerican Gastroenterological Association·JournalClinical Gastroenterology and Hepatology·TypeSystematic review·DateNov 7, 2023

Study in JAMA Cardiology finds coating on aspirin does not impact effectiveness or safety for cardiovascular patients

A recent study in JAMA Cardiology analyzed data from 15,000 patients and found that enteric coating on aspirin does not change its effectiveness or safety for secondary prevention of cardiovascular events. The study suggests that patients can choose the aspirin formulation that suits them best.

SourceOchsner Health System·JournalJAMA Cardiology·TypeRandomized controlled/clinical trial·DateNov 6, 2023

Significant development in mild cognitive impairment treatment revealed in Australia

A clinical trial led by Western Sydney University's NICM Health Research Institute has revealed that Sailuotong, a novel herbal extract, shows promise as a potential treatment for mild cognitive impairment. The study found improvements in memory and executive function in participants taking SLT compared to those on a placebo.

SourceNICM Health Research Institute, Western Sydney University·JournalAlzheimer s & Dementia·TypeRandomized controlled/clinical trial·DateOct 11, 2023

Wastewater detects signs of antimicrobial resistance in aged care

A new study has detected high levels of bacterial resistance to antibiotics in two Australian aged care facilities, highlighting a concerning trend in the sector. The study used wastewater-based surveillance to detect antimicrobial resistance in Escherichia coli and found above-average levels of gentamicin resistance in one facility.

SourceUniversity of South Australia·JournalMicrobiology Spectrum·TypeExperimental study·DateOct 3, 2023

The pandemic a tough time also for pharmacies

A majority of pharmacists in Sweden experienced increased workloads and a deteriorating work environment due to customer conflicts and new tasks. Despite this, many reported no impact on patient safety, highlighting the need for further research.

SourceUniversity of Gothenburg·JournalExploratory Research in Clinical and Social Pharmacy·TypeSurvey·DateSep 15, 2023

Addressing social determinants of health in post-overdose outreach associated with greater reduction in fatal opioid overdoses

New research from Boston Medical Center's Grayken Center for Addiction found that municipalities offering wide-ranging social services to overdose survivors saw a 21% decrease in fatal overdoses. The study suggests connections to housing, food, employment, and transportation may be key to successful post-overdose outreach programs.

SourceBoston Medical Center·JournalInternational Journal of Drug Policy·DateSep 14, 2023

Obesity experts spotlight safety gap in clinical trials and drug labeling for people with obesity

A new opinion piece highlights the safety gap in clinical trials and drug labeling for people with obesity, arguing that correct dosing instructions should be included on labels. The authors recommend a three-pronged approach to address this gap, including conducting studies in people with obesity before market approval.

SourceEmerald Lake Safety·JournalHealth Affairs Forefront·TypeCommentary/editorial·DateSep 5, 2023

New guidance on take-home naloxone for community overdose responders

The Canadian Medical Association Journal published new guidance on take-home naloxone distribution and use by community overdose responders in Canada. The guidance prioritizes preserving life and mitigating harms, and is the result of a collaborative process involving diverse stakeholders from across the country.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·TypeLiterature review·DateAug 28, 2023

Anesthesiologists should play bigger role in perioperative care of people with Substance Use Disorders

The series emphasizes the importance of anesthesiologists in addressing unmet needs of patients with Substance Use Disorder (SUDs) in the perioperative period. Anesthesiologists are urged to adopt a broader approach to effective disease management, incorporating trauma-informed patient care and increased collaboration with addiction me...

SourceWolters Kluwer Health·JournalAnesthesia & Analgesia·DateAug 24, 2023

New orally available drug for spinal cord injury found to be safe and tolerable in healthy participants

A new drug treatment, KCL-286, has demonstrated safety and tolerability in a Phase 1 clinical trial, promoting recovery through activating retinoic acid receptor beta (RARb) in the spine. Researchers are now seeking funding for a Phase 2a trial to study its effects in those with spinal cord injuries.

SourceKing's College London·JournalBritish Journal of Clinical Pharmacology·TypeRandomized controlled/clinical trial·DateAug 10, 2023

New guidance on safe injection practice in hospitals emphasises the importance of prefilled and labelled syringes in avoiding medication errors

The AAGBI has published new guidance on safe injection practice, highlighting the importance of prefilled and labelled syringes to avoid medication errors. The guidance recommends standardization of fit-for-purpose physical structure and medicine storage, as well as exploring technological solutions to reduce errors.

SourceAAGBI·JournalAnaesthesia·DateAug 8, 2023

Prescribing psychostimulants for people at risk of overdose

The Canadian Medical Association Journal recommends prescribing psychostimulants to help reduce illegal stimulant use. This approach is based on growing evidence from clinical trials in Australia, Europe, and the United States. Implementing this practice can help address the ongoing unregulated drug poisoning crisis in Canada.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·TypeCommentary/editorial·DateJul 17, 2023

Treating childhood ADHD with stimulant meds not associated with increased substance use later in life, study finds

Researchers at the University of Pittsburgh School of Medicine found no evidence that prescription stimulant treatment in childhood increases the risk of substance use disorder (SUD) later in life. The study, published in JAMA Psychiatry, suggests that stimulants are an effective treatment for ADHD with few side effects.

SourceUniversity of Pittsburgh·JournalJAMA Psychiatry·DateJul 5, 2023

New drug application doubles rates of remission in patients with Ulcerative Colitis

A new drug, mirikizumab, has demonstrated a doubling in remission rates for ulcerative colitis patients, with up to 50% achieving clinical remission. The treatment showed little to no side effects and was found to be safe, offering a promising option for those with moderately severe and severe forms of the disease.

SourceAmsterdam University Medical Center·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateJun 28, 2023

“Choosing Wisely” interventions can reduce antibiotic overuse at safety-net hospitals, UCLA-led research suggests

A statewide pay-for-performance intervention based on Choosing Wisely reduced rates of inappropriate antibiotic prescriptions for acute respiratory tract infections from 43% to 25%. This reduction occurred without measurable harms at safety-net hospitals serving disadvantaged patients.

SourceUniversity of California - Los Angeles Health Sciences·JournalThe American Journal of Managed Care·TypeExperimental study·DateJun 12, 2023

Fatal overdoses increase after police seize drugs, study finds

A new study found that police drug seizures are associated with increased fatal overdoses in the surrounding geographic area, suggesting that efforts to disrupt drug markets can have unintended effects. The research highlights the need for comprehensive policing strategies that consider all outcomes, including harm reduction approaches.

SourceBrown University·JournalAmerican Journal of Public Health·TypeData/statistical analysis·DateJun 12, 2023

A Spanish team presents the first pharmacological treatment able to improve cardiac function in stiff-heart syndrome

Researchers have developed a pharmacological treatment that improves cardiac function in patients with stiff-heart syndrome, a condition caused by amyloid protein deposition. The new drug reduces amyloid protein deposits and shows promise in reversing established disease symptoms.

SourceCentro Nacional de Investigaciones Cardiovasculares Carlos III (F.S.P.)·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateMay 20, 2023

New analysis of prisoner healthcare highlights risks to patient safety

A nationwide analysis of prisoner healthcare incidents in England reveals medication-related harm as a major issue, with staff mistakes being the most common cause. The researchers recommend prioritizing timely access to healthcare services, improving processes to mitigate medication-related harm and increasing remote appointments.

SourceSAGE·JournalJournal of the Royal Society of Medicine·DateMay 17, 2023

Most antidepressants prescribed for chronic pain lack reliable evidence of efficacy or safety, scientists warn

A Cochrane review found that most antidepressants used to manage chronic pain lack sufficient evidence of their effectiveness, with only duloxetine showing reliable pain relief. The review also revealed that harms from many commonly recommended drugs have not been well studied, posing a global public health concern.

SourceUniversity of Southampton·JournalCochrane Database of Systematic Reviews·TypeMeta-analysis·DateMay 9, 2023