The new guidelines for Chronic Disease Management in General Practice (Australia) are now available.
They are available as PDF to download or you can order a hard copy.
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Colchicine was first described in the first century. Colchicum autumnale extract has been used for treating rheumatism for at least fifteen centuries before that.
But surprisingly there has been little research on looking at optimal dosing for treating acute gout. Some new research shows that lower doses than that currently given may be more effective at relieving pain along with a large reduction in side effects. But I will miss telling people to take it till they throw up or poop themselves!
The 2009 RGH E-Bulletins are archived here.
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A joint initiative of the Patient Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. The RGH Pharmacy E-Bulletin is distributed in electronic format on a weekly basis, and aims to present concise, factual information on issues of current interest in therapeutics, drug safety and cost-effective use of medications.
Editor: Assoc. Prof. Chris Alderman, University of South Australia – Director of Pharmacy, RGH © Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia 5041.
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The Australian Lung Foundation has released new guidelines for the management of Chronic Obstructive Pulmonary Disease.
The second paragraph in the Foreword caught my attention:
Smoking is the most important risk factor for COPD. In 2004-05, 24.2% of Australian males and 18.4% of Australian females over the age of 18 years smoked[1]. Smoking-related diseases have increased substantially in women, and death rates from COPD in women are expected to rise accordingly. The death rate from COPD among indigenous Australians is five times that for non-indigenous Australians, and smoking is a leading cause of healthy years lost by indigenous people both in Australia and New Zealand.
The key recommendations are summarised in the “COPDX Plan”:
- Confirm diagnosis
- Optimise function
- Prevent deterioration
- Develop a self-management plan and manage
- eXacerbations
See page 10 of the guidelines for a summary of the COPDX guidelines. If you didn’t click on the link above this link will take you to the Lung Foundation Guidelines (pdf).
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