ATTRACT

Is there any comparative data on the nutritional value of goat & cow milk, for infant under 12 months? Is goat milk a recommended alternative to cow milk for infant with strong family history of lactose intolerance?

Associated Tags: child health, infant formula, goat's milk

Question answered: 15/05/12

Is there any evidence that ascorbic acid will prevent UTIs? if so what is the recommended dose?

Associated Tags: genitourinary, UTI, prophylaxis, ascorbic acid

Question answered: 09/05/12

I’ve just seen a 54 yr old normotensive lady who has had a cerebral infarct. Her consultant has started her on bendroflumethiazide and ramipril quoting evidence from the PROGRESS trial. How strong is this evidence and has it been reproduced?

Associated Tags: cardiovascular, stroke, secondary prevention, angiotensin inhibitors, thiazides, normotensive

Question answered: 04/05/12

What is the current evidence for using vaginal oestrogen prior to a smear in a postmenopuasal woman? If it is used what is the optimum duration of treatment required? Can I also have confirmation that it is contra-indicated in women who have had breast cancer.

Associated Tags: cancer, women's health, colposcopy, vaginal atrophy, smear, topical oestrogen, breast cancer

Question answered: 02/05/12

Is there evidence to suggest that, in the general population, oral iron supplementation is beneficial if there is a low serum ferritin (<15 mcg/l) in the abscence of anaemia?

Associated Tags: endocrinology, low ferritin, treatment, iron supplements,

Question answered: 01/05/12

hvs result= beta haem strep A had coil inserted is allergic to penicillin and resistent to eryhthromicin what shall i try?

Associated Tags: women's health, strep A, treatment, vaginal

Question answered: 01/05/12

What is the current evidence of the role of biphosphonates in developing oesophageal cancer? In addition do they have any causative role in bladder cancer?

Associated Tags: cancer, musculoskeletal, oesophageal cancer, bladder cancer, bisphosphonates, harm

Question answered: 30/04/12

What is the evidence regarding nitrofuantoin and lung disease. Is nitrofurantoin contraindicated in patients with any form of lung disease?

Associated Tags: respiratory, nitrofurantoin, contraindications, lung disease

Question answered: 30/04/12

Patient on Femulen POP but getting break through bleeding as did on Cerazette - due off on holiday - can we add in norethisterone to postpone menstruation?

Associated Tags: women's health, menstruation, POP, norethisterone

Question answered: 25/04/12

A patient has a history of coronary artery disease and bypass graft and is taking an antiplatelet in the form of clopidogrel. Has recently been diagnosed with atrial fibrillation and warfarin has been initiated. Is there evidence/guideline to suggest whether he should continue clopidogrel for its antiplatelet effect, or should this be discontinued once warfarin treatment is established? I note a previous Attract answer to a similar query in 2009 - any more recent guidance?

Associated Tags: cardiovascular, warfarin, clopidogrel, combination therapy

Question answered: 20/04/12

If someone is on an SSRI (10mg citalopram) and is having sexual dysfunction problems, what alternative antidepressants could be used if any?

Associated Tags: mental health, antidepressants, citalopram, sexual dysfunction

Question answered: 19/04/12

What monitoring of antiepileptics should be carried out as routine?

Associated Tags: neurology, epilepsy, antiepileptics, monitoring

Question answered: 18/04/12

What is the best practice for the treatment of umbilical granulomas, should we be using silver nitrate or leaving them alone?

Associated Tags: paediatrics, umbilical granuloma, treatment, silver nitrate

Question answered: 12/04/12

Should patients who take regular aspirin be prescribed a PPI for gastroprotection?

Associated Tags: aspirin, PPIs, gastroprotection

Question answered: 28/03/12

Is Alpha Lipoic Acid available on prescription? if yes how can it be ordered for Glossodynia? Alternately, what is the role of Clonazepam in this condition?

Associated Tags: nuerology, glossodynia, treatment, alpha lipoic acid, clonazepam

Question answered: 26/03/12

Digabatrin/pradaxa vs Warfarin; what are the licensed indications and current evidence for pradaxa

Associated Tags: cardiovascular, pradaxa, warfarin, efficacy, safety,

Question answered: 22/03/12

What is the evidence for the use of Tri-iadothyronine as augmentation treatment for refractory deprssion.?

Associated Tags: mental health, depression, treatment, triiodothyronine

Question answered: 20/03/12

Is measuring FSH reliable in patients on cerazette as a guide to menopausal status or does this need to be stopped for 6w,as is the case for COC?

Associated Tags: women's health, menopause, contraception, diagnosis

Question answered: 20/03/12

A patient came requesting investigations as her mother had been diagnosed with a bicuspid aortic valve and is having a replacement. The patient was told it could be hereditary and she should be screened. Can you clarify whether the patient should have an echo etc on this basis?

Associated Tags: cardiology, bicuspid aortic valve, screening, familial

Question answered: 20/03/12

Do patients taking sulfasalazine for rheumatological or gastroenterological indications need to take 5mg folic acid rather than 400mcg pre-conception and in early (or even later) pregnancy?

Associated Tags: gasteroenterology, inflammatory bowel disease, rheumatology, sulfasalazine, pregnancy, folic acid, dose

Question answered: 20/03/12

Latest Questions

Is there any comparative data on the nutritional value of goat & cow milk, for infant under 12 months? Is goat milk a recommended alternative to cow milk for infant with strong family history of lactose intolerance?

Is there any evidence that ascorbic acid will prevent UTIs? if so what is the recommended dose?

I’ve just seen a 54 yr old normotensive lady who has had a cerebral infarct. Her consultant has started her on bendroflumethiazide and ramipril quoting evidence from the PROGRESS trial. How strong is this evidence and has it been reproduced?

What is the current evidence for using vaginal oestrogen prior to a smear in a postmenopuasal woman? If it is used what is the optimum duration of treatment required? Can I also have confirmation that it is contra-indicated in women who have had breast cancer.

Is there evidence to suggest that, in the general population, oral iron supplementation is beneficial if there is a low serum ferritin (<15 mcg/l) in the abscence of anaemia?

hvs result= beta haem strep A had coil inserted is allergic to penicillin and resistent to eryhthromicin what shall i try?

What is the current evidence of the role of biphosphonates in developing oesophageal cancer? In addition do they have any causative role in bladder cancer?

What is the evidence regarding nitrofuantoin and lung disease. Is nitrofurantoin contraindicated in patients with any form of lung disease?

Patient on Femulen POP but getting break through bleeding as did on Cerazette - due off on holiday - can we add in norethisterone to postpone menstruation?

If someone is on an SSRI (10mg citalopram) and is having sexual dysfunction problems, what alternative antidepressants could be used if any?

What monitoring of antiepileptics should be carried out as routine?

What is the best practice for the treatment of umbilical granulomas, should we be using silver nitrate or leaving them alone?

Should patients who take regular aspirin be prescribed a PPI for gastroprotection?

Is Alpha Lipoic Acid available on prescription? if yes how can it be ordered for Glossodynia? Alternately, what is the role of Clonazepam in this condition?

Digabatrin/pradaxa vs Warfarin; what are the licensed indications and current evidence for pradaxa

What is the evidence for the use of Tri-iadothyronine as augmentation treatment for refractory deprssion.?

Is measuring FSH reliable in patients on cerazette as a guide to menopausal status or does this need to be stopped for 6w,as is the case for COC?

A patient came requesting investigations as her mother had been diagnosed with a bicuspid aortic valve and is having a replacement. The patient was told it could be hereditary and she should be screened. Can you clarify whether the patient should have an echo etc on this basis?

Do patients taking sulfasalazine for rheumatological or gastroenterological indications need to take 5mg folic acid rather than 400mcg pre-conception and in early (or even later) pregnancy?

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