Category: Clinical

Galcanezumab for the prevention of migraine

This new guideline was published in November 2020.

Liraglutide for managing overweight and obesity

New guidance came out in December.

How GPs can reduce the risk of missed diagnosis

My advice? Stick to your guns and believe in your gut.

Swallowable gastric balloon capsule for weight loss

Dr Louise Human explains.

Judith Harvey: Searching for the sweet spot

Candy floss may hold the answer to the obesity crisis, Dr Harvey writes.

Antimicrobial prescribing for human and animal bites

A new guideline from NICE covers the prescribing of antibiotics for human and animal bites.

Dexcom G6 for continuous glucose monitoring

How can it be used to make a 'hybrid artificial pancreas'?

Antibody tests for Covid-19: what use are they in practice?

NASGP member and Cochrane author Dr Robert Walton shares some clinical advice on Covid-19 antibody tests.

Testing for Lynch syndrome in people newly diagnosed with endometrial cancer

A guidelines published last month explains why anyone with a new diagnosis of endometrial cancer should be tested for Lynch syndrome.

Working at a flu clinic

The double whammy of the Covid-19 pandemic and flu must be tackled to avoid NHS overwhelm this winter, but GP locums must know the risks before infections rise, Dr Zoe Neill of MPS writes

First wave flu clinics cancelled as vaccine supply runs short 

Practices have already been forced to cancel flu clinics for at-risk under-65s after supply of the vaccine ran short in September.

Managing insect bites

Most insect bites do not require antibiotics, and most infections in bites are secondary (and quite rare) following itching.

Management of back pain and sciatica

This is an updated guideline from NICE on the management of low back pain and sciatica. There is quite a bit that is new in this guideline, but it probably doesn't really add much to our current management

GP locums eligible for free seasonal flu jab from their own GP this year

GP locums are eligible for free flu jabs at GP practices according to the new DES in 2020.

e-learning – Iron deficiency in pregnancy

An October 2019 guideline from BSH on managing iron deficiency in pregnancy has a few interesting points, particularly for GP locums facing requests from midwives to prescribe iron

Fremanezumab for preventing migraine

Although fremanezumab seems to be effective in episodic migraine, it hasn't been approved as it isn't felt to be cost-effective

e-learning – Long term macrolide use in respiratory conditions

Most of the time, long term macrolide therapy will be initiated in secondary care. However, we may well be the ones writing the prescription, so it is worth being aware of some of the safety concerns

MGP Guidelines

e-learning – Abdominal Aortic Aneurysm (AAA)

NICE guidance from March 2020 advises that men over 65 should be offered routine screening for AAA

e-learning – Tinnitus

Mental health comes to the fore in new NICE guidance, published March 2020

e-learning – Leg ulcer infection: antibiotic prescribing

A NICE update on antibiotic prescribing for leg ulcers published in February 2020 includes a good visual guide to best practice

e-learning | Sotagliflozin with insulin for type 1 diabetes

A new guideline from NICE from February 2020 advises that sotagliflozin can be used alongside insulin for type 1 diabetes

e-learning | New treatments for hyperkalaemia

New guidelines from NICE update the guidance on prescribing sodium zirconium cyclosilicate and patiromer

Venous thromboembolism (VTE) investigation and management – new NICE advice

PERC tests, anticoagulants, D-dimers, stockings and cancer investigations: a stack of new advice on VTE in guidance