Stephen Hulkower, MD

Article

Does XR injectable naltrexone prevent relapse as effectively as daily sublingual buprenorphine-naloxone?

Author:: Stephen Hulkower, MD

Publish date: December 8, 2020

EVIDENCE-BASED ANSWER: Yes. Monthly extended-release injectable naltrexone (XR-NTX) treats opioid use disorder as effectively as daily subling...

Article

Which oral nonopioid agents are most effective for OA pain?

Author:: Stephen Hulkower, MD

Publish date: September 6, 2019

EVIDENCE-BASED ANSWER: Nonsteroidal anti-inflammatory drugs (NSAIDs), when used at the maximum clinically effective dose, reduce osteoarthritis (OA...

Article

How often does long-term PPI therapy cause clinically significant hypomagnesemia?

Author:: Stephen Hulkower, MD

Publish date: September 4, 2018

EVIDENCE-BASED ANSWER: Rarely. Proton pump inhibitors (PPIs) may be associated with decreases in serum magnesium laboratory values...

Article

What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events?

Author:: Stephen Hulkower, MD

Publish date: April 2, 2018

EVIDENCE-BASED ANSWER: One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years (str...

Article

What is the best beta-blocker for systolic heart failure?

Author:: Stephen Hulkower, MD

Publish date: February 1, 2015

EVIDENCE-BASED ANSWER: Three beta-blockers—carvedilol, metoprolol succinate, and bisoprolol—reduce mortality equally (by about 30% over...

Article

Does surgery relieve the pain of a herniated disc?

Author:: Stephen Hulkower, MD

Publish date: April 1, 2010

EVIDENCE-BASED ANSWER: YES, in the short term. Patients with an acute episode of low back pain, radicular symptoms, and evidence of a herniated dis...

Article

What’s the best treatment for sebaceous cysts?

Author:: Stephen Hulkower, MD

Publish date: April 1, 2007

EVIDENCE-BASED ANSWER: Punch biopsy excision appears to be superior to traditional wide elliptical excision for the treatment of sebaceous cysts wh...

Article

Do preparticipation clinical exams reduce morbidity and mortality for athletes?

Author:: Stephen Hulkower, MD

Publish date: July 1, 2005

EVIDENCE-BASED ANSWER: Though clinical preparticipation exams (PPE) are recommended by experts and required in most states, we found no medium- or ...

Article

Supraventricular Tachycardia Resistant to Treatment in a Pregnant Woman

Author:: Stephen Hulkower, MD

Publish date: November 1, 1992