Sue Stigleman, MLS

Article

75-year-old man • fatigue • unintentional weight loss • anemia • Dx?

Author:: Sue Stigleman, MLS

Publish date: September 15, 2021

► Fatigue
► Unintentional weight loss
► Anemia

Article

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

Author:: Sue Stigleman, MLS

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:: Sue Stigleman, MLS

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:: Sue Stigleman, MLS

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:: Sue Stigleman, MLS

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:: Sue Stigleman, MLS

Publish date: February 1, 2015

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

Article

Can calcium supplements cause serious adverse effects in healthy people?

Author:: Sue Stigleman, MLS

Publish date: October 1, 2012

Article

Does surgery relieve the pain of a herniated disc?

Author:: Sue Stigleman, MLS

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

Should you evaluate for CAD in seniors with premature ventricular contractions?

Author:: Sue Stigleman, MLS

Publish date: May 1, 2008

EVIDENCE-BASED ANSWER: Yes. Current guidelines suggest evaluating patients with premature ventricular contractions (PVCs) and associated risk facto...

Article

Is the long-term use of proton pump inhibitors safe?

Author:: Sue Stigleman, MLS

Publish date: September 1, 2004

EVIDENCE-BASED ANSWER: Long-term use of proton pump inhibitors (PPIs) appears safe, resulting in no clinically relevant adverse effects (strength o...

Article

Should we discontinue Pap smear screening in women aged >65 years?

Author:: Sue Stigleman, MLS

Publish date: April 1, 2004

EVIDENCE-BASED ANSWER: Women with a history of regular, normal Pap smear screening should discontinue screening by age 65 years (strength of recomm...

Article

What is the best hypnotic for use in the elderly?

Author:: Sue Stigleman, MLS

Publish date: December 1, 2003

EVIDENCE-BASED ANSWER: Short-acting hypnotics such as zolpidem (Ambien) or zaleplon (Sonata) are the preferred hypnotics in the elderly because of ...

Article

What regimens eradicate Heliobacter pylori?

Author:: Sue Stigleman, MLS

Publish date: October 1, 2003

EVIDENCE-BASED ANSWER: Fourteen-day triple therapy with a proton pump inhibitor (PPI) plus clarithromycin and either amoxicillin or metronidazole i...