IUD Questions

There are two main classes of IUDs: the copper T 380A IUD and the levonorgestrel-releasing IUD. Q1: Paragard vs. Mirena? In what situations is a copper T 380A intrauterine device (ParaGard) preferred over a levonorgestrel-releasing intrauterine device (Mirena)?...

Tamoxifen

“The USPSTF recommends that the selective estrogen receptor modulators tamoxifen and raloxifene be offered to women at high risk for breast cancer and low risk for adverse medication effects (B recommendation). This reduces the incidence of invasive breast...

Palliative Chemotherapy

Palliative chemotherapy provides no survival benefit. However, patients who receive palliative chemotherapy for end-stage cancers are: less likely to die at home (where many would like to die), more likely to undergo CPR, and more likely to undergo mechanical...

Lamotrigine

Lamotrigine should be started at a low dosage and titrated slowly to minimize the risk of Stevens-Johnson syndrome. If you start it at a high dose without titrated, it can cause Steven Johnson’s syndrome. “Lamotrigine is an anti-epileptic medication that...

Palivizumab (Synagis)

For all infants born before 29 weeks gestation, palivizumab is recommended for the first year of life during respiratory syncytial virus season to reduce the likelihood of hospitalization.