Reducing Surgical Patients’ Postoperative Exposure to Opioid Analgesics

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to read an edited transcript of a mult-disciplinary expert roundtable discussion in which surgeons, pharmacists, anesthesiologists and pain experts discuss insights and best practices for managing peri-operative pain and optimizing patient care.

Click here to access the transcript. 


Panelists include:

MODERATOR


Chad Brummett, MD
Associate Professor, Anesthesiology,
Director, Anesthesia Clinical Research,
Director, Division of Pain Research,
Michigan Medicine Back & Pain Center
Ann Arbor, MI

PARTICIPANTS


Andrew C. Eppstein, MD
Assistant Professor of Clinical Surgery,
Indiana University School of Medicine
Chief of General Surgery,
Richard L. Roudebush VA Medical Center
Indianapolis, IN

Nicholas Giori MD, PhD
Professor of Orthopedic Surgery,
Stanford University
Chief of Orthopedic Surgery,
VA Palo Alto Health Care System
Palo Alto, CA

Georgine Lamvu, MD, MHP
Professor in Obstetrics and Gynecology,
University of Central Florida College of Medicine
Division of Surgery, Gynecology Section
Orlando VA Medical Center
Orlando, FL

Bryan Sakamoto, MD, PhD
Staff Physician,
Richard L. Roudebush VA Medical Center
Assistant Professor of Clinical Anesthesia
Indiana University School of Medicine
Indianapolis, IN

Jack D. Wright, PharmD
Chief of Pharmacy,
Beckley VA Medical Center
Beckley, WV

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This roundtable discussion is sponsored by Heron Therapeutics.

Click here
to read an edited transcript of a mult-disciplinary expert roundtable discussion in which surgeons, pharmacists, anesthesiologists and pain experts discuss insights and best practices for managing peri-operative pain and optimizing patient care.

Click here to access the transcript. 


Panelists include:

MODERATOR


Chad Brummett, MD
Associate Professor, Anesthesiology,
Director, Anesthesia Clinical Research,
Director, Division of Pain Research,
Michigan Medicine Back & Pain Center
Ann Arbor, MI

PARTICIPANTS


Andrew C. Eppstein, MD
Assistant Professor of Clinical Surgery,
Indiana University School of Medicine
Chief of General Surgery,
Richard L. Roudebush VA Medical Center
Indianapolis, IN

Nicholas Giori MD, PhD
Professor of Orthopedic Surgery,
Stanford University
Chief of Orthopedic Surgery,
VA Palo Alto Health Care System
Palo Alto, CA

Georgine Lamvu, MD, MHP
Professor in Obstetrics and Gynecology,
University of Central Florida College of Medicine
Division of Surgery, Gynecology Section
Orlando VA Medical Center
Orlando, FL

Bryan Sakamoto, MD, PhD
Staff Physician,
Richard L. Roudebush VA Medical Center
Assistant Professor of Clinical Anesthesia
Indiana University School of Medicine
Indianapolis, IN

Jack D. Wright, PharmD
Chief of Pharmacy,
Beckley VA Medical Center
Beckley, WV

Click here
to read an edited transcript of a mult-disciplinary expert roundtable discussion in which surgeons, pharmacists, anesthesiologists and pain experts discuss insights and best practices for managing peri-operative pain and optimizing patient care.

Click here to access the transcript. 


Panelists include:

MODERATOR


Chad Brummett, MD
Associate Professor, Anesthesiology,
Director, Anesthesia Clinical Research,
Director, Division of Pain Research,
Michigan Medicine Back & Pain Center
Ann Arbor, MI

PARTICIPANTS


Andrew C. Eppstein, MD
Assistant Professor of Clinical Surgery,
Indiana University School of Medicine
Chief of General Surgery,
Richard L. Roudebush VA Medical Center
Indianapolis, IN

Nicholas Giori MD, PhD
Professor of Orthopedic Surgery,
Stanford University
Chief of Orthopedic Surgery,
VA Palo Alto Health Care System
Palo Alto, CA

Georgine Lamvu, MD, MHP
Professor in Obstetrics and Gynecology,
University of Central Florida College of Medicine
Division of Surgery, Gynecology Section
Orlando VA Medical Center
Orlando, FL

Bryan Sakamoto, MD, PhD
Staff Physician,
Richard L. Roudebush VA Medical Center
Assistant Professor of Clinical Anesthesia
Indiana University School of Medicine
Indianapolis, IN

Jack D. Wright, PharmD
Chief of Pharmacy,
Beckley VA Medical Center
Beckley, WV

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Migraine Management

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A significant unmet need exists for users of acute medications for the treatment of migraine attacks. These medications can be ineffective or associated with undesirable side effects. However, a novel unique therapy, ubrogepant, has demonstrated efficacy for the acute treatment of migraine.

Click here to read this supplement. 

Patient Handout:

Click here to access and print a guide for your patients on understanding and treating migraine attacks. 

Supplementary Podcasts:

General Migraine Background

Audio file

1. Treatment Patterns and Unmet Needs in the Acute Treatment of Migraine

Audio file

2. Pharmacology and Pharmacokinetics of Ubrogepant: A Potent, Selective Calcitonin Gene-Related Peptide Receptor Antagonist for the Acute Treatment of Migraine

Audio file

3. Clinical Efficacy and Safety of Ubrogepant for the Acute Treatment of Migraine

Audio file

Podcast References

 1. Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache. 2018;58(4):496-505.

2. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-858.

3. Evers S, Marziniak M. Clinical features, pathophysiology, and treatment of medication-overuse headache. Lancet Neurol. 2010;9(4):391-401.

 4. Ahmed F. Headache disorders: differentiating and managing the common subtypes. Br J Pain. 2012;6(3):124-32.  

5. Minen M, Shome A, Halpern A, Tishler L, Brennan KC, Loder E, et al. A migraine management training program for primary care providers: An overview of a survey and pilot study findings, lessons learned, and considerations for further research. Headache. 2016;56(4):725-40.

6. Becker WJ. Acute migraine treatment in adults. Headache. 2015;55(6):778-93.

7. Marmura MJ, Silberstein SD, Schwedt TJ. The acute treatment of migraine in adults: the American Headache Society evidence assessment of migraine pharmacotherapies. Headache. 2015;55(1):3-20.

8. Bigal ME, Lipton RB. Excessive acute migraine medication use and migraine progression. Neurology. 2008;71(22):1821-8.

9. Messali AJ, Yang M, Gillard P, Tsai K, Tepper SJ, Bloudek LM, et al. Treatment persistence and switching in triptan users: a systematic literature review. Headache. 2014;54(7):1120-30.

10. Katic BJ, Rajagopalan S, Ho TW, Chen YT, Hu XH. Triptan persistency among newly initiated users in a pharmacy claims database. Cephalalgia. 2011;31(4):488-500.

11. Iyengar S, Ossipov MH, Johnson KW. The role of calcitonin gene-related peptide in peripheral and central pain mechanisms including migraine. Pain. 2017;158(4):543-59.  

12. Ho TW, Edvinsson L, Goadsby PJ. CGRP and its receptors provide new insights into migraine pathophysiology. Nat Rev Neurol. 2010;6(10):573-82.

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A significant unmet need exists for users of acute medications for the treatment of migraine attacks. These medications can be ineffective or associated with undesirable side effects. However, a novel unique therapy, ubrogepant, has demonstrated efficacy for the acute treatment of migraine.

Click here to read this supplement. 

Patient Handout:

Click here to access and print a guide for your patients on understanding and treating migraine attacks. 

Supplementary Podcasts:

General Migraine Background

Audio file

1. Treatment Patterns and Unmet Needs in the Acute Treatment of Migraine

Audio file

2. Pharmacology and Pharmacokinetics of Ubrogepant: A Potent, Selective Calcitonin Gene-Related Peptide Receptor Antagonist for the Acute Treatment of Migraine

Audio file

3. Clinical Efficacy and Safety of Ubrogepant for the Acute Treatment of Migraine

Audio file

Podcast References

 1. Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache. 2018;58(4):496-505.

2. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-858.

3. Evers S, Marziniak M. Clinical features, pathophysiology, and treatment of medication-overuse headache. Lancet Neurol. 2010;9(4):391-401.

 4. Ahmed F. Headache disorders: differentiating and managing the common subtypes. Br J Pain. 2012;6(3):124-32.  

5. Minen M, Shome A, Halpern A, Tishler L, Brennan KC, Loder E, et al. A migraine management training program for primary care providers: An overview of a survey and pilot study findings, lessons learned, and considerations for further research. Headache. 2016;56(4):725-40.

6. Becker WJ. Acute migraine treatment in adults. Headache. 2015;55(6):778-93.

7. Marmura MJ, Silberstein SD, Schwedt TJ. The acute treatment of migraine in adults: the American Headache Society evidence assessment of migraine pharmacotherapies. Headache. 2015;55(1):3-20.

8. Bigal ME, Lipton RB. Excessive acute migraine medication use and migraine progression. Neurology. 2008;71(22):1821-8.

9. Messali AJ, Yang M, Gillard P, Tsai K, Tepper SJ, Bloudek LM, et al. Treatment persistence and switching in triptan users: a systematic literature review. Headache. 2014;54(7):1120-30.

10. Katic BJ, Rajagopalan S, Ho TW, Chen YT, Hu XH. Triptan persistency among newly initiated users in a pharmacy claims database. Cephalalgia. 2011;31(4):488-500.

11. Iyengar S, Ossipov MH, Johnson KW. The role of calcitonin gene-related peptide in peripheral and central pain mechanisms including migraine. Pain. 2017;158(4):543-59.  

12. Ho TW, Edvinsson L, Goadsby PJ. CGRP and its receptors provide new insights into migraine pathophysiology. Nat Rev Neurol. 2010;6(10):573-82.

A significant unmet need exists for users of acute medications for the treatment of migraine attacks. These medications can be ineffective or associated with undesirable side effects. However, a novel unique therapy, ubrogepant, has demonstrated efficacy for the acute treatment of migraine.

Click here to read this supplement. 

Patient Handout:

Click here to access and print a guide for your patients on understanding and treating migraine attacks. 

Supplementary Podcasts:

General Migraine Background

Audio file

1. Treatment Patterns and Unmet Needs in the Acute Treatment of Migraine

Audio file

2. Pharmacology and Pharmacokinetics of Ubrogepant: A Potent, Selective Calcitonin Gene-Related Peptide Receptor Antagonist for the Acute Treatment of Migraine

Audio file

3. Clinical Efficacy and Safety of Ubrogepant for the Acute Treatment of Migraine

Audio file

Podcast References

 1. Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache. 2018;58(4):496-505.

2. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-858.

3. Evers S, Marziniak M. Clinical features, pathophysiology, and treatment of medication-overuse headache. Lancet Neurol. 2010;9(4):391-401.

 4. Ahmed F. Headache disorders: differentiating and managing the common subtypes. Br J Pain. 2012;6(3):124-32.  

5. Minen M, Shome A, Halpern A, Tishler L, Brennan KC, Loder E, et al. A migraine management training program for primary care providers: An overview of a survey and pilot study findings, lessons learned, and considerations for further research. Headache. 2016;56(4):725-40.

6. Becker WJ. Acute migraine treatment in adults. Headache. 2015;55(6):778-93.

7. Marmura MJ, Silberstein SD, Schwedt TJ. The acute treatment of migraine in adults: the American Headache Society evidence assessment of migraine pharmacotherapies. Headache. 2015;55(1):3-20.

8. Bigal ME, Lipton RB. Excessive acute migraine medication use and migraine progression. Neurology. 2008;71(22):1821-8.

9. Messali AJ, Yang M, Gillard P, Tsai K, Tepper SJ, Bloudek LM, et al. Treatment persistence and switching in triptan users: a systematic literature review. Headache. 2014;54(7):1120-30.

10. Katic BJ, Rajagopalan S, Ho TW, Chen YT, Hu XH. Triptan persistency among newly initiated users in a pharmacy claims database. Cephalalgia. 2011;31(4):488-500.

11. Iyengar S, Ossipov MH, Johnson KW. The role of calcitonin gene-related peptide in peripheral and central pain mechanisms including migraine. Pain. 2017;158(4):543-59.  

12. Ho TW, Edvinsson L, Goadsby PJ. CGRP and its receptors provide new insights into migraine pathophysiology. Nat Rev Neurol. 2010;6(10):573-82.

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Spotlight on SMA: The urgent need for early diagnosis in spinal muscular atrophy

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Spotlight on SMA: The urgent need for early diagnosis in spinal muscular atrophy

Read Now.

The diagnosis of spinal muscular atrophy (SMA), especially Type 1, is a medical emergency, as SMA is a leading genetic cause of death in infants. In infants with SMA Type 1, the onset of irreversible denervation occurs within the first 3 months with loss of 90% of motor units occurring within 6 months of age.

This supplement examines the clinical implications of delayed diagnosis of SMA, as well as assessment tools, treatment methods, and resources that are available for physicians, patients, and caregivers to better manage this rare disease.

Read Now.

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This supplement was developed in collaboration with Cure SMA.
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This supplement was developed in collaboration with Cure SMA.
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This supplement was developed in collaboration with Cure SMA.

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The diagnosis of spinal muscular atrophy (SMA), especially Type 1, is a medical emergency, as SMA is a leading genetic cause of death in infants. In infants with SMA Type 1, the onset of irreversible denervation occurs within the first 3 months with loss of 90% of motor units occurring within 6 months of age.

This supplement examines the clinical implications of delayed diagnosis of SMA, as well as assessment tools, treatment methods, and resources that are available for physicians, patients, and caregivers to better manage this rare disease.

Read Now.

Read Now.

The diagnosis of spinal muscular atrophy (SMA), especially Type 1, is a medical emergency, as SMA is a leading genetic cause of death in infants. In infants with SMA Type 1, the onset of irreversible denervation occurs within the first 3 months with loss of 90% of motor units occurring within 6 months of age.

This supplement examines the clinical implications of delayed diagnosis of SMA, as well as assessment tools, treatment methods, and resources that are available for physicians, patients, and caregivers to better manage this rare disease.

Read Now.

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Rheumatology News Best of 2019 – The RA Report: Top News Highlights

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Best of 2019 – The RA Report: Top News Highlights is a supplement to Rheumatology News that presents some of the top rheumatoid arthritis stories published in the newspaper in 2019.


The ideas and opinions expressed in Best of 2019 – The RA Report: Top News Highlights do not necessarily reflect those of the publisher. Frontline Medical Communications will not assume responsibility for damages, loss, or claims of any kind arising from or related to the information contained in this publication, including any claims related to the products, drugs, or services mentioned herein.

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Best of 2019 – The RA Report: Top News Highlights is a supplement to Rheumatology News that presents some of the top rheumatoid arthritis stories published in the newspaper in 2019.


The ideas and opinions expressed in Best of 2019 – The RA Report: Top News Highlights do not necessarily reflect those of the publisher. Frontline Medical Communications will not assume responsibility for damages, loss, or claims of any kind arising from or related to the information contained in this publication, including any claims related to the products, drugs, or services mentioned herein.

Best of 2019 – The RA Report: Top News Highlights is a supplement to Rheumatology News that presents some of the top rheumatoid arthritis stories published in the newspaper in 2019.


The ideas and opinions expressed in Best of 2019 – The RA Report: Top News Highlights do not necessarily reflect those of the publisher. Frontline Medical Communications will not assume responsibility for damages, loss, or claims of any kind arising from or related to the information contained in this publication, including any claims related to the products, drugs, or services mentioned herein.

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Collaborating in the Care of Spinal Muscular Atrophy: A Multidisciplinary Approach to Timely Screening, Diagnosis, and Management

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How prepared are you to recognize and meet the needs of patients with spinal muscular atrophy? 

Learn more about spinal muscular atrophy in this supplement to Pediatric News. 
 

Click here to read.

Supplement Faculty

Claudia A. Chiriboga, MD, MPH, FAAN
(Program Chair)

Professor of Neurology and Pediatrics at CUIMC
Division of Pediatric Neurology
Columbia University Irving Medical Center
New York, NY

Diana P. Castro, MD
Assistant Professor
Pediatrics and Neurology
Neurotherapeutics
UT Southwestern Medical Center
Neurologist
Children’s Health
Dallas, TX

Mary Schroth, MD
Chief Medical Officer
Cure SMA
Elk Grove Village, IL

Charlotte J. Sumner, MD
Professor of Neurology and Neuroscience
Johns Hopkins University School of Medicine
Baltimore, MD

Kathryn J. Swoboda, MD
Katherine B. Sims, MD, Endowed Chair in Neurogenetics
Director, Neurogenetics Program
Mass General Hospital for Children
Boston, MA

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This supplement is sponsored by Genentech, a member of the Roche Group.
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This supplement is sponsored by Genentech, a member of the Roche Group.

How prepared are you to recognize and meet the needs of patients with spinal muscular atrophy? 

Learn more about spinal muscular atrophy in this supplement to Pediatric News. 
 

Click here to read.

Supplement Faculty

Claudia A. Chiriboga, MD, MPH, FAAN
(Program Chair)

Professor of Neurology and Pediatrics at CUIMC
Division of Pediatric Neurology
Columbia University Irving Medical Center
New York, NY

Diana P. Castro, MD
Assistant Professor
Pediatrics and Neurology
Neurotherapeutics
UT Southwestern Medical Center
Neurologist
Children’s Health
Dallas, TX

Mary Schroth, MD
Chief Medical Officer
Cure SMA
Elk Grove Village, IL

Charlotte J. Sumner, MD
Professor of Neurology and Neuroscience
Johns Hopkins University School of Medicine
Baltimore, MD

Kathryn J. Swoboda, MD
Katherine B. Sims, MD, Endowed Chair in Neurogenetics
Director, Neurogenetics Program
Mass General Hospital for Children
Boston, MA

How prepared are you to recognize and meet the needs of patients with spinal muscular atrophy? 

Learn more about spinal muscular atrophy in this supplement to Pediatric News. 
 

Click here to read.

Supplement Faculty

Claudia A. Chiriboga, MD, MPH, FAAN
(Program Chair)

Professor of Neurology and Pediatrics at CUIMC
Division of Pediatric Neurology
Columbia University Irving Medical Center
New York, NY

Diana P. Castro, MD
Assistant Professor
Pediatrics and Neurology
Neurotherapeutics
UT Southwestern Medical Center
Neurologist
Children’s Health
Dallas, TX

Mary Schroth, MD
Chief Medical Officer
Cure SMA
Elk Grove Village, IL

Charlotte J. Sumner, MD
Professor of Neurology and Neuroscience
Johns Hopkins University School of Medicine
Baltimore, MD

Kathryn J. Swoboda, MD
Katherine B. Sims, MD, Endowed Chair in Neurogenetics
Director, Neurogenetics Program
Mass General Hospital for Children
Boston, MA

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2019 Rare Cancers Special Report

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2019 Rare Cancers Special Report

Rare cancers, though individually rare by definition, represent almost a quarter of the total adult cancer burden when grouped together. Few traditional trials exist for these patients, many physicians know little about such tumors, and approved therapies are limited or nonexistent. The 2019 Rare Cancers Special Report features interviews with those who are leading the charge in affecting change on the rare cancer front, as well as reports on NCI-MATCH and the DART trial, and other resources for physicians and patients.

Read Now.

 

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Rare cancers, though individually rare by definition, represent almost a quarter of the total adult cancer burden when grouped together. Few traditional trials exist for these patients, many physicians know little about such tumors, and approved therapies are limited or nonexistent. The 2019 Rare Cancers Special Report features interviews with those who are leading the charge in affecting change on the rare cancer front, as well as reports on NCI-MATCH and the DART trial, and other resources for physicians and patients.

Read Now.

 

Rare cancers, though individually rare by definition, represent almost a quarter of the total adult cancer burden when grouped together. Few traditional trials exist for these patients, many physicians know little about such tumors, and approved therapies are limited or nonexistent. The 2019 Rare Cancers Special Report features interviews with those who are leading the charge in affecting change on the rare cancer front, as well as reports on NCI-MATCH and the DART trial, and other resources for physicians and patients.

Read Now.

 

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Multiple Myeloma: A New Treatment Option for Newly Diagnosed, Transplant-Ineligible Patients

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Saad Z. Usmani, MD, FACP, discusses a new treatment option for newly diagnosed, transplant-ineligible patients with multiple myeloma.

Article includes:

  • An important option for patients with multiple myeloma
  • Details on the phase 3 trial
  • Efficacy and safety profile

 

 

 
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Saad Z. Usmani, MD, FACP, discusses a new treatment option for newly diagnosed, transplant-ineligible patients with multiple myeloma.

Article includes:

  • An important option for patients with multiple myeloma
  • Details on the phase 3 trial
  • Efficacy and safety profile

 

 

 

Saad Z. Usmani, MD, FACP, discusses a new treatment option for newly diagnosed, transplant-ineligible patients with multiple myeloma.

Article includes:

  • An important option for patients with multiple myeloma
  • Details on the phase 3 trial
  • Efficacy and safety profile

 

 

 
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Hot Topics in Primary Care 2019

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Hot Topics in Primary Care 2019


Click here to read Hot Topics in Primary Care.

Topics include: 

  • Naproxen vs Opioids
  • Cluster Headache
  • Reducing Cardiovascular Events in Patients with Type 2 Diabetes Mellitus

 

 


This supplement offers the opportunity to earn a total of 1 CME credit. 

Credit is awarded for successful completion of the online evaluation at the link below. This link may also be found within the supplement on the first page of the article. 

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Click here to read Hot Topics in Primary Care.

Topics include: 

  • Naproxen vs Opioids
  • Cluster Headache
  • Reducing Cardiovascular Events in Patients with Type 2 Diabetes Mellitus

 

 


This supplement offers the opportunity to earn a total of 1 CME credit. 

Credit is awarded for successful completion of the online evaluation at the link below. This link may also be found within the supplement on the first page of the article. 


Click here to read Hot Topics in Primary Care.

Topics include: 

  • Naproxen vs Opioids
  • Cluster Headache
  • Reducing Cardiovascular Events in Patients with Type 2 Diabetes Mellitus

 

 


This supplement offers the opportunity to earn a total of 1 CME credit. 

Credit is awarded for successful completion of the online evaluation at the link below. This link may also be found within the supplement on the first page of the article. 

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