Lean Away From Gliptins in Heart Failure

June 2016

Questions will come up about how to treat type 2 diabetes in heart failure patients...since some meds may cause or worsen heart failure.

Recommend starting with metformin in most heart failure patients. It improves outcomes...and lactic acidosis fears are overblown.

Next suggest adding empagliflozin (Jardiance). This SGLT2 inhibitor, or "flozin," improves some cardiovascular outcomes and survival in patients with type 2 diabetes and CV disease.

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Hypertension Recommend a Systolic BP = 120 mmHg for Appropriate High Risk Patients
Diabetes Lean Away From Gliptins in Heart Failure
Infectious Diseases Consider Antibiotics a Suspect for Causing CNS Effects
Pediatrics Be Aware that Abilify is Linked to Uncontrollable Gambling and Hypersexuality
Pediatrics Look for Recent Antibiotic Use in Children With a UTI
Antithrombotics Expect Some Stent Patients to Use Two Antiplatelet Meds Less Than 12 Months
Hypertension Suggest Viacoram For Hypertensive Patients Needing Combo Therapy
Contraceptives Dispel Myths About Intrauterine Contraceptives.
Rheumatology Watch for More Frequent Fine-Tuning of Rheumatoid Arthritis Meds
Cardiology Recommend Using an ACEI or ARB Instead of Aliskiren (Rasilez)
Women's Health Avoid Even One Dose of Fluconazole in Pregnant Women

Lean Away From Gliptins in Heart Failure

Get concise advice on drug therapy, plus unlimited access to CE

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