Recommend a Long-Acting Nitrate for Angina Based on Ease of Use and Cost

September 2016

We're getting questions about how to optimize therapy for angina...when the maximum tolerated dose of a beta-blocker isn't enough.

Suggest a calcium channel blocker. Recommend SWITCHING from a beta-blocker to verapamil or diltiazem...if a beta-blocker isn't tolerated.

Or recommend ADDING a dihydropyridine CCB (amlodipine, etc) to a beta-blocker if needed to control angina or BP...but watch for edema.

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Table of Contents

Heart Failure Remind Heart Failure Patients to Watch for Sodium in OTCs
Influenza Recommend a Quadrivalent Flu Vaccine for Kids and Adolescents
Oral Health Suggest Mixing Iron Solutions With Fruit Juice to Help Limit Teeth Staining
Testosterone Tell Men Not to Sniff After Administering Natesto Testosterone Gel
Epinephrine Suggest Veta Smart Case for Patients Who Forget to Carry Their EpiPen
Women's Health Avoid Estrogen-Containing Contraceptives in Women With Certain Conditions
Angina Recommend a Long-Acting Nitrate for Angina Based on Ease of Use and Cost
Hepatitis C Limit PPI Doses With New Hep C Med Epclusa
HIV & AIDS Feel Comfortable Recommending Either Tenofovir Form for Most HIV Patients
Practice Help Patients "Buy In" to Therapy With Motivational Interviewing
Constipation Don't Count On Docusate for Treating Constipation in Most Patients