Cleveland Clinic journal of medicine
-
If a patient has frequent, severely debilitating migraine headaches, prophylactic treatment may help. Beta-blockers, tricyclic antidepressants, and anticonvulsants have the best evidence of efficacy; calcium channel blockers and nonsteroidal anti-inflammatory drugs are also popular because they are well tolerated and inexpensive. We review migraine treatment with emphasis on prophylaxis.
-
Self-contained underwater breathing apparatus (SCUBA) diving continues to gain popularity. General practitioners need to know the health requirements and contraindications so they can counsel patients appropriately. SCUBA diving injuries may not be apparent immediately and require knowledge and understanding for accurate diagnosis and treatment.
-
At long last, advances have been made in the field of neuropathic pain treatment, in large part due to a better understanding of the mechanisms underlying this type of pain. New antidepressants and anticonvulsants with novel mechanisms of action have spearheaded the way, and studies have finally shown that opioids are effective for treating chronic and breakthrough pain.