Internal Medicine CHANNEL


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Management of patients with high-risk.pdf
645.1Kb
Management of patients with high-risk
pulmonary embolism: a narrative review




Nutrition_Support_for_Critically.pdf
358.8Kb
Nutrition Support for Critically Ill Patients With Cancer 2017 ASPEN


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Gastrointestinal bleeding in patients on novel oral.pdf
911.8Kb
Gastrointestinal bleeding in patients on novel oral anticoagulants: Risk, prevention and management






The 'Microbiota Hard Talks - Live From Texas Medical Center' webinar series aims to provide medical education in the field of the human gut microbiota. Interactive sessions offer the chance to join experts and like-minded colleagues from around the globe on state-of-the-art microbiota topics. The first webinar of 2018 will broadcast live in April!
http://edge.media-server.com/m/s/ezz7g8i2/p/pg6bwph9/lan/en/?referrer=5nzqxt97




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Pulmonary arterial hypertension.pdf
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Pulmonary arterial hypertension


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Drug-Drug Interactions with DOACs: Proceed with Caution!


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1. Amiodarone, despite its side effect profile, is being prescribed to one-fifth of patients with AF on DOACs in Taiwan. Given the increased risk of bleeding with amiodarone and DOACs, this combination of medications should be used with extreme caution.

2. Atorvastatin, despite sharing metabolic pathways with DOACs, does not appear to increase risk of bleeding when used with DOACs and the two medications can probably safely be used together. It is unclear whether this conclusion about atorvastatin extends to other statins as other smaller studies have shown some data to the contrary.1

3. Fluconazole taken concurrenlty with a DOAC was associated wtih the highest bleeding risk (138.5 events per 1000 person-years). When –azole antifungals or antibiotics are being prescribed in someone on DOACs, it is always beneficial to consult with the pharmacist and proceed with caution.









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