Consider the New DAPT Score to Balance Ischemia vs Bleeding in Stent Patients

June 2016

You'll see a more individualized approach for how long to use aspirin PLUS another antiplatelet after a coronary stent.

We're used to seeing most of these patients get dual antiplatelet therapy (DAPT) for 12 months...often aspirin 81 mg plus clopidogrel.

Now there will be more flexibility to use shorter courses for patients at lower CV risk...and longer courses for those at higher risk.

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Table of Contents

Cardiology Consider the New DAPT Score to Balance Ischemia vs Bleeding in Stent Patients
Dyslipidemia Don't Add Niacin or Fibrates for Most Statin Patients
Gastroenterology Make Sure Patients With Heavy Alcohol Use Don't Take Viberzi
Diabetes Feel Comfortable Using Metformin in More Diabetes Patients With Kidney Disease
Diabetes Lean Away From using Gliptins in Heart Failure
Pediatrics Consider Recent Antibiotic Use When Treating Children With a UTI
Cardiology Use an ACEI or ARB Instead of Aliskiren (Tekturna)
Infectious Diseases Consider Antibiotics a Suspect for Causing CNS Effects
Neurology & Pain Consider Topical Analgesics for Pain...to Spare Opioids and Oral NSAIDs
Rheumatology Consider More Frequent Fine-Tuning of Rheumatoid Arthritis Meds
Women's Health Avoid Even One Dose of Fluconazole in Pregnant Women
Practice link between aripiprazole (Abilify, etc) and a higher risk of impulse-control behaviors
Medication Errors Prescribe Generic Vortioxetine...To Avoid Brintellix and Trintellix Mix-Ups
Cardiology Stop Postop Atrial Fib Meds 4 Weeks After Sinus Rhythm Returns In Most Patients