Choose 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.

Use a calcium channel blocker. SWITCH from a beta-blocker to verapamil or diltiazem...if a beta-blocker isn't tolerated.

Or ADD 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
Angina Choose a Long-Acting Nitrate for Angina Based on Ease of Use and Cost
Ophthalmology Switch to Preservative-Free Artificial Tears When Using Over Four Times Daily
HIV & AIDS Use Either Form of Tenofovir for Most HIV Patients
Opioids Expect Improvements to Your State's Rx Drug Monitoring Program
Constipation Don't Count On Docusate for Treating Constipation in Most Patients
Epinephrine Don't Jump to Epinephrine Vials if Cost Is an Issue With Auto-Injectors
Oral Health Use Doxycycline in Kids When Its Benefits Outweigh Risks of Teeth Staining
Use These Tools to Make Shared Decision Making More Effective
Women's Health Consider Estrogen-Containing Contraceptives in Women With Menstrual Migraine
Hepatitis C Try to Avoid PPIs With New Hep C Med Epclusa