Lean Away From using Gliptins in Heart Failure

June 2016

Questions will come up about how to treat type 2 diabetes in heart failure patients...since some meds may cause or worsen heart failure.

Start with metformin in most heart failure patients. It improves outcomes...and lactic acidosis fears are overblown.

Then add meds that AREN'T associated with heart failure...an SGLT2 inhibitor, or "flozin," (Jardiance, etc), GLP-1 agonist (Byetta, etc), sulfonylurea, or insulin.

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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

Lean Away From using Gliptins in Heart Failure

Get concise, unbiased advice for effective drug therapy, plus CE/CME

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