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BS Medicine Episode #598: Insomnia – hours of sleep is not the goal! – PART II

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Release Date: 02/27/2025

BS Medicine Episode #604: Stop the Drip – Tranexamic Acid Solution for Nosebleeds show art BS Medicine Episode #604: Stop the Drip – Tranexamic Acid Solution for Nosebleeds

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In episode 604, James and Mike K get Jennifer Young to tackle the topic of nose bleeds and what the evidence shows around the use of topical tranexamic acid and how it compares to other treatments. We go over all the endpoints and give you all the numbers. Show Notes 1) Tools For Practice 2) 

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BS Medicine Episode #603: Topical minoxidil for androgenetic alopecia: When blood pressure agents make you show art BS Medicine Episode #603: Topical minoxidil for androgenetic alopecia: When blood pressure agents make you

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In episode 603, James and Mike K invite Jennifer Young back to the podcast to talk about the best available evidence for topical minoxidil and hair growth. We discuss outcomes such as the numbers of hairs per squared centimeter – the main outcome reported – but when available, we also other report on other outcomes and also the side effects. So, if you want to know about numbers of hair per squared centimeter and all the other numbers, tune in. Show Notes 1) Tools For Practice 2) 

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Pharmascope Épisode 47: Votre attention s’il vous plaît, on parle de TDAH! (3 de 3) show art Pharmascope Épisode 47: Votre attention s’il vous plaît, on parle de TDAH! (3 de 3)

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Vous êtes toujours parmi nous? La fin approche! Dans ce 47ème épisode du Pharmascope et dernier de la série sur le TDAH, Nicolas, Isabelle et leur invitée discutent entre autres des options de traitement pharmacologiques autres que les psychostimulants. Les objectifs pour cet épisode sont : Comprendre les risques et les bénéfices associés à la prise de l’atomoxetine et de la guanfacine Évaluer la place de l’atomoxetine et la guanfacine dans l’algorithme de traitement du TDAH Adapter le traitement pharmacologique du TDAH en fonction du patient   Ressources...

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Pharmascope Épisode 46: Votre attention s’il vous plaît, on parle de TDAH! (2 de 3) show art Pharmascope Épisode 46: Votre attention s’il vous plaît, on parle de TDAH! (2 de 3)

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Restez concentrés parce que ce n’est pas terminé! Après un premier épisode sur le diagnostic et la prise en charge non-pharmacologique du TDAH, on porte cette fois toute notre attention sur les pilules. Dans ce 46ème épisode du Pharmascope, Nicolas, Isabelle et leur invitée discutent donc du traitement pharmacologique du TDAH, plus spécifiquement des psychostimulants. Les objectifs pour cet épisode sont : Identifier les différentes formulations de psychostimulants disponibles dans le traitement du TDAH Comprendre les risques et les bénéfices associés à la prise de...

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Pharmascope Épisode 45: Votre attention s’il vous plaît, on parle de TDAH! (1 de 3) show art Pharmascope Épisode 45: Votre attention s’il vous plaît, on parle de TDAH! (1 de 3)

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Attention, attention! Un nouvel épisode du Pharmascope est maintenant disponible! Et, cette fois, il va falloir rester concentré parce qu’on a fait trois épisodes sur le TDAH . Dans ce 45ème épisode du Pharmascope et premier de cette série, Nicolas, Isabelle et leur invitée de marque discutent des manifestations cliniques, de l’approche diagnostique et de la prise en charge initiale du TDAH. Les objectifs pour cet épisode sont: Comprendre l’approche diagnostique du TDAH Discuter des comorbidités fréquemment associées au TDAH Identifier les objectifs de traitement du...

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BS Medicine Episode #602: Side effects of long-term PPI use: Leaving a bad taste in your mouth? show art BS Medicine Episode #602: Side effects of long-term PPI use: Leaving a bad taste in your mouth?

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In episode 602, James and Mike Kolber go over the best available evidence for the benefits and the harms for one of the most commonly used classes of medications – proton pump inhibitors. We find out the benefit numbers are much larger than the harm numbers. Check out the podcast to get all the numbers you need to help people make decisions. Show Notes 1) Tools For Practice 2)  3)  4) RX files PPI

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BS Medicine Episode #601: Gabapentinoids for fibromyalgia – do they ease the pain? show art BS Medicine Episode #601: Gabapentinoids for fibromyalgia – do they ease the pain?

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In episode 601, James and Mike invite Jennifer Young back to the podcast to go over all the evidence we have for pregabalin and gabapentin in patients with fibromyalgia. During the discussion we find out how many people actually get a ≥30% reduction in pain compared to placebo. We even look at some information about different doses. All the numbers are revealed by the end of the podcast – and we give tips and suggestions throughout. Check it out. Show Notes 1) Tools For Practice 2) 

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In the Clinic Episode 44: Acne show art In the Clinic Episode 44: Acne

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In this episode of In the Clinic, Mike and Jess invite back Dr. Jennifer Young.  The team discusses Benazir Pervez, a 17-year-old female coming in for acne.  

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In the Clinic Episode 43: Urinary Incontinence show art In the Clinic Episode 43: Urinary Incontinence

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In this episode of In the Clinic, Mike and Jess invite back Dr. Émélie Braschi.  The team discusses Micti Colate, a 70-year-old female coming in for urinary incontinence.

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In the Clinic Episode 42: Lower Urinary Tract Symptoms show art In the Clinic Episode 42: Lower Urinary Tract Symptoms

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More Episodes

In episode 598, James and Mike continue to talk with David Gardner about the issue of insomnia. We discuss his latest, very cool, Your Answers When Needing Sleep (YAWNS NB) randomized clinical trial. YAWNS was a pragmatic, open-label, minimum-contact, RCT where people with long-term use of benzodiazepines and current or past insomnia were randomly allocated to different mailed behavior change interventions or no intervention. They found that in people who got the intervention more of them stopped or reduced the dose of their benzodiazepines and more improved their sleep. Tune in for the numbers for this simple intervention.

Show Notes

The YAWNS NB trial

Booklets: order booklets via the Resource Centre

Sleepwell, a research and knowledge translation program based out of Dalhousie University in Halifax, includes tools, resources, and recommendations for patients, the public, and health care professionals.

Some features and resources to explore are:
Sleepwell stories (patient and health care professional video and written accounts)
Clinicians – short videos on how to use get what you need from the website for patient care, and CBT-I training options
Sleepwell recommends – vetted reviews and recommendations for self-help CBT-I programs
Sleeping pills – content to motivate and facilitate safely ending long-term use of sedatives
Tools – sleep diary, online sleep calculator (with guidance for time-in-bed restriction therapy), behaviour change tools (CBTi vs. Sleeping Pills)

Zopiclone’s residual effects on actual driving performance in a standardized test: a pooled analysis of age and sex effects in 4 placebo-controlled studies
Clin Ther 2014 Jan 1;36(1):141-50. doi: 10.1016/j.clinthera.2013.11.00

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