BS Medicine Episode #598: Insomnia – hours of sleep is not the goal! – PART II
Release Date: 02/27/2025
In the Clinic Episode 48: Resistant hypertension
CFPCLearn
Al Dosterone, a 54 year old man presenting with difficult to control blood pressure
info_outline
In the Clinic Episode 47: Dyslipidemia
CFPCLearn
Olive Peloponnese, a 50 year old woman with coming in to review her “bad cholesterol.”
info_outline
In the Clinic Episode 46: Lower Urinary Tract Symptoms, Part II
CFPCLearn
Per Colate, Part II, a 72 year old man presenting with ongoing symptoms of nocturia and urinary frequency
info_outline
In the Clinic Episode 45: Seborrheic Dermatitis
CFPCLearn
Rusty Malassez, a 62 year old presenting with rash on face and chest.
info_outline
BS Medicine Episode #606: Avoiding the void? Mirabegron for overactive bladder
CFPCLearn
In episode 606, Jamie and James go over the best available evidence we have for the medications used in overactive bladder, with a focus on a newer agent mirabegron. We end up having to discuss the exciting topics of number of voids and dry mouth and at the end we give you all the numbers you need to have an evidence-based conversation with your patients. Show Notes 1) Tools For Practice 2)
info_outline
BS Medicine Episode #605: An ASA a day keeps the Afib at bay?
CFPCLearn
In episode 605, James and Jamie get Emelie Braschi to answer a simple and common clinical question. ASA versus direct oral anticoagulants – which one is safer with regard to bleeding? As always it comes down to the numbers and we go over all those numbers and put them into the overall benefit and harm ratio for Afib. Show Notes 1) Tools For Practice 2) 3)
info_outline
BS Medicine Episode #604: Stop the Drip – Tranexamic Acid Solution for Nosebleeds
CFPCLearn
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)
info_outline
BS Medicine Episode #603: Topical minoxidil for androgenetic alopecia: When blood pressure agents make you
CFPCLearn
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)
info_outline
Pharmascope Épisode 47: Votre attention s’il vous plaît, on parle de TDAH! (3 de 3)
CFPCLearn
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...
info_outline
Pharmascope Épisode 46: Votre attention s’il vous plaît, on parle de TDAH! (2 de 3)
CFPCLearn
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...
info_outlineIn 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
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