NEWS 7
PRESCRIBE FORXIGA ® FOR PATIENTS WITH PROTEINURIC CKD 1
ausdoc . com . au 10 MAY 2024
NEWS 7
ADHD a ‘ risk factor ’ for cocaine abuse
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Sarah Simpkins PATIENTS with undiagnosed ADHD are turning to cocaine and other illicit substances to self-manage their symptoms , a psychiatrist has warned .
Dr Ashlea White , who is based in Brisbane , also said patients with cocaine use disorder could be screened for ADHD regardless of whether they were seeking an assessment .
“ There is more and more evidence coming out of the comorbidity between substance use — particularly
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stimulants like cocaine — and underlying ADHD diagnosis ,” she told AusDoc .
“ Once patients have done the screening tool , and then further collateral history and getting scoring records , you can see there has clearly been a longstanding diagnosis .”
She added that ADHD was an “ inherent risk factor ” for stimulant abuse .
As part of her practice at Banyans Healthcare — a specialist mental health and addiction rehabilitation
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facility — Dr White also screened for White said some patients were undeterred by the cost and sought it out other conditions , such as depression , anxiety and bipolar disorder . over other illicit stimulants , such as
But she said none of these comorbidities appeared with cocaine use
She said her own clinical experi-
methamphetamine .
disorder at the same frequency as ence underlined the challenges with ADHD . managing ADHD faced by GPs and “ I have the time to be able to do patients . a really thorough assessment to see
GP upskilling would prove useful for cutting long waiting lists , but what the underlying cause is , and sometimes people will have more she stressed that psychiatrists should than one condition .” remain involved because of the risks
The street price for cocaine in Australia is about $ 350 a gram , but associated with ADHD stimulant
Dr
W-21cm x H-27.3cm ( Custom prescribing Size ) Leave . Behind
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Dr Ashlea White . |
Sceptics push paper
FROM PAGE 1 cardiologist Dr Peter McCullough , a controversial COVID-19 vaccine sceptic in the US .
Senator Roberts — who previously called COVID-19 vaccines “ the crime of the century ” — told his 108,000 followers on X that these were “ stunning revelations from an entity that originally pushed the COVID-19 injections ”.
“ Look at what the RACGP has just published for all Australian doctors ,” Senator Roberts wrote .
“ This explains the increased disease / deaths and long COVID in three paragraphs .”
Dr Campbell , a retired nurse educator whose You- Tube posts condemning the vaccines have been viewed a billion times around the world , said the article showed that doctors were gradually “ trickling out ” the truth .
“ They are letting it out drip by drip … This is from an official paper , so it ’ s quite powerful really . Not because of what it says — we ’ ve suspected this for a long time — but [ because ] it is in this GPs ’ journal now .”
However , the author of the AJGP paper , Emeritus Professor Robert Tindle ( PhD ), said the paper was “ most emphatically not some sort of anti-vax manifesto for COVID-19 ”.
“ The paper was a bringing together of some of the perspectives of sufferers , doctors , the scientific research community , politicians , health administrators and pharma companies on the state of the long COVID issue ,” he said .
“ In no sense is it valid that the article be construed by anti-vaxxers as proof that the medical literature now recognises that COVID-19 vaccines cause long COVID , although one can see that Dr Campbell ’ s interpretation may foster that view .”
The RACGP said it had no concerns with the decision to publish the article , which underwent “ rigorous ” internal and external review . Aust J Gen Pract 2024 ; Apr .
ONE
ACTION MAY
REDUCE
HER RISK OF
WORSENING
CKD1,2^
^ For adults with proteinuric CKD ,* FORXIGA ® significantly reduces the risk of composite of declining renal function , ESKD , or renal or CV death 1 , 2 † vs placebo ( both + SoC )
39 % RRR
( ARR 5.3 %; HR 0.61 ; 95 % CI : 0.51 , 0.72 ; P < 0.0001 ). Primary outcome . 1 , 2
PRESCRIBE FORXIGA ® FOR PATIENTS WITH PROTEINURIC CKD 1
Download the ‘ CKD & Me ’ booklets to help patients take positive steps towards slowing the progression of CKD
* CKD defined as eGFR of ≥25 to ≤75 mL / min / 1.73 m 2 and UACR of ≥200 to ≤5000 mg / g ; 2 † ESKD defined as the need for maintenance dialysis for at least 28 days , renal transplantation or sustained eGFR < 15 mL / min / 1.73 m 2 for at least 28 days . 2
FORXIGA ® is indicated to reduce the risk of progressive decline in kidney function in adults with proteinuric chronic kidney disease ( CKD Stage 2 , 3 or 4 and UACR ≥30 mg / g [~ 3.39 mg / mmol ]). 1
PBS Information : FORXIGA ® : Authority Required ( STREAMLINED ): Type 2 Diabetes , Chronic Heart Failure and Chronic Kidney Disease . Refer to PBS Schedule for full Authority Required Information .
BEFORE PRESCRIBING PLEASE REVIEW FULL PRODUCT INFORMATION AVAILABLE ON REQUEST FROM ASTRAZENECA ON 1800 805 342 OR www . astrazeneca . com . au / PI
ARR = absolute risk reduction ; CKD = chronic kidney disease ; CV = cardiovascular ; CI = confidence interval ; eGFR = estimated glomerular filtration rate ; ESKD = end-stage kidney disease ; HR = hazard ratio ; SoC = standard of care ; RRR = relative risk reduction ; UACR = urine albumin-to-creatinine ratio .
References : 1 . FORXIGA ® Approved Product Information . 2 . Heerspink HJL et al . N Engl J Med . 2020 ; 383 ( 15 ): 1436 – 1446 .
( dapagliflozin )
FORXIGA ® is a registered trademark of the AstraZeneca group of companies . Registered user AstraZeneca Pty . Ltd . ABN 54 009 682 311 . 66 Talavera Road , Macquarie Park , NSW 2113 . www . astrazeneca . com . au . For Medical Information enquiries or to report an adverse event or product quality complaint : Telephone 1800 805 342 or via https :// contactazmedical . astrazeneca . com . AU-19257 . April 2024 .