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Resisting Blood Pressure Meds

Resisting Blood Pressure Meds image
Dr Neal Tucker
16th April 2025

Alpesh has high blood pressure. In fact, the 55 year old keeps having high blood pressure despite your best efforts over the past two years. He is already on triple antihypertensives. Does he need a fourth?...

Triptans and the risk of stroke or MI

Triptans and the risk of stroke or MI image
Dr Laura Darby
9th April 2025

Jenny is a 33-year-old lady presenting with acute migraine. She reports the classic aura, followed by disabling unilateral pounding headache. She has tried paracetamol and NSAIDS with limited effect. The...

GLP1 agonists and oral contraception

GLP1 agonists and oral contraception  image
Dr Rob Walker
2nd April 2025

Christie comes in to see you for a review of her oral contraceptive. She looks different…Currently on the progesterone-only pill, as she’s never been keen on LARCs and her weight precluded the COCP, she...

Supporting patients to use online services in General practice – what does the research say?

Supporting patients to use online services in General practice – what does the research say? image
Dr Zoe Norris
26th March 2025

It can sometimes feel that working in general practice is a job of two halves. The first, is the clinical side. This is what we train for, pass our exams in and what we expected when we took our jobs....

Severe Hypertension – Emergency or time to chill?

Severe Hypertension – Emergency or time to chill? image
Dr Neal Tucker
19th March 2025

It’s one of those days when everything seems hard. Take Shuman – 55 years old, he came in with a sore foot but at the end of the consultation asked if you could quickly check his blood pressure. It hasn’t...

Time to quit? Seek support to succeed!

Time to quit? Seek support to succeed! image
Dr Laura Darby
12th March 2025

No, I’m not talking about jacking in the day job! The focus of this week’s blog is smoking cessation, with a new update to the NICE guideline  NG209 just released. The health benefits of stopping smoking...