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The Risk of Pill Cutter Sharing

The most frequent cause of secondary adrenal insufficiency is the prolonged exposure to exogenous glucocorticoids (GCs).(1) The source of GCs is most often obvious (oral or parenteral, or even inhaled), but it may be occasionally more difficult to identify, as GCs may be found in “traditional” or “alternative” medicines.(2) We describe here the case of […]

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Incentivizing $ Adherence

Financial Reinforcers for Improving Medication Adherence: Findings from a Meta-analysis Increasingly, financial reinforcement interventions based on behavioral economic principles are being applied in health care settings, and this study examined the use of financial reinforcers for enhancing adherence to medications. Electronic databases and bibliographies of relevant references were searched, and a meta-analysis of identified trials […]

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Enhancing Medical Adherence

Adherence to a medical regimen is defined as the extent to which a patient takes a prescribed medication. The term “adherence” is often used interchangeably with “compliance,” but adherence is currently the preferred term because it implies a responsibility that is shared by both the patient and the healthcare provider. Many barriers to appropriate medication […]

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Overcoming Inertia

The Physics of Geriatric Pharmacotherapy: Overcoming Therapeutic Inertia and Momentum In this issue of The American Journal of Medicine [June 2012], Scott et al(1) provide a framework to reduce medication use in older patients to the minimum number of necessary therapies. As the authors write, “this framework draws attention to the dangers of therapeutic inertia—whereby […]

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Two New CME Courses on AJM Website

Two new continuing medical education (CME) courses have been uploaded to The American Journal of Medicine’s website recently. Managing Chronic Pain with Nonopioid Analgesics: A Multidisciplinary Consult Presenters: Daniel Clauw, MD, and Bill H. McCarberg, MD Determining pain mechanism is important in selecting treatment for chronic musculoskeletal pain states. While broad classifications (nociceptive, neuropathic, etc.) […]

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