The New Zealand General Practice Podcast

Dr Dave teaches Dr Jo about Restless leg syndrome, Pregabalin prescribing, Ryeqo for endometriosis, Nortriptyline, Signs in acute coronary syndrome, SCAD a new HQSC cultural resource and other Resources for STI patient info, Herpes guidelines, Cybersecurity for primary care and the Miscarriage Matters website.

Dr Dave teaches Dr Jo about Valproate in women of childbearing ageTriple whammyMacrolides + statinsCarotid artery POCUSInsomnia medsNew sepsis guidancePharmac SA updatesAlzheimer disease advancesResearch Review gemsBNP levels on Pasifika patientsVarenicline for vaping cessation and Vitamin K2 for nocturnal leg cramps

Dr Dave teaches Dr Jo about Suicide prevention with new NHS and NICE guidance discouraging risk stratification tools and instead emphasising relational safety, a biopsychosocial approach, dynamic safety planning, inclusivity, and clear communication. Dr Dave covers paediatric gastroenteritis, a recent NEJM study confirms oral ondansetron’s effectiveness in reducing vomiting in children, with NZFC guidance supporting its use for dehydration-related cases. Privacy and safety intersect in the discussion of HIPC Rule 11, which allows clinicians to disclose health information without consent if there is a serious threat to life or health, provided specific criteria are met and documentation is thorough. In diabetes care, once-weekly insulin icodec is found to be as effective as daily long-acting insulins, though it is not yet approved in New Zealand and is more costly. Insomnia management advances include the approval of lemborexant, a DORA, with evidence supporting its efficacy and safety, though it remains unsubsidised. COPD management is updated with guidance on triple therapy and the role of eosinophil counts, while iron deficiency is clarified with new diagnostic and monitoring recommendations. Finally, Dr Jo learns about some adult ADHD management resources and gets recent insights into QTc-prolonging medications.

Dr Dave teaches Dr Jo about Malnutrition detection and management, the Breast screening age extension, Serum estradiol measurement in menopause, Anticoagulant monitoring equity concerns, Prostate cancer screening and digital rectal exam, Optimal Cancer Care Pathways (OCCPs), FIT for Symptomatic bowel pathway, Oral iron tablet supply issue:, and Adrenaline administration by vaccinators. Apologies for the delayed publication of this epsiode.

Dr Dave talks to us about Desmopressin in nocturnal enuresis in children, ADHD resources, changes to the National Community Referral Criteria for Imaging, CT Imaging and Cancer Risk, greater Covid-19 antiviral eligibility, a reminder re hyperkalaemia, and widened access to meningococcal B vaccine. Apologies for the delayed publication of this episode.