CASE: 56 year old male on prasugrel and aspirin after PCI. Hx of DM type 2, HTN, dyslipidemia, and ACS. Can't afford multiple branded drugs. Which of the following would you recommend?

  • Switch prasugrel to clopidogrel (59%, 46 Votes)
  • Switch to clopidogel then test platelet fnx (4%, 3 Votes)
  • Test for CYP2C19*2 / *3 alleles -> clopidogrel if absent (29%, 23 Votes)
  • Continue prasugrel / no tests are warranted (8%, 6 Votes)

Total Voters: 78

Start Date: September 7, 2021 @ 3:15 PM
End Date: October 13, 2021 @ 10:45 AM

CASE: 59 yr old woman complains of poor sleep quality; difficulty falling and staying asleep. Does not snore. Wants nature remedy. In addition to good sleep hygiene, which would you recommend?

  • Chamomille tea (14%, 15 Votes)
  • Melatonin (81%, 89 Votes)
  • Passionflower tea (3%, 3 Votes)
  • Saffron (2%, 3 Votes)

Total Voters: 110

Start Date: August 10, 2021 @ 6:11 PM
End Date: September 7, 2021 @ 3:15 PM

Case: 73 yr-old male with DM and HTN. No hx of CAD or Afib. On ACEi, Thiazide, and Bb. BP <120/80. HR < 60 bpm. A1c = 7.1%. No ADRs. Should Bb be deprescribed?

  • No! Smooth sailing. (9%, 14 Votes)
  • No! But re-assess annually (24%, 37 Votes)
  • Yes! But resume if HR > 80 (16%, 25 Votes)
  • Yes! But start CCB if BP >130/80 (51%, 80 Votes)

Total Voters: 156

Start Date: July 11, 2021 @ 10:52 AM
End Date: No Expiry

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