Rivastigmine for Alzheimer’s: is a small cognitive ‘improvement’ worth the risk of feeling physically unwell?

This trial suggests that antipsychotic use can be effectively reduced in nursing homes by using a review protocol.

Rosalyn Nelson presents the latest Cochrane systematic review of Rivastigmine for Alzheimer’s disease, which brings together the results of 7 industry sponsored or funded trials, and concludes that Rivastigmine may be of benefit to people with Alzheimer’s disease.

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Wealth of reliable evidence on efficacy of single dose oral analgesics

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This overview includes 39 Cochrane reviews with data from around 460 studies and about 50,000 patients providing a wealth of reliable evidence on the analgesic efficacy of single dose oral analgesics.

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Few adverse events with single dose oral analgesics for acute postoperative pain

This overview of adverse event rates associated with single dose oral analgesics includes data from 39 Cochrane reviews, and provides evidence that adverse events rates are generally similar with active drug and placebo.

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Drug-using offenders with co-occurring mental illness

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Meg Fluharty summarises a recently updated Cochrane systematic review about interventions for drug-using offenders with co-occurring mental illness.

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Parasympathomimetic drugs for dry mouth after radiotherapy

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The update of a 2007 Cochrane review of parasympathomimetic drugs for dry mouth after radiotherapy did not identify an new studies. The 3 RCTs identified in the previous version provide limited evidence to support the use of pilocarpine hydrochloride in the treatment of radiation-induced xerostomia.

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Tooth Mousse® for caries prevention – little evidence available

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This review of Tooth Mousse® (casein phosphopeptide-amorphous calcium phosphate) for caries prevention only identified 12 studies (8 RCTs). Many were of short duration and exhibited a great deal of heterogeneity; while there is some suggestion of benefit, the quality of the evidence is very low.

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Reducing gagging during dental treatment – insufficient evidence for any intervention

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This Cochrane review was only able to identify a single small RCTs of acupuncture to reduce gagging during dental treatment. This was insufficient to conclude any benefit. No evidence of other interventions was identified.

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Sedation or general anaesthesia for dental treatment in children

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This update of a Cochrane review, first published in 2009, did not identify any RCTs comparing the efficiency of sedation versus general anaesthesia (GA) for the provision of a dental treatment.

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Fluoridated milk: low quality evidence of benefit

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The updated Cochrane review only included 1 low quality RCT. A substantive reduction in decay for primary teeth was seen equivalent to a prevented fraction of 31% but further research is likely to have an important impact on this estimate.

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