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News, opinions and meeting coverage in primary care.

Suboxone Maker Pulls Pills in Favor of Film

The buprenorphine-naloxone combination product (Suboxone) in sublingual tablet form will soon be pulled from the U.S. market because its child-resistant packaging isn't effective enough.

Romney Takes Daily Statin, Aspirin

WASHINGTON -- Republican presidential nominee Mitt Romney has hyperlipidemia and takes a statin and low-dose aspirin daily, according to a letter from his personal physician released Friday.

Genetic Obesity Risk Heightened by Sugary Drinks

SAN ANTONIO -- The relationship between genetics, body mass index, and obesity risk appears to be magnified in adults who drink the most sugar-sweetened beverages, researchers found.

Cranberry Juice May Help Lower BP a Bit

Cranberry juice modestly lowers blood pressure in healthy adults when consumed daily, a carefully controlled trial showed.

Device May Cut Re-Excision Rate in Breast Cancer

SAN FRANCISCO -- Re-excision after breast-conserving surgery occurred 50% less often with intraoperative margin assessment by a device that distinguishes cancer cells from normal tissue, results of a randomized study showed.

Low Preop Sodium Raises Mortality Risk

Preoperative hyponatremia significantly increased the risk of 30-day postsurgical mortality, a risk that extended across all subgroups of surgical patients, investigators reported.

Anemia a Risk with Low-Dose IVIG, Too

Even small doses of intravenous immune globulin (IVIG) can cause acute, severe anemia, researchers warned.

Lying Prone for Radiation Best for Breast Tx

Lying face down for radiation therapy lessens the amount of collateral damage to breast cancer patients' heart and lungs, researchers found.

Daily Cialis Alternative to On-Demand Drug

CHICAGO -- For men who don't respond to on-demand tadalafil (Cialis), a low daily dose may do the trick, researchers said here.

Chewable Viagra Gets Thumbs-Up in Mexico

CHICAGO -- Men thought a chewable version of sildenafil (Viagra Jet) made the drug work faster and longer, a Mexican study found.

Newest ED Drug Works in Less than Half Hour

CHICAGO -- The highly specific PDE5 inhibitor Avanafil may work in as little as 15 minutes after dosing, researchers said here.

Persistence of Finasteride Side Effects Raised at Meeting

CHICAGO -- One of the topics under discussion among sexual medicine specialists, gathered here from around the world, is whether the sexual side effects of a hair-loss drug are long-lasting, according to a leader in the field.

Brain-Eating Amoeba Came From Faucet

The recent cases of primary amoebic meningoencephalitis represent the first reported instances of U.S. tap water harboring the amoeba that causes the fatal disease, according to CDC researchers.

Gallbladder Polyp Size Can Guide Treatment

The follow-up strategy for patients with gallbladder polyps should be based on the size of the lesions, which can influence progression and malignancy potential, British researchers advised.

Jesse Jackson, Jr. Responding to Bipolar Therapy

After months of silence from his office about his absence from Congress, the Mayo Clinic has announced that Rep. Jesse Jackson, Jr., (D-Ill.) is being treated at the facility for bipolar disorder.

NYC to Limit Baby Formula in Hospitals

By Labor Day, at least 27 hospitals in New York City will have implemented the main components of an initiative aimed at encouraging breastfeeding for new mothers.

Olympic Doctors Ready to Treat Team U.S.A.

While the world watches elite athletes like Michael Phelps and Hope Solo go for Olympic gold, the athletes' team physicians will be watching them, too, but with a different perspective.

Adult Lungs Can Sprout New Growth

The lungs may have greater capacity for regeneration in adults than thought, according to a case report of new growth after lung cancer resection.

Playing Sports Helps Teens Fight Fat

Team sports may fight weight problems better than other forms of exercise among high schoolers, researchers found.

Vitamin D Test Accuracy Called into Question

HOUSTON -- Two widely used tests to determine vitamin D status produced results that exceeded the allowable limits for error in at least 40% of cases, according to a study reported here.

Big Breakfast, Plus Dessert Aids Weight Loss

HOUSTON -- Obese adults lost significantly more weight by starting the day with a calorie-and carbohydrate-heavy breakfast that included a sweet treat, instead of saving more calories for dinner, according to a study reported here.

Testosterone Tx Helps Obese Men Trim Waistline

HOUSTON -- Obese hypogonadal men lost an average of 36 pounds during long-term testosterone replacement therapy, results of a prospective cohort study showed.

ACIP Changes Flu Vaccine Dosing for Kids

ATLANTA -- Two of the three strains covered by the seasonal influenza vaccine are changing for the upcoming season, and with that change comes a new dosing algorithm for children.

Oxygen Devices Recalled

WASHINGTON -- The FDA has issued a class I recall of several models of oxygen concentrators because of a potential fire hazard.

Toxic Shock from Strep: a 'Lightning Strike'

In rare cases, the bacteria responsible for causing strep throat -- group A Streptococcus -- can penetrate beyond the superficial surfaces of the body and lead to necrotizing fasciitis, toxic shock syndrome, and even death.

FDA Rejects Merck Sarcoma Drug

WASHINGTON -- The FDA has rejected the approval application for the sarcoma drug ridaforolimus, according to drug developer Merck.

FDA Asked to Take Ban Use of Pesticide for Head Lice

A congressman has called on the FDA to ban the pesticide lindane as a treatment for head lice in children; the agency has already demoted it from a first-line therapy.

AAP: Don't Use Sensory Disorder Diagnosis

Pediatricians should not use sensory processing disorder as a diagnosis, according to a policy statement from the American Academy of Pediatrics.

Lymphedema Tied to Obesity

Obesity may contribute to the development of lymphedema, a small study showed.

Fake Adderall Pops Up on Internet

The FDA has issued a warning about counterfeit generic Adderall tablets that are being sold over the Internet.

Drug Restores Normal Orgasm in Men

ATLANTA -- Inability to achieve orgasm improved or resolved completely in almost 70% of men treated with the dopamine receptor agonist cabergoline, results of a small study showed.

Estrogen a Culprit in Inflammatory Bowel Disease

SAN DIEGO -- Postmenopausal women who take hormone replacement therapy are at increased risk for developing ulcerative colitis, while younger women using oral contraceptives are more likely to develop Crohn's disease.

Repeat Surgery Less Likely After Prostate Resection

ATLANTA -- Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia reduced the reoperation rate by half compared with newer procedures, a case review showed.

Child's Epilepsy Keeps Household Up All Night

Children with epilepsy and their parents reported suffering from sleep problems, researchers found.

FDA Panel Says Yes to Home HIV Test

GAITHERSBURG, Md. -- An FDA advisory committee has voted 17-0 to recommend approval of the OraQuick In-Home HIV Test. If approved, it will be the first over-the-counter home HIV test.

FDA Staff Flags False Results of Home HIV Test

WASHINGTON -- FDA reviewers expressed concern over the risk of false negative and false positive results if the agency approved the first-ever over-the-counter at-home HIV test.

Prolia Linked to Serious Skin Side Effects

RALEIGH, N.C. -- More than 40 serious cutaneous adverse events linked to the osteoporosis formulation of denosumab (Prolia) were discovered in a review of FDA records, investigators reported here.

Second Kidney Transplant Lasts as Long as First

WASHINGTON -- Patients who have a second kidney transplant may not be as bound for failure as once thought, researchers said here.

DSM-5: What's In, What's Out

PHILADELPHIA -- Reports here provided what may be the last public update on DSM-5, the next edition of American psychiatry's diagnostic guide, before it is formally released in May 2013.

Autism Criteria Critics Blasted by DSM-5 Leader

PHILADELPHIA -- The head of the American Psychiatric Association committee that's rewriting the diagnostic criteria for autism spectrum disorders took on the panel's critics here, accusing them of bad science.

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