Sleep Complaints in MDD Flag Risk for Other Psychiatric Disorders

Sleep complaints by patients with a major depressive episode (MDE) may be a red flag signaling a higher risk for developing other psychiatric disorders, new research suggests. Investigators studied 3-year incidence rates of psychiatric disorders in almost 3,000 patients experiencing an MDE. Results showed that having a history of difficulty falling asleep, early morning awakening, … Read more

Problematic Alcohol Use on the Rise Among Physicians?

Problematic alcohol use by physicians appears to be increasing, new research shows. However, good data on exactly how common this is and on salient risk factors are lacking, investigators note. In a systematic literature review, investigators found the prevalence of self-reported problematic alcohol use varied widely, but could affect up to one third of physicians. … Read more

Endocarditis Tied to Drug Use on the Rise, Spiked During COVID

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Centre. A new study provides more evidence that endocarditis associated with drug use is a significant and growing health concern, and further demonstrates that this risk has been exacerbated by the COVID-19 pandemic. The rate of infective endocarditis among individuals in the … Read more

Primary Care Moves Patients With Addiction to Self-Advocacy

Samuel Werner, DO, a family medicine physician in West Hartford, Connecticut, vividly remembers one patient who was struggling with a drug addiction. The man was having trouble holding down a steady job because of his dependence, but with Werner’s guidance, he started on buprenorphine. Werner also connected him with a social worker to address housing … Read more

SUD History Tied to Increased Risk of Death From Other Illnesses

Patients hospitalized for substance use disorder (SUD) are significantly more likely to die from other medical conditions later in life, a new study suggests. Researchers looked at mortality following a diagnosis of 28 different medical conditions, including heart failure, cancer, diabetes, multiple sclerosis, and stroke, and found patients with a history of alcohol or drug … Read more

Heart Failure Drug a New Treatment Option for Alcoholism?

Spironolactone, a potassium-sparing diuretic typically used to treat heart failure and hypertension, shows promise in treating alcohol use disorder (AUD), new research suggests. Researchers at the National Institute on Drug Abuse (NIDA), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and Yale University School of Medicine investigated the impact of spironolactone on AUD. Initially, … Read more

Psychedelic Drug Therapy a Breakthrough for Alcohol Dependence?

Psilocybin paired with psychotherapy is associated with a robust and sustained decrease in drinking among adults with alcohol use disorder (AUD), new research suggests. Results from the first randomized, placebo-controlled trial of psilocybin for alcohol dependence showed that during the 8 months after first treatment dose, participants who received psilocybin had less than half as … Read more

Why Pandemic, Personal Stressors Push Some to Problem Drinking

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. We live in particularly stressful times, and some people turn to alcohol to cope with challenges, from the COVID-19 pandemic to any number of personal stressors. And the hits just keep coming, as it seems like stressful infectious disease news keeps … Read more

Docs’ Bad Behavior Seen at Work, Online by Colleagues: Survey

It seems that everyone’s nerves are on the edge right now, and people are often behaving in surprising ways. Physicians are no exception. “The days of surgeons throwing retractors across the OR and screaming at nurses and medical students are hopefully gone now,” said Barron Lerner, MD, PhD, professor of medicine at New York University … Read more

Treating the Growing Population of Centenarians

For about the past year, Priya Goel, MD, can be seen cruising around the island of Manhattan as she makes her way between visits to some of New York City’s most treasured residents: a small but essential group of patients born before the Empire State Building scraped the sky and the old Yankee Stadium had … Read more