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Discontinuing Antidepressants, FODMAP Diet for IBS, Spirometry for Asthma Diagnosis

Key Clinical Questions and Evidence-Based Answers from American Family Physician

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American Family Physician | Clinical Answers

What strategies help reduce the risk of recurrence of depressive symptoms when discontinuing antidepressants?

Cognitive behavior therapy should be used to help prevent relapse and recurrence of depressive symptoms when discontinuing antidepressants. Read the full article.

Is a FODMAP diet effective for the treatment of IBS?

A network meta-analysis of the literature concluded that a low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet is the most likely to be effective for patients with irritable bowel syndrome (IBS) compared with other diets. A low FODMAP diet removes offending foods from the diet for four to six weeks, followed by a gradual and systematic reintroduction of foods to identify those that the patient can tolerate. Read the full article.

How is asthma diagnosed using spirometry?

To diagnose asthma, pre- and postbronchodilator spirometry must show obstruction with forced expiratory volume in one second (FEV₁) reversibility (greater than 12% and greater than 200 mL) with administration of bronchodilators or through the observation of bronchoconstriction (reduction in FEV₁ of at least 20%) with a methacholine challenge. Read the full article.

❯ ❯ AFP Clinical Answers distills evidence-based answers to clinical questions from AFP content for use at the point of care. Visit our online collection for more.

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Are you looking for educational handouts for your patients? See AFP’s collection. Use the filters to sort by discipline or topic.

INFORMATION FROM THE AAFP

Time to Stop Taking Work Home With You

You spend enough time in clinic every day—you shouldn’t have to bring the clinic home with you. Minimize or even eliminate after-hours work with easy-to-use tips and tricks. Plus, learn what the AAFP is doing to cut your administrative burden so you have time for the things you love.

Read the latest issue of AFP. Earn 12 CME credits.

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Diary of a Family Physician

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