#40 Prescribing Meds Day vs. Night Part 1: Mind the Gap Segment

#40 Prescribing Meds Day vs. Night Part 1: Mind the Gap Segment

Dive deeper into why we prescribe medications in the morning vs. at night ! * Why do we dose warfarin at night? (2:45) * Back to the basics - what are the pharmacodynamics of warfarin and how does vitamin K intake matter? (4:28) * Practical matters - so what should we tell patients (6:14) * Dippers and non-dippers - what happens to blood pressure (BP) at night? (9:32) * The surprising link between dipping and cardiovascular outcomes (11:15) * Timing is everything… or is it? The evidence behind taking BP meds at night (11:58) * Review of teaching points (15:58) What is your prescribing practice with blood pressure medications? Leave a comment (https://www.coreimpodcast.com/2019/05/08/medications-daytime-vs-nighttime-part-1/), tweet (https://twitter.com/COREIMpodcast) us or share with us on instagram (https://www.instagram.com/core.im.podcast/) or facebook (https://www.facebook.com/COREIMpodcast/) on how you dose BP meds? Transcript with references and show notes (https://www.coreimpodcast.com/2019/05/08/medications-daytime-vs-nighttime-part-1/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out CovePure and use my code CovePure.com/coreim for a great deal: https://covepure.com * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io * Check out FIGS: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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Episoder(222)

#214 Hyponatremia Management: A Core IM Classic

#214 Hyponatremia Management: A Core IM Classic

Throwback: Should you really fluid-restrict every patient with SIADH? When can IV fluids make hyponatremia better or worse? Are salt tabs actually doing enough? And what can urine studies tell you bef...

12 Aug 44min

#213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

#213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

Why can lower-dose combinations be more effective and better tolerated than maximizing one medication? How to troubleshoot common challenges such as amlodipine edema, gout, electrolyte abnormalities, ...

28 Jul 32min

#212 Top 10 Highlights of the New Lipid Guidelines

#212 Top 10 Highlights of the New Lipid Guidelines

Learn from primary care docs what has been practiced and changed from the 2026 ACC/AHA Lipid Guidelines! Learn how the new CPR framework (Calculate, Personalize, Reclassify) and PREVENT risk calculato...

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#211  Breaking Down MASLD vs. MASH and the MAESTRO-NASH & ESSENCE Trials: Beyond Journal Club Segment

#211 Breaking Down MASLD vs. MASH and the MAESTRO-NASH & ESSENCE Trials: Beyond Journal Club Segment

MASLD affects nearly one in three adults worldwide, yet many patients remain undiagnosed until advanced fibrosis or cirrhosis develops. So, which patients should clinicians actually be screening? When...

29 Jun 33min

#210 HTN in Dialysis: 5 Pearls Segment

#210 HTN in Dialysis: 5 Pearls Segment

What blood pressure should we target in patients on hemodialysis? Why volume control remains the foundation of treatment? How blood pressure targets differ from the general population. Learn practica...

17 Jun 25min

#209 Dialysis and Fluid Management: 5 Pearls Segment

#209 Dialysis and Fluid Management: 5 Pearls Segment

Why is fluid management the most important part of dialysis care? This episode explores the fundamentals of hemodialysis, why ESKD patients have unique physiology, and how volume overload, not just hy...

10 Jun 31min

#208 AI vs. Human with Post-Op AFib: Bread & Butter Series

#208 AI vs. Human with Post-Op AFib: Bread & Butter Series

Can AI manage post-op atrial fibrillation or does medicine still require human judgment? Using post-op AFib as a case study, we explore where algorithms help, where evidence falls short, and why clini...

27 Mai 29min

#207 Is There a Doctor on Board? In-Flight Emergencies

#207 Is There a Doctor on Board? In-Flight Emergencies

We start with a gripping story of seizures and use it as a jumping-off point to unpack practical pearls for in-flight emergencies. Along the way: what’s actually in the emergency medical kit, when pla...

18 Mai 27min

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