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Conundrum: Tamiflu?

(Click the link to comment and to vote – voting not working through email, sorry!)

Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!

A repeat – since we are in the throes of influenza season right now, and this is a particularly controversial issue. Many emergency medicine FOAM bloggers have argued against the use of oseltamivir, such as here. But, the CDC continues to recommend it for high risk patients presenting with < 48 hours of symptoms, citing their reasoning here. To complicate things further, the “definition” of influenza-like illness basically includes nearly all kids seen in the ED in the wintertime – fever and cough or sore throat, and point-of-care tests are not very sensitive.

Do you prescribe oseltamivir (brand name Tamiflu) for clinical influenza?

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IDPharm

pemsou5_wp • February 23, 2018


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Comments

  1. Dyllon Martini February 23, 2018 - 5:21 pm Reply

    I use Tamiflu in patients with immunisuppresion, those with severe asthma (sometimes)…otherwise I have a conversation about who it’s recommended for, and the pros/cons of the drug. After that most parents seem to be happy without Tamiflu. I also use it for those patients who will not leave the ED without some “treatment” for their flu.

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