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Low-dose transdermal HRT is not associated with an increased risk of stroke in UK general practice, a new study suggests (BMJ 2010;340:c2519).

The aldosterone antagonist eplerenone (Inspra) is cost effective when added to usual care in the treatment of post-MI heart failure, a Health Technology Assessment (HTA) has shown (www.hta.ac.uk). This finding has now been included in a draft update of the NICE guideline on heart failure, due to be published in August.

Another combined formulation of a gliptin and metformin has been introduced for the treatment of type 2 diabetes.

The MHRA warns that antidepressants are associated with increased risks of pulmonary hypertension in neonates and fractures (Drug Safety Update 2010;3:Issue 10).

The latest observational study to assess whether SSRIs and other drugs that inhibit CYP2D6 hepatic enzymes reduce the efficacy of tamoxifen has found no significant effect (J Clin Oncol 2010;28:2423-9).

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