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Dr. Roach: Dermatologist prescribes metformin for woman's skin rash
The Detroit News • • health
Key Points:
- A dermatologist recommended metformin for granuloma annulare despite no current evidence supporting its effectiveness; Dr. Roach found a 2026 study suggesting potential benefits but awaits further research before recommending it.
- Metformin's common side effect is nausea, but it is generally low risk at low doses, and other treatments for granuloma annulare include steroids, ultraviolet light, methotrexate, hydroxychloroquine, and experimental JAK inhibitors.
- To prevent delirium in older patients undergoing procedures, family members should provide orientation aids like glasses, hearing aids, clocks, and familiar objects, while nursing staff should encourage mobility, avoid restraints, maintain proper lighting, and ensure nutrition and hydration.
- Physicians play a role by avoiding harmful medications, monitoring electrolytes and oxygen, managing pain safely, and supporting both family and nursing staff to minimize delirium risks and its long-term consequences.
