NO LONGER RECOMMENDED:
- High dose vitamin E (400IU/day or more).
- Low dose aspirin therapy to prevent heart disease in healthy women.
- Biphosphonates to prevent fractures in women with osteopenia. Osteopenia is bone loss which has not yet reached the level of osteoporosis. On a bone desity test, osteopenia is defined as a T-score between -1.5 and 2.4. Osteoporosis is defined as a score of -2.5 or greater. Biphosphonates are still recommended for osteoprosis. Examples of biphosphantes are Fosamax (alendronate), Actonel (risedronate), and Boniva (ibandronate).
- Beta blockers as first line treatments in patients with uncomplicated high blood pressure. Some beta blockers include medications such as Atenolol and Tenormin.
- Vitamin D 800 IU per day plus calcium supplements for women at high risk for fracture.
- Zostavax varicella zoser virus (shingles) vaccine when available to immunocompetent patients who are 60 years or older.
- Ultrasound screening for abdominal aortic aneurysm in men 65 to 73 years old who are smokers or who have other risk factors.
- Routine HIV testing.
Human papilloma virus vaccine will be addressed in a separate blog in more detail.
References: Annals of Internal Medicine, July 4, 2006. See links for specific references for each recommendation.