One other quick point that I can follow up on is that fentanyl takes a long time to ramp up, which also means that it takes a little while to get to a steady state of concentration. What does this mean clinically? I’ve seen a case where the dose was increased too...
So much info on Fentanyl and I will do one more night after tonight on Fentanyl and I will transition to some other opioid info. A very frequent question I get asked is can you put things over the patch or cover it if it consistently falls off (i.e. tape etc.). Per...
Fentanyl patches are easy to use…just slap it on right? I definitely see nurses ask for these patches fairly frequently, and they are much easier for administration and less time consuming than oral dosage forms that you might have to give one, two or three times a...
Happy Veteran’s day! Narcweek begins now, thanks for all the support! I’m still seeing problems and questions on Duragesic (fentanyl) patches out there, so hopefully I can bring some examples over the next few nights that really emphasize some of the mistakes I see...
In just one more example of the prescribing cascade, I had a resident at a nursing home that was prescribed Lexapro for depressive and anxiety type symptoms. A few weeks after starting this medication, the resident had worsening confusion, change in cognition, and was...
