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Methadone Use

Methadone Use

Last night of Narcweek! Hope you all enjoyed it! Methadone is a drug you may see once in a while for treatment of pain. There are definitely some prescribers that are more comfortable using this...

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Ultram (tramadol)

Ultram (tramadol)

Another opioid (or is it an opioid?) is Ultram (tramadol). This medication is frequently used for various types of pain and may or may not be a controlled substance based upon your location. It...

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Morphine Dosing & Tolerance

Morphine Dosing & Tolerance

We’re are going to continue on the theme of opioids because this is Narcweek, it’s what we do. I do have more info/stories on Fentanyl, but I think they’re going to have to wait for another time…I...

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Fentanyl FAQ’s

Fentanyl FAQ’s

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...

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Fentanyl Patches for Acute Pain

Fentanyl Patches for Acute Pain

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...

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Lexapro Case and Antipsychotic Use

Lexapro Case and Antipsychotic Use

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...

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Dementia Medication Case

Dementia Medication Case

In geriatrics, I see frequent use of acteylcholinesterace inhibitors for dementia. Some examples include: Aricept (donepezil), Exelon (rivastigmine). One of the hallmark side effects of this class...

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