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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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Pain and Capsaicin Products

Pain and Capsaicin Products

I’m going to finish off the week with some random things I’ve come across over the previous few months. I occasionally see some capsaicin(creams, gels etc.) products used from time to time for the...

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Coumadin and Lovenox

Coumadin and Lovenox

I could continue on Coumadin for quite a while longer with other cases and stories, but there is too much other cool stuff to cover. I’m going to finish up on “bridging” of anticoagulants. I wrote a...

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Vitamin K and Coumadin

Vitamin K and Coumadin

Vitamin K (or Mephyton or phytonadione for you A+ healthcare providers) is the reason why someone on Coumadin should try to keep a consistent diet.  Big changes in intake of vitamin K can cause an...

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Coumadin Dosing

Coumadin Dosing

Coumadin is a high risk medication as I mentioned in one of the previous night’s posts.  I have the opportunity to frequently review medication errors at dozens of healthcare facilities.  Coumadin...

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Coumadin and Tylenol

Coumadin and Tylenol

Question: Is Tylenol safe to use with Coumadin?  Tylenol (acetaminophen) is generally considered as one of the safest pain medications when used appropriately.  With that being said, we have to...

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