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Why Don’t Younger People Get Vaccinated?
I just wanted to cover a question that I get asked from time to time. My real world thoughts on vaccines: It certainly is a controversial topic and people have seriously strong opinions about this...
Fentanyl Patch Dose Titration and Potential Overdose
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...
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...
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...
Fentanyl Patches Can Be Extremely Dangerous!
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...
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...
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...
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...
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...
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...
Study Materials For Pharmacists
