Gastroparesis and Parkinson’s Disease

Gastroparesis and Parkinson’s Disease

A 82 year old male has a medical history of osteoarthritis, diabetes, BPH, gastroparesis and Parkinson’s disease.  He is complaining of nausea and stomach upset after meals.  Current medications include: Sinemet 25/100 mg 2 tablet three times daily Requip 0.5 mg...
Treating Neuropathy with Tricyclic Antidepressants

Treating Neuropathy with Tricyclic Antidepressants

Tricyclic antidepressants are an important class of medications that we shouldn’t forget about.  They are typically very inexpensive and can provide nice relief for pain syndromes, particularly neuropathy.  Treating neuropathy with triple-cyclic antidepressants...
Patient Reports They Are On Morphine – So Why is a Urine Drug Screen Negative?

Patient Reports They Are On Morphine – So Why is a Urine Drug Screen Negative?

Urine drug screens are often confusing if you don’t interpret them on a regular basis.  I think a big reason for confusion is a lack of education on what these tools can do and what they look at.  I would definitely classify myself as needing to learn more about...