by Eric Christianson | Jul 12, 2015 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
I’ve seen numerous mistakes involving these two pain medications that come in a patch formulation. Between drug diversion (fentanyl – Duragesic), inappropriate time intervals for changing (lidocaine – Lidoderm), as needed use (fentanyl), and lost...
by Eric Christianson | May 10, 2015 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
A huge challenge in clinical pharmacy is determining what information is actually relevant. By relevant, I mean what information actually impacts patient care. I see gabapentin most frequently used for neuropathy. The pharmacokinetics of gabapentin are a little...
by Eric Christianson | Apr 12, 2015 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
In my practice as a clinical pharmacist, I see the use of fentanyl patches on pretty much a daily basis. I’ve seen numerous mistakes with fentanyl patches and wanted to put together a list of 5 dangerous mistakes. In no particular order: 1. Fentanyl patches...
by Eric Christianson | Nov 30, 2014 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
68 year old male battling some knee pain tries 400 mg three times daily to help with osteoarthritis and muscle pain. This gentleman has a history of cardiac issues including congestive heart failure and recent heart attack. He is currently on a low dose of Lasix...
by Eric Christianson | Aug 27, 2014 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
Quinine for leg cramps has a boxed warning in the U.S. due to potential for serious side effects like arrhythmias and thrombocytopenia. In studies, it has been shown to be ineffective for leg cramps in addition to the risks of adverse effects. I do see it used from...
by Eric Christianson | Jun 11, 2014 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
Dilantin (phenytoin) is probably one of the dirtiest drugs, but is necessary as it treats an obviously serious condition (seizures). It has many clinical quirks that you need to be aware of. 72 year old female with a long history of seizures was on a maintainence dose...
