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Topiramate (Topamax) is used for various reasons outlined below. We wanted to cover some of the most common topiramate clinical pearls and how these might affect our patients. Let’s start with a brief case scenario. Mrs. KC, 45 years old came into the clinic for her medication review today. She says to you that managing […]
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Cyclobenzaprine (podcast episode) is a skeletal muscle relaxant that is most commonly used for muscle spasms and back pain. It definitely has some potential adverse effects that I have seen lead to the prescribing cascade. Here’s a rundown of medications that may help you recognize cyclobenzaprine and the prescribing cascade. Dry Mouth Some of the […]
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Tramadol is used in clinical practice, but it does have numerous drug interactions that you should be aware of. When reviewing a medication list or when a patient starts a new medication, here are some of the items that I think about when monitoring for tramadol drug interactions. Seizure Risk Antiepileptic agents are always something […]
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Many patients will take acetaminophen for their pain management. It is cheap, somewhat effective, and typically pretty safe at normal dosages. There are potential downsides when it comes to acetaminophen. Let me outline a couple of common mistakes with acetaminophen. #1 Common Mistakes with Acetaminophen – Multiple Sources Many elderly patients do understand that acetaminophen […]
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A 76-year-old male has been having some knee pain due to osteoarthritis. He has tried acetaminophen and ibuprofen and didn’t find much help with those. He finds a topical agent called capsaicin. He tries it PRN (as needed) for a couple of days and doesn’t really notice any changes. He stops taking it. This is […]
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