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Diclofenac gel can be a beneficial tool in the management of localized osteoarthritis pain. There are many situations where acetaminophen is not effective and oral NSAIDs are intolerable or inappropriate. This is a type of situation where diclofenac gel may be appropriate to consider. Here are a few mistakes and clinical pearls that you should […]
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A 68-year-old male presents to your care with chronic back pain. He is taking ketorolac and states that NSAIDs are the mainstay of pain relief. He won’t take opioids due to a family history of addiction. Acetaminophen and other medications he has tried in the past just didn’t do much. He was recently told that […]
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A 66-year-old female has a past medical history of diabetes, neuropathy, depression, and hypertension. In this case scenario, I discuss the use of a TCA with an SNRI. Her current medication list includes: Aspirin 81 mg daily Capsaicin cream prn Amitriptyline 10 mg at night Metformin 500 mg BID Losartan 50 mg daily Glipizide 5 […]
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The SSRI and NSAID interaction kind of drives me crazy. It is one of those interactions where you don’t really know how seriously to take it. SSRI has the potential to impact platelet function. NSAIDs have the potential to impact platelet function. The SSRI and NSAID interaction is represented by an increased risk of bleeding […]
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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 patches (both), there are plenty of easy mistakes and misconceptions about these two pain patches that I’ve seen folks from […]
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