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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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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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