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Patients will frequently ask me what supplements they should use to help treat their conditions and more often, they begin to take something even prior to asking. I was recently asked my thoughts on glucosamine and chondroitin for arthritis, and more specifically, osteoarthritis pain management. Glucosamine and chondroitin has a lot of mixed evidence for […]
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Polymyalgia rheumatica (PMR) is a relatively common condition in adults over 50 years old, and more often affects northern European populations including Scandinavians, although it can affect people of any race. Below we will outline the basics of the treatment of polymyalgia rheumatica. The disease can present suddenly, and patients may wake up with sudden […]
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Gabapentin and pregabalin are anticonvulsants utilized in a wide array of conditions. These drugs share a similar chemical structure and share many of the same uses, so let’s take a look at gabapentin versus pregabalin? Mechanism of action: The precise mechanism of action of these drugs is not well known, but may rely on high-affinity […]
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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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