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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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Pain management is often very challenging. Patients differ from one another. One medication may totally take away the pain for one patient, while that same medication might not even touch the next patient’s pain. The type of pain is obviously an important factor as well, but one problem that I frequently come across, especially in the […]
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Pain management in the elderly is something I deal with on a daily basis. It can be extremely challenging as there are potential negatives of using medications around every corner. Here’s a case that highlights a few challenges: 88 year old male with a history of atrial fibrillation, GERD, Hypertension, Seizures, CKD, and Constipation. Current […]
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87 year old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin Glipizide Tylenol as needed Lisinopril Aspirin The primary provider orders gabapentin 300 mg three times daily to help with the new onset neuropathy. The symptoms of neuropathy do begin […]
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