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In this article, we’d like to share some of the most common dextromethorphan clinical pearls that you should be aware of. Dextromethorphan (DXM) is an over-the-counter medication often found in many of the Robitussin products, among others. It is approved to treat cough in adults and children 12 and older. Relief starts 15-30 minutes after […]
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In practice, many patients become overwhelmed by polypharmacy. A diagnosis of COPD or asthma can significantly increase the medication administration burden. I’ve heard many patients report that they are taking “too many inhalers.” The basic strategy to remedy medication adherence issues is to assess adherence status, identify the cause of nonadherence, and apply a focused […]
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I had this question the other day about the extent of tiotropium systemic absorption and I had to double-check. I knew that there was some, but wasn’t sure how prevalent it was. According to an older article, the tiotropium systemic absorption is approximately 20% (19.5% to be exact). The more important question is what does […]
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Pulmonary toxicology involves the airways, lung parenchyma, mediastinum, pleura, pulmonary vasculature, and the neuromuscular system based on the route of exposure to the offending agent and the dose and duration of exposure. Acute pulmonary reactions are commonly manifested by fever, chills, cough, chest pain, dyspnea, pulmonary infiltration with consolidation or pleural effusion on x-ray, and […]
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The administration procedure for inhalation therapy with nebulizers can be very lengthy and time-consuming. Because of this, many providers, pharmacists, nurses, and respiratory therapists could benefit from knowing which aerosolized medications may be combined to shorten this process. Patients also often ask, “Can I Mix Nebulized Medications”? There tends to be limited data and resources […]
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