In this case scenario with gabapentin and metolazone, I lay out how the prescribing cascade can rear its ugly head. SK is a 74-year-old male with a past medical history significant for chronic kidney disease stage 3, type 2 diabetes, hypertension, peripheral...
JE is a 75-year-old male with a history of diabetes. He has recently complained of peripheral neuropathy symptoms and his provider has started him on gabapentin 300 mg TID. In this scenario, I’m going to discuss some of the factors to consider when thinking...
Restless Legs Syndrome (RLS) can be very debilitating for patients. It is a condition that often warrants pharmacotherapy. But which medications are most effective and how should we choose? I’ll lay out some of the most important RLS treatment clinical pearls in...
Gabapentin is a frequently used medication for neuropathy, RLS, and various other pain syndromes. In this article, I discuss my top 5 reasons to avoid gabapentin use and pick an alternative. Sedation While the sedative nature of gabapentin can be beneficial when...
The kidney plays many vital roles in the body. One of those roles is to eliminate medications and their metabolites. When the kidney is not functioning well, drugs are eliminated from the body at a slower rate and can accumulate. Those higher drug concentrations can...
