A 66-year-old female has a past medical history of diabetes, neuropathy, depression, and hypertension. In this case scenario, I discuss the use of a TCA with an SNRI. Her current medication list includes: Aspirin 81 mg dailyCapsaicin cream prnAmitriptyline 10 mg at...
In this case scenario, I discuss some ideas as to how I would handle a patient on duplicate dopamine agonists. A 58-year-old female has a history of diabetes, restless legs, anemia, and GERD. Her major concern has been with her restless legs as she has not been able...
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...
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...
Quinine for leg cramps has a boxed warning in the U.S. due to potential for serious side effects like arrhythmias and thrombocytopenia. In studies, it has been shown to be ineffective for leg cramps in addition to the risks of adverse effects. I do see it used from...