One other quick point that I can follow up on is that fentanyl takes a long time to ramp up, which also means that it takes a little while to get to a steady state of concentration. What does this mean clinically? I’ve seen a case where the dose was increased too...
Happy Veteran’s day! Narcweek begins now, thanks for all the support! I’m still seeing problems and questions on Duragesic (fentanyl) patches out there, so hopefully I can bring some examples over the next few nights that really emphasize some of the mistakes I see...
I’m going to finish off the week with some random things I’ve come across over the previous few months. I occasionally see some capsaicin(creams, gels etc.) products used from time to time for the treatment of pain. I also frequently see as needed orders for this...
Coumadin and NSAIDs(Advil, Aleve, Nabumetone, etc.) probably one of the worst drug-drug interactions, in fact the AMDA lists it as one of its top ten in long-term-care/geriatrics. http://www.amda.com/tools/clinical/m3/topten.cfm – NSAIDs can cause issues with...
