Spending a good chunk of my time in geriatrics, we get into these situations where there are options on the table, but we may not like any of them. Selecting antipsychotics in Parkinson’s is one of those crappy situations. If you remember the pharmacology and...
Many institutions are working with patients to try to taper off of opioids. Setting up an opioid taper schedule is not something that should be taken lightly. This is a process that I’ve helped with quite a bit so I definitely have an understanding that...
The two common dopamine agonists used in practice are pramipexole (Mirapex) and ropinerole (Requip). They are often used in the management of restless leg syndrome and also sometimes utilized in Parkinson’s disease. Here’s a few clinical pearls on these...
I’ve had the opportunity to work with chronic pain patients and opioid tapering. It has been very challenging and I have definitely picked up a few pearls and strategies to try to help coach patients along the process. I recently shared some of these pearls...
Valproic acid for migraines isn’t generally the first line prophylactic agent as there are a few other agents that can be utilized. There are also other indications for valproic acid like bipolar disorder, and seizures. When using valproic acid for migraines...
A 82 year old male has a medical history of osteoarthritis, diabetes, BPH, gastroparesis and Parkinson’s disease. He is complaining of nausea and stomach upset after meals. Current medications include: Sinemet 25/100 mg 2 tablet three times daily Requip 0.5 mg...
