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...
Tricyclic antidepressants are an important class of medications that we shouldn’t forget about. They are typically very inexpensive and can provide nice relief for pain syndromes, particularly neuropathy. Treating neuropathy with triple-cyclic antidepressants...
In a previous post, I discussed the rare situation of patients being on both gabapentin and pregabalin and some possible explanations for this scenario. That prompted someone to ask me how to do a conversion of gabapentin to pregabalin. Let’s set up the...
I can’t think of a good reason to use gabapentin and pregabalin together, but I have seen it a few times. Here’s the med list and what I would look at. Dulaglutide 0.5 mls once weekly Gabapentin 100 mg TID Omeprazole 20 mg BID Trazodone 100 mg HS...
