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...
An 81 year old male presents with worsening confusion over a period of about 3-6 months. The primary provider is considering an Rx for Aricept as she feels that this is Alzheimer’s dementia in the mild to moderate stage. What do we do as pharmacists? One of the...
Urine drug screens are often confusing if you don’t interpret them on a regular basis. I think a big reason for confusion is a lack of education on what these tools can do and what they look at. I would definitely classify myself as needing to learn more about...
I appreciate the fantastic guest post from Amanuel Tseggai, Pharm.D., BCPS! There are plenty of clinical considerations when it comes to gabapentin. Here’s a scenario of using gabapentin in chronic kidney disease. A 42 year old African American man with a history of...
