Pain management can be incredibly difficult in the elderly due to the high risk of potential side effects. NSAIDs are some of the most commonly used medications for pain. Here’s 5 reasons why NSAIDs in the elderly may not be such a good idea. 1. NSAIDs can...
I’ve seen numerous mistakes involving these two pain medications that come in a patch formulation. Between drug diversion (fentanyl – Duragesic), inappropriate time intervals for changing (lidocaine – Lidoderm), as needed use (fentanyl), and lost...
A huge challenge in clinical pharmacy is determining what information is actually relevant. By relevant, I mean what information actually impacts patient care. I see gabapentin most frequently used for neuropathy. The pharmacokinetics of gabapentin are a little...
In my practice as a clinical pharmacist, I see the use of fentanyl patches on pretty much a daily basis. I’ve seen numerous mistakes with fentanyl patches and wanted to put together a list of 5 dangerous mistakes. In no particular order: 1. Fentanyl patches...
68 year old male battling some knee pain tries 400 mg three times daily to help with osteoarthritis and muscle pain. This gentleman has a history of cardiac issues including congestive heart failure and recent heart attack. He is currently on a low dose of Lasix...
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...
