A 76-year-old male has been having some knee pain due to osteoarthritis. He has tried acetaminophen and ibuprofen and didn’t find much help with those. He finds a topical agent called capsaicin. He tries it PRN (as needed) for a couple of days and doesn’t...
Oftentimes there are numerous agents within a class of medication. Ropinirole (Requip) and pramipexole (Mirapex) is an example of this. When comparing ropinirole and pramipexole, there are clinical differences that might alter which one you choose. Comparing...
Diclofenac gel can be a beneficial tool in the management of localized osteoarthritis pain. There are many situations where acetaminophen is not effective and oral NSAIDs are intolerable or inappropriate. This is a type of situation where diclofenac gel may be...
In keeping it real today, I wanted to share my top 5 medications that worsen dementia. This list is totally anecdotal based upon my experience and the frequency with which I see these medications used in clinical practice. Without further ado, here are my top 5...
A 68-year-old male presents to your care with chronic back pain. He is taking ketorolac and states that NSAIDs are the mainstay of pain relief. He won’t take opioids due to a family history of addiction. Acetaminophen and other medications he has tried in the...
Donepezil (Aricept) is an acetylcholinesterase inhibitor that is used to help manage symptoms of dementia. I get asked quite a few questions about dementia and, more specifically, dementia-related medications. Here’s a recent question I received; If a patient is...
