Tramadol is a opioid like medication that is frequently used for moderate type pain. It is incredibly important to remember that because it has opioid activity, it can certainly lead to the risk of addiction and dependence. Here’s 2 other important tramadol...
Opioid equivalencies are a challenging item. If you look online, you can find opioid equivalency tables all over the place. They are useful tools, but they may not tell the complete story. In the video below, I discuss opioid equivalencies and how genetic variations...
There are numerous osteoporosis medications that can be used and I’ve seen a ton of patient mistakes with these medications. Managing osteoporosis is like many other chronic diseases in that the medication helps prevent really bad things from happening. When...
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...
