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...
One of the most important complications to remember in kidney disease is electrolyte abnormalities. Strategic monitoring of electrolytes in kidney disease is essential. When I think about chronic kidney disease, the accumulation of electrolytes becomes something that...
Jiamin Liau is a clinical pharmacist in Australia who donated this piece on opioid replacement therapy! Ms DF, 27 years old, has been on opioid replacement therapy in the past. Treatment ceased about 20 months ago when she fell pregnant. Stating that she had started...
In a recent small study where taking iron every other day was given versus once daily iron, they demonstrated an improved absorption. How should we apply this in real world practice? In my practice, iron is used quite often and occasionally I will see iron dosed...
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...
