Lasmiditan (Reyvow) is an agent that can be utilized for acute migraine treatment. It works slightly differently than triptans. While triptans target serotonin receptor subtypes 1B and 1D, lasmiditan targets serotonin receptor subtype 1F. The biggest reason that this...
In this gout case study, a 66-year-old female has a past medical history of diabetes, neuropathy, depression, migraines, insomnia, gout, and hypertension. She has numerous complaints. Her gout has not been in good control as she is requiring significant indomethacin...
Polymyalgia rheumatica (PMR) is a relatively common condition in adults over 50 years old, and more often affects northern European populations including Scandinavians, although it can affect people of any race. Below we will outline the basics of the treatment of...
A 66-year-old female has a past medical history of diabetes, neuropathy, depression, and hypertension. In this case scenario, I discuss the use of a TCA with an SNRI. Her current medication list includes: Aspirin 81 mg dailyCapsaicin cream prnAmitriptyline 10 mg at...
In this case scenario, I discuss some ideas as to how I would handle a patient on duplicate dopamine agonists. A 58-year-old female has a history of diabetes, restless legs, anemia, and GERD. Her major concern has been with her restless legs as she has not been able...
