Category Archives: medication issues

Proton pump weaning…

Proton pump weaning…  Many patients are on PPIs (like omeprazole) for gastroesophageal reflux disease.  It is thought that PPIs should only be used on a short-term basis for conditions like reflux or erosive esophagitis. Consider stopping the PPI medication and … Continue reading

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Considering adding cannabis to your medical prescriptions?

Considering adding cannabis to your “medical” prescriptions?  Rethink your choice.  A recent study of TWENTY MILLION patients shows a 26% increased risk of stroke and a 10% increased risk of heart failure.  The study analyzed data of patients aged 18 … Continue reading

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Does chewing gum help after abdominal surgery?

Yes!  Chewing gum reduces the time to the first flatus (first time passing gas) after an abdominal surgery and it decreases the time to the first bowel movement.  Gum has helped these two actions occur sooner so that the patient … Continue reading

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Nausea medicines: Many causes and different solutions

Nausea.  This is a common symptom.  It can be treated by a variety of medicines. Nausea and vomiting are mediated by three neurotransmitter pathways: visceral stimulation releases dopamine and serotonin; vestibular and central nervous system activation release histamine and acetylcholine; … Continue reading

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Cough medicine used as a drink?

We are mid “the coughing months” where as a provider I have patients with a cough that may benefit from a codeine cough syrup.  I am growing weary of prescribing promethazine with codeine as this can be doctored into a drink.  … Continue reading

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Notice: hydrocodone will be more difficult to refill!

You may not take the popular pain medicine hydrocodone (also known as Vicodin, Lortab, and Norco).   But, if you do… refills are going to be more difficult starting today.  The Drug Enforcement Administration is changing hydrocodone to a stricter drug class.  … Continue reading

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Patients don’t fill their prescriptions?!

What?  Actually, 1/3 of prescriptions go UNfilled.  The fancy word for this is “nonadherence.” A Canadian study followed nearly 16,000 patients.  The results: nonadherence most often this occurs due to prescribing expensive drugs and preventive therapies for chronic conditions. Also, … Continue reading

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