Pain
- Off-label and oft-prescribed
When prescribing drugs for uses beyond their FDA indications, we need to explain their anticipated side effects and benefits.
Functional heartburn: An underrecognized cause of PPI-refractory symptomsFunctional heartburn is the most common cause of failure of proton pump inhibitor therapy.
- Beyond depression: Other uses for tricyclic antidepressants
The pharmacology of these drugs, their potential uses in conditions other than depression, and safety considerations.
- SEEDS for success: Lifestyle management in migraine
Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.
- A few pearls can help prepare the mind
The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.
- Myopathy for the general internist: Statins and much more
How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as potentially dangerous myopathies.
- Cannabis for peripheral neuropathy: The good, the bad, and the unknown
Even where it is legal, doctors should recommend it only after careful consideration.
- Cannabis for chronic pain: Not a simple solution
Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.
- A physician’s response to observational studies of opioid prescribing
Not long ago, we were told we needed to do better at relieving pain.