Category Archives: Medications

New Drugs May Help Prevent Migraines

(ĐTĐ) – Two experimental drugs may help prevent migraines in people who suffer multiple attacks a month, according to preliminary findings from a pair of clinical trials.   The drugs, one given by IV and one by injection, are part of a new approach to preventing migraine headaches. They are "monoclonal antibodies" that target a […]

Are Medication Overuse Headaches Associated With NSAIDs?

(ĐTĐ) – Question: Are medication overuse headaches associated with use of nonsteroidal anti-inflammatory drugs?   Response from Jenny A. Van Amburgh, PharmD, CDE (Assistant Dean of Academic Affairs; Associate Clinical Professor, School of Pharmacy, Northeastern University; Director, Clinical Pharmacy Team Director, Residency Program, Harbor Health Services, Inc., Boston, Massachusetts): Medication overuse headache (MOH), previously called […]

Greater Use of Meds to Halt Opioid Overdose Epidemic Urged

(ĐTĐ) – US addiction experts are urging expanded use of medications to combat the "opioid overdose epidemic" plaguing the country.   In a commentary published April 23 (2014) in the New England Journal of Medicine, National Institute of Drug Abuse (NIDA) director Nora Volkow, MD, and colleagues from other US Department of Health and Human […]

NSAIDs Double Bleeding Risk With Anticoagulants for DVT/PE

(ĐTĐ) – Patients receiving an anticoagulant for deep vein thrombosis (DVT) or pulmonary embolism (PE) who take a nonsteroidal anti-inflammatory drug (NSAID) or aspirin for pain or headache, even for a few days, are at heightened risk for a major bleed, according to a new study published online April 14, 2014 in JAMA Internal Medicine […]

Amitriptyline for Treating Fibromyalgia: A Help or Hindrance?

(ĐTĐ) – There are numerous treatments available for the symptoms associated with fibromyalgia. Fibromyalgia is classified as a disorder of pain processing due to abnormalities in the ways in which pain signals are processed in the central nervous system.   Patients suffering from fibromyalgia often complain of depression, insomnia,irritable bowel syndrome, painful and tender points […]

Fibromyalgia Medications

(ĐTĐ) – There are many different medications used to treat fibromyalgia symptoms, including pain medicines, sleeping pills, and antidepressants. Some fibromyalgia medicines help ease pain. Others boost mood and improve sleep. Working with your doctor will help you find the right fibromyalgia medication to add to your treatment regimen. That way, you can manage your […]

Prescription or Over the Counter, Pain Pill Mistakes Common

(ĐTĐ) – Sharing prescriptions, hoarding expired drugs, and more no-nos for taking prescription and over-the-counter pain medications.   It’s been a hard day, and Joe’s back is killing him. His wife has some Percocet left over from a trip to the dentist, and there’s that big bottle of Tylenol under the sink, so Joe grabs […]

Topical Anesthesia

Topical Anesthesia

Overview Many options to deliver anesthesia have developed over the last several decades. Administration of topical anesthetics to control pain associated with procedures such as laceration repair may avoid the need for infiltrative local anesthesia injections and associated pain from the injections. Topical anesthesia also avoids the risk of wound margin distortion that exists with […]

Anesthesia

Anesthesia

Anesthesia Local anesthetics are classified into 2 groups: the ester group and the amide group. The classification is based on the chemical structure of the intermediate chain. This structural difference affects the pathway by which local anesthetics are metabolized and the allergic potential. Ester anesthetics are listed in the Table below. They are metabolized by hydrolysis, […]