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Fentanyl Patch Overdose Prevention

Fentanyl is a semisynthetic narcotic prescribed for chronic pain.  They are highly potent, slow onset, and have lingering effects after the patch is removed.  In our media we have seen it as a drug being mixed up in heroin to heighten the effects.  There is even an illegal Chinese made fentanyl called carboxfentanyl which is several […]

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Gabapentin and pregabalin (Lyrica) continue to surge as an alternative to opiods for pain.  They are best prescribed for post herpetic neuralgia and diabetic neuropathy.  Efficacy may be similar to Seretonin Reuptake Inhibitors.  Tricyclic antidepressants may be more effective but have far more side effects. However, there is no good evidence for its use for […]

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Ketamine Infusion

Ketamine has been shown to have antidepressant effects and long term pain control effects that outlives its duration of activity.  clearly the effects of ketamine are more complex than its effects on NMDA receptors in the brain and analgesic effects in the brain and spine.  People are getting acute relief of pain and antidepressent effects […]

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