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Category Archives: Drugs
Sodium Hyaluronate Injection For Supraspinatus Tendinitis Rotator Cuff
Both Hyaluronate Injection and physiotherapy work for isolated simple supraspinatus tendonitis though the former would be easier – but more expensive…
Midazolam Augmentation of Lumbar Steroid Injections – Use, in Just Mechanical Back Pain
Recent article demonstrated that a combination of steroid and midazolam worked well for post herpetic neuralgia: Miracle Treatment – Low Back Post Herpetic (Post Shingles)Neuralgia Treated With Epidural Steroid and Spinal Midazolam Without Local Can Give Significant Relief For Over … Continue reading
Confirmed – IV Vitamin C During Acute Shingles Has Effect
Recent blognote was written showing significant decreases in acute shingles pain with Vitamin C: Helping Prevent and Treat Post Shingles Pain / Post Herpetic Neuralgia – Can It Be as Simple as Vitamin C to Help? Now two further cases … Continue reading
Posted in Drugs, IV therapy, post herpetic neuralgia
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Growth Hormone Deficiency Common in Fibromyalgia But Where is Evidence That Rx Helps That Much?
A recent abstract (not article) was published finding that baseline growth hormone and peak growth hormone levels (after insulin reaction provocation) were diminished in Fibromyalgia ,but prior article attempts of growth hormone supplementation looked disappointing to me.
Posted in Drugs, Fibromyalgia
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How One May Obtain Significant Relief Pain With Over the Counter (OTC) Meds – Using Dextromethorphan
NOTE – many drugs could be effected by treatment below (and potentially dangerously) and so this should be supervised by your doctor or your pharmacist -especially if on Warfarin. There are rare cases of Dextromethorpan “Benylin cough syrup” dependence mentioned … Continue reading
Posted in Drugs, Fibromyalgia
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7 day Buprenorphine Patch Lanched in Canada
Purdue has released their 7 day patch painkiller – where it fits in remains to be seen.
Posted in Drugs
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Intranasal Sufentanyl and Buccal Fentanyl for Breakthrough Cancer Pain
Breakthrough cancer pain occurs at least once in 2/3 of cancer patients. Either morphine sc injections, which require a needle, or fentanyl intranasal, which requires multiple sprays, has been used. Sufentanyl intranasal spray requires much less.
IntraNasal Low Dose Ketamine For Neuropathic Pain
I have reluctant to use ketamine because of undesirable side effects including hallucinations. Now it looks like much can be achieved even with low dose using S isomer form.
Posted in Drugs, neuropathic
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Dextromethophan For Diabetic Neuropathy, Fibromyalgia, and even Uncontrollable Crying
Technique was devised to beef up dextromethorphan (DM cough syrup) ) by combining it with quinidine sulfate which prevents the former from being metabolized
Posted in Drugs, Fibromyalgia, neuropathic
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Vitamin C in Press Again – Low Contributes to Disc Disease?
Recent Hypothesis forwarded that low Vitamin C sets the stage for disc disease and once disc degeneration started, it is a self fueling inflammatory disease.
Posted in Back Pain, Drugs
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Higher Doses Opioids Doubles Fall Rates In Elderly
Epidemiological study found aged on over 50 mg morphine equivalents had double the fracture rates. Question is why…
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Pamidronate Works Again – For Childhood Leg Pain – Complex Regional Pain
Pamidronate has been show to work in Complex Regional Pain – Often triggered by fractures. Now severe pain after a leg fracture was helped by pamidronate in a child
Posted in complex regional pain, Drugs
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Milnacipran For Fibromyalgia – Only Good On Paper?
Article in press using large number of cases, demonstrates statistical superiority of Milnacipran in Fibromyaglia. Although thoroughly disguised, absolute results don’t look that great.
Posted in Drugs, Fibromyalgia
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New Possible Knee Arthritis Treatment – Subcutaneous Knee area Injection of Pentosan
Pentosan is marketed in this country as Elmiron, an agent that will help protect bladder lining from interstitial cystitis. Now question is, could knee subcutaneous injections protect knee joint lining and be a “disease modifying osteoarthritis drug (DMOAD)”. Open trial … Continue reading
Posted in Drugs, Injection, Knee
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Ulcer Pills and Fractures
People on either Proton pump inhibitors(PPIs) or histamine-2 receptor blockers (H2RAs) have a 1.3 – 1.7 times risk of hip fracture. This risk disappears after stopping the medication for 3-5 years. With PPIs causing bacterial overgrowth, and with it stomach … Continue reading
Posted in Drugs, osteoporosis
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At Last – A Treatment For Jaw Osteonecrosis
Osteonecrosis mandible from mostly IV biphosphamates can be a real hazard in cancer treatments – now it looks like teriparatide – human recombinant pararthyroid hormone peptide 1-34 – was able to help recovery
Posted in Drugs, osteoporosis
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Lower Dose Gabapentin and Imipramine work in Neuropathic Pain
Tested in Cancer Neuropathic pain, Gabapentin 200 mg and Imipramine 10 mg every 12 hours was found to be a superior combination
Posted in Drugs, neuropathic
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New Painkiller for Back & Knee Pains – Raloxifene (Evista) – a drug for Osteoporosis
There is a connection between osteoporosis and arthritis with arthritis settling in more in osteoporotic joints. Now an osteoporotic drug can not only help that but seems to have analgesic properties to back and knee pains if used regularly.
Posted in Back Pain, Drugs, Knee, osteoporosis
2 Comments
Immunoglobulin Infusion Improves Complex Regional Pain
Longstanding Complex Regional Pain can be incredibly difficult to treat. Now Immunoglobulin Infusions have been shown to drop pains scores by 1.55 units.
Posted in complex regional pain, Drugs
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Opioid Phobia Takes Hit – “Iatrogenic opioid addiction… rare” According to Cochrane Library
With all the courses and Physician college emphasis on opioid addiction detection one would think addiction was highly likely on opioids – a Cochrane review finds quite the opposite.
New Hope For Chronic Daily Headaches – Continuous Infusions of Dihydroergotamine
Repeated IV infusions of DHE (dihydroegotamine) is the standard treatment for breaking transformed migraines (into chronic daily headaches). Unfortunately, arranging patient to be seen every 8 hours is just not viable in our community. Now a continuous infusion protocol may … Continue reading
Posted in Drugs, Headaches, Injection
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Oxycodone and St. John’s Wort – a bad combination and Oxycodone and Death Rates
St. John’s wort may reduce oxycodone (oxycontin, oxy-IR, etc.) levels by 50%.
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Is Ganoderma Lucidum herbal any Use?
I had a patient come in and ask if Reishi mushroom – “Lingzhi” Ganoderma Luciderma is helpful. The answer is maybe…
Botulinum / Botox for Neuralgia/Neuropathic Pain
I recently had the following letter: “I am doing research on use of botulinum toxin type-a in trigeminal neuralgia.so, I will be highly obliged if you will send me some details with references about dosage and techniques used in injecting … Continue reading
Posted in Botox, Drugs, neuropathic
4 Comments
Finding If a Drug Available in Canada
I’ve had questions if Savella/Milnacipran available in Canada. It is not. Checking the Health Canada site offers that info.
Posted in Drugs
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