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Just curious,
What are some common drug interactions that you always call the Dr?
What are some common drug interactions that you always call the Dr?
Just curious,
What are some common drug interactions that you always call the Dr?
bactrim and warfarin
I also love calling dentists to tell them they gave a lortab script to a pt on MSIR and Mscontin. It happens alot and they are always more than happy to cancel it
I agree with your action but I dont want people to think there is a dangerous drug-drug interaction between lortab and morphine per say. There may be an additive effect when two opiods are prescribed. It is fine if the prescriber wants to change or not add another opioid and caution should be used when an opioid is prescribed but there is no max dose for opioids, unless it also contains another ingredient such as APAP. Just remember that many patients need more than one opioid to control their pain.
We were taught that >1 opiate is not any more efficacious for pain control than only 1, and to increase the dose of the existing drug and make sure they're using rescue doses when needed.
I'd be glad for the phone call.bactrim and warfarin
I also love calling dentists to tell them they gave a lortab script to a pt on MSIR and Mscontin. It happens alot and they are always more than happy to cancel it
bactrim and warfarin
I also love calling dentists to tell them they gave a lortab script to a pt on MSIR and Mscontin. It happens alot and they are always more than happy to cancel it
I guess my direction was not the DDI per say, but that the pt is usually a drug seeker going to dentists to get more narcotics.
If they had legitimate dental pain why would they want/need hydrocodone when they had a stock of MSIR or another strong fast acting opoid
I usually recommend the College of Physicians and Surgeons of Ontario clinical practice guidelines, like Methadone for Pain, or Methadone Maintenance as an overview. Though the guidelines are intended for doctors practising in Ontario, there's lots of good general info.Pharmavixem: since you are a methadone pharmacist, any recommendation on a good read on methadone?