Podcasts about Gabapentin

Story at-a-glance Spinal pain affects millions despite over $134 billion spent annually in the USA alone, with most patients remaining stuck in chronic pain cycles due to treatments that address symptoms rather than root causes Common pain generators are frequently missed, including weak ligaments, tight muscles, structural misalignments, trapped emotions, and inflammatory conditions — leaving patients to cycle through increasingly dangerous interventions without addressing underlying issues Conventional medications create more problems than they solve — NSAIDs are the leading cause of drug-related hospital admissions, Tylenol causes 56,000 ER visits annually from toxicity, and Gabapentin provides minimal benefit while causing cognitive effects such as drowsiness Corticosteroids, despite being "wonder drugs," cause devastating long-term damage, including 5% to 15% yearly bone loss, 70% weight gain rates, and dramatic increases in heart attacks (226%), heart failure (272%), and strokes (73%) Spinal surgeries remain highly profitable but questionable in effectiveness, with significant risks that patients often don't learn about until after complications occur, and no ability to "undo" surgical damage

Listen as Michael S. Blaiss, MD provides case-based perspectives on chronic cough recognition, burden, management, and pathophysiology and describes the evolving treatment landscape for refractory chronic cough.PresenterMichael S. Blaiss, MDClinical Professor of PediatricsDivision of Allergy-ImmunologyMedical College of Georgia at Augusta UniversityAugusta, GeorgiaLink to full program: https://bit.ly/4kweynG

Join us as we review recent practice-changing articles on the effect of vitamin D3 and omega-3 fatty acids on physical performance, gabapentin and falls, gepotidacin for uncomplicated UTI, and intermittent fasting for weight loss. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), special guest Laura Glick (@LauraRGlick) and Matt Watto (@doctorwatto). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Rahul Ganatra MD, FACP Reviewer: Sai S Achi, MD,MBA,FACP Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer Vitamin D3 vs omega-3 fatty acids and physical performance Gabapentin vs duloxetine and risk of falls Gepotidacin vs nitrofurantoin for uncomplicated UTI Intermittent fasting vs daily calorie restriction for weight loss Outro Sponsor: Bombas Head over to Bombas.com/curb and use code curb for 20% off your first purchase.

Join Jay Gunkelman, QEEGD (the man who has analyzed over 500,000 brain scans), Dr. Mari Swingle (author of i-Minds), and host Pete Jansons for another eye-opening episode of the NeuroNoodle Neurofeedback Podcast.✅ RFK Jr & Blue Dye Claims: The team critically evaluates whether methylene blue really alters EEG and brain healthYouTube Clip:    • RFK Jr. Takes This Blue Dye for Brain...  ✅ Babies, Vitamin D & Brain Development: Newborn deficiencies tied to developmental issuesResearch Article: https://neurosciencenews.com/vitamin-...✅ Politics & the Brain: Does ideology shape EEG patterns?YouTube Clip:    • Liberal vs Conservative Brains? Dr. M...  ✅ Overarousal EEG Phenotypes: Learn to identify patterns that can lead to burnout, mood issues, and even Parkinsonian traits.✅ Stress vs. Strain: Jay unpacks why strain—not stress—is the real danger to mental health.✅ BONUS: Jay shares details about his 77th birthday EEG Summit – Suisun City style!✅ Event & App Updates:Dr. Mari Swingle's Apps & Info: https://swinglesonic.comJay Gunkelman's Events & Info: https://suisuncitysummit.com✅ Help us keep the NeuroNoodle Podcast going!Support us on Patreon

Un nouvel épisode du Pharmascope est disponible… Et on s'attaque encore au trouble d'usage d'alcool! Dans cette deuxième partie, Nicolas, Isabelle et une invitée discutent des traitements de maintien du trouble d'usage d'alcool. Les objectifs pour cet épisode sont: Discuter des interventions comportementales dans le traitement de maintien du trouble d'usage d'alcool Discuter de la prise en charge pharmacologique du trouble d'usage d'alcool Comparer les avantages et les inconvénients de chaque classe médicamenteuse en trouble d'usage d'alcool   Ressources pertinentes en lien avec l'épisode Wood E, Bright J, Hsu K, et coll. Canadian guideline for the clinical management of high-risk drinking and alcohol use disorder. CMAJ. 2023 Oct 16;195(40):E1364-E1379. Repères canadiens sur l'alcool et la santé : rapport final. Centre canadien sur les dépendances et l'usage de substances. 2023 Répertoire des ressources en dépendances du MSSS INESSS. Sevrage d'alcool et prévention des rechutes. 2021. Kelly JF, Humphreys K, Ferri M. Alcoholics Anonymous and other 12-step programs for alcohol use disorder. Cochrane Database Syst Rev. 2020 Mar 11;3(3):CD012880. McPheeters M, O'Connor EA, Riley S, et coll. Pharmacotherapy for Alcohol Use Disorder: A Systematic Review and Meta-Analysis. JAMA. 2023 Nov 7;330(17):1653-1665. Rösner S, Hackl-Herrwerth A, Leucht S, et coll. Opioid antagonists for alcohol dependence. Cochrane Database Syst Rev. 2010 Dec 8;(12):CD001867 Rösner S, Hackl-Herrwerth A, Leucht S, et coll. Acamprosate for alcohol dependence. Cochrane Database Syst Rev. 2010 Sep 8;(9):CD004332. Cheng YC, Huang YC, Huang WL. Gabapentinoids for treatment of alcohol use disorder: A systematic review and meta-analysis. Hum Psychopharmacol. 2020 Nov;35(6):1-11. Anton RF, Latham P, Voronin K, et coll. Efficacy of Gabapentin for the Treatment of Alcohol Use Disorder in Patients With Alcohol Withdrawal Symptoms: A Randomized Clinical Trial. JAMA Intern Med. 2020 May 1;180(5):728-736. Blodgett JC, Del Re AC, Maisel NC, Finney JW. A meta-analysis of topiramate's effects for individuals with alcohol use disorders. Alcohol Clin Exp Res. 2014 Jun;38(6):1481-8. Agabio R, Saulle R, Rösner S, Minozzi S. Baclofen for alcohol use disorder. Cochrane Database Syst Rev. 2023 Jan 13;1(1):CD012557.

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Kate: Hi there Stephen !I am a big fan of your work, your book and your podcast! All the way from australia I am working in a pharmacy, and feeling like i'm sanitising my hands, more than I probably need to. Does hand sanitiser contain Endocrine disrupters, and should I consider other options? Thanks heaps!                    Sonny: Hi Dr Cabral, Around 18 months ago, I noticed hair loss at the front of my hairline. I'm in good health, and the only change has been using an infrared sauna 4-5 times a week. I tried 3 PRP sessions, which helped some regrowth, but the hair is now coarse, brittle, and wiry. A trichologist suggested possible alopecia areata, but no clear diagnosis was made. I've been using biotin, EquiLife Daily Hair Support, a red light cap, derma rolling, and copper peptide serum, but haven't seen much improvement. Are there any tests you'd recommend to investigate this further? I'm considering the Stress, Mood & Metabolism Test. Any advice would be greatly appreciated!                                                                                            Sheena: Hi Dr C! Hope you are well and hope 2025 is treating you and your family well. Quick question, after doing The BIG 5, my IHP2 has recommended that I do a Limited CBO protocol. My question is, because its a Limited protocol, would it be ok for me to do a 'cheat meal' once a week? Or should I still wait for after 21 days to have my first cheat meal? Thank you so much!                                                    Spencer: Hello Dr. Cabral, Asking a question for my girlfriend. All of the sudden, during a stressful work time, her shoulder started hurting. She had limited range of motion and pain all day. It made sleeping hard. She works from home and wasn't using it or injuring it during this time, it just kind of started to hurt. She went to the orthopedic and he diagnosed with frozen shoulder, gave her a cortisone shot, and said give it a 3-6 months and it should go back to normal. I'm wondering if you have anything complementary that could be added to this as just waiting doesn't feel like the optimal strategy. Thank you for all you do                                                                                                                                                              Kavita: Hello Dr. Cabral, I have a question about my husband's diagnosis and also the history. Looking for some answers from you as you have mentioned several times that everything is curable. This is the diagnosis from the doctor: Right leg numbness in the setting of Common peroneal neuropathy at the head of bula versus right & Lumbosacral radiculopathy at L5, superimposed on likely diabetic Neuropathy: Improving symptoms of right lower lateral leg/foot numbness w/in distribution of both the peroneal and L5 nerve root. No evidence of foot drop/weakness. Mild pain, Gabapentin prn for pain as below. Neuropathy is likely from diabetes, will monitor, appears mild/primarily SF based on recent NCS/EMG above. - gabapentin 100 MG Oral Cap; Take 1 capsule (100 mg total) by mouth nightly as needed         Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3333 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Brett and Christina dive into a sleepless whirlwind of tech chatter and media binges in this wildly overtired episode. Brett recounts his struggles with insomnia, trazodone, and Gabapentin while lamenting the lack of manic productivity….

Today, Cheryl from Australia, shares her story of LDN for long Covid that resulted in fibromyalgia and chronic fatigue syndrome. I got COVID in August 2021, which resulted in a severe infection with double pneumonia and landed me in the hospital for a month. When I arrived home from the hospital a month later, that was exactly when long Covid began. However, back then, it was still relatively new, and nobody knew much about it. It is actually very common for long Covid to set in a month after having Covid. As you mentioned, I've since been diagnosed with chronic fatigue syndrome (CFS) and fibromyalgia, which are my worst symptoms.Would you like me to go through the treatment options?Yes, I would. I'd like to know when you were diagnosed, what treatment options you were given, and what has happened from then until now.I had to seek help from a long Covid clinic because no treatment options were offered, as the doctors simply didn't know what to do with my symptoms. I experienced severe pain throughout my upper body and in all of my joints, which I rated at 9 to 10 out of 10. They put me on a high dose of Gabapentin (2400 milligrams) as a treatment option, which helped alleviate the pain, but also caused drowsiness and fatigue. I eventually started researching and found out about low-dose naltrexone (LDN), which my doctor was willing to prescribe. As I gradually increased the LDN dosage, I was able to decrease the Gabapentin slowly as well. Over the years, my pain has decreased from 9-10 out of 10 to 1-2 out of 10, which has significantly improved my quality of life.I experienced a lot of drowsiness, which wasn't great since I was already dealing with fatigue. Those were my main side effects, although I also experienced extra fatigue. I always took it at night. I was on it for at least a year. When I was on Gabapentin, my pain levels were still at least 8 out of 10. They didn't reduce much, but they took the edge off the pain. The pain was very severe, and I had to take a high dose just to cope with it. It got me to a level where I could manage, but I couldn't do much. My fatigue was so bad that I could only go out once a week to shop for 18 months. The post-exertional malaise was so bad that for 48 hours after going out, I would sleep for 24 hours straight. I had to set an alarm to wake up and eat before going back to sleep.I have been taking Low Dose Naltrexone (LDN) for the past 18 months, and it has significantly reduced my fatigue. It took some time, but now I can actually get up and function. Before taking LDN, I was practically nonfunctional. Taking it when I wake up works best for me, giving me a bit of energy to cope with the day. It wasn't just about the duration of taking LDN, but also finding the right dosage for me. It's been a combination of factors that has allowed me to really improve. Between 8 and 12 months, I didn't experience much improvement, and I could only shower once a week. However, now I can go out every day, and my post-exertional malaise is almost non-existent. I always advise people to see LDN as a long-term solution and not to expect instant results. It took a while for me, but it has definitely been worth it. Some people may notice amazing results in the first month, but for others, like me, it takes time and patience. It's not easy to be patient when you're not feeling well, but sticking with it is well worth it. LDN has also significantly reduced my severe shortness of breath and swallowing issues. I used to struggle to swallow medications, but that hasn't happened in quite a few months. My nighttime throat spasms have also reduced in severity and frequency. Despite being diagnosed with paralyzed vocal cords and vocal cord dysfunction, a combination of LDN and exercises taught by a speech pathologist has helped me greatly. Additionally, the headaches with concurrent eye pain have stopped, which

Mr. Joe explores the overall status of him mental health. He discusses microdosing, as well as Autism. Mr. Joe also provides information and feedback on Gabapentin.

Caroline became addicted to codeine after taking painkillers for her headaches. Mary became addicted to Gabapentin after back surgery.

Dr. Bob Martin answers callers' health questions: are there blood tests capable of detecting cancer? Should you get rid of your Smartphone because it emits dangerous EMF's? What to do for a young that doesn't seem to be growing at a healthy rate? If your hands are numb, do you have neuropathy and is Gabapentin a good treatment? After being on two Statin / cholesterol lowering drugs for 30 years – a callers' doctor want to start him on an injectable drugs, Repatha, is that a good idea? How to help reduce nighttime bathroom trips? Is it ok to snack on mini marshmallows? How to help hand tremors without using drugs?Health Alternative of the WeekProduct Recall of the WeekHealth Mystery of the Week

On the top 200 drugs podcast, we cover 5 more medications. The medications covered on today's episode include; omalizumab, nitroglycerin, apixaban, gabapentin, and etanercept. Omalizumab is a monoclonal antibody used in moderate to severe asthma. It targets IgE-mediated asthma attacks and reactions. Anaphylaxis is a significant concern with the use of this medication. Sublingual nitroglycerin is frequently used on an as needed basis for angina symptoms. I discuss major drug interactions and much more. Apixaban is an anticoagulant used to prevent stroke in atrial fibrillation. It can also be used in DVT/PE treatment and prevention. Gabapentin is classified as an antiepileptic agent but is most commonly used for neuropathic type pain. Etanercept targets TNF alpha which plays an important role in autoimmune diseases such as rheumatoid arthritis.

In this episode, we discuss two related anti-convulsants better known for their effect on neuropathic pain and anxiety in cats and dogs. However, there is some benefit of these drugs for seizure control in both species although there is not a lot of information to help us determine when we should consider their use and what to expect. Join us to find out what we do know and then see if you would consider using these drugs for one of your challenging cases.

Show notes at pharmacyjoe.com/episode961. In this episode, I'll discuss the continuation of newly prescribed gabapentin for acute pain management after hospital discharge. The post 961: Is that gabapentin just temporary? appeared first on Pharmacy Joe.

Reach out to Dr. Robbins Contact The Paley Institute: Website: https://limblengthening.org Book consult - https://paley.thec4llective.com Main Point of Contact - Angelique Keller - Director of Stature Lengthening 1) Email: akeller@paleyinstitute.org 2) Instagram: Stature - https://www.instagram.com/paleystaturelengthening/ 3) YouTube: Stature - https://www.youtube.com/@UCBDZvE1b-EEJm9ubxEctmyg ________ Audio Podcast: will be available within 48hrs when stream ends Timestamps: 0:00 – Intro 1:00 – Proportions - Dr. Robbins Presentation in Denmark 8:00 – Knee ligament repair surgery and LL at same time? Bowlegged correction & LL? 15:00 – Benefit of a Weight Bearing Nail like Precice MAX 17:00 – Reducing Scars 19:00 – When can you walk without assistance 21:00 – Walking normally 27:00 – Bone canal size for weight bearing 30:30 – When do you start lengthening bone and how long to finish 32:20 – Psychological screening prior to LL 38:00 – Benefit of talking to other patients during lengthening 43:15 – Weaning off of Gabapentin for nerve pain 45:45 – What type of Physical therapy back home 48:20 – Supplements to help with bone healing 55:00 – Can you get around with walker using 10.7mm nails 56:00 – Rebuilding leg muscles after LL 58:00 – Benefits of Physical therapy when doing homework on own 1:04:30 – ERC and nail max out – patient question 1:08:00 – Conservative lengthening benefits 1:13:00 – Does Muscle size affect lengthening 1:14:00 – Rebuilding muscle AFTER LL – muscle memory 1:16:45 – NOT 8.3cm on PRECICE nail – just a rumor – it's 8cm 1:18:00 – Do you LOSE Athleticism from doing more LL amount 1:19:15 – Precice MAX (vs) Precice 2.2 recovery times 1:21:00 – Soft tissue releases are not welcome 1:26:20 – How much of an LLD is okay to live with? 1:28:10 – Dangerous 2 Osteotomies from inexperienced clinic 1:31:00 – Nerve irritation during lengthening 1:32:30 – Brett went from 5'7” to 6'1” 1:35:30 – When to be able to walk without walker or crutches 1:36:10 – Dr. Robbins recent books 1:38:45 – Patient appreciation 1:40:10 - Outro ________

Molly is joined by Dr. Valarie Tynes, a veterinarian with a specialty in behavior, to talk about commonly prescribed medications for cat behavior issues. Which drugs are better for aggression from stress, and which are better for spraying? Get an understanding of why your veterinarian is prescribing behavior meds and learn how drug therapy might work well hand-in-hand with a behavior modification plan.

Gabapentin is a common medication prescribed for sciatica pain. How does it work? What are things to consider? Today we answer some questions that you probably wanted to ask, but couldn't find the answers, with Dr. Bailey Schroeder, PharmD. Here are some research articles about gabapentin and sciatica pain: https://www.ncbi.nlm.nih.gov/pmc/journals/3749/ and https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8515246/You can reach out and hear more about the work that Dr. Schroeder has been doing here: getinformmed.com and https://www.instagram.com/getinformmed/Did you know that our YouTube channel has a growing number of videos including this podcast? Give us a follow here- https://youtube.com/@fixyoursciatica?si=1svrz6M7RsnFaswNAre you looking for a more affordable way to manage your pain? Check out the patient advocate program here: ptpatientadvocate.comHere's the self cheat sheet for symptom management: https://ifixyoursciatica.gymleadmachine.co/self-treatment-cheat-sheet-8707Book a free strategy call: https://msgsndr.com/widget/appointment/ifixyoursciatica/strategy-callSupport this podcast at — https://redcircle.com/fix-your-sciatica-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Welcome to Episode 37 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 37 of “The 2 View” – Pitfalls in Managing Pain in the ED with Sergey M. Motov, MD, FAAEM. Segment 1 Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL. Increasing Benzodiazepine Prescriptions and Overdose Mortality in the United States, 1996-2013. Am J Public Health. 2016;106(4):686-688. doi:10.2105/AJPH.2016.303061. https://pubmed.ncbi.nlm.nih.gov/26890165/ Bijur PE, Kenny MK, Gallagher EJ. Intravenous morphine at 0.1 mg/kg is not effective for controlling severe acute pain in the majority of patients. Ann Emerg Med. 2005;46(4):362-367. doi:10.1016/j.annemergmed.2005.03.010. https://pubmed.ncbi.nlm.nih.gov/16187470/ Evoy KE, Covvey JR, Peckham AM, Ochs L, Hultgren KE. Reports of gabapentin and pregabalin abuse, misuse, dependence, or overdose: An analysis of the Food And Drug Administration Adverse Events Reporting System (FAERS). Res Social Adm Pharm. 2019;15(8):953-958. doi:10.1016/j.sapharm.2018.06.018. https://pubmed.ncbi.nlm.nih.gov/31303196/ Kim HS, McCarthy DM, Hoppe JA, Mark Courtney D, Lambert BL. Emergency Department Provider Perspectives on Benzodiazepine-Opioid Coprescribing: A Qualitative Study. Acad Emerg Med. 2018;25(1):15-24. doi:10.1111/acem.13273. https://pubmed.ncbi.nlm.nih.gov/28791786/ Li Y, Delcher C, Wei YJ, et al. Risk of Opioid Overdose Associated With Concomitant Use of Opioids and Skeletal Muscle Relaxants: A Population-Based Cohort Study. Clin Pharmacol Ther. 2020;108(1):81-89. doi:10.1002/cpt.1807. https://pubmed.ncbi.nlm.nih.gov/32022906/ Peckham AM, Evoy KE, Covvey JR, Ochs L, Fairman KA, Sclar DA. Predictors of Gabapentin Overuse With or Without Concomitant Opioids in a Commercially Insured U.S. Population. Pharmacotherapy. 2018;38(4):436-443. doi:10.1002/phar.2096. https://pubmed.ncbi.nlm.nih.gov/29484686/ Smith RV, Havens JR, Walsh SL. Gabapentin misuse, abuse and diversion: a systematic review. Addiction. 2016;111(7):1160-1174. doi:10.1111/add.13324. https://pubmed.ncbi.nlm.nih.gov/27265421/ Suvada K, Zimmer A, Soodalter J, Malik JS, Kavalieratos D, Ali MK. Coprescribing of opioids and high-risk medications in the USA: a cross-sectional study with data from national ambulatory and emergency department settings. BMJ Open. 2022;12(6):e057588. Published 2022 Jun 16. doi:10.1136/bmjopen-2021-057588. https://pubmed.ncbi.nlm.nih.gov/35710252/ Segment 2 Caplan M, Friedman BW, Siebert J, et al. Use of clinical phenotypes to characterize emergency department patients administered intravenous opioids for acute pain. Clin Exp Emerg Med. 2023;10(3):327-332. doi:10.15441/ceem.23.018. https://pubmed.ncbi.nlm.nih.gov/37092185/ Connors NJ, Mazer-Amirshahi M, Motov S, Kim HK. Relative addictive potential of opioid analgesic agents. Pain Manag. 2021;11(2):201-215. doi:10.2217/pmt-2020-0048. https://pubmed.ncbi.nlm.nih.gov/33300384/ Fassassi C, Dove D, Davis A, et al. Analgesic efficacy of morphine sulfate immediate release vs. oxycodone/acetaminophen for acute pain in the emergency department. Am J Emerg Med. 2021;46:579-584. doi:10.1016/j.ajem.2020.11.034. https://pubmed.ncbi.nlm.nih.gov/33341323/ Irizarry E, Cho R, Williams A, et al. Frequency of Persistent Opioid Use 6 Months After Exposure to IV Opioids in the Emergency Department: A Prospective Cohort Study. J Emerg Med. Published online March 14, 2024. doi:10.1016/j.jemermed.2024.03.018. https://pubmed.ncbi.nlm.nih.gov/38821847/ Sapkota A, Takematsu M, Adewunmi V, Gupta C, Williams AR, Friedman BW. Oxycodone induced euphoria in ED patients with acute musculoskeletal pain. A secondary analysis of data from a randomized trial. Am J Emerg Med. 2022;53:240-244. doi:10.1016/j.ajem.2022.01.016. https://pubmed.ncbi.nlm.nih.gov/35085877/ Wightman R, Perrone J, Portelli I, Nelson L. Likeability and abuse liability of commonly prescribed opioids. J Med Toxicol. 2012;8(4):335-340. doi:10.1007/s13181-012-0263-x. https://pubmed.ncbi.nlm.nih.gov/22992943/ Segment 3 Anshus AJ, Oswald J. Erector spinae plane block: a new option for managing acute axial low back pain in the emergency department. Pain Manag. 2021;11(6):631-637. doi:10.2217/pmt-2021-0004. https://pubmed.ncbi.nlm.nih.gov/34102865/ Chauhan G, Burke H, Srinivasan SK, Upadhyay A. Ultrasound-Guided Erector Spinae Block for Refractory Abdominal Pain Due to Acute on Chronic Pancreatitis. Cureus. 2022;14(11):e31817. Published 2022 Nov 23. doi:10.7759/cureus.31817. https://pubmed.ncbi.nlm.nih.gov/36579238/ Dove D, Fassassi C, Davis A, et al. Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial. Ann Emerg Med. 2021;78(6):779-787. doi:10.1016/j.annemergmed.2021.04.031. https://pubmed.ncbi.nlm.nih.gov/34226073/ Elkoundi A, Eloukkal Z, Bensghir M, Belyamani L, Lalaoui SJ. Erector Spinae Plane Block for Hyperalgesic Acute Pancreatitis. Pain Med. 2019;20(5):1055-1056. doi:10.1093/pm/pny232. https://pubmed.ncbi.nlm.nih.gov/30476275/ Finneran Iv JJ, Gabriel RA, Swisher MW, Berndtson AE, Godat LN, Costantini TW, Ilfeld BM. Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series. Korean J Anesthesiol. 2020 Oct;73(5):455-459. doi: 10.4097/kja.19395. Epub 2019 Nov 5. PMID: 31684715; PMCID: PMC7533180. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533180/ Finneran JJ, Swisher MW, Gabriel RA, et al. Ultrasound-Guided Lateral Femoral Cutaneous Nerve Cryoneurolysis for Analgesia in Patients With Burns. J Burn Care Res. 2020;41(1):224-227. doi:10.1093/jbcr/irz192. https://pubmed.ncbi.nlm.nih.gov/31714578/ Gabriel RA, Finneran JJ, Asokan D, Trescot AM, Sandhu NS, Ilfeld BM. Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain Management: A Case Report. A A Case Rep. 2017;9(5):129-132. doi:10.1213/XAA.0000000000000546. https://pubmed.ncbi.nlm.nih.gov/28509777/ Herring AA, Stone MB, Nagdev AD. Ultrasound-guided abdominal wall nerve blocks in the ED. Am J Emerg Med. 2012;30(5):759-764. doi:10.1016/j.ajem.2011.03.008. https://pubmed.ncbi.nlm.nih.gov/21570238/ Kampan S, Thong-On K, Sri-On J. A non-inferiority randomized controlled trial comparing nebulized ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. Age Ageing. 2024;53(1):afad255. doi:10.1093/ageing/afad255. https://pubmed.ncbi.nlm.nih.gov/38251742/ Mahmoud S, Miraflor E, Martin D, Mantuani D, Luftig J, Nagdev AD. Ultrasound-guided transverse abdominis plane block for ED appendicitis pain control. Am J Emerg Med. 2019;37(4):740-743. doi:10.1016/j.ajem.2019.01.024. https://pubmed.ncbi.nlm.nih.gov/30718116/ McCahill RJ, Nagle C, Clarke P. Use of Virtual Reality for minor procedures in the Emergency Department: A scoping review. Australas Emerg Care. 2021;24(3):174-178. doi:10.1016/j.auec.2020.06.006. https://pubmed.ncbi.nlm.nih.gov/32718907/ Nguyen T, Mai M, Choudhary A, et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Ann Emerg Med. Published online May 2, 2024. doi:10.1016/j.annemergmed.2024.03.024. https://pubmed.ncbi.nlm.nih.gov/38703175/ Sikka N, Shu L, Ritchie B, Amdur RL, Pourmand A. Virtual Reality-Assisted Pain, Anxiety, and Anger Management in the Emergency Department. Telemed J E Health. 2019;25(12):1207-1215. doi:10.1089/tmj.2018.0273. https://pubmed.ncbi.nlm.nih.gov/30785860/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Are you having a BRAT summer, because we sure are here on the NAVAS podcast! By BRAT, we mean Best Remedies for Analgesic Therapy! We're excited to continue our discussion on post-operative pain control for dogs and cats. If you haven't listened to part one of this conversation, please go back and listen before diving into this episode. We're going to finish up our conversation on surgical pain management by discussing the nuances of NSAID use in cats, confronting some controversial opinions on Gabapentin, rave about local anesthetic agents, and introduce some pharmacologic and non-pharmacological therapies to help tackle acute pain for our patients. Joining us again is Dr. Melina Zimmerman, veterinary anesthesiologist and owner of The Doggy Gym, where she provides pain management therapies for all kinds of species. Pain management is so much more than “set and forget”, and we hope to convince you of that right here on the NAVAS podcast.References are made to the following resources in the episode:Our previous short episode on Nocita with Dr. Tammy Grubb.2022 ISFM consensus guidelines on managing acute pain in cats that has been endorsed by the American Association of Feline Practitioners (AAFP): 2024 ISFM & AAPF consensus guidelines on long-term NSAID use in catsBuprenorphine as an additive agent with bupivacaine for certain dental blocks in dogsIf you like what you hear, we have a couple of favors to ask of you:Become a member of NAVAS for access to more anesthesia and analgesia educational and RACE-approved CE content. Spread the word. Share our podcast on your socials or a discussion forum. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.As a reminder, the ACVAA Annual Meeting is happening in Denver, CO from September 25-27 later this year. Registration rates are discounted for NAVAS members. We hope to see you there! Sign up today!Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.

ttps://.neuropathyct.com Peripheral neuropathy, a condition resulting from damage to the peripheral nerves, often leads to chronic pain, tingling, and numbness. To manage these symptoms, medications such as Gabapentin (Neurontin), Pregabalin (Lyrica), and Duloxetine (Cymbalta) are frequently prescribed. While these drugs can offer significant relief, their use comes with a range of potential dangers and side effects that patients and healthcare providers must carefully consider. DizzinessFatigueDrowsinessLoss of coordinationPeripheral edema (swelling of extremities)NauseaVomitingBlurred visionTremorsWeight gainLess common but more serious side effects include:Mood changes (such as depression or anxiety)Suicidal thoughtsDifficulty breathingSevere allergic reactions (rash, itching, swelling, severe dizziness, trouble breathing)Severe muscle pain or weaknessGabapentin can also interact with other medications, so it's important to inform your healthcare provider of all drugs and supplements you are taking. Additionally, stopping gabapentin suddenly can lead to withdrawal symptoms, so it should be tapered off gradually under a doctor's supervision. Always consult with your healthcare provider for personalized advice and informationNeuropathy@CoreHealth551 Post RoadDarien CT 06820203-875-0846.This podcast welcomes your feedback here are several ways to reach out to me. If you have a topic you would like to hear about send me a message. I appreciate your listening. Dr. Brian Mc Kayhttps://twitter.com/DarienChiro/https://www.facebook.com/ChiropractorBrianMckayhttps://chiropractor-darien-dr-brian-mckay.business.sitehttps://podcasts.apple.com/us/podcast/not-just-chiropractor-for-stamford-darien-norwalk-new/id1503674397?uo=4Core Health Darien-Dr.Brian Mc Kay 551 Post RoadDarien CT 06820203-656-363641.0833695 -73.46652073GMP+87 Darien, Connecticuthttps://youtu.be/WpA__dDF0O041.0834196 -73.46423349999999https://darienchiropractor.comhttps://darienchiropractor.com/darien/darien-ct-understanding-pain/Find us on Social Mediahttps://chiropractor-darien-dr-brian-mckay.business.site https://www.youtube.com/channel/UCNHc0Hn85Iiet56oGUpX8rwhttps://docs.google.com/spreadsheets/d/1nJ9wlvg2Tne8257paDkkIBEyIz-oZZYy/edit#gid=517721981https://goo.gl/maps/js6hGWvcwHKBGCZ88https://www.youtube.com/my_videos?o=Uhttps://www.linkedin.com/in/darienchiropractorhttps://www.facebook.com/ChiropractorBrianMckayhttps://sites.google.com/view/corehealthdarien/https://sites.google.com/view/corehealthdarien/home

Gabapentin has quietly become one of the most widely-prescribed drugs in America, and some say that could spell big trouble. Michael Abrams of Public Citizen explains why, as neurologist Dr. Brian Callaghan offers a counterpoint.Subscribe to my two podcasts: “The Sharyl Attkisson Podcast” and “Full Measure After Hours.” Leave a review, subscribe and share with your friends! Support independent journalism by visiting the new Sharyl Attkisson store. Preorder Sharyl's new book: “Follow the $Science.” Visit SharylAttkisson.com and www.FullMeasure.news for original reporting. Do your own research. Make up your own mind. Think for yourself.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Another month for horror trip reports all the way from Gabapentin all the way to βk-2C-B...

Ian Mitchell is an emergency physician, the Site Scholar for the Kamloops Family Medicine Residency Program and is occasionally photographed teaching whole rooms full of people to stick their fingers in their ears while opening their mouths really wide like they are in a silent scream. He caught our interest with an article and talk he did about gabapentin vs cannabis. Gabapentin was originally developed as a seizure medication, but it wasn't really good at that. Now it is routinely used for migraines, back pain, diabetic nerve pain and a variety of other conditions. There isn't great evidence for gabapentin and all its uses. Cannabis is just gaining the evidence it needs to show it is good for all different types of pain and other conditions. But it is still shunned by mainly clinicians. Is it fair the gabapentin is commonly used and cannabis is not? Plus we go down a cool rabbit hole into some novel uses of ketamine.Links:A Tale of Two Therapies - Ian Mitchell on MediumIan Mitchell's Talk - YouTubeMusic by:The Ramones - Pinhead (Gabba Gabba Hey) YouTube(Yes we got a SOCAN membership to use this song all legal and proper like)Additional Music:Desiree Dorion desireedorion.comMarc Clement - FacebookTranscripts, papers and so much more at: reefermed.ca

These are stories where people had an unexpected reaction to Gabapentin...

In this episode, we hear the rest of the interview with Dr. Marlene Martin, Hospitalist and Addiction Medicine specialist at SF General. She spoke at CONVERGE, but this year we got to her first! Last episode she discussed some topics around methadone initiation. Today we will here about Dr. Martin's thoughts on applying these concepts in the hospital, and how YOU can do it too! Other topics include discussing with patients about the the positive urine screen, and gabapentin in the treatment of AUD. Stick around to hear a bit about Dr. Martin's touristy wishes! | 00.00 - Episode open: WE MEET AGAIN | | 00.41 - Getting motivated and teaching tips | | 03.33 - TOXing with patients about the UTOX | | 11.29 - And a random pearl for those that stick it out to the end, Gabapentin in the treatment of AUD | Gabapentin For the Treatment of AUD [JAMA 2020, JAMA-IM 2014] | 15.20 - What got you into Addiction Medicine? | Beyond the Purple Journal [JHM 2021] | 18.55 - Get to know here: Dr. Martin and South America | [The appearance of external hyperlinks does not constitute endorsements by UCSF of the linked websites, or the information, products, or services contained therein. UCSF does not exercise any editorial control over the information found therein, nor does UCSF make any representation of their accuracy or completeness. All information contained in this episode are the opinions of the respective speakers and not necessarily the views their respective institutions or UCSF, and is only provided for information purposes, not to diagnose or treat.] Music by Amit Apte. Cover art organized by Neal Tambe.

Dive into the realm of advanced pain management with Dr. Mark Epstein, as he unveils the latest on Tramadol, Gabapentinoids, and more in our dedicated pain management series. Quick Summary: This episode, part of a five-episode series from a comprehensive workshop held in late 2023, focuses on Tramadol, Gabapentinoids, and their roles in veterinary pain management. Dr. Mark Epstein, a renowned expert, discusses the effectiveness, applications, and considerations of these medications in dogs and cats, offering practitioners insights to enhance patient care. Speaker: Dr. Mark Epstein, DVM, DABVP, CVPP, a leading authority in veterinary pain management, shares his expertise. Dr. Epstein is the medical director at Total Bond Veterinary Hospitals, North Carolina, and a celebrated figure in the field, having led significant pain management guideline programs. Main Talking Points: Tramadol's Efficacy: Exploration of Tramadol's varying effectiveness in dogs versus cats, highlighting its limitations and potential uses. Gabapentinoids: Discussion on Gabapentin and Pregabalin's roles in treating neuropathic pain, with specific dosing insights for both species. Emerging Therapies: Introduction to promising medications like Amantadine and Acetaminophen, outlining their contributions to multi-modal pain management strategies. Interesting Quotes: "The conversations about Tramadol... pretty much settled by now that the oral form of it in dogs is simply no strong evidence that it's effective." - Dr. Epstein "When it comes to dogs... we need more evidence to show it. So this is like going to be a therapeutic in progress of its study." - Dr. Epstein on Tapentadol "We can say with some confidence that [Gabapentinoids] can have a benefit when there's a neuropathic component to pain." - Dr. Epstein Timestamps: 0:00 - Introduction  2:05 - Tramadol's efficacy and limitations 5:40 - Gabapentinoids in pain management 10:25 - Insights into Amantadine and Acetaminophen 11:00 - Final thoughts   Visit IVDI.org to learn more about the Veterinary Dental Practitioner Program. Tune in next week for more insights into veterinary dentistry and pain management.   This episode provides a deep dive into the complexities of using Tramadol and Gabapentinoids for managing pain in veterinary patients, guided by Dr. Mark Epstein's rich experience and research. By dissecting the latest findings and practical considerations, veterinarians and technicians can glean valuable strategies for optimizing pain management in their practice. Affiliate & Sponsor Links: This series is brought to you by the International Veterinary Dentistry Institute (IVDI.org), offering comprehensive training to elevate your veterinary dentistry skills.

Join us as we review recent practice-changing articles on E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, lidocaine patches for mechanical neck pain, Cdiff risk by antibiotic type, and “dosing by clicks” for GLP1 agonists. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatra MD, MPH Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Introduction and disclaimer E-cigarettes for smoking cessation Gabapentinoids and COPD exacerbations Topical lidocaine for neck pain Association between specific antibiotics and C. diff infection Shortage of GLP-1 agonists and “dosing by clicks” Sponsor: Locumstory Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts. Sponsor: Freed  You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

The mystery surrounding the death of Sarah Kathleen Sweeney, 39, found deceased in a firefighter's home in the Village of Westwood near Frontenac on Jan. 13, has taken a significant step forward as the St. Louis County Medical Examiner completed her autopsy. Chief Medical Examiner Dr. Gershom Norfleet determined that Sweeney's cause of death was "Oxycodone, Gabapentin, and Diphenhydramine Intoxication," though the manner of death remains "Undetermined." According to the official report released by Frontenac PD, Sweeney was discovered with no apparent signs of trauma, and the investigation suggests she was alone at the time of her death. In response to the findings, the Sweeney family issued a statement expressing gratitude for the investigative efforts. "Our family has complete confidence in the thorough investigation made by the St Louis County Medical Examiner's office and the Frontenac Police Department," they said. "We'd like to thank them for their hard work on this case, and for their kindness and compassion when communicating with us." Acknowledging the ongoing police investigation, the family urged privacy, stating, "Our hope is to close this chapter of our lives soon so that we can grieve, move on, and continue to honor the memory of our Sarah." Days after Sweeney's tragic demise, her attorney revealed that she battled severe health conditions, including a life-threatening bone disorder and mast cell activation disorder. These conditions shed light on potential factors contributing to her death, raising questions about the circumstances surrounding her passing. Complicating matters further, the home where Sweeney was found deceased had a troubling history. It belonged to a man whose fiancée, Grace Holland, died of a single gunshot wound to the head two years prior. While police initially classified Holland's death as a suicide, her family harbored concerns about the investigation's integrity. Through their attorney, Holland's family had called for a meticulous examination into Sweeney's death, citing lingering doubts stemming from Holland's case. However, no charges or arrests have been made in connection with Sweeney's death, and the firefighter's identity and department remain undisclosed. Despite inquiries, Frontenac police have yet to provide additional information regarding the ongoing investigation. As the community awaits further developments, questions linger surrounding the circumstances of Sarah Kathleen Sweeney's untimely demise, leaving loved ones seeking closure and justice. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com 

The mystery surrounding the death of Sarah Kathleen Sweeney, 39, found deceased in a firefighter's home in the Village of Westwood near Frontenac on Jan. 13, has taken a significant step forward as the St. Louis County Medical Examiner completed her autopsy. Chief Medical Examiner Dr. Gershom Norfleet determined that Sweeney's cause of death was "Oxycodone, Gabapentin, and Diphenhydramine Intoxication," though the manner of death remains "Undetermined." According to the official report released by Frontenac PD, Sweeney was discovered with no apparent signs of trauma, and the investigation suggests she was alone at the time of her death. In response to the findings, the Sweeney family issued a statement expressing gratitude for the investigative efforts. "Our family has complete confidence in the thorough investigation made by the St Louis County Medical Examiner's office and the Frontenac Police Department," they said. "We'd like to thank them for their hard work on this case, and for their kindness and compassion when communicating with us." Acknowledging the ongoing police investigation, the family urged privacy, stating, "Our hope is to close this chapter of our lives soon so that we can grieve, move on, and continue to honor the memory of our Sarah." Days after Sweeney's tragic demise, her attorney revealed that she battled severe health conditions, including a life-threatening bone disorder and mast cell activation disorder. These conditions shed light on potential factors contributing to her death, raising questions about the circumstances surrounding her passing. Complicating matters further, the home where Sweeney was found deceased had a troubling history. It belonged to a man whose fiancée, Grace Holland, died of a single gunshot wound to the head two years prior. While police initially classified Holland's death as a suicide, her family harbored concerns about the investigation's integrity. Through their attorney, Holland's family had called for a meticulous examination into Sweeney's death, citing lingering doubts stemming from Holland's case. However, no charges or arrests have been made in connection with Sweeney's death, and the firefighter's identity and department remain undisclosed. Despite inquiries, Frontenac police have yet to provide additional information regarding the ongoing investigation. As the community awaits further developments, questions linger surrounding the circumstances of Sarah Kathleen Sweeney's untimely demise, leaving loved ones seeking closure and justice. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

The mystery surrounding the death of Sarah Kathleen Sweeney, 39, found deceased in a firefighter's home in the Village of Westwood near Frontenac on Jan. 13, has taken a significant step forward as the St. Louis County Medical Examiner completed her autopsy. Chief Medical Examiner Dr. Gershom Norfleet determined that Sweeney's cause of death was "Oxycodone, Gabapentin, and Diphenhydramine Intoxication," though the manner of death remains "Undetermined." According to the official report released by Frontenac PD, Sweeney was discovered with no apparent signs of trauma, and the investigation suggests she was alone at the time of her death. In response to the findings, the Sweeney family issued a statement expressing gratitude for the investigative efforts. "Our family has complete confidence in the thorough investigation made by the St Louis County Medical Examiner's office and the Frontenac Police Department," they said. "We'd like to thank them for their hard work on this case, and for their kindness and compassion when communicating with us." Acknowledging the ongoing police investigation, the family urged privacy, stating, "Our hope is to close this chapter of our lives soon so that we can grieve, move on, and continue to honor the memory of our Sarah." Days after Sweeney's tragic demise, her attorney revealed that she battled severe health conditions, including a life-threatening bone disorder and mast cell activation disorder. These conditions shed light on potential factors contributing to her death, raising questions about the circumstances surrounding her passing. Complicating matters further, the home where Sweeney was found deceased had a troubling history. It belonged to a man whose fiancée, Grace Holland, died of a single gunshot wound to the head two years prior. While police initially classified Holland's death as a suicide, her family harbored concerns about the investigation's integrity. Through their attorney, Holland's family had called for a meticulous examination into Sweeney's death, citing lingering doubts stemming from Holland's case. However, no charges or arrests have been made in connection with Sweeney's death, and the firefighter's identity and department remain undisclosed. Despite inquiries, Frontenac police have yet to provide additional information regarding the ongoing investigation. As the community awaits further developments, questions linger surrounding the circumstances of Sarah Kathleen Sweeney's untimely demise, leaving loved ones seeking closure and justice. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

Bobbi rants about the "other" pain medications. Host: Dr. Bobbi Conner Producer: Topher Conlan

This week's topics include virus update, cataract surgery, Gabapentin, cold weather, and more! Tune in every SUNDAY at 12 Noon Eastern, 9am Pacific and call in with your questions at 877-385-8882 or join us on Zoom.

Anesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of Anesthesiologists (ASA). Part one of this podcast is here: https://topmedtalk.libsyn.com/anesthesiology-2023-digest-part-1-topmedtalk The pieces linked to in this podcast are here: Opportunities in Anesthesiology | #ANES23 https://topmedtalk.libsyn.com/opportunities-in-anesthesiology-anes23 The GAP study: Gabapentin and perioperative pain, results and analysis | #ANES23 https://topmedtalk.libsyn.com/the-gap-study-gabapentin-and-perioperative-pain-results-and-analysis-anes23 Artificial Intelligence in your practice | #ANES23 https://topmedtalk.libsyn.com/artificial-intelligence-in-your-practice-anes23 TopMedTalks to… the Chief Executive Officer and Chief Quality Officer of NorthStar Anesthesia | #ANES23 https://topmedtalk.libsyn.com/topmedtalks-to-the-chief-executive-officer-and-chief-quality-officer-of-northstar-anesthesia-anes23 Patient Safety in Anesthesiology | #ANES23 https://topmedtalk.libsyn.com/patient-safety-in-anesthesiology-anes23 Anesthesia Patient Safety Foundation; Intraoperative Hypotension and Hemodynamic Stability | #ANES23 https://topmedtalk.libsyn.com/anesthesia-patient-safety-foundation-intraoperative-hypotension-and-hemodynamic-stability-anes23 Alternative study designs for the future | #ANES23 https://topmedtalk.libsyn.com/alternative-study-designs-for-the-future-anes23 TopMedTalks to ... BobbieJean Sweitzer | #ANES23 https://topmedtalk.libsyn.com/topmedtalks-to-bobbiejean-sweitzer-anes23

Menopausal vasomotor symptoms occur in about 80% of women and have a significant impact on quality of life. Hormone replacement therapy works well; however, it is often underused. Join host, Geoff Wall, as he evaluates Fezolinetant, a new medication to treat 'hot flashes.' The GameChangerHRT is vastly underused in menopausal women. Gabapentin and SNRIs may help with some vasomotor symptoms. Fezolinetant is effective for hot flashes and seems to be well tolerated. HostGeoff Wall, PharmD, BCPS, FCCP, BCGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint Health ReferenceLederman S, Ottery FD, Cano A, et al. Fezolinetant for treatment of moderate-to-severe vasomotor symptoms associated with menopause (SKYLIGHT 1): a phase 3 randomised controlled study. Lancet. 2023 Apr 1;401(10382):1091-1102. doi: 10.1016/S0140-6736(23)00085-5. Epub 2023 Mar 13. PMID: 36924778.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00085-5/fulltext Pharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE Information Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Discuss the pros and cons of hormone replacement therapy in women with vasomotor symptoms.2. Discuss the role of fezolinetant for treatment of vasomotor symptoms.  0.05 CEU/0.5 HrUAN: 0107-0000-23-365-H01-PInitial release date: 11/27/2023Expiration date: 11/27/2024Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagramDownload the CEimpact App for Free Continuing Education + so much more!

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for a record of the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams For more on the Gabapentin and perioperative pain (GAP) study go here: https://bristoltrialscentre.blogs.bristol.ac.uk/details-of-studies/gap/ We get into an important conversation about The Opioid Crisis, there's a powerful conversation about it in our archive here: https://topmedtalk.libsyn.com/topmedtalk-tackling-the-pain-of-the-opioid-crisis-0 Presented by Desiree Chappell, Mike Grocott and Guy Ludbrook with their guest Ben Gibbison Consultant Anaesthetist at University Hospitals Bristol NHS Foundation Trust.

Tinnitus is ringing in the ears, and it can drive a person crazy. Today I want to cover some tips to get rid of tinnitus naturally. Tinnitus is a little bit mysterious and hasn't been fully figured out. Typical treatments for tinnitus are medications called Gabapentin and Klonopin. These two medications both have a mechanism to increase GABA in the brain. GABA is an inhibitory neurotransmitter and slows down the central nervous system. An interesting study shows that people with tinnitus may have lowered GABA and upregulated glutamate. Glutamate stimulates the brain. The problem with GABA supplements is that they don't cross the blood-brain barrier. This means they will have a difficult time penetrating into the brain to create any effect. However, an amino acid called taurine turns into GABA and can pass the blood-brain barrier. Just be sure to take taurine on an empty stomach. In addition to increasing GABA, it's essential to inhibit glutamate. MSG and aspartame are high in glutamate, so it's important to avoid foods containing these ingredients. Other sources of glutamate to avoid: • Hydrolyzed protein • Calcium caseinate • Yeast extract • Textured protein • Whey protein • Soy protein isolates • Soy sauce DATA: https://www.sciencedirect.com/science... https://www.ncbi.nlm.nih.gov/pmc/arti... https://www.tinnitusformula.com/libra... https://www.truthinlabeling.org/names... https://www.lifeextension.com/magazin...

Interview with Jay F. Piccirillo, MD, author of Efficacy of Gabapentin For Post–COVID-19 Olfactory Dysfunction: The GRACE Randomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Efficacy of Gabapentin For Post–COVID-19 Olfactory Dysfunction

Interview with Jay F. Piccirillo, MD, author of Efficacy of Gabapentin For Post–COVID-19 Olfactory Dysfunction: The GRACE Randomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Efficacy of Gabapentin For Post–COVID-19 Olfactory Dysfunction

Today, this is what's important: Bodily fluids, facial hair, Adam's foot, Miguel, Hollywood sex parties, video cameras, krumping, the TII tour, pain meds, rap groups, Burning Man, and more.   See omnystudio.com/listener for privacy information.

Episode 148: Leg CrampsFuture Dr. Weller explains the pathophysiology, management, and prevention of leg cramps. Hector Arreaza adds comments and anecdotes about leg cramps.  Written by Olivia Weller, MS4, American University of the Caribbean School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Definition: Known also as “Charlie horses,” leg cramps are defined as recurrent, painful, involuntary muscle contractions. They can last anywhere from seconds to several minutes, with an average of nine minutes per episode. They are usually nocturnal and thus may be associated with secondary insomnia. Location: A muscle cramp can happen in any muscle in the body, but they occur most commonly in the posterior calf muscles, but they can also involve the thighs or feet. They are more common in women than men and the risk increases with age.Although they are experienced by 7% of children and up to 60% of adults, the exact mechanism remains unknown and there is no definitive treatment at this time. PathophysiologyThere is one leading hypothesis for nocturnal cramps that occur in the posterior calf muscles, and it is related to your sleeping position. When you are laying down in bed your toes are pointed which causes passive plantar flexion while the muscle fibers are shortened maximally. This causes uninhibited nerve stimulation with high-frequency involuntary discharge from lower motor neurons, which causes cramping. Another possible etiology is nerve damage because neurologic conditions such as Parkinson's disease are associated with a higher-than-normal incidence of cramps. Peripheral neuropathy, or damage to the connection between motor nerves and the brain can lead to hyperactive nerves when they are not being properly regulated. Thus, diabetes mellitus is a major risk factor for nocturnal cramps due to the high blood sugar levels damaging the small blood vessels which supply the muscles. Decreased blood flow has also been attributed as a cause of leg cramps. People with diseases that affect their vasculature, such as varicose veins or peripheral arterial disease also have a higher incidence of leg cramps. Decreased blood flow to the muscles means less delivery of oxygen and nutrients to the muscles which makes them more susceptible to fatigue. Muscle overuse is one of the dominant explanations for cramping. This can be related to doing too much high-intensity exercise without adequate stretching before and after. Pregnant women have added weight which puts extra strain on the muscles, along with sitting or standing for long periods of time, poor posture and flat feet. Notably, when we age, our tendons naturally shorten and they cannot work as hard, or as quickly which makes them more susceptible to overuse. Additionally, there are mineral deficiencies such as magnesium and potassium or decreased levels of B and D vitamins. With this in mind, people with renal failure that are on hemodialysis have an increased risk of nocturnal leg cramps. And finally, we have medications, some of which are related to mineral deficiencies. The main contributors are statins, diuretics, conjugated estrogens, gabapentin or pregabalin, Zolpidem, clonazepam, albuterol, fluoxetine, sertraline, raloxifene, and teriparatide (analog for parathyroid hormone). Management and preventionThere is no magic treatment to make them go away immediately, however, there are different remedies you can try to help facilitate. My Grandma told me about an old wives' tale, that if you put a bar of soap in your bed at your feet while you sleep, you won't get cramps at night. Maybe it works by the placebo effect, maybe there's a mechanism going on there I don't understand who knows, I'll have to do a study on it. If you get them very often, you can keep a foam roller or a heating pad next to your bed in preparation for when they come. Stretching the muscle is known to be very effective, as well as applying heat or ice to the affected area. You can also try massaging the muscle with your hands or getting out of bed to stand or walk around. Elevating the leg while laying down in bed can also be beneficial. In terms of prevention, you can try out different sleeping positions to see if one works better for you. If you usually sleep on your back, you can stick a pillow under your feet to help keep your toes pointed upward. Or, if you sleep on your stomach you can try to keep your feet hanging off the bed. Another tip is loosening the sheets or blankets around your feet. Daily stretching, especially before and after exercise as well as before bed is useful. Make sure to exercise, stay hydrated, and limit your alcohol and caffeine consumption. You also want to wear supportive shoes or use orthotic inserts in your shoes, especially if you spend lots of time on your feet during the day. Medications/supplements: Since various deficiencies can cause cramps, one way to prevent them is to take supplements such as magnesium, vitamin D, and B12 complex. And as a last resort, you can try medications. Calcium channel blockers such as diltiazem or verapamil have been used, and muscle relaxants including Orphenadrine (Norflex®) and Carisoprodol (Soma®). Gabapentin is an anticonvulsant commonly used as a neuropathic pain medication; this used to be used to treat leg cramps but later it was found that they can actually increase the frequency of muscle cramps so they are no longer used. Quinine was also used for many years to treat leg cramps; however, it is no longer recommended because of drug interactions and serious hematologic effects such as immune thrombocytopenic purpura (ITP) and hemolytic uremic syndrome (HUS). Summary: Leg cramps are common, the pathophysiology is unclear, but may be related to problems with blood flow, the nervous system, sleeping position, and muscle overuse. Treatment includes nonpharmacologic therapies such as changes in sleeping position, heat, and massaging; and medications/supplements that may be useful include Carisoprodol (Soma®), diltiazem, gabapentin (Neurontin), magnesium, orphenadrine (Norflex®), verapamil, and vitamin B12 complex.____________________________Conclusion: Now we conclude episode number 148, “Leg Cramps.” Future Dr. Weller explained that the etiology of leg cramps is multifactorial. Some theories about why leg cramps happen include poor circulation, muscle overuse, dysfunctions in the nervous and musculoskeletal systems, electrolyte imbalances, mineral deficiencies, and more. Some therapies were discussed, including changes in position while sleeping, massage, heat pads, and medications such as calcium channel blockers, muscle relaxants, and supplements of magnesium and Vitamin B12. Gabapentin is a medication that can cause leg cramps, but some sources recommend it as a treatment as well. This week we thank Hector Arreaza and Olivia Weller. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Leg Cramps. Cleveland Clinic. (2023, May 6). https://my.clevelandclinic.org/health/diseases/14170-leg-crampsAllen, R. E., & Kirby, K. A. (2012, August 15). Nocturnal leg cramps. American Family Physician. https://www.aafp.org/pubs/afp/issues/2012/0815/p350.htmlMayo Foundation for Medical Education and Research. (2023, March 2). Night leg cramps. Mayo Clinic. https://www.mayoclinic.org/symptoms/night-leg-cramps/basics/definition/sym-20050813Royalty-free music used for this episode: Simon Pettersson - Good Vibes_Sky's The Limit_Main. Downloaded on July 29, 2023, from https://www.videvo.net/ 

In this follow up episode to #352, Jared discusses the clinically proven power of several nutrients and other natural compounds that may work for the same conditions that Gabapentin and Lisinopril are prescribed for. With the significant risk profile of these drugs, many patients are looking for effective alternatives without the risk. Jared shares natural alternatives for nerve pain, neuropathy, neuralgia, and high blood pressure. You'll learn the ins and outs of each of the ingredients and how they could potentially benefit you.Products:N.O. Cardio BoostKyolic Aged Garlic ExtractNatural Factors BerberineVital 5 Magnesium BisglycinateVital 5 Omega3 + AntioxidantsNerve ReverseNatural Factors L-TheanineCBD - call to order 801-292-6662Life-Flo Magnesium Oil Night SprayLife-Flo Magnesium GelAdditional Information:Episode #260: Prescribing Poisons. Commonly Prescribed Drugs; Are the Risks Worth the Benefits? Part 1Episode #266: Prescribing Poisons Part 2. Ibuprofen, PPI's, and Flouroquinalone AntibioticsEpisode #352: Prescribing Poisons Part 3: Gabapentin and LisinoprilEpisode #278: The Incredible Benefits of Aged Garlic ExtractEpisode #227 VR Vintage: There is an Herbal Supplement that Works for Diabetes, Blood Pressure and Cholesterol Better than Drugs! Berberine is that Powerful!Episode #242: The Vital Five How To: Your User's Guide to Filling the Gaps in Your DietEpisode #186 The Powerful Effect of 10:1 ratio CBD + THC with Stuart TomcEpisode #159 VR Vintage: CBD; the Central Nervous System, Gut Health, Immunity and How It All Interrelates an Interview with Maggie FrankResearch:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888748/https://www.healthline.com/nutrition/garlic-for-blood-pressure#dosages-formshttps://www.sciencedirect.com/science/article/abs/pii/S1530891X23003828https://www.chiroeco.com/uncommon-nutrients-carpal-tunnel/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2836194/Visit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

In his continuing series on serious issues with heavily prescribed drugs, Jared tackles two big ones - Gabapentin and Lisinopril. Gabapentin is used for all kinds of things in an off label capacity, but does it work? And is it safe? Lisinopril is prescribed as the number one option for high blood pressure but it has come under significant scrutiny and seems to cause more problems the longer someone is using it. Learn the truth about these iffy prescriptions! Also the follow up episode #354 will give you some safer and still very proven natural alternatives to consider. Additional Information:Episode #260: Prescribing Poisons. Commonly Prescribed Drugs; Are the Risks Worth the Benefits? Part 1Episode #266: Prescribing Poisons Part 2. Ibuprofen, PPI's, and Flouroquinalone AntibioticsEpisode #354: Prescribing Poisons Part 3 Follow Up: Natural Alternatives to Gabapentin and Lisinopril (coming soon!)Visit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

Contributor: Aaron Lessen MD Educational Pearls: Patients with alcohol use disorder are frequently discharged from the ED without further resources Pharmacological treatments to reduce cravings in AUD exist Naltrexone  Effective at reducing alcohol cravings and heavy drinking  Gabapentin Reduces the percentage of heavy drinking days in AUD Patients being discharged from the ED should be asked if they feel their alcohol use is a problem, which can further direct appropriate pharmacological interventions References 1. Kranzler M.D. HR, Feinn Ph.D. R, Morris B.A. P, Hartwell Ph.D. EE. A Meta-analysis of the Efficacy of Gabapentin for Treating Alcohol Use Disorder Henry. Addiction. 2019;114(9):1547-1555. doi:10.1111/add.14655 2. Maisel NC, Blodgett JC, Wilbourne PL, Humphreys K, Finney JW. Meta-analysis of naltrexone and acamprosate for treating alcohol use disorders: When are these medications most helpful? Addiction. 2013;108(2):275-293. doi:10.1111/j.1360-0443.2012.04054.x 3. Mariani JJ, Pavlicova M, Basaraba C, et al. Pilot randomized placebo-controlled clinical trial of high-dose gabapentin for alcohol use disorder. Alcohol Clin Exp Res. 2021;45(8):1639-1652. doi:10.1111/acer.14648 Summarized & Edited by Jorge Chalit, OMSII  

Gabapentin has been rampantly used off-label for spinal pain since it was introduced on the market. However, new research indicates that seeing a chiropractor before "usual medical care" can reduce your likelihood of receiving a Gabapentin prescription by nearly 50%! Episode Notes:Association between chiropractic spinal manipulation and gabapentin prescription in adults with radicular low back pain: retrospective cohort study using US dataDesigned by a Podiatrist over 30 years ago after seeing similarities in many of the custom devices he was creating, PowerStep offers an affordable, same day solution that combines support and cushioning. Want to try a pair for yourself, click here for a free sample pair. with the code EBCPatient Pilot by The Smart Chiropractor is the fastest, easiest way to grow your practice on autopilot…without spending any money on advertising. Discover more and access our 3X ROI Guarantee here! ChiroMatchMakers specializes in DC and CA hiring. We have over 100 positions available right now with salaries starting at $85K. Discover the available positions today by clicking here. Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Gabapentin Trade Name Neurontin Indication Seizures, peripheral neuropathy, neuropathic pain, prevention of migraines Action Exact method of action unknown, may play a role in stabilizing neural membranes Therapeutic Class Analgesic adjuncts, anticonvulsants, mood stabilizers Pharmacologic Class None Nursing Considerations • May cause suicidal thoughts, confusion, depression, drowsiness, ataxia, facial edema, hypertension • Monitor pt closely for changes in behavior and depression • Assess seizure activity • Assess pain level • Patient should take medications exactly as prescribed

Last episode we talked all about Gabapentin, and how it’s prescribed to virtually every single SCI patient at one point or another for neurological (nerve) pain. We exposed the lesser known side effects of this drug, and read some testimonials about it from real WAGS in this community. We put our critical thinking caps on, […]

Gabapentin has quietly become one of the most widely-prescribed drugs in America, and some say that could spell big trouble. Michael Abrams of Public Citizen explains why, as neurologist Dr. Brian Callaghan offers a counterpoint.Subscribe to my two podcasts: “The Sharyl Attkisson Podcast” and “Full Measure After Hours.” Leave a review, subscribe and share with your friends! Support independent journalism by visiting the new Sharyl Attkisson store.Order “Slanted: How the News Media Taught Us to Love Censorship and Hate Journalism” by Sharyl Attkisson at Harper Collins, Amazon, Barnes & Noble, Books a Million, IndieBound, Bookshop!Visit JustTheNews.com, SharylAttkisson.com and www.FullMeasure.news for original reporting. Do your own research. Make up your own mind. Think for yourself.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.