Category: Meds

The insanity of American health care prices played out in this one, real oncology appointment

The oncologist had prescribed Xgeva hoping it would strengthen her bones while also delaying the progression of Angela Kahn’s breast cancer. But Kahn (a pseudonym) couldn’t get over the price of the drug. Before the oncologist had a chance …

The recent fish oil and vitamin D studies: Go beyond the headlines

Results of a much-anticipated trial on fish oil and vitamin D generated conflicting headlines recently. Some stories declared good news about the popular supplements. Reuters wrote that fish oil “can dramatically reduce the odds of a heart attack while…

Beware the hazards of over-the-counter (OTC) pain medications

A 30-year old male patient was recently admitted to my service via the emergency department. He came in complaining of abdominal pain and dark tarry stools. He mentioned a recent fall resulting in knee pain for which he had been taking 400 mg ibuprofen…

3 ways pharmacists can change your prescribing habits

As the health care landscape evolves, health care provider roles continue to shift. Industries recognize the power of collaboration and the strength of communication between different providers; among those, the pharmacist and the physician. Unfortunat…

Don’t miss this adverse drug reaction when tapering benzodiazepines

“Alice Woods” is dying of metastatic breast cancer, but she cares little for awareness efforts like pink ribbons and catchy hashtags like #stage4needsmore. You see, Alice has akathisia due to an adverse effect from discontinuing Klonopin — a condition …

Suboxone for pain makes sense. Why don’t more doctors prescribe it?

Many patients who end up in Suboxone treatment have chronic pain. They were originally prescribed other opiates and ended up addicted to them. Skeptics argue that is just substituting one opiate for another. But that isn’t quite accurate. More on that …

The thorny side of medical marijuana

Patients legally using medical marijuana (cannabis) at home may be stunned if they are admitted to a hospital because many hospitals may prohibit them from using it. In the United States, medical marijuana is legal in 31 states, and research shows that…

Students shouldn’t take Adderall as a study aid

College students work hard, and many are looking for ways to improve their studying and learn more effectively. Getting more sleep and more exercise would probably help, but up to a third are trying ADHD medications to see if pills can give them that e…

3 ways physician-pharma partnerships are improving quality of care

We’ve all heard about the importance of greater stakeholder collaboration in health care. It’s the premise of current movements aimed at improving the outlook on some of the most costly, chronic conditions. Like most physicians today, I maintain a tigh…

When Western medicine fails patients and clinicians

It’s a common scenario: a patient shows up to my office lugging a bagful of over-the-counter supplements, defiantly informing me that they “don’t believe in prescription drugs.” In the very next breath, they present a lab slip with a list of bloodwork …