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pain. I was aware that this was an ingredient in peppers that causes a burning sensation,
but was not aware that it was in medicine form or that it was used to treat pain.
can cause a medication overuse headache. I will always ask about the frequency of use
When prescribing corticosteroid joint injections, how judiciously should you use these
Cynthia,
I enjoyed reading your post. I was also unaware of the fact that colchicine has the potential to
cause diarrhea, and plan to add that to my education plan for patients in the future. I also
believe that preventative medicine and non-drug therapy is many times underutilized in the
medical profession.
In response to your question, How long should you give migraine therapy regimen before you
decide that it is not working? I did some reading and this is what I found, according to Mallick-
Searle (2016), It is essential to treat patients for an adequate amount of time (2 to 3 months)
before a change in treatment (p. 1052). I can only imagine, with the horrible and debilitating
pain of a migraine that has to seem like a lifetime with a regimen that you feel is not helping.
migraine sufferers to ensure that they set realistic goals for their treatment, such as reduction in
frequency by 50%, and total elimination is not a realistic goal (p. 1052).
Pharmacotherapeutics for Advanced Practice Nurse Prescribers (4th ed.), (pp. 1035-
Scott,
I enjoyed reading your post and you bring up a valid point. From previous inquiry about this
change the treatment regimen. Like you, I feel uneasy about treating something that I am unsure
about. As I have heard many times from providers, as well as in class, if it looks like a duck,
and quacks like a duck, treat it like a duck. Unless insurance and cost is an issue, if uncertain,
one could always obtain bloodwork/ cultures, treat empirically until the lab results come back,
providers just write medications, even if the patient does not need them, in order to keep the
patient happy. In todays society, many (including myself) have been guilty of wanting a quick
fix for an illness with a prescription medication, when oftentimes a simple lifestyle modification
or change could be of benefit, without all of the additional side effects. I believe that patient
education is essential, and as future providers, we need to be proactive in assuring that our
patients understand all of the potential risks, as well as the benefits of medications and treatment
plans. How do you justify prescribing an antibiotic when the medication is not warranted for the
diagnosis? A question/thought that I have about that situation, how happy are those patients
going to be when they become tolerant to antibiotics or when the acquire a drug resistant bug