Preop meds for pain control
Can some of you anesthesiologists please remind me what preop meds are now used for reducing postop pain?
In my day I seem to remember lyrica, clonidine, and/or celebrex being meds that would be taken PO several hours before surgery and that made post op pain more tolerable
Please elighten me on what pre op PO meds are used for this (at least at academic centers) (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2023 Category: Universities & Medical Training Authors: bedrock Tags: Pain Medicine Source Type: forums
Adding clonidine to prazosine for ptsd nightmares
Hey wondering if anyone has experience with the above (assuming the usual red flags such as substance use ans osa are checked)
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 27, 2022 Category: Universities & Medical Training Authors: Sikrouf Tags: Psychiatry Source Type: forums
Tizanadine vs. Clonidine, Guanfacine
I'm a psychiatry resident with many patients who have many psychiatric and non-psychiatric symptoms which would benefit from treatment with an alpha-2 agonist. For example, TBI from MVA, so has issues with impulsivity, anger/aggression, anxiety, and PTSD but also chronic pain, especially back pain. In an effort to reduce polypharmacy and increase efficacy I am considering starting/changing-to alpha-2 agonists
I am discussing with my psychiatry supervisors, but I hoped for some insight/wisdom...
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Source: Student Doctor Network - July 13, 2021 Category: Universities & Medical Training Authors: aim-agm Tags: Pain Medicine Source Type: forums
"Interesting" Practices
Hey all, EM doc here and recently I've recently seen a few practices that I find a little atypical:
1) PRN anti-hypertensives at home. I've seen a number of patients w/ prescriptions, typically hydralazine or clonidine, to be taken only as needed for at home SBPs>180 (in addition to their scheduled antihypertensives). Never saw/heard of this during med school or residency and it seemingly runs counter to most everything I learned about antihypertensive management.
2) I've seen a few...
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Source: Student Doctor Network - November 21, 2020 Category: Universities & Medical Training Authors: turkeyjerky Tags: Family Medicine Source Type: forums
Tachycardia with stimulant? When to discontinue?
Hi,
CAP fellow here. I have a 7 yo kid who I inherited from another doctor with a history of PTSD, ADHD and Intermittent Explosive Disorder. He's been on many different antipsychotics in the past due to behavioral outbursts. I have him on Focalin XR 20 mg qAM and Focalin XR 5 mg qNoon (insurance does not cover IR for reasons beyond me), Clonidine 0.1 mg qHS and Abilify 2 mg qAM (he was on a higher dose before but trying to lower as he is quite overweight).
At any rate, the parent has been...
Tachycardia with stimulant? When to discontinue? (Source: Student Doctor Network)
Source: Student Doctor Network - December 4, 2019 Category: Universities & Medical Training Authors: shahseh22 Tags: Psychiatry Source Type: forums
What PRN medication would you prescribe for agitation in outpatient setting?
The patient is a young adult with unspecified mental handicap who comes with mom. He has been on the following regimen for years:
clonidine 0.3mg per day
depakote DR 1000mg per day
geodon 200mg per day
valium 20mg per day
(Most of the above medications are split into two dosings a day.)
He has been on the regimen for years and is tolerating medications. Mother does not want to change the treatment. The above combination was from much trial and error and patient used to be much worse....
What PRN medication would you prescribe for agitation in outpatient setting? (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2017 Category: Universities & Medical Training Authors: AD04 Source Type: forums
Verifying Medication Questions?
Hi, hospital staff pharmacist here and I want to ask you guys few questions!
I am seeing many curve balls as I am verifying the orders.
If the frequency is different that what it says on Micromedex, but still under max dose would you guys verify? I got a clonidine order that is 0.1mg tid for blood pressure. I checked Micromedex and it says it's usually given BID (but max is 2.4mg/day)
I have numerous order sets like these. clonidine tid(?) lopressor 12.5 bid, lasix 80mg bid IV ?! (Source: Student Doctor Network)
Source: Student Doctor Network - March 7, 2017 Category: Universities & Medical Training Authors: wsbkp08 Source Type: forums
Guanfacine and Clonidine in ADHD
Why are Guanfacine and Clonidine used in treatment of ADHD? FA also mentions these. But i don't get it!! These drugs decrease NE release..and we used stimulants in ADHD right? (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2016 Category: Universities & Medical Training Authors: Northerncardinal Source Type: forums
Moments from call
Pt rushed to OR for worsening shock on multiple pressors. I remove the clonidine patch on his shoulder. He did well after three liters of blood removed from his abdomen. "It was a home medication." (Source: Student Doctor Network)
Source: Student Doctor Network - May 25, 2016 Category: Universities & Medical Training Authors: ranvier Source Type: forums
