Using Interdisciplinary Teams to Mitigate the Effects of Drug Shortages in Palliative Care: The Case of Lorazepam Injection
J Pain Palliat Care Pharmacother. 2023 Oct 23:1-6. doi: 10.1080/15360288.2023.2269899. Online ahead of print.ABSTRACTGiven the rising frequency of drug shortages in hospitals, interdisciplinary collaboration is necessary to manage medications, modify electronic medical records, and evaluate safety outcomes. One such shortage impacted lorazepam injection, a medication commonly used in palliative care to treat anxiety, agitation, and seizures. In anticipation of the lorazepam shortage in the summer of 2022, pharmacy staff collaborated with palliative care physicians to identify alternative treatment recommendations when prov...
Source: Journal of Pain and Palliative Care Pharmacotherapy - October 23, 2023 Category: Palliative Care Authors: Natalie Hartung Zainab Fatima Danielle M Noreika J Brian Cassel Katie S Adams Source Type: research

The Role of Health Coaching in Pain and Palliative Care Pharmacy Practice
J Pain Palliat Care Pharmacother. 2023 Oct 19:1-6. doi: 10.1080/15360288.2023.2268039. Online ahead of print.ABSTRACTWhole-person care is essential in the management of patients with chronic pain and serious illness. Pain, suffering, and comfort do not fall under typical chronic disease management and cannot be boxed nicely into algorithms of evidence-focused, biomarker-based goal achievement like hypertension or diabetes. Current therapies, including surgical, interventional, and analgesic modalities may be only marginally effective, and have brought with them questionable practices, high cost, and an opioid epidemic. Pat...
Source: Journal of Pain and Palliative Care Pharmacotherapy - October 19, 2023 Category: Palliative Care Authors: Lee A Kral Source Type: research

Review of Dopamine Antagonists for Nausea and Vomiting in Palliative Care Patients
J Pain Palliat Care Pharmacother. 2023 Oct 16:1-7. doi: 10.1080/15360288.2023.2268065. Online ahead of print.ABSTRACTSymptoms of nausea and vomiting are common in palliative care and hospice patients. One of the many classes of medications used for the treatment of nausea and vomiting is dopamine receptor antagonists which are particularly helpful for treating nausea mediated by the chemoreceptor trigger zone (CTZ) and impaired gastrointestinal function. While dopamine antagonists can be very effective treatments for nausea they should be used with caution as they carry the risk of QTc prolongation, have a FDA black box wa...
Source: Journal of Pain and Palliative Care Pharmacotherapy - October 16, 2023 Category: Palliative Care Authors: Grace Jenkins Source Type: research

Atypical Withdrawal Symptoms after Abrupt Tramadol Discontinuation: A Case Report
J Pain Palliat Care Pharmacother. 2023 Oct 4:1-3. doi: 10.1080/15360288.2023.2261913. Online ahead of print.ABSTRACTTramadol is a commonly utilized analgesic in the United States. One common misconception is that tramadol is safer than other opioid medications, or less likely to cause physical dependence. Given these misconceptions, the likelihood of patients experiencing withdrawal after discontinuation may be commonly overlooked as well. A 68-year old female patient with fibromyalgia was referred to a clinical pharmacy pain clinic for medication management. The patient was evaluated one month after abrupt discontinuation...
Source: Journal of Pain and Palliative Care Pharmacotherapy - October 4, 2023 Category: Palliative Care Authors: Caylee Sams Serena Cheng Source Type: research