Concurrent Drug Therapy Case Study

Decent Essays
3. Concurrent drug therapy issues:

• Concomitant use with opioids [US Boxed Warning]: Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. Limits dosages to the minimum required. Follow patients for signs and symptoms of respiratory depression and sedation.

Related Documents

  • Decent Essays

    Status - uncontrolled Drug therapy problem - safety: dose too high - LS's pain medication dose is too high and at risk for opioid overdose. Drug therapy problem - indication: needs additional drug therapy - LS is at high risk for opioids overdose, a rescue medication for opioids overdose is recommended; LS needs optimal pain medications to control her symptom. Drug therapy problem - compliance: noncompliance - LS is not compliance with taking her MS Contin tablet and oxycodone IR tablet. Rationale:…

    • 328 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Alprazolam Case Study

    • 808 Words
    • 4 Pages

    Starting at week 4, Alprazolam could be gradually tapered off and discontinued over the next 2 weeks. Meanwhile, referral is made by clinicians for the patient to meet with a psychiatric nurse practitioner (NP), and/or the psychiatrist for treatments and CBT therapy. It is critical to follow up patient’s progress on counseling and CBT therapy in order to adjust the treatment plan. (McCarron, R. M., Xiong, G. L., & Bourgeois, J. A., 2009). While taking BZPs, patients should avoid driving and drinking, and consult with the provider if they want to use BZPs in combination with…

    • 808 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Daraprim Case Study

    • 1229 Words
    • 5 Pages

    Democracy is what the United States prides itself on. As a model for many other countries, every citizen would have whatever they need in order to live happy, healthy and productive lives due to a government structure holding their civil liberties a in the forefront of political decisions. Unfortunately, many of the citizens find themselves in a place between a critical choice to be healthy or live comfortably. In order to fulfill a critical foundational building block of the United States, many citizens need to choose feeding their family over paying for a life saving drug. Funding political campaigns via lobbying in favor of major Pharmaceutical company CEOs instead of the American citizens.…

    • 1229 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Medication Case Study

    • 1225 Words
    • 5 Pages

    Medication Scenario My client, John, is a single 59-year-old white male. John was recently diagnosed with Major Depressive Disorder and was prescribed Cymbalta. John earns approximately $22,000 per year and says he cannot afford to fill the medication. As John’s social worker, I have been asked to help him find a prescription assistance program.…

    • 1225 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Scope Of Pain

    • 51 Words
    • 1 Pages

    Majority of doctors have taken the Scope of Pain certification course. Several doctors will not prescribe opioids to patients who are taking antihistamines and muscle relaxants. The consensus is that both combination should be avoided. The combination has been linked to an increase in emergency room visits especially for older…

    • 51 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    All benzodiazepines carry the risk of cognitive impairment, delirium, falls, fractures, and MVCs. Diazepam may be appropriate when the patient is monitored closely during seizures or situations like acute alcohol withdrawal. The Beers Study recommends avoiding the use of this medication at most costs. (Steinman, Beizer, DuBeau, Laird, Lundebjerg, & Mulhausen, 2015). 6.…

    • 1037 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Webster and Fine (2012) found that the equlanalgesic tables used for conversion from one opioid to another are very questionable and physician proficiency in treatment grossly insufficient. In response, increased methadone related deaths led the FDA to publish a public health advisory on life-threatening respiratory and cardiovascular events and high risks for death when initially starting methadone therapy for chronic pain or substance abuse therapy (Webster and Fine, 2012,…

    • 837 Words
    • 4 Pages
    Improved Essays
  • Brilliant Essays

    A Review of Multisystemic Therapy Tasia Mamiya University of Southern California A Review of Multisystemic Therapy Introduction History of Multisystemic Therapy At the core of juvenile delinquency lies antisocial behavior. This type of behavior has been shown to correlate with multiple factors both within the youth and the systems, which he or she resides in. However, in the late 1970s, treatments only focused on a few of those risk factors.…

    • 2279 Words
    • 10 Pages
    Brilliant Essays
  • Superior Essays

    Acute Dystonia

    • 842 Words
    • 4 Pages

    Answer the following questions: 1. List and explain the extrapyramidal side effects from first-generation antipsychotics Acute dystonia- muscle rigidity of the neck that causes head to move to one side. Rapid onset. Akathisia- psychomotor restlessness.…

    • 842 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    When prescribing medications to the elderly population; medications that are potentially inappropriate are among the most important causes of adverse drug reactions (Boparai, Korc-Grodzicki, 2011). If these reactions occur, the patient may be subjected to take additional medications. Since Meloxicam, a non-steroidal anti-inflammatory (NSAIDS) drug meets the Beers Criteria list. When this medication is prescribed to the elderly population, this can produce sedation or postural hypotension. Therefore, the medication can increase the risk of falls for these patients and put them in high risk for hospitalization, loss of independent living, and early death (Arnstein, 2012).…

    • 178 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Medicated Assisted Treatment: A Starting Phase to Recovery Between 26 and 36 million people abuse opioids in the world (Volkow 2014) and every nineteen minutes someone in the United States dies from an opioid overdose (CDC 2012). A person often continues their use of opioids despite negative consequences due to the fear of withdrawal and lack of coping skills. Medication assisted treatment (MAT) for opioid addiction is an option which stops withdrawal symptoms, provides stability and accountability for the individual and can help guide a person to a healthy, stable and productive life. Despite the success and demand for MAT, it “remains grossly underutilized in many addiction treatment settings, where stigma and negative attitudes…

    • 1569 Words
    • 7 Pages
    Superior Essays
  • Decent Essays

    The elderly population generally have more disease states and therefore are on more medication. This increases the risk of adverse drug reaction (ADR) and drug-drug interaction. Some of the more common ADR include anticholinergic effects, mental status changes, orthostatic hypotension, gastrointestinal tract disturbance, and cardiac changes. In addition, some medication while treating a specific disease can trigger or worsen a different disease (Wooten, 2012).…

    • 64 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    At the beginning of my nursing career most of the medical terms I’ve come to use and understand I had while little knowledge about. Some of these terms I picked up in practical experience and other I learnt in lectures. One of these terms has come to be very important in my nursing career and that is medication management. At first my understanding of this concept was very limited and I didn’t understand many of the different factors that all came together to make up the whole. Over my studies this understanding has evolved and become a core part of my nursing practice.…

    • 1335 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    There is a growing need to focus on over-the-counter (OTC) medication misuse. In the article Intentional Misuse of Over-the-Counter Medications, Mental Health, and Polysubstance Use in Young Adults, the study states “OTC-related emergency room visits increased 70% from 2004 to 2008” (Benotsch et al., 2013). The study further examines the growing problem of misuse of OTC medications and the growing trend of young adults endangering their health with polysubstance abuse.…

    • 721 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This is one of the reasons why doctors need regulations on prescribing patients opioid long term because they are too many deaths from people overdosing on these prescribed…

    • 711 Words
    • 3 Pages
    Improved Essays