The Curbsiders Internal Medicine Podcast #333 Prescribing pearls, Periop Medicine, PMR, Gout, OSA, Nocturia, Food as Medicine, a new Obesity paradigm, and rethinking Afib! ACP #IM2022 Highlights
19 snips
May 6, 2022 AI Snips
Chapters
Transcript
Episode notes
Be Cautious With Opioid Tapers
- Avoid rapid opioid tapers; they increase overdose and mental health crises.
- Use shared decision making and individualize taper speed for long-term opioid users.
Reconsider Common Analgesics' Harms
- Acetaminophen at usual doses can raise blood pressure modestly and affect cardiovascular risk.
- Tramadol carries serious risks including hypoglycemia, mortality, and fractures despite perception as lower-risk.
Watch Paxlovid Drug Interactions
- Check drug interactions before prescribing nirmatrelvir-ritonavir and expect effects to persist 8–10 days.
- Use Liverpool COVID-19 drug interactions resource for quick checks.