Since 2007, the FDA has been discussing and debating the development of Risk Evaluation and Mitigation Strategies (REMS) for opioid medications . The purpose of these REMS is to make access to opioid drugs more difficult for drug abusers while still giving chronic pain patients the ability to fill their prescriptions without undue problems. Of course, that is more easily said than done. Needless to say, since the idea of REMS was first announced, chronic pain patients have been concerned about how the REMS would affect their ability to get the pain medications they need. Many have already run into problems with doctors who are no longer willing to prescribe opioids and pharmacists who refuse to fill their prescriptions for various reasons. It's a reasonable assumption that additional restrictions would only make getting their medications more difficult. Although this first set of approved REMS for a class of drugs will not apply to most chronic patients, it...
When the kneecap is out of whack, doctors call the condition patellar malalignment . (The patella is the kneecap.) Patellar malalignment often goes undiagnosed. The author suggests that, when it is diagnosed, doctors are sometimes too quick to use surgery as the first treatment. There are two kinds of symptoms related to patella problems, slipping and pain. Patients who feel the patella slip, or even dislocate, usually have mechanical problems with their knee. Patellar pain, on the other hand, isn't fully understood by doctors. Many patients with patellar malalignment don't feel any pain. Others do. Factors such as an injury or overuse seem to trigger the pain. Other disorders may cause the pain, such as nerve or blood vessel problems or inflammation of the patellar tendon. And some conditions can cause patellar pain even when the patella is correctly lined up. The author discusses a number of ways to identify patellar malalignment. Foot problems, tightness of the muscles around the kne...
Generic Name: FENTANYL TABLET - BUCCAL Pronounced: (FEN-tuh-nill) Fentanyl Citrate Bucl Uses
This medication is used to help relieve sudden
(breakthrough) cancer pain in people who are regularly taking moderate to large
amounts of narcotic pain medication. Fentanyl belongs to a class of drugs known
as narcotic (opiate) analgesics. It works in the brain to change how your body
feels and responds to pain.
This medication should not be used to relieve mild or
short-term pain (such as due to headache/migraine, dental procedures,
How To Use Fentanyl Citrate Bucl
Read the Medication Guide provided by your pharmacist
before you start using fentanyl and each time you get a refill. Learn all usage
and disposal instructions. If you have any questions, ask your doctor or
Use fentanyl buccal films as directed by your doctor.
Before using, rinse your mouth with water or use your tongue to wet the inside
of your che...
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