Episode Chapters
- Listener Question Potpourri17:18COPD vs CHF Crossover21:05Paper Chase #1 - Smartwatch to Identify A-Fib7:09Hyperprolactinemia18:50Paper Chase #2 - Comparison of First-Line Antihypertensive Drug Classes8:00New A-Fib Guidelines: NOACs Over Warfarin19:01Paper Chase #3 - Metabolic Surgery and MACE7:10Family Centered CareFree Chapter21:04Paper Chase #4 - Neurodegenerative Disease Mortality among Former Soccer Players7:58Measles: In the Trenches27:15Ophtho Basics with Dr. Glaucomflecken26:05Paper Chase #5 - Off-Label Gabapentinoid Prescriptions in Hospitalized Patients8:50Introduction to LGB Health15:17Mailbag15:38
To describe prescribing trends of gabapentinoids in hospitalized patients.
Primary Care RAP March 2020 Written Summary 1,010 KB - PDF
Sarah N. - March 16, 2020 8:43 PM
Gabapentin is renally cleared and requires dose adjustments for CrCl < 60. I work primarily inpatient with post-operative patients with very tenuous renal function. In collaboration with our anesthesia colleagues, we frequently use gabapentin as a part of a multimodal pain regimen to reduce opioid demands in patients with poor pain tolerance and uptitrate as tolerated by both the kidneys and side effect profile. We then taper their pain regimen in clinic. In my limited clinical practice, I have seen this to be a beneficial approach. Evidence is definitely limited but I did find these recommendations from the American Pain Society to be interesting and may help some of the PC RAP listeners with acute postoperative pain management. https://www.jpain.org/article/S1526-5900(15)00995-5/pdf
Neda F., MD - March 17, 2020 5:57 AM
Thank you so much for sharing, Sarah!