Dr. Sharon Orrange - November 28, 2017
More than one in ten visits to a primary care doctor is for fatigue. Fatigue is composed of three major components: generalized weakness (difficulty in initiating activities), easy fatigability (difficulty in completing activities), and mental fatigue (difficulty with concentration and memory). While certainly not the only answer, medications may cause fatigue. Here are some of the common culprits.
Beta-blockers wear many hats. See More
Dr. Sharon Orrange - August 20, 2017
Low back pain is a part of life—common across sexes, age groups, and countries, it’s something that almost all people experience at some point. Treatment for low back pain often includes a combination of medication and non-medication options. What should you start with? What treatments have the best evidence? And more importantly . . . what’s coming our way for low back pain treatment?
To start #OldSchool—the best evidence exists for these three treatments:
- Non-steroidal anti-inflammatory drugs (NSAIDS). See More
Dr. Sharon Orrange - January 27, 2017
Generalized pain, migraines, increased sensitivity to light touch, fatigue, not waking up feeling rested . . . that’s what folks with fibromyalgia are dealing with. For years patients have asked: what really works for fibromyalgia? Primary care doctors and their patients are frustrated there are no quick solutions and options for treatment.
Well, the Annals of Rheumatic Diseases just published a review of what works, and what doesn’t work for the treatment of fibromyalgia. See More
Dr. Sharon Orrange - May 18, 2016
You and your healthcare provider have decided it’s time to wean off your antidepressant and now you wonder: what is the best way to stop? Does taking it slow make more sense than cold turkey? What symptoms might I feel?
First: the “discontinuation syndrome” is worse when you stop your antidepressant abruptly. This may include dizziness, nausea, fatigue, muscle aches, chills, anxiety, and irritability. See More
Elizabeth Davis - December 29, 2015
2015 was another tough year for American’s health care budgets. Insurance premiums increased, coverage was dropped for a number of important drugs, and overall we’re spending more for our health care.
Don’t break out the antidepressants yet—it’s not all bad news. A number of important drugs went generic, which will generally mean huge savings and lower costs. Plus, a large number of drugs actually decreased in price. See More
Dr. Sharon Orrange - August 20, 2015
Sexual problems are common in both men and women. These problems take different forms including lack of desire (decreased libido), inability to achieve erection or orgasm and impaired arousal.
Medications are a common and easily treatable cause of sexual dysfunction—and these drugs are the most likely to cause problems. See More
Dr. Sharon Orrange - June 10, 2014
One in ten visits to a primary care doctor is for fatigue. While certainly not the only cause, your medications can be the culprit for making you sleepy. Here are the players you need to know about.
Beta blockers. These are medications used for high blood pressure, migraine prevention, control of heart rate in atrial fibrillation, and they improve mortality after heart attack. Ok, now for the downside. They can make you sleepy. See More
Dr. Sharon Orrange - May 01, 2014
With depression so common, many women of reproductive age will be on antidepressant meds while attempting to conceive. Do I have to stop taking my antidepressant once I’m pregnant? That’s a question we face in primary care all the time.
It’s a complicated thing to study because comparing folks with depression taking antidepressants with folks not suffering from depression isn’t a fair study—because depression itself may be (and likely is) a risk factor for miscarriage. See More