Dr. Sharon Orrange - April 04, 2017
“Can I have a drink while I’m taking my medication?” This is a question that primary care doctors are frequently asked, rightly so. Almost 50% of Americans report taking a prescription medication in the previous month. Alcohol in moderation (3 – 5 drinks per week) is recommended for stroke and heart disease prevention, and many folks taking medications known to interact with alcohol still report regular use. See More
Dr. Sharon Orrange - December 21, 2016
“Can I just stop my medication?” This question, frequently asked of primary care doctors, has a complicated answer. For starters, if you are taking a medication that is controlling an ongoing medical problem like high blood pressure, diabetes, or high cholesterol you should never stop it on your own—or your problem will return. Many patients do come clean though, and report that they just plain stopped their meds. See More
Dr. Sharon Orrange - September 02, 2016
If you’ve never used pain medications and are given them for pain after a procedure, who is most likely to have a problem down the line? Well, a recent JAMA study evaluated the risk for chronic opioid use following several common surgical procedures in opioid-naive patients (people who have never used opioid medications before). See More
Roni Shye - June 15, 2016
The FDA has issued a new required warning for all opioid pain medications. If you are taking an opioid, you should be aware of a few potential side effects, including reactions with other medications, and effects on hormone levels.
What are some examples of opioid medications?
Opioids are powerful prescription-only medications, used to manage manage pain when other treatments may not work. Some common opiods include:
- hydrocodone/acetaminophen (Vicodin, Norco, Lorcet)
- oxycodone/acetaminophen (Percocet, Endocet, Roxicet)
- oxycodone (Oxycontin, Roxicodone)
- fentanyl (Duragesic, Subsys)
Why exactly was the FDA safety alert issued?
The FDA identified some safety concerns for anyone using opioid pain medications:
- They can interact with many other medications
- They can cause problems with a person’s adrenal glands
- They can decrease sex hormone levels
What kind of medications can react with opioids?
Specifically, opioids may react with antidepressants and migraine medications. See More
Roni Shye - March 04, 2016
The approval has caused some outrage, and has many people questioning why the FDA would allow such a powerful and addictive medication to be prescribed for young children.
Roni Shye - February 18, 2016
So you’ve used GoodRx to compare prices on your prescription, and you found a less expensive pharmacy. But transferring your prescription is a pain, right? It’s actually easier than you may think! Generally, your new pharmacy will want to make the transfer as smooth as possible—and there are a few things you can to do keep things simple:
- Let your new pharmacy know that you want to transfer your prescriptions from your old pharmacy. See More
Dr. Sharon Orrange - February 04, 2016
Opioid pain medication is an emotional topic for everyone. Patients who struggle with chronic noncancer pain and need opioid medications feel they are portrayed as addicts when they ask for refills. Each week I see many patients using opioids for the appropriate reason, who have tried and failed with other medications and yet feel stigmatized by the use of medicine they need.
Dr. Sharon Orrange - April 23, 2014
One of the bright new changes in pain medications over the last few years were two medications: Ultram (tramadol) and now Nucynta (tapentadol). These are different from Vicodin (hydrocodone/acetaminophen), Percocet (oxycodone/acetaminophen), and Tylenol #3 (codeine/acetaminophen) in many ways and are considered much “gentler.” So, is Nucynta better? Lets look.
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Dr. Sharon Orrange - April 16, 2014
Are they the same? What’s better? What is the prescription I have? It seems complicated but it’s not—let’s shed light on the common players:
Dr. Sharon Orrange - February 20, 2014
Prescription drug abuse, as you know, is an epidemic in the United States. So, what are we doing about it? One of the new ways pharmaceutical companies are trying to help out is to make opioids with abuse “deterrent” properties. For folks who crush these opioids to snort or dissolve them to inject for quicker onset and a better high, it’s getting harder.
Here are the opioids that are hardest to abuse and why:
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