Twenty-three states and the District of Columbia have now passed medical marijuana laws, and four more have pending legislation to legalize medical marijuana. Meanwhile, the use of prescription opioid medications (hydrocodone, oxycodone) has increased as the number of Americans with chronic non-cancer pain has increased. With that, we have seen in the United States the disturbing rise in prescription opioid abuse and overdose deaths. See More
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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. See More
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:
What has been discontinued?
All prescription drug products with more than 325 mg of acetaminophen (also known as APAP or paracetamol, and the active ingredient in Tylenol). The FDA has asked that manufacturers limit the amount of acetaminophen in these products to 325 mg to prevent liver injury from overdose.
Some examples of these drugs include Vicodin (hydrocodone/acetaminophen), Percocet (oxycodone/acetaminophen), Fioricet (butalbital/acetaminophen/caffeine), and Fioricet with codeine (butalbital/acetaminophen/caffeine/codeine). See More
Acetaminophen (Tylenol) toxicity has become more of an issue, especially due to the rise of combination products. These include prescription pain medications (such as hydrocodone/acetaminophen, oxycodone/acetaminophen, butalbital/acetaminophen, acetaminophen/codeine and tramadol/acetaminophen) in which acetaminophen is used as a second pain reliever. It is also widely available over the counter, and many over-the-counter combinations that advertise pain or fever relief contain acetaminophen as well. See More
If you notice a rash, blister, or other skin reaction while taking any drug containing acetaminophen, you should stop taking the medication immediately and contact your doctor or other health provider. The symptoms can be signs of three rare but very serious skin disorders, caused by a reaction to the acetaminophen.
1. Many underestimate its toxicity. In a recent survey of 500 people, 46% reported ingesting excessive amounts because they misunderstood dosing directions or failed to recognize that acetaminophen is found in more than one medication they are using. See More