1351 results
Tramadol, TramaDONT - Reasons to Avoid Prescribing Tramadol
Highly Variable Opioid Effects: 
 - Low, poor and
Tramadol, TramaDONT ... Avoid Prescribing Tramadol ... Seizures - Serotonin Syndrome ... ChillaPharmD #Tramadol ... #TramaDONT #pharmacology
Characteristics of Serotonin Syndrome and Other Hyperthermic Syndromes 
Serotonin Syndrome
 - SSRIs, second-generation antidepressants, MAOIs, linezolid,
Characteristics of Serotonin Syndrome ... Other Hyperthermic Syndromes ... Serotonin Syndrome ... MAOIs, linezolid, tramadol ... #Hyperthermic #Syndromes
Serotonin Syndrome Drug Precipitants and Pharmacology
↑ Serotonin Formation: Tryptophan, Oxitriptan
↑ Serotonin Release: Amphetamines, Cocaine, Mirtazapine
↑ Serotonin
Serotonin Syndrome ... Cocaine, MDMA, Tramadol ... ucsdim #Serotonin #Syndrome
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin Syndrome ... i.e. fentanyl, tramadol ... ucsdim #Serotonin #Syndrome
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Specific, Pain Syndrome-Targeted ... , Hydrocodone, Tramadol
Spinal Cord Injury Syndromes
Complete, Incomplete, Paraplegia, Tetraplegia
Incomplete Spinal Cord Syndromes:
 - Brown Sequard Syndrome
 - Anterior
Spinal Cord Injury Syndromes ... Brown Sequard Syndrome ... Anterior Cord Syndrome ... Posterior Cord Syndrome ... - Central Cord Syndrome
Central Cord Syndromes
 - Anterior Cord Syndrome
 - Central Cord Syndrome
 - Brown Sequard Syndrome

#CentralCord #Syndromes
Central Cord Syndromes ... Anterior Cord Syndrome ... - Central Cord Syndrome ... Brown Sequard Syndrome ... #CentralCord #Syndromes
Inherited Colorectal Cancer (CRS) Syndromes
Adenomatous Polyposis Syndromes:
 • Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH
Colorectal Cancer (CRS) Syndromes ... Adenomatous Polyposis Syndromes ... Urinary → Lynch Syndrome ... Peutz-Jeghers Syndrome ... (JPS), Cowden Syndrome
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 • Acetaminophen (24 hours: < 3-4g in healthy
hydromorphone, fentanyl, tramadol ... Fentanyl 0.15 IV • Tramadol
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome:
 - Acute poststreptococcal 
glomerulonephritis 
 - Rapidly progressive
and Nephrotic Syndromes ... Nephritic syndrome ... glomerulonephropathy) - Alport syndrome ... Nephrotic syndrome ... Nephritic #Nephrotic #Syndromes