Practice parameters developed by the American Academy of Sleep Medicine state that clonazepam, pergolide, L-dopa (with a decarboxylase inhibitor), oxycodone, and propoxyphene
are all reasonable choices for medical treatment of PLMD.
, an opiod pain reliever also known as Darvon[R] and Darvocet[R] (when combined with acetaminophen) was just recently removed from the market in November 2011.
Market withdrawal of propoxyphene
was sought by the FDA after it received new clinical data showing that the drug puts patients at risk of potentially serious or even fatal heart rhythm abnormalities.
He said they took my propoxyphene
off the formulary.
The increase in propoxyphene
testing may be due to its use in pain management.
It has also held an advisory committee hearing to determine that propoxyphene
could safely remain on the market with strengthened warnings, a Medication Guide, and development of additional safety data, and it wrote several warning letters to companies marketing controlled substances, both to those marketing unapproved drugs and those marketing approved products contrary to product labeling.
They include ingredients such as oxycodone, hydrocodone, fentanyl and propoxyphene
Mixed agonists-antagonists, meperidine, propoxyphene
, codeine, intramuscular route, placebos, phenothiazines, carbamazepine
Determine how often medications on the Beers List, such as diazepam or propoxyphene
, are used in your elderly patients through chart review or an electronic medical record.
Although the opinions expressed by the authors are always reliable, the details in some sections are incomplete and occasionally misleading, so that in one graph propoxyphene
and pethidine are shown as having almost equal analgesic potency--and concepts of potency and efficacy are not discussed.
Although morphine sulfate is regarded as the prototypical opioid pain medication, other analgesics include the opium derivatives: hydromorphone, codeine and oxycodone plus the synthethics: fentanyl, meperidine, propoxyphene
Opioid analgesics, such as propoxyphene
hydrochloride (Darvon), oxycodone (Percocet) and codeine are pain-relieving medications that can also suppress RLS and PLMS.