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Benzos, back pain, Descartes and depression

This week I got involved in an online debate that started at LITFL’s Socrates and Sophistry section, then spilled over into the less-civilized Twittersphere.  Dr Minh le Cong @rfdsdoc (PHARM podcast) and I got into a bit of a debate about the role of benzodiazepines in acute back pain management.  I took the no, not […]

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Case 0003 – Beyond opiates in Chronic pain

63 yo man with advanced oesophageal cancer, diagnosed 18 months ago.  Now has extensive liver mets, retroperitoneal tumour and fungating open tumour in lower abdomen. Presents to ED Saturday morning with intractable visceral-sounding pain – “not responding to his usual pain tablets”.  So what is he taking for this pain : 2 x 80 mg OxyContin […]