• J Pain Palliat Care Pharmacother · Mar 2015

    Case Reports

    Treat the whole patient and be aware of drug interactions.

    • Harald Breivik.
    • Harald Breivik, MD, DMSc, FRCA, is Emeritus Professor of Anesthesiology, University of Oslo , Oslo , Norway.
    • J Pain Palliat Care Pharmacother. 2015 Mar 1; 29 (1): 70-1.

    AbstractThe case of an elderly male with bilateral shoulder pain is presented. The pain had been successfully treated years earlier with surgery, but a repeat rotator cuff procedure when the pain recurred was not effective. The patient's physician asked about impact of systemic analgesics on the elderly patient and interactions with his blood pressure medications. Cardiovascular and renal risks of NSAOIDs are discussed as are potential toxicities of tramadol and too rapid withdrawal from it. Drug interactions of medications used are described.

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