I get a tad more nervous with a seizure disorder than a mood disorder, but adding a cabapenem to VPA will regardless lead to a situation you need to plan for and manage…unless it’s solving the situation ;)

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New to the 🇨🇦 market
Great addition to the "BP TOO HIGH 🙀" toolbox!

When do you reach for this over others?

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Renewed interest in this guy…but do we need scrubbers if we want to use it in Emerg? What about a ward?

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PHENobarbital in EtOH w/d

Why scared?
Long half-life? no longer than desmethyldiazepam
Last line in other indications? Thinking about status epi
DDI? additive for CNS depression, clearance with BZD

start LOW and go SLOW to effect!

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Canadian case report of lead toxicity from an Ayurvedic supplement ⬇️

https://www.cmaj.ca/content/195/30/E1010

No less than four people who walked past as I wrote this out said, “I want NO flavour, please”

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