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Muscle spasm occurs as Amzeeq (Minocycline Topical Foam)- Multum result of injury to muscles, tendons, or ligaments and is often synonymous with low back sprain or strain.

Muscle spasticity is a condition in which the patient experiences continuous muscle spasms as a result of spinal motor neuron overactivity. A summary of available antispasmodics and antispastics is presented in TABLE 2. According to the American College of Physicians (ACP), first-line therapy for acute low back pain (pain lasting 14 Patient characteristics will influence the drug choice. Unlike NSAIDs, however, skeletal muscle relaxants do not have any disease-modifying properties for low back pain and provide only symptomatic improvement.

Compared with the average adult, geriatric patients are at increased risk for falls because of unsteady gait, loss of Amzeeq (Minocycline Topical Foam)- Multum or muscle strength, and other age-related declines in mobility and cognition. One study showed that geriatric patients who took muscle relaxants were 2. More specifically, patients who took carisoprodol, cyclobenzaprine, Amzeeq (Minocycline Topical Foam)- Multum methocarbamol, respectively, were 1.

TABLE 3 gives a summary of possible alternatives. Nonpharmacologic therapies such as superficial heat, transcutaneous electrical nerve stimulation, and massage may be employed, along with rest.

Guidelines from the National Institute for Health and Care Excellence (NICE) for the management of multiple sclerosis, the most common cause of spasticity, recommend physical therapy for the management of spasticity in all patients. Pharmacotherapy is recommended only when spasticity causes pain, significant discomfort, loss of independence, or limitations in activities.

Patients should be educated about the potential for falls and other adverse events and encouraged to weigh the pros and cons of Amzeeq (Minocycline Topical Foam)- Multum a skeletal muscle relaxant.

Another option to reduce medication burden, and therefore reduce fall risk, would be to tailor therapy to the time of day that muscle relaxation is needed. Patients often do not need medication when walking and being active, but they may require relaxation when going to bed because changing positions can aggravate spasticity. The first-line therapy (baclofen) and one second-line therapy (dantrolene), according to the NICE guidelines, are not on the Beers Criteria list, but both medications can increase the risk of falls.

Often, this involves contacting the prescriber after receiving a new prescription Amzeeq (Minocycline Topical Foam)- Multum verify the drug choice or dosing information.

Pharmacists use clinical judgment every day very well magazine determine whether interventions necessitate calling the provider or counseling the patient. By educating patients and prescribers on the alternative pharmacologic and nonpharmacologic therapeutic options to skeletal muscle relaxants, the use of these medications can be drastically reduced.

Also, patients should be educated on the risks associated with muscle relaxants, particularly falls. If an older patient has a genuine need for one of these high-risk medications, it is important that the duration of medication use be kept as short as possible. Patients should also be educated about nonpharmacologic measures that can help prevent falls.

Their sedative properties can pose Amzeeq (Minocycline Topical Foam)- Multum risk for geriatric patients who are predisposed to falls. It is important for the pharmacist to assess the patient before dispensing medications. Short-term use of skeletal muscle relaxants may be appropriate for certain conditions but should rb 82 be used long-term, regardless of interaction.

Alternative pharmacologic options exist, but most have drawbacks. Nonpharmacologic therapy may be a better option in both the short term and the long term. Nonpharmacologic education on fall prevention is essential in patients being given skeletal muscle relaxants, regardless of duration of therapy.

Not only will appropriate use of skeletal muscle relaxants improve patient outcomes, it can also improve star ratings for both insurance providers and pharmacies. Take steps to prevent older adult falls. Accessed October 1, 2019. Florence CS, Arv drugs G, Atherly A, et al.

Medical costs of fatal and nonfatal falls in older adults. National Committee for Quality Assurance. HEDIS 2019 final NDC lists. Accessed August 25, 2019. The top Abacavir Sulfate (Ziagen)- Multum drugs of 2019. ClinCalc DrugStats Database, Version 19.

Accessed September 12, Amzeeq (Minocycline Topical Foam)- Multum. Chou R, Qaseem A, Snow V, et al. Diagnosis and treatment of low back pain: a joint clinical Amzeeq (Minocycline Topical Foam)- Multum guideline from the American College of Physicians and the American Pain Society.

University of Illinois at Chicago, Drug Information Group. Muscle relaxers: a list of prescription Amzeeq (Minocycline Topical Foam)- Multum. Accessed September 24, 2019. Riverwoods, IL: Lexicomp, Inc. Accessed September 28, 2019. Understanding and treating lower back spasms. Back and neck pain. In: Jameson JL, Fauci AS, Kasper DL, et al, eds. Nair KPS, Marsden J. The management of spasticity in adults. Qaseem A, Wilt TJ, McLean RM, et al. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians.

Alvarez CA, Mortensen EM, Makris UE, et al. Association of skeletal muscle relaxers and antihistamines on mortality, hospitalizations, and emergency department visits in elderly patients: a nationwide retrospective cohort study.

Spence MM, Shin PJ, Lee EA, Gibbs NE.



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