PHENobarbital in EtOH w/d

Why scared?
Long half-life? no longer than desmethyldiazepam
DDI? additive for CNS depression, clearance with BZD

start LOW and go SLOW to effect!

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Xylazine aka Tranq aka Zombie Drug has made its way into our local drug supply...
A veterinarian sedative/analgesia not unlike dexmedetomidine
(and yes...I EVEN drew it's structure for those that want it...you KNOW WHO YOU ARE 👀)

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Oh, a trial about my NIGHTMARE?

The way we assess patients for wakefulness is marred by paralysis, remember the paralytics last MUCH longer than the sedatives!!

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ITS LIDO-CAN!

If IV amiodarone is short … we gotta plan for ALTERNATIVES!!

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If we had IV 2nd Generation in Canada I would abandon 1st Generation from my practice!

Based on the good research and work done by a 4th year pharmacy student!

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And look! 👀 actual white space on my board!

So it’s getting ☃️🌨🥶 and slippery! NSAIDs are great analgesics but in high-risk patients, are they risky?

Built on some great research done by a pharmacy student!

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