The Curbsiders Internal Medicine Podcast #432 Hotcakes: E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, Lidocaine for neck pain, C diff risk by antibiotic type, and “dosing by clicks” for GLP1’s
Mar 25, 2024
Dive into hot topics like E-cigarettes for smoking cessation, Gabapentin for COPD, Lidocaine for neck pain, C diff risk by antibiotic type, and dosing GLP1 agonists. Informative and entertaining medical discussions with a sprinkle of humor!
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Offer E‑Cigarettes As A Cessation Option
- Discuss e-cigarettes as an option when first-line cessation methods fail and use shared decision making.
- Tell patients e-cigarettes often lead to continuing nicotine use and long-term data are limited.
Gabapentin Linked To Worse COPD Outcomes
- Gabapentinoid use was associated with ~40% relative increase in COPD hospitalization risk in a large Canadian cohort.
- Respiratory depression and worsened sleep-disordered breathing are plausible mechanisms.
Avoid Starting Gabapentin In COPD Patients
- Avoid initiating gabapentin in patients with COPD when possible and consider alternatives first.
- Reassess ongoing gabapentin prescriptions and renal dosing in multimorbid patients.