Background: Gabapentinoids (gabapentin and pregabalin) are commonly prescribed medications typically used to treat neuropathic pain. They are often prescribed off label with varying degrees of evidence to treat a variety of other conditions such as non-neuropathic pain, post-operative pain, and alcohol use disorder. Due to emerging evidence, in 2019 the FDA put out a warning [...]

Case Presentation: A 64 year old male presented with a three day history of fever, hand soreness and rash.  On the day of presentation, he had just returned from the Caribbean, however denied any history of ill contacts, recent hiking or contact with large bodies of water.  There were no known allergies, recent changes in [...]

Case Presentation: A 65 year old male with a history of diabetes mellitus type II complicated by neuropathy presented with profound facial and oropharyngeal edema after ingesting his usual medications. He was hemodynamically stable and without urticaria on exam. The patient could not speak and his airway was deemed compromised, so he underwent urgent nasopharyngeal [...]

Case Presentation: A generally healthy 36 year old female began experiencing stiffness in her lower back with persistent aching pain. The discomfort progressively worsened over several weeks prompting multiple emergency room visits. She began to complain of severe leg spasm at the time of her admission to the hospital. Her CPK level was markedly elevated [...]

Case Presentation: This is a 68 year old female with a past medical history of atrial fibrillation, hypothyroidism, osteoarthritis and right hip replacement who came into Mountainside Medical Center initially for sepsis secondary to a urinary tract infection. Once in the hospital the patient incidentally mentioned having a six month history of bilateral lower extremity [...]

Case Presentation: A 42 year old gentleman with past medical history of anxiety and depression presented with acute psychosis, hypertensive urgency, tachycardia and worsening agitation ultimately needing sedation and intubation. He was found to be oliguric with an elevated creatinine of 6.69 with a baseline normal kidney function. After failing a diuretic challenge, the patient [...]

Background: In 2019, the US Food & Drug Administration issued a warning regarding safety of gabapentin use in patients with respiratory conditions, including chronic obstructive pulmonary disease (COPD). Gabapentin is widely prescribed, often for off-label indications, however limited data exist regarding safety and outcomes among patients with COPD. Methods: We analyzed data from 29 US [...]