156: Iontophoresis: Is it Still an Effective Treatment Modality?
21 min

Today let's chat about Iontophoresis. I will talk about the following:
-What Iontophoresis is.
-Which diagnoses are most often treated with Ionto.
-What of type of Iontophoresis should be used.
-Different meds used with Ionto.
-Tips to optimize Iontophoresis treatment.
-Contra-indications to Ionto and so much more!!

Iontophoresis Video

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Contributor: Don Stader, MD Educational Pearls: * Majority of patients experience side effects while taking opioids * Most common include nausea/vomiting, puriitis, constipation; more severe and less common include respiratory depression, addiction and overdose * Opiates can cause nausea, but ondansetron (Zofran) is the wrong treatment because it’s not antidopaminergic. Instead consider using metoclopramide (Reglan), olanzapine (Zyprexa), or haloperidol (Haldol) * Itching from opiates isn’t histamine mediated so hydroxyzine (Atarax) and diphenhydramine (Benadryl) aren’t effective - oddly ondansetron may help with itching. * Constipation is best treated with promotility agents like Senna, rather than stool softeners References Rogers E, Mehta S, Shengelia R, Reid MC. Four Strategies for Managing Opioid-Induced Side Effects in Older Adults. Clin Geriatr. 2013 Apr;21(4): PMID: 25949094; PMCID: PMC4418642. Farmer AD, Holt CB, Downes TJ, Ruggeri E, Del Vecchio S, De Giorgio R. Pathophysiology, diagnosis, and management of opioid-induced constipation. Lancet Gastroenterol Hepatol. 2018 Mar;3(3):203-212. doi: 10.1016/S2468-1253(18)30008-6. PMID: 29870734. Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.
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