Clinical Update

Clinical Update

  • Kratom Correlation

    Kratom Correlation

    Some of my patients have mentioned using kratom (mitragynine) to help with opioid-withdrawal relief. Should I be concerned about its potential for abuse…

  • Keeping up with Ketamine

    Keeping up with Ketamine

    Q:  Recently, I have heard of ketamine (Ketalar®) being used for the treatment of depression or pain. Can ketamine be used for these indications, and are…

  • Is benzodiazepine use being overlooked during the Opioid Epidemic?

    Is benzodiazepine use being overlooked during the Opioid Epidemic?

    Q:  Recently, I've seen an increase in the number of requests for a prescription benzodiazepine by the patients that I am treating. Are there any concerning…

  • Unexpected Aspirin Positives

    Unexpected Aspirin Positives

    Q:  My patient is not prescribed aspirin and is showing up positive on a KardiAssure™ report. Are there any sources outside of aspirin that could be causing…

  • Poppy Seeds and Opiate Testing

    Poppy Seeds and Opiate Testing

    Q:  Is it possible for patients to test positive for opiates following poppy seed consumption? A: Yes. Small amounts of morphine and/or codeine may be…

  • Passive Exposure to Marijuana

    Q:  My patient’s Aegis report returned positive for marijuana, and they are citing passive exposure to marijuana as the cause. Is this possible? A: It…

  • Hydrochlorothiazide Reporting

    Q:  I received a report that listed Chlorothiazide (CTZ)/Hydrochlorothiazide (HCTZ) as present. Why are these two medications reported together? A: CTZ…