Patient presents to clinic with 10 year history of osteoarthritis in her hips and knees; she has new onset of neuropathic pain related to her Diabetes Mellitus. Diabetic neuropathy a neuro-degenerative complication of uncontrolled diabetes that may lead to painful ischemia which may result in nerve damage to the affected areas (Lewis) . The pharmacological plan will include Ibuprofen 800 mg, non-steroidal anti-inflammatory drug she may take two-three times daily as needed for osteoarthritis, along with Lyrica 50 mg three times daily to treat neuropathic pain, and analgesic Tramadol 50 mg every 6 hours for moderate pain or increased activity. Since these medications have the potential to cause drowsiness the patient will be educated on all side effects, and to use caution with driving and activity until response to medication is known. Patient will be
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- Fall '15