Make Sure Patients With Heavy Alcohol Use Don't Take Viberzi

June 2016

You'll see a flood of ads for Viberzi (vye-BUR-zee, eluxadoline), a new Rx drug for irritable bowel syndrome with diarrhea (IBS-D).

IBS-D is hard to treat...management can be more art than science.

Viberzi is an opioid agonist that works primarily in the gut at usual doses...similar to loperamide (Imodium A-D, etc).

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Table of Contents

Dyslipidemia Don't Recommend Adding Niacin or Fibrates for Most Statin Patients
Gastroenterology Make Sure Patients With Heavy Alcohol Use Don't Take Viberzi
Antipsychotics Be Aware that Abilify is Linked to Uncontrollable Gambling and Hypersexuality
Antithrombotics Expect Some Stent Patients to Use Two Antiplatelet Meds Less Than 12 Months
Pediatrics Look for Recent Antibiotic Use in Children With a UTI
Diabetes Expect to See More Metformin in Kidney Disease
Diabetes Lean Away From Gliptins in Heart Failure
Neurology & Pain Suggest Topical Analgesics for Pain...to Spare Opioids and Oral NSAIDs
Infectious Diseases Consider Antibiotics a Suspect for Causing CNS Effects
Rheumatology Watch for More Frequent Fine-Tuning of Rheumatoid Arthritis Meds
Women's Health Avoid Even One Dose of Fluconazole in Pregnant Women
Practice generic rosuvastatin (Crestor, etc)
Cardiology Recommend Using an ACEI or ARB Instead of Aliskiren (Tekturna)
Practice Avoid Mix-Ups Beteween Brintellix and Trintellix