Are High-Quality Webinars a Part of Your Professional Development, Part 2?

In the last issue of the WAVE, I reported on the potential direct clinical value of an excellent AMDA Webinar on Sleep Disorders in Older Adults. In that Webinar Dr. Kitamura mentioned a number of factors which could aggravate restless leg syndrome (RLS).  One of those, the prescribing of SSRI’s directly applied to one of my older patients with RLS who was requesting Ativan, because her Ropinirole was no longer working.  A month prior, I had started her on Lexapro for depression and had recently advanced the dose to 10 mg daily. 

At the time I wrote this article, I could only relate that I had stopped the Lexapro and declined her request for added Ativan (hopefully avoiding the “Prescribing Cascade”).  She was relieved to hear that there was likely a good explanation for her change of condition.

I saw her recently and was relieved to hear that she had quickly returned to her baseline status.  She was very grateful. In the process, she experienced the geriatric dictum that sometimes, “less is more”.

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