Magnesium 500 mg 1 to 2 PO per day, depending on weight, helps keep a patient who is taking opioids from the need to increase his or her dosage due to tolerance. This was a clinical pearl passed on from a pain physician that seemed to work with my former patients. — Karen Decker Brown, APRN-retired, Anchorage


These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.