ES is a 74-year-old female with mild dementia managed with donepezil 10 mg nightly. She had been experiencing severe nighttime restlessness and an irresistible urge to move her legs, leading to frequent awakenings and fatigue during the day. Her provider diagnosed...
SK is a 74-year-old male with a history of chronic systolic heart failure, hypertension, and type 2 diabetes. He has been stable on a regimen that includes carvedilol, sacubitril/valsartan, furosemide, and spironolactone. Recently, he began experiencing worsening...
I was asked a question the other day about trying to reduce medications in a patient on hospice. More specifically, how to address the use of PPIs. Proton pump inhibitors (PPIs) are some of the most overused medications we see in clinical practice, but hospice...
In this case study, we will outline an adverse effect of midodrine that can lead to the prescribing cascade. SK is a 79-year-old male nursing home resident with a history of Parkinson’s disease, hypertension, and benign prostatic hyperplasia (BPH). Over the past few...
When working with patients who have a seizure disorder, it’s critical for pharmacists to remember which medications can lower the seizure threshold. Even in patients without epilepsy, some drugs can increase seizure risk, especially at high doses, in overdose...
