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Venlafaxine Causes The Prescribing Cascade – Case Study
In this case scenario, I demonstrate the venlafaxine prescribing cascade. Mrs. J is a 72-year-old female with depression, chronic pain, and hypertension controlled on lisinopril 20 mg daily. Due to...
Top 5 – Tizanidine Pharmacology and Practice Pearls
Tizanidine is a centrally acting alpha-2 adrenergic agonist commonly used for the management of muscle spasticity. While it can be an effective medication for reducing muscle tone and improving...
Phenytoin and Osteoporosis Case Study – An Overlooked Long-Term Side Effect
When reviewing medication regimens in older adults, it is easy to focus on medications that increase fall risk, cause cognitive impairment, or contribute to drug interactions. However, some...
Risks of Antipsychotics – Younger Adults Versus Geriatric Patients
Antipsychotic medications are commonly used across a wide range of age groups for conditions such as schizophrenia, bipolar disorder, behavioral and psychological symptoms of dementia (BPSD), and...
Adding Iron Creates More Fatigue – Case Scenario
This is a very unique case scenario where we are treating mild fatigue related to anemia, and a new prescription for iron creates more fatigue for our patient. A 72-year-old female with a history of...
Refusing Evening Advair – Case Scenario
A 54-year-old female with a history of moderate persistent asthma presented to the hospital with worsening shortness of breath, wheezing, and nighttime cough. Over the previous week, she had been...
Weight Loss Medications – Practice Pearls
Weight loss medications can differ substantially in efficacy, adverse effect profiles, and monitoring considerations, making patient-specific counseling essential. In this blog post, I share common...
NSAIDs and GI Bleeds – 3 High Risk Case Scenarios I’ve Seen in Practice
NSAIDs are a notorious cause of GI bleeds. This is something that I am significantly concerned about as a geriatric consultant pharmacist. In this blog post, I share 3 examples of NSAIDs causing GI...
Paroxetine Clinical Pearls
When you are studying for your exams, be sure to take a good, hard look at paroxetine. While it can be effective for anxiety disorders, panic disorder, depression, and PTSD, its pharmacokinetic and...
Hyponatremia – Should I Worry About a Sodium of 132 mEq/L?
A patient I was following had a sodium level of 132 mEq/L and a student asked me how much we should worry about this? It is a bit of a deep question, but in general, a slightly low sodium level of...
Study Materials For Pharmacists
