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High Dose Antipsychotic Error
Medication errors can get ugly in a hurry. I was prompted to write this example as I came across a situation recently where an elderly patient received a schizophrenic patient's high-dose...
Fibrates – Practice Pearls and Test Prep
Fibrates are lipid-lowering agents that are primarily used to reduce triglycerides. They are most beneficial in patients with significantly elevated triglyceride levels, particularly those above 500...
Oral Bisphosphonates – NAPLEX Test Prep and Practice Pearls
Oral bisphosphonates (i.e., alendronate) are commonly used to treat osteoporosis, and proper administration is one of the most important concepts for the NAPLEX exam. These medications must be taken...
Rhabdomyolysis – 3 Big Things Pharmacists Should Remember
Rhabdomyolysis happens when muscle cells break down and release their contents into the blood. These substances can damage the kidneys and cause serious problems like kidney failure. It is often...
Carafate Synthroid Interaction – Leads to Hypothyroidism
In this case scenario, a patient is prescribed Carafate (sucralfate) for GI concerns, and it leads to a case of hypothyroidism due to the Carafate Synthroid drug interaction. Robert H. is a...
Case Scenario: Duplicate SNRI Therapy
This was a case I came across recently where duloxetine was added to a patient's regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an...
Propranolol-Induced Asthma – Case Study
In this case study, we outline a likely case of propranolol-induced asthma. Mr. J.S. is a 62-year-old male with a past medical history significant for essential tremor, mild persistent asthma,...
Change Your Mindset – Reduce Meds
One of the biggest contributors to polypharmacy isn’t the number of diagnoses a patient has—it’s our mindset around medications that fail to deliver benefit. Everyone knows we need to reduce meds in...
Diabetes Polypharmacy – 3 Case Examples
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all...
PPIs and Metformin Leads to Deficiency – Case Study
In this case scenario, we discuss the "double trouble" of using PPIs and metformin and their effects on vitamin B12. Mrs. J is a 68-year-old woman with type 2 diabetes and gastroesophageal reflux...











