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Sometimes Less is More: When to De-Escalate Diabetes Medications
Diabetes management can be quite complex as it is a progressive disease, and goals can change depending on a variety of patient factors. In general, the ADA suggests an A1C goal of <7%, but in...
Rheumatoid Arthritis Case Review
Medication reviews in patients with rheumatoid arthritis often uncover clinically significant drug therapy problems. Methotrexate toxicity, drug interactions, and therapeutic duplication are common...
Licensing Roadmap Tips Every Pharmacy Student Should Know Before Graduation
The last year as a pharmacy student can be a challenge with juggling rotations, projects, job/residency applications, and interviews, just to name a few. The transition from student to licensed...
Medications That Cause Hypotension (That Aren’t Blood Pressure Meds)
When a patient presents with dizziness, falls, or orthostatic symptoms, antihypertensives and diuretics often get the blame first. However, many non–blood pressure medications can lower blood...
Top 5 Medications That Cause Tachycardia
Tachycardia is a common and sometimes overlooked adverse effect in clinical practice. Whether it is due to direct sympathetic stimulation, reflex mechanisms, or reflex compensatory mechanisms,...
Hydrochlorothiazide Versus Chlorthalidone – A Clinical Comparison
Thiazide and thiazide-like diuretics remain foundational therapies in hypertension management. Two of the most commonly discussed agents are hydrochlorothiazide (HCTZ) and chlorthalidone. While they...
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...











