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Azathioprine and TPMT Testing
Azathioprine (podcast) is an immunosuppressant used to treat inflammatory bowel disease, rheumatoid arthritis, lupus, and prevent organ rejection after transplantation. One important safety concern...
SGLT2 Inhibitors and Recurrent Genitourinary Infections: A Clinical Case
Sodium-glucose cotransporter-2 (SGLT2) inhibitors, such as empagliflozin (podcast) (Jardiance) and dapagliflozin (Farxiga), are commonly used to manage type 2 diabetes. These medications can also...
Medications That Don’t Get Discontinued – 6 Unique Examples From My Experience
One of the most common medication-related problems I see is not necessarily starting the wrong medication. Sometimes the medication is completely appropriate when it is initially prescribed, but the...
My Top 5 Reasons Patients Keep Having Asthma Exacerbations
A patient who keeps having asthma exacerbations can be frustrating to manage. It is easy to assume that the patient simply needs a stronger inhaler or additional medications. But before escalating...
Nabumetone Prescribing Cascade – Case Study
A 76-year-old patient with osteoarthritis is started on nabumetone (podcast) for chronic knee pain. A few weeks later, the patient reports that both legs and ankles are becoming swollen. The edema...
Nausea Overlooked as an Adverse Effect – Case Study
A 79-year-old patient with newly diagnosed Alzheimer’s disease is started on Aricept (donepezil) 10 mg once daily. The prescription is written for 10 mg from the beginning rather than starting at 5...
How To Avoid Medication Errors – Listen To The Patient!
I've seen numerous errors where the patient thought something was a little off and said something to a healthcare professional. One of the most important medication safety tools in healthcare is...
Top 5 Tramadol Practice Pearls
While tramadol is classified as an opioid, there are many practice pearls that make it unique from other traditional opioids. In this blog post, I'll share my top 5 tramadol practice pearls....
Morphine Concentrations – Life-Threatening Errors Can Happen
Morphine is one of those liquid medications where concentration matters. A lot. While many medications come in one standard concentration, the problem is that morphine comes in multiple...
Top 5 Amantadine Clinical Pearls
In my practice, I most often see amantadine used for dyskinesia and motor symptoms associated with Parkinson's. It can also be used for medication-induced Parkinsonism. In general, amantadine is not...
Study Materials For Pharmacists
