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PPIs – Don’t Forget About B12 and Magnesium Deficiency
Proton pump inhibitors (PPIs) like omeprazole are among the most commonly prescribed medications and are highly effective for conditions such as gastroesophageal reflux disease (GERD), peptic ulcer...
Case Study – Duplicate Opioids
Duplicate therapy is a common occurance in practice. It is something that frustrates me quite a bit. There are quite a few reasons why it happens. Some of the most common reasons for duplicate...
5 Things That Make Me Happy – Deprescribing Opportunities
Deprescribing requires some effort. I've noted a few recent discontinuations and deprescribing opportunities where things have gone right. I'd like to share those examples with you, and hopefully...
PRN Parameters – Why They Matter In Long Term Care and Assisted Living
PRN ("as needed") pain medications are extremely common in long-term care and assisted living facilities. While these medications provide important flexibility for managing pain, vague or incomplete...
Opioid Use Disorder – Crossword Puzzle
I created this crossword puzzle on opioid use disorder as a nice review! I hope you enjoy! If you are looking for study materials for pharmacist board exams, pharmacy technician exams, or nursing...
Cilostazol Causes Heart Failure Problems
There are a few medications that are known to worsen heart failure. Cilostazol can contribute to heart failure complications and because of this concern, a boxed warning exists for this medication....
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...










