In geriatrics, I see frequent use of acteylcholinesterace inhibitors for dementia. Some examples include: Aricept (donepezil), Exelon (rivastigmine). One of the hallmark side effects of this class of dementia drugs is GI symptoms and weight loss. Nausea, loose stools,...
I’m going to finish off the week with some random things I’ve come across over the previous few months. I occasionally see some capsaicin(creams, gels etc.) products used from time to time for the treatment of pain. I also frequently see as needed orders for this...
I could continue on Coumadin for quite a while longer with other cases and stories, but there is too much other cool stuff to cover. I’m going to finish up on “bridging” of anticoagulants. I wrote a little bit the other night about the unique pharmacokinetics (what...
Vitamin K (or Mephyton or phytonadione for you A+ healthcare providers) is the reason why someone on Coumadin should try to keep a consistent diet. Big changes in intake of vitamin K can cause an INR to fluctuate. The more vitamin K intake someone has the more INR...
Coumadin is a high risk medication as I mentioned in one of the previous night’s posts. I have the opportunity to frequently review medication errors at dozens of healthcare facilities. Coumadin is a tricky drug to dose and because of this, can sometimes require odd...