Monthly Archives: March 2015
When I’ve had students with me, they will often ask about multiple serotonin related drugs and risk of serotonin syndrome. A classic example of this is a patient on an SSRI and Tramadol. This combination is used frequently in practice. Serotonin syndrome is very serious, but extremely rare. We should never exclude anything, but if […]
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Some humor today, because we can’t take life too seriously all the time! It was a beautiful, quiet afternoon at a LTC facility. Everything was going smoothly without many issues that day and I was focused. While reading through some progress notes for a particular resident, I couldn’t help but have that feeling that someone […]
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87 year old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin Glipizide Tylenol as needed Lisinopril Aspirin The primary provider orders gabapentin 300 mg three times daily to help with the new onset neuropathy. The symptoms of neuropathy do begin […]
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A 47 year old African American female came into the emergency room with a chief complaint stating that “my throat was closing.” The patient had also been coughing with multiple episodes of vomiting throughout the night. Twice last month, the patient experienced a similar presentation plus swelling of her lips, face, and upper and lower […]
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64 year old female with a history of seizures, hypertension, and osteoarthritis was diagnosed with a case of recurrent vaginal candidiasis. Her current medications included: Dilantin Enalapril Amlodipine Ibuprofen as needed Her previous labs were unremarkable with a total Dilantin (phenytoin) level of 16 and seizure free for well over a period of a year. She […]
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