When using antidepressants, one of the major reasons why we select a medication is the side effects that medication has. In geriatrics where weight loss can be problematic, you may see Remeron (mirtazapine) used to help stimulate appetite and help a patient’s...
PPI’s for NSAID prophylaxis is a common practice I’ve seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of polypharmacy is a big one, make sure you are paying attention to the...
A 78 year old patient with a past medical history of bipolar disorder, dementia with aggressive behaviors, hypertension, and neuropathy was being evaluated and was initiated on Trileptal (oxcarbazepine) to try to help with neuropathy. He had been tried on numerous...
We always need diagnosis and more information, but I like to analyze a medication list as an educational tool. The med list review with some possible concerns to investigate: Cilostazol 100 mg twice daily Aspirin 81 mg daily Propranolol 80 mg twice daily Captopril 25...
Respecting patient’s autonomy is of utmost importance in every clinical setting, and here are two perfect examples that I encountered during my emergency medicine rotation. 45-year-old Amish male was involved in a farm accident where a tree branch had fallen on him,...
