Monthly Archives: June 2016
A 35 year old male with a history of schizophrenia was recently diagnosed with essential tremor. He was tried on propranolol with no apparent benefit. Following the trial of propranolol, he was switched to primidone 50 mg twice daily. His current medications include: Multivitamin once daily Latuda 80 mg daily Lorazepam 0.5 mg BID prn […]
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Vancomycin has complex pharmacokinetics. I can recall a case where I saw oral vancomycin for cellulitis. The likely causative organism of the cellulitis was MRSA. This patient was fairly complex and hospitalized for a few days. Upon hospitalization, the patient was assessed and eventually put on Vancomycin. The dose was 1,ooo mg every 24 hours. […]
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You can’t tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here’s a patient with severe asthma, on multiple medications: Advair 100/50 BID Albuterol inhaler 2 puffs four times daily and as needed Singulair 10 […]
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A 95 year old female has recently entered a hospice program. Whenever a patient is enrolled in hospice, it is very important to assess the medication regimen and identify medications that are no longer necessary. Quality of life is the top goal when a patient is on hospice. I often get asked which medications should […]
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BPH is one of the most common causes of urinary retention. Drugs can and do exacerbate this problem. So, looking at this med list, which medications can exacerbate BPH? Here’s the medication review with a few questions that I would be looking into further. • Proscar 5 mg daily • Hydrochlorothiazide 12.5 mg daily • […]
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