If you haven’t come across a situation where you don’t know what to do, you probably haven’t been asked enough questions. Making recommendations is not easy sometimes. Getting questions when you don’t know the answer is part of life and...
I work with a lot of geriatric patients in my practice on respiratory medications and I get pretty concerned when I start to see patients with COPD, asthma, or other respiratory diseases who have frequent exacerbations that are causing emergency department visits or...
Patients often don’t understand drug interactions. In this scenario, I’ll discuss the statin and grapefruit juice interaction and really what we can do about it. For more clinical pearls on statins, be sure to check out this podcast! Upon assessment of a...
Figuring out how and when to taper a PPI is a difficult question sometimes. Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...
Here’s a case scenario of possible medication induced QTc prolongation and some thoughts as to what I might do about it. The med list: Amitriptyline 150 mg once daily Geodon 80 mg BID Metformin 500 mg BID Ondansetron 8 mg TID prn Gabapentin 300 mg TID Ativan 1...