Assessing Disease States Prior to Adding New Medications
It is very important to assess disease states prior to adding new medications. A 73 year old male has terribly dry skin. The dry skin is leading to some itching. His past medication history includes A-Fib, hypothyroidism, BPH, constipation and osteoarthritis. His current medications include:
His primary provider decides to add hydroxyzine 25 mg three times per day to help relieve him of the itching. What wasn’t assessed in this case was the TSH. Hypothyroidism is a potential cause of dry itchy skin and should be part of the assessment in this scenario before adding an anticholinergic medication that can exacerbate this patient’s BPH and constipation. Hypothyroidism can also contribute to constipation.
Enjoy the blog? Sign up to get my free 30 medication mistakes PDF and get more free medication education!