Digoxin is one of those medications that has a lot of unique clinical quirks. Here are a few clinical pearls you must remember when using digoxin in CHF. When using digoxin in CHF (more specifically (HFrEF) you must remember to check electrolytes. Alterations in...
Amiodarone is a medication that you need to pay attention to. It has numerous clinical quirks that can cause serious harm if one is not aware of them. Here’s a list of the amiodarone boxed warnings as well as some other clinical practice pearls. Amiodarone Boxed...
I stumbled into this article a while ago regarding Nuedexta off-label fraud for behavioral issues involving dementia patients in long term care facilities. It makes me sad and frustrated. I’d like to make a couple of points. Nuedexta Off-Label Evidence in...
Geriatrics can get very complicated very fast. Chronic conditions, polypharmacy, and drug interactions are a few of the many complications. Here are a few things that make me think twice in geriatric patients. Multiple Medication Changes As I reveiw a patient’s...
I do get quite a few questions from time to time and try to answer as many emails as I can. Here were a few really good questions that I thought I would share with all of you. Can we use ciprofloxacin for pneumonia? Why isn’t ciprofloxacin a treatment in...
