In the case scenario below, I outline a case where the Bactrim phenytoin interaction leads to phenytoin toxicity. An 81-year-old female has a history of GERD, OA, and seizures. She hasn’t been feeling the best and reports fatigue and painful urination. She has...
Just like adding medications can lead to adding more medications (prescribing cascade), we can think of this strategy in reverse in an attempt to try to stop polypharmacy. Stopping medications can lead to stopping more medications. Let me provide you with some proof!...
The SSRI and NSAID interaction kind of drives me crazy. It is one of those interactions where you don’t really know how seriously to take it. SSRI has the potential to impact platelet function. NSAIDs have the potential to impact platelet function. The SSRI and...
I feel like I’m still seeing quite a bit of Namenda XR being used. Namenda XR comes in with a price tag of about $500 dollars per month. The generic version of Namenda (memantine) is an immediate release formulation that is probably going to cost less than...
About 10 days ago, a 76-year-old male called you to tell you that his spiking blood sugars are higher than they have been in a long time. His blood sugars were in the 300-400 range. He used to never get much above 200. He reports that he has had no diet changes and is...
