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Can You Use a TCA With an SNRI? Case Review

Can You Use a TCA With an SNRI? Case Review

by Eric Christianson | Sep 4, 2019 | Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies

A 66-year-old female has a past medical history of diabetes, neuropathy, depression, and hypertension. In this case scenario, I discuss the use of a TCA with an SNRI. Her current medication list includes: Aspirin 81 mg dailyCapsaicin cream prnAmitriptyline 10 mg at...
Comparing Lorazepam and Diazepam

Comparing Lorazepam and Diazepam

by Eric Christianson | Sep 1, 2019 | Medication and Disease State Clinical Pearls For Pharmacists, Psychiatry and Addiction Medication and Disease State Clinical Pearls

Benzodiazepines are on the Beers criteria. They can have significant adverse effects like sedation, confusion, the risk for dependence, and increased fall risk. We like to avoid benzodiazepines if we can, but what if we do feel that it is necessary (i.e. hospice or...
Cumulative Risk of Medications and Renal Failure

Cumulative Risk of Medications and Renal Failure

by Eric Christianson | Aug 28, 2019 | Medication and Disease State Clinical Pearls For Pharmacists, Renal, Urology, and Electrolytes Medication and Disease State Clinical Pearls

Medications and renal failure can go hand in hand. This is of course if we are talking about the right medications. There are numerous medications that can cause an acute renal failure situation, but many times in practice, it is due to a cumulative risk. Here’s...
CYP2D6 – Comparing Paroxetine and Tamoxifen

CYP2D6 – Comparing Paroxetine and Tamoxifen

by Eric Christianson | Aug 25, 2019 | Drug Interaction Case Studies and Education For Pharmacists

As I’m working on 2020 updates for all of our board certification study material, I couldn’t help but recognize that I did not have a dedicated lecture on pharmacogenomics. Below I discuss how genetic alterations in CYP2D6 activity can affect two commonly...
Clopidogrel Failure: Why Did I Have Another Heart Attack?

Clopidogrel Failure: Why Did I Have Another Heart Attack?

by Eric Christianson | Aug 21, 2019 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists

A 62-year-old male had a heart attack about 9 months ago. He was stented and placed on both aspirin 81 mg daily and clopidogrel 75 mg daily. He presents today to the emergency department and is diagnosed with a STEMI. His wife is wondering why the medications used to...
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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Azathioprine and TPMT Testing
  • SGLT2 Inhibitors and Recurrent Genitourinary Infections: A Clinical Case
  • Medications That Don’t Get Discontinued – 6 Unique Examples From My Experience
  • My Top 5 Reasons Patients Keep Having Asthma Exacerbations
  • Nabumetone Prescribing Cascade – Case Study

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