by Eric Christianson | Feb 23, 2014 | Polypharmacy Cases And The Prescribing Cascade
Polypharmacy is a horrible problem in geriatrics. I came across this medication list, and just wanted to give you a brief idea of some of the thoughts that go through a clinical pharmacist’s head. Scary I know, but just stay with me, as you will most likely see...
by Eric Christianson | Feb 19, 2014 | Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies
A 68 year old female was having difficulty with some anxiety throughout the day but more problematic to the patient was that she could not sleep at night. Multiple different non-drug interventions were tried, but none seemed to make any difference. Trazodone was...
by Eric Christianson | Feb 16, 2014 | Cardiovascular Case Studies, Educational Case Studies For Pharmacists
This 76 year old patient was on a laundry list of blood pressure medications. Hydrochlorothiazide, losartan, metoprolol, terazosin, amlodipine, and recently had clonidine added to their regimen with minimal success. Systolic BP’s still consistently ran around...
by Eric Christianson | Feb 12, 2014 | Drug Interaction Case Studies and Education For Pharmacists
A 32 year old female has been struggling with fatigue, sadness, and overall symptoms of depression. Rather than utilizing traditional antidepressants as recommended by her primary care provider, the patient had heard from a friend that the herbal supplement St....
by Eric Christianson | Feb 9, 2014 | Endocrine Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
A patient’s A1C was chronically high at around 9.0 with poor diet compliance. They were already reciving a fairly high dose of a sulfonylurea (glipizide) – remember that sulfonylureas stimulate the release of insulin. They were also on metformin 1000 mg...