by Eric Christianson | Nov 10, 2013 | Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies
In just one more example of the prescribing cascade, I had a resident at a nursing home that was prescribed Lexapro for depressive and anxiety type symptoms. A few weeks after starting this medication, the resident had worsening confusion, change in cognition, and was...
by Eric Christianson | Nov 9, 2013 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
In geriatrics, I see frequent use of acteylcholinesterace inhibitors for dementia. Some examples include: Aricept (donepezil), Exelon (rivastigmine). One of the hallmark side effects of this class of dementia drugs is GI symptoms and weight loss. Nausea, loose stools,...
by Eric Christianson | Nov 8, 2013 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
I’m going to finish off the week with some random things I’ve come across over the previous few months. I occasionally see some capsaicin(creams, gels etc.) products used from time to time for the treatment of pain. I also frequently see as needed orders for this...
by Eric Christianson | Nov 7, 2013 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
I could continue on Coumadin for quite a while longer with other cases and stories, but there is too much other cool stuff to cover. I’m going to finish up on “bridging” of anticoagulants. I wrote a little bit the other night about the unique pharmacokinetics (what...
by Eric Christianson | Nov 6, 2013 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
Vitamin K (or Mephyton or phytonadione for you A+ healthcare providers) is the reason why someone on Coumadin should try to keep a consistent diet. Big changes in intake of vitamin K can cause an INR to fluctuate. The more vitamin K intake someone has the more INR...
