Common sense tells us that the more pills a patient takes, the more likely they are to forget or not follow a treatment regimen as prescribed. There is no doubt in reviewing the literature that this has been proven. For my personal knowledge, I wanted to know the...
So you have a patient who has failed a PPI for GERD. Now what? GERD can be a challenging disease with really bothersome symptoms for patients. I’m going to discuss the options that I’ve seen used in practice with once-daily PPI failure in GERD. Before...
Nitroglycerin and its derivatives have been around for a long time. The identification of nitrate tolerance goes back even prior to 1900. In this post, I’ll discuss the major strategy for nitrate tolerance prevention and some of the issues that may be...
A week ago or so I released the MPJE Master 2nd Edition Ebook. The PAPERBACK Edition is now available. You can literally get a 150+ page book for less than 5$. I will end this initial offer to my followers this week and the price will increase significantly. There are...
In this case study, I highlight the clinical impact that the ciprofloxacin and zolpidem interaction can have on a patient. JS is a 58-year-old female with a history of insomnia and takes zolpidem 10 mg at bedtime every night. She has recently been diagnosed with a...
