CA is a 58-year-old female with CKD. Her CrCL today is 45 mL/min and stable sCr of 1.3 mg/dL. She complains of muscle aches that started a couple of weeks ago and that her doctor said she can’t use NSAIDs, even though the Tylenol doesn’t completely help the pain. She...
Statin myopathy is a primary reason why patients stop taking these cholesterol-lowering medications. Here’s a case scenario where I discuss considerations and options to addressing statin myopathy and adverse effect concerns from a patient. SE is a 58-year-old...
Fibrates are a type of amphipathic carboxylic acid that treat hypertriglyceridemia. They work by reducing the liver’s production of VLDL particles that carry triglycerides to tissues and accelerating the body’s removal of triglycerides. Due to this mechanism of...
One of the symptoms reported by patients that will catch my attention is diarrhea. This can often be an adverse effect of medication. When I see orders for medications that manage diarrhea, I really start to pay attention. Usually, this is indicative of a chronic...
I recently did a podcast on atorvastatin and thought it might be helpful to share the most common atorvastatin drug interactions that I see in clinical practice. So here it goes… Grapefruit juice and atorvastatin is an interaction that I think about. There...
