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My Top 5 Finerenone Pearls
Finerenone (Kerendia) is a relatively newer medication for the management of chronic kidney disease (CKD) in patients with type 2 diabetes and heart failure with preserved ejection fraction. In...
Drug-Induced Hallucinations – Here’s What I Look For
I'm often presented with situations where an elderly patient is experiencing new-onset hallucinations. As a pharmacist, my primary focus is to look at the medication list and identify if any drug...
Suzetrigine – What I Like and Don’t Like About This New Analgesic
I'm always on the lookout for new options to treat pain. This is especially true in geriatrics, where opioids and NSAIDs have a bunch of risks. Suzetrigine (Journavx) represents a newer option in...
Dicyclomine and BPH – When Treating One Condition Worsens Another
In this case scenario, we describe how and why dicyclomine and BPH can be a bad combination. Jim is a 68-year-old retired teacher who visits his primary care provider complaining of intermittent...
Top 5 Cimetidine Drug Interactions
Cimetidine was the first widely used H2 receptor antagonist and remains available over the counter for heartburn and acid reflux. While it is effective at reducing gastric acid secretion, cimetidine...
Venlafaxine Versus Duloxetine – Effect On Blood Pressure
Serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly used for depression, anxiety disorders, neuropathic pain, and other conditions. While both venlafaxine and duloxetine inhibit the...
PPIs – Don’t Forget About B12 and Magnesium Deficiency
Proton pump inhibitors (PPIs) like omeprazole are among the most commonly prescribed medications and are highly effective for conditions such as gastroesophageal reflux disease (GERD), peptic ulcer...
Case Study – Duplicate Opioids
Duplicate therapy is a common occurance in practice. It is something that frustrates me quite a bit. There are quite a few reasons why it happens. Some of the most common reasons for duplicate...
5 Things That Make Me Happy – Deprescribing Opportunities
Deprescribing requires some effort. I've noted a few recent discontinuations and deprescribing opportunities where things have gone right. I'd like to share those examples with you, and hopefully...
PRN Parameters – Why They Matter In Long Term Care and Assisted Living
PRN ("as needed") pain medications are extremely common in long-term care and assisted living facilities. While these medications provide important flexibility for managing pain, vague or incomplete...










