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Case Scenario: Duplicate SNRI Therapy

Case Scenario: Duplicate SNRI Therapy

This was a case I came across recently where duloxetine was added to a patient's regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an...

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Change Your Mindset – Reduce Meds

Change Your Mindset – Reduce Meds

One of the biggest contributors to polypharmacy isn’t the number of diagnoses a patient has—it’s our mindset around medications that fail to deliver benefit. Everyone knows we need to reduce meds in...

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Diabetes Polypharmacy – 3 Case Examples

Diabetes Polypharmacy – 3 Case Examples

Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all...

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Top 5 Gout Pharmacotherapy Pearls

Top 5 Gout Pharmacotherapy Pearls

In this blog post, I'll share my top 5 gout pharmacotherapy pearls. This can often show up in practice as well as on those challenging board exams! Allopurinol Doesn't Treat Flares Allopurinol...

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Deprescribing Targets – Case Scenario

Deprescribing Targets – Case Scenario

Mr. H is a 78-year-old male presenting to a primary care clinic for a routine medication review. In this scenario, we want to identify deprescribing targets. His past medical history includes...

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