Blog
Acetylcholinesterase Inhibitors are used in various forms of dementia. They can provide some symptom improvement in dementia, but cannot reverse or stop its progression. We need to remember that the agents aren’t without risk. Here’s a case to remember with acetylcholinesterase inhibitors and bradycardia. An 82 year old male with mild Alzheimer’s dementia has had […]
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In this case scenario, I’m going to demonstrate and unusual side effect of galactorrhea. Reglan induced galactorrhea is a possibility due to the mechanism of dopamine blockade. The case: A 46 year old female obese female has a history of type 2 diabetes. She has been diagnosed with gastroparesis and seen by GI specialists. Her […]
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Jiamin Liau is a clinical pharmacist in Australia who donated this piece on opioid replacement therapy! Ms DF, 27 years old, has been on opioid replacement therapy in the past. Treatment ceased about 20 months ago when she fell pregnant. Stating that she had started to abuse codeine tablets, Ms DF recently requested to be […]
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In a recent small study where taking iron every other day was given versus once daily iron, they demonstrated an improved absorption. How should we apply this in real world practice? In my practice, iron is used quite often and occasionally I will see iron dosed multiple (2-3) times per day. This study does help […]
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Working in geriatrics, you run into a lot of tough questions where there isn’t always a perfect answer. Setting a goal A1C is sometimes one of those challenges. Here’s a scenario where a patient has an A1C of 8.2. Under most conditions, an A1C of 8.2 is not acceptable. Here’s a few questions I might […]
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