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My Pet Peeves – Management of UTI’s
It's no secret that I work with a lot of geriatric patients. These things have been on my mind lately about the management of UTI's, so just wanted to share them. With rare exception,...
What Does Thiamine Warn Us About Metronidazole Use?
A 77 year old male is receiving the following medications: aspirin omeprazole metronidazole thiamine ibuprofen tramadol lamotrigine So, based on this limited information, what would I investigate?...
Medication Reconciliation – Why so many changes?
Medication reconciliation is a major problem! I outline some things to look for in this short video! - Enjoy
6 Notorious Side Effects of Anticholinergics and How They Contribute to the Prescribing Cascade
Why are anticholinergics on the naughty list of medications in the elderly (Beer's criteria)? Side effects. Side effects of anticholinergics can be very troubling. Here's a list of 6 big ones to...
Consolidating Medications to Reduce Polypharmacy
Constipation is often a chronic problem in the elderly and there are many diseases and obviously many medications that can cause constipation. There are ways to try to minimize pill burden in this...
When a Diagnosis Doesn’t Make Sense
Mistakes happen in healthcare, it doesn't take an expert to tell you that. I always say that you can tell a lot from a medication list. If someone is on 5 blood pressure medications, it probably...
When Should We Discontinue Statins in the Elderly? – 7 Important Considerations
This is often one of the most challenging questions in geriatrics: When should we discontinue statins in the elderly? I've been asked this question several times, and there are a lot of factors that...
3 Really Common Dosage Form Mistakes
I see so many mistakes when it comes to dosage forms. More often than not, it doesn't result in any issues for the patient, but there is always the potential. Here's 3 classic dosage form mistakes...
Treating Trigeminal Neuralgia – Oxcarbazepine and Hyponatremia
JT is a 66 year old male with a past medical history of hypertension and GERD. His current medications include hydrochlorothiazide, lisinopril, nifedipine, and omeprazole. JT has been having...
Year in review and what’s on tap for 2016
I've been really excited about this blog post. I posted goals for 2015 about a year ago, and here we are. Did we achieve them? Yes, and then some. I'm really happy about that. One of my favorite...










