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The #1 Key to Unleashing Clinical Pharmacy Services
I was asked this question the other day. How would you begin to develop clinical pharmacy services? No matter what brand of pharmacy you practice, there are a lot of good answers to that question....
Weight for it…Remeron Side Effects
When using antidepressants, one of the major reasons why we select a medication is the side effects that medication has. In geriatrics where weight loss can be problematic, you may see Remeron...
PPI’s for NSAID Prophylaxis – Case Study
PPI's for NSAID prophylaxis is a common practice I've seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of...
Trileptal and Hyponatremia – How Low Can Sodium Go?
A 78 year old patient with a past medical history of bipolar disorder, dementia with aggressive behaviors, hypertension, and neuropathy was being evaluated and was initiated on Trileptal...
Cilostazol Pearl – Med List Review
We always need diagnosis and more information, but I like to analyze a medication list as an educational tool. The med list review with some possible concerns to investigate: Cilostazol 100 mg...
What They Don’t Teach You In School – Guest Post via Kishan Patel
Respecting patient’s autonomy is of utmost importance in every clinical setting, and here are two perfect examples that I encountered during my emergency medicine rotation. 45-year-old Amish male...
NAPLEX 2016 Changes – What You Should Know
There are some NAPLEX (North American Pharmacist Licensure Examination) changes that are happening that pharmacy students need to be aware of. The changes are scheduled to take place on November...
Nitrofurantoin Lung – Drug Induced Pulmonary Toxicity
A 73 year old female has a history of GERD, MI, chronic UTI's, and osteoarthritis. She presents with cough and increasing difficulty catching her breath. She is questioning her provider as to what...
Critical Medication Error: Bridging Enoxaparin to Warfarin
Anticoagulants like enoxaprain and warfarin should always be treated with the utmost care. They can cause life-threatening bleeding that can put our patients at serious risk. On the flip side,...
Duloxetine and Ciprofloxacin Drug Interaction
A 77 year old female has been taking chronic duloxetine 60 mg daily for neuropathy and depression. She has been experiencing increasing confusion, lower back pain, and painful urination. A...











