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4 Common Mistakes with Levothyroxine
Levothyroxine is one of the most common medications that I see used in my everyday practice. I've definitely seen a fair share of mistakes with levothyroxine. Here's a few common ones that come to...
Drug Induced Hypercalcemia
There are definitely a few medications out there that can contribute to drug induced hypercalcemia. Here's a brief case scenario I came across that demonstrates that! A 79 year old female at a long...
Classic Prescribing Cascade – Risperidone and Pseudoparkinsonism
A 77 year old male had recently been having troublesome hallucinations. He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety....
When Can We Discontinue a PPI?
I often struggle with the question, "When can we discontinue a PPI?" It is rarely a black and white issue in the (mostly) geriatric population I work with. Here's a scenario that might make things...
Should someone who can’t use their hands be allowed to be a pharmacist?
I stumbled across this article the other day and was instantly interested. A gal with cerebral palsy desperately wants to get into pharmacy school, but the physical requirements of pharmacy school...
Using Sulfonylureas with Long Acting Insulin
Polypharmacy is a big topic in geriatrics. In the case below, I provide an example of diabetes medications and how we can try to minimize medications. Specifically, I look at the use of...
Warfarin and Metronidazole Interaction
A 74 year old female was recently discharged from the hospital with pneumonia. The latest INR was 2.1. Current Meds: Aspirin 81 mg daily Warfarin 2.5 mg daily Lamotrigine 25 mg BID Ranitidine 150...
Polypharmacy Med List Review
A 64 year old female presents with the following medications: Her primary complaints are GI upset (feels like she is going to throw up) and dizziness. Atorvastatin 10 mg daily Aspirin 81 mg daily...
5 Medication Mistakes – Medication Patches
In geriatrics, I see a lot of patches being used. There is definitely some convenience associated with the use of patches as we can avoid the GI tract. I have seen my fair share of mistakes as...
Drug Induced Hyperammonemia – Case Study
A 74 year old female is diagnosed with new onset seizures. She is initiated on Depakote 250 mg twice daily and titrated up to a dose of 1,000 mg twice daily. About 1-2 months following titration,...
Study Materials For Pharmacists
