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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...
3 Classic Examples of the Prescribing Cascade
My extensive work in geriatrics has led to a great understanding of the prescribing cascade. The prescribing cascade is simply defined as using medications to treat the side effects of other...
Diltiazem and Colchicine Interaction
A 77 year old male has a past medical history of gout, atrial fibrillation, hypertension, GI ulcer, chronic kidney disease, and anemia. He presents at this visit with worsening gout symptoms and...
4 BCPS Exam Tips
I get asked quite a few questions nowadays on the BCPS exam, so I put together a quick list of 4 common questions I frequently get asked and give you a few BCPS exam tips. Question 1: How hard is...










