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Case Study: GI Side Effects and Polypharmacy
A patient was on 30+ medications. I always kind of wonder what it would be like to be on that many medications, but hope I never find out. I simply think of the sheer volume of that many pills and...
Managing Short Term Constipation and Avoiding Polypharmacy
59 year old female who is rehabbing from a knee replacement. On day 3 following the procedure, the patient is still experiencing a significant amount of pain. She has been discharged from the...
Gabapentin Dose Dependent Absorption – Treating Neuropathy
A huge challenge in clinical pharmacy is determining what information is actually relevant. By relevant, I mean what information actually impacts patient care. I see gabapentin most frequently used...
Too much of a good thing – a Case of Potential Overanticoagulation
An 81 year old male was diagnosed with a right knee deep venous thrombosis (DVT) during a several week stay in the Dominican Republic. He was started on warfarin, dose and duration unknown, and...
Free NAPLEX Practice Questions – Can You Pass the Test?
Here's the 10 free NAPLEX practice questions that I created: BE SURE TO SCROLL TO THE BOTTOM TO SEE THE ANSWERS! Answer the following 3 questions based on the case presented: 38 year old female is...
BCPS Pharmacotherapy Exam – Sample Question
I'm trying to expand my horizons 🙂 I created a short Youtube video, that I hope will help educate you about the BCPS Exam. For those of you seeking a few clinical pearls, you'll find it inside...
Pain Management in the Elderly Stinks!
Pain management in the elderly is something I deal with on a daily basis. It can be extremely challenging as there are potential negatives of using medications around every corner. Here's a case...
What is Clinical Pharmacy? And Why I Call Myself a Clinical Pharmacist
As I was going through pharmacy school and working as an intern, I was often astounded by what patients think pharmacists do in their everyday jobs. When I tell people that I’m a pharmacist...
TCA’s in the Elderly – Which One Should We Use and When?
TCA's in the elderly are generally discouraged especially for symptoms of sleep and depression. There are a lot of other options to consider for treatment of both of these issues before TCA's. ...
Restarting ACE Inhibitors in CHF – Speaking From Experience
I think most of you who follow the blog know I spend most of my time dealing with polypharmacy and geriatrics. I'm going to use the example of ACE Inhibitors in CHF to demonstrate my point. Every...









