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Flomax for BPH – The Prescribing Cascade
61 year old male with a history of diabetes, neuropathy, BPH presents complaining of not being able to sleep well at night. He states that he has been diagnosed with BPH and hasn't wanted to be...
Serotonin Syndrome Risk – A Case Example
When I've had students with me, they will often ask about multiple serotonin related drugs and risk of serotonin syndrome. A classic example of this is a patient on an SSRI and Tramadol. This...
What Would my Wife Say?
Some humor today, because we can't take life too seriously all the time! It was a beautiful, quiet afternoon at a LTC facility. Everything was going smoothly without many issues that day and I was...
Gabapentin Induced Edema
An 87-year-old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin...
What Could Be Causing My Persistent Angioedema?
A 47 year old African American female came into the emergency room with a chief complaint stating that “my throat was closing.” The patient had also been coughing with multiple episodes of vomiting...
Drug Interaction: Dilantin and Diflucan
64 year old female with a history of seizures, hypertension, and osteoarthritis was diagnosed with a case of recurrent vaginal candidiasis. Her current medications included: Dilantin Enalapril...
Guest Post: Communication in Healthcare, A Necessary Skill
When it comes to writing a cover letter, creating resumes and CVs, we often put down “Good Communication Skills” or something along the line. However, what exactly is a good communication skill? Is...
Pharmacy Job Outlook – 5 Ways to Make Yourself Recession Proof
I usually try to ignore this stuff, because it doesn't do any good to worry about the pharmacy job outlook. I love what I do and have no intention of switching professions, but for me, the pharmacy...
Can Someone Really Have This Many Medication Allergies?
Medication allergies can get out of hand. Most often they are not truly allergies at all. The thing that really amazes me about patients with this many medication allergies is that they have tried...
Diltiazem Induced Rash
A nice guest post from an anonymous contributor, thank you! 84 year old female residing in community was recently treated with several courses of antibiotics to treat cellulitis of the right lower...










