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Clinical Medication Review
A significant clinical medication review for everyone today, where I pick out a couple areas of concern to me and you can help do the rest by adding any comments/thoughts/questions below! There's...
Anticholinergics can Worsen BPH
85 year old male with a recent operation for a knee replacement was discharged on hydrocodone/APAP 5/325 1-2 every four hours as needed as well as Vistaril (hydroxyzine) 25-50 mg every six hours as...
Serotonin Syndrome or Something Else?
88 y/o female who's had some difficulty with pain management. She was on scheduled Tylenol (acetaminophen) 1,000 mg twice daily as well as Ultram (tramadol) 50 mg every 6 hours as needed. She had...
Discontinuing Labwork With Medications
Inevitably, several times a year, while reviewing a patient's medications, notes, labs, etc. I will come across a lab that was drawn on an individual that is totally puzzling to me. You may see...
Namenda Conversion
Many patients and healthcare professionals may not realize that different formulations of a product can have very different pharmacokinetics. Why does pharmacokinetics matter? An 88 year old...
Dilantin (phenytoin) Can Cause Vitamin D Deficiency
Dilantin (phenytoin) is probably one of the dirtiest drugs, but is necessary as it treats an obviously serious condition (seizures). It has many clinical quirks that you need to be aware of. 72 year...
Medication List Case Review
Let's do a med list review, it's been a while... Remember with these cases, I really try to highlight the most important things I want you to think about. There are multiple things to monitor in...
Out-Patient Pain Control
Subjective: Middle aged, fragile and small female, presents to our out-patient pharmacy, dressed in a thick sweater and furry hat, even though the ambient temperature is in the low 70's. The furry...
Wellbutrin (bupropion) and Seizure Risk
69 year old male with significant respiratory issues including COPD - This patient was challenging, but did have the intent to quit smoking which was most certainly complicating his respiratory...
Insurance Company Causes Negative Patient Outcome
Many patients get medication management suggestions from their insurance companies addressed to their primary physician. A patient who had diabetes and CHF was not on an ACE Inhibitor or an ARB...
Study Materials For Pharmacists
