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Drug Induced Insomnia/Anxiety
I had a patient who was rehabbing a knee replacement, and having some difficulty sleeping. Pain was a contributing factor, but appeared to be pretty well managed and eventually determined to not be...
Constipation
Per request, I’m going to tackle some constipation. YES! Constipation is a massive topic especially in the elderly with many disease states that can contribute as well as many medications. I...
Digoxin Potassium Relationship
I’ve been asked to discuss the relationship between Digoxin levels and potassium…so I will. Digoxin toxicity was discussed earlier this week, and obviously the kidney plays a big role in both...
Amiodarone
Elderly patient was on Amiodarone for treatment of chronic arrhythmia. Amiodarone has multiple clinical quirks and unique side effects associated with it. In my mind, it’s definitely a high...
Digoxin Case
I’ve had a request to cover some Digoxin – Digoxin can be a challenging drug at times. If a patient is elderly, this can really complicate things. Another thing that can complicate Digoxin dosing is...
Lamictal Rash – Case
Patient had a recent seizure thought to be due to not taking their Xanax over a period of a few days. The individual apparently had a seizure history in the past, but this was not clear in the...
Diabetes Case – Invokana
In making some of these decisions about medication changes, there isn’t always a perfect answer, and people disagree, but I didn’t write this post to tell you that people disagree – hopefully most...
“Treating” Behaviors in the Elderly
Alright, new topic…let’s roll…I’m going to tackle some psych tonight, because I always get asked questions about these meds! The topic of psych medications in general is very challenging to say the...
Should you only use one pharmacy?
I recently saw an article posted on KevinMD.com that was written last year or so, it also prompted me to look at other articles similar to this. In the article, a medical student describes the...
Sulfonylureas
I’m going to cover sulfonylureas tonight; this class is a mainstay in the treatment Type 2 diabetes. Other than metformin, these drugs are probably the most frequent oral class used. The most...