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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...
Inappropriate use of Fentanyl Patches
76 year old male had recently had a hip fracture with surgery and was in a substantial amount of pain. Upon discharge from the hospital, he was admitted to a long term care facility for rehab. ...
Guest Post – A Lesson on Patient Adherence
Guest Post via - Luka Tehovnik, who is a final year pharmacy student from Slovenia! You can find his blog here: http://thoughtsbecamewords.wordpress.com/ 59 y/o female had a history of recurrent...
Discontinuing Medications in the Elderly
You're probably aware I'm an advocate for simple, rationale use of medications. This means that at times we might consider reducing or discontinuing medications that may not be appropriate...
Study Materials For Pharmacists
