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Patient Experience with Insulin Pens
I can remember doing a home visit with a patient who had recently been discharged from the hospital. This particular individual had a recent CHF exacerbation as well as pneumonia. I will never...
Aldactone (spironolactone) case
Often in CHF you may see spironolactone used in combination with loops and other diuretics to try to help treat edema. There are certainly other indications for spironolactone, but I'll leave that...
Gabapentin and Kidney Function Changes
This elderly patient had been on a dose of (Neurontin) gabapentin 600 mg three times daily for peripheral neuropathy. Over time, the patient's kidney function had been declining and was diagnosed...
Hydrochlorothiazide and Elevated Uric Acid
A patient was being treated for hypertension, with significantly elevated systolic blood pressure. Systolic blood pressures(BP) were running in the 150-160 range. Hydrochlorothiazide was the drug...
Drug Interactions – When should we do something?
Is there really a standard way to deal with drug interactions? My answer, you cannot treat them all the same. I see all sorts of different faxes from different pharmacies as well as other healthcare...
Rifampin Drug Interaction
Rifampin is an enzyme inducer. What does this mean? Basically it causes enzymes in the body to chew up material (drugs, chemicals etc.) more quickly. A while back I posted about how changing this...
Overactive Bladder and UTI Case
Tonight’s dose involves trying to prevent the unnecessary use of medications! I've come across this type of situation a few different times and just wanted to share it with you all. Patient gets...
Potassium and ACE Inhibitors
The longer I live, the more I realize how important the simple things in life are. Communication whether in your personal life or in your work is so important. Here's a great example of a missed...
Drug Food Interactions
I've had a request to explain a couple of the most common drug/food interactions I see. There were two that immediately popped into my mind: 1. Statins(Zocor-simvastatin, Lipitor-atorvastatin, etc.)...
Using side effects as treatment
Weight loss in the younger population generally tends to be less of a problem than weight gain (with the exception of eating disorders etc.). However, in the elderly there are definitely situations...
Study Materials For Pharmacists
