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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...
Lyrica (pregabalin) Case
I often see orders for drugs two or three times daily, and while this can be necessary, sometimes it may not be, and at what cost. Lyrica (pregabalin) is flat priced per Medi-span. What does this...
Synthroid Interaction
I had a patient a while back struggling with ongoing depression symptoms, fatigue, and constipation indicative of symptoms of hypothyroidism. In this case, a couple of different antidepressants...
Study Materials For Pharmacists
