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Lyrica (pregabalin) Case

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...

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Synthroid Interaction

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...

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FAQ’s Parkinson’s

FAQ’s Parkinson’s

A couple of good Parkinson’s related questions today that I wanted to follow up on, which brings up a good reminder to all who follow this page…feel free to ask questions – just drop me an email on...

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Sinemet Dosing

Sinemet Dosing

Parkinson's disease management is often very challenging. Dopamine is one of the key neurotransmitters involved in the disease process so that is really where treatment is focused. There is a loss...

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Drug Induced Insomnia/Anxiety

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...

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Constipation

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...

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Digoxin Potassium Relationship

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...

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Amiodarone

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...

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Digoxin Case

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...

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Lamictal Rash – Case

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...

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