BLOG
Drug Induced Hypertension Case
This 76 year old patient was on a laundry list of blood pressure medications. Hydrochlorothiazide, losartan, metoprolol, terazosin, amlodipine, and recently had clonidine added to their regimen with...
Drug Interaction Causing Pregnancy
A 32 year old female has been struggling with fatigue, sadness, and overall symptoms of depression. Rather than utilizing traditional antidepressants as recommended by her primary care provider, the...
Actos (pioglitazone) and CHF
A patient's A1C was chronically high at around 9.0 with poor diet compliance. They were already reciving a fairly high dose of a sulfonylurea (glipizide) - remember that sulfonylureas stimulate the...
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...
Study Materials For Pharmacists
