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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...
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...
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...
Diabetes Case – Invokana
In making some of these decisions about medication changes, there isn’t always a perfect answer, and people disagree, but I didn’t write this post to tell you that people disagree – hopefully most...
“Treating” Behaviors in the Elderly
Alright, new topic…let’s roll…I’m going to tackle some psych tonight, because I always get asked questions about these meds! The topic of psych medications in general is very challenging to say the...
Should you only use one pharmacy?
I recently saw an article posted on KevinMD.com that was written last year or so, it also prompted me to look at other articles similar to this. In the article, a medical student describes the...
Sulfonylureas
I’m going to cover sulfonylureas tonight; this class is a mainstay in the treatment Type 2 diabetes. Other than metformin, these drugs are probably the most frequent oral class used. The most...
Januvia & DPP-4 Inhibitors
Today, it's the DDP-4 inhibitors! DPP-4 inhibitors can be expensive which may limit their use from time to time. These drugs work to increase the amount of incretin in the body. You can look back at...
I’m Thankful for Great People!
A few months back, I had this enlightening interaction with a nursing home resident: I was working away at a nurses’ station and this elderly gentleman strolls by in his wheel chair, telling me I...
New Kid on the Diabetes Block
I’m going to flip back to oral diabetes meds to cover a new agent that has recently been approved. It is a new class of diabetes med, but generally means it’s going to be quite expensive. This drug...











