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Lexapro Case and Antipsychotic Use
In just one more example of the prescribing cascade, I had a resident at a nursing home that was prescribed Lexapro for depressive and anxiety type symptoms. A few weeks after starting this...
Dementia Medication Case
In geriatrics, I see frequent use of acteylcholinesterace inhibitors for dementia. Some examples include: Aricept (donepezil), Exelon (rivastigmine). One of the hallmark side effects of this class...
Pain and Capsaicin Products
I’m going to finish off the week with some random things I’ve come across over the previous few months. I occasionally see some capsaicin(creams, gels etc.) products used from time to time for the...
Coumadin and Lovenox
I could continue on Coumadin for quite a while longer with other cases and stories, but there is too much other cool stuff to cover. I’m going to finish up on “bridging” of anticoagulants. I wrote a...
Vitamin K and Coumadin
Vitamin K (or Mephyton or phytonadione for you A+ healthcare providers) is the reason why someone on Coumadin should try to keep a consistent diet. Big changes in intake of vitamin K can cause an...
Coumadin Dosing
Coumadin is a high risk medication as I mentioned in one of the previous night’s posts. I have the opportunity to frequently review medication errors at dozens of healthcare facilities. Coumadin...
Coumadin and Tylenol
Question: Is Tylenol safe to use with Coumadin? Tylenol (acetaminophen) is generally considered as one of the safest pain medications when used appropriately. With that being said, we have to...
Coumadin interaction Case!
I’ve got another example involving an interaction with Coumadin that you may not have thought about before. Most often when I discuss Coumadin interactions with students, the first thought in most...
Coumadin and NSAIDs
Coumadin and NSAIDs(Advil, Aleve, Nabumetone, etc.) probably one of the worst drug-drug interactions, in fact the AMDA lists it as one of its top ten in long-term-care/geriatrics. ...
Clots
hat clot in the heart, big deal…yes, it is. It’s not terribly problematic when the clot is in the heart, the problem comes when that clot breaks loose. The clot breaks loose and the way I picture...











