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PPIs and Metformin Leads to Deficiency – Case Study
In this case scenario, we discuss the "double trouble" of using PPIs and metformin and their effects on vitamin B12. Mrs. J is a 68-year-old woman with type 2 diabetes and gastroesophageal reflux...
Top 5 Gout Pharmacotherapy Pearls
In this blog post, I'll share my top 5 gout pharmacotherapy pearls. This can often show up in practice as well as on those challenging board exams! Allopurinol Doesn't Treat Flares Allopurinol...
Deprescribing Targets – Case Scenario
Mr. H is a 78-year-old male presenting to a primary care clinic for a routine medication review. In this scenario, we want to identify deprescribing targets. His past medical history includes...
Paxlovid Alprazolam Interaction – Case Scenario
In this case scenario, we outline the Paxlovid alprazolam interaction. A 42-year-old woman with a long-standing history of severe generalized anxiety disorder, managed with alprazolam 1 mg orally...
Pimavanserin Practice Pearls
Pimavanserin is a unique antipsychotic with a very specific niche in clinical practice. It is most commonly used for Parkinson's disease psychosis, and its pharmacology, benefits, and risks are...
Top 5 Testable Pearls – Alpha Blockers
Alpha-blockers are not first-line agents for many conditions, but they are often tested on exams and highly relevant in practice—especially in urology, hypertension, and acute care settings....
Biotin Causes Thyroid Problems
In this case scenario, we outline a situation where biotin causes thyroid problems. It highlights the importance of recognizing the use of OTC and supplement medications. A 46-year-old woman with a...
Medications That Cause Hypersexuality
As I’m sure many of us who commonly work with elderly patients in nursing homes have seen, patients can experience hypersexuality and exhibit behaviors that put themselves and other residents at...
2026 BCMTMS Exam – The Rundown
Are you preparing to take the BCMTMS exam in 2026? Whether you're a practicing pharmacist considering advanced credentials or a pharmacy student planning ahead, this post breaks down what the BCMTMS...
Akathisia Case Study – Which Antipsychotic is the Worst?
I recently came across a case scenario of drug induced akathisia. It is important to remember that aripiprazole is one of the most common causes of this adverse effect. Here's the case - LY is a...
Study Materials For Pharmacists
