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Iron 2 Tablets Daily – Why This is a Bad Idea
Every so often, you see a medication order that just makes you tilt your head and think, “Huh?” One order that I recently encountered that made me scratch my head was (ferrous sulfate) iron 2...
Case Study – Renal Dose Adjustment and Constipation Polypharmacy
Mrs. M is an 87-year-old female residing in a skilled nursing facility. Her medication list includes: Apixaban 5 mg BID (for atrial fibrillation) Docusate 100 mg BID Senna 8.6 mg BID PEG 17 g daily...
Duplicate Antipsychotics In Hospice – Two Real Life Situations
Here’s a question that comes up in hospice more than you’d think: Why would a hospice patient be on two antipsychotics at the same time? To the average clinician, this raises immediate...
Three Travel Diseases That May Show Up On Your Exam
Many infectious diseases are more prevalent in other areas of the world. In this article, we will cover three important travel diseases along with their prophylaxis and treatment recommendations...
Ertugliflozin – Where Does It Fit in Practice?
Ertugliflozin was first approved in 2017 for the treatment of type 2 diabetes. This medication is an SGLT2 inhibitor that prevents the resorption of glucose back into systemic circulation. It has...
Medications to Avoid in BPH – My Top 4
Benign prostatic hyperplasia (BPH) is one of those conditions that creeps up with age and quietly causes a whole bunch of problems—especially when medications make it worse. A patient might come in...
Senna and Questran – A Pet Peeve
I think I've seen this scenario play out more times than I would like. A patient is prescribed both a laxative, Senna, and Questran (cholestyramine), a medication used to manage diarrhea symptoms....
Top 5 DOAC Drug Interactions
Direct oral anticoagulants (DOACs) are widely used in a variety of conditions, including atrial fibrillation, pulmonary embolism, and deep vein thrombosis. Most DOACs are metabolized by CYP3A4 and...
Counteracting Drug Effects: 5 Case Examples I’ve Seen In Practice
Counteracting drug effects are all too common in geriatric and polypharmacy patients. I wanted to share common examples that I've seen in my practice as a clinical pharmacist. NSAIDs vs....
Tamsulosin Versus Alfuzosin – What Pharmacists Need to Know
In this blog post, we will compare tamsulosin versus alfuzosin. Tamsulosin and alfuzosin both act on the sympathetic nervous system. Tamsulosin and alfuzosin both work as Alpha1 antagonists. More...
Study Materials For Pharmacists
