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Uniform MPJE From NABP – Coming In 2026
I know quite a few pharmacists who work remotely and one of the major challenges is acquiring licensure from multiple states. I have licenses in 3 states and that is plenty for me to keep track of....
Important BPS Exam Format Change For Board Certification!
I've had a concern come up with regard to candidates taking a BPS board exam that I wanted pharmacists to be aware of. BPS (Board of Pharmacy Specialties) oversees many common pharmacist board...
Nitrofurantoin, Pulmonary Toxicity and The Prescribing Cascade
Nitrofurantoin is often used in patients for UTI prophylaxis. One potential concern with nitrofurantoin use is pulmonary toxicity. This can often be overlooked in patients as a potential cause of...
Loss of Balance Case Study
JK is a 77-year-old male who reports a 1-week history of intermittent dizziness and episodes of loss of balance, particularly when walking around. He denies any recent falls, headaches, visual...
Digoxin and The Prescribing Cascade
Digoxin is a cardiac glycoside that has a narrow therapeutic window. Because of this, we typically monitor digoxin levels. If levels get too high, we can run into adverse effects. In some cases,...
Azole Antifungals Comparison – Indications and Coverage
Azole antifungals play a central role in the treatment and prevention of fungal infections, offering coverage against yeasts, molds, and dimorphic fungi depending on the agent. Each drug in this...
Acyclovir Versus Valacyclovir – What’s the Difference?
When treating herpes simplex virus (HSV) or varicella-zoster virus (VZV), two antiviral agents commonly used are acyclovir and valacyclovir. While both medications are effective, understanding their...
Prescribing Cascade in Dementia Care – My Top 5
The prescribing cascade occurs when a side effect of a medication is misinterpreted as a new medical condition, leading to the prescription of additional medicines that may be unnecessary and...
Comparing Azole Adverse Effects
Azole antifungals are known for treating various types of yeast, molds, and dimorphic fungi, however, their safety profiles significantly vary, especially when it comes to hepatotoxicity, QT...
Recommendations in Long Term Care – 5 Recent Examples
In my work as a consultant pharmacist (which I love!), I write recommendations to nurses and providers of long term care and assisted living facilities. I wanted to share some of the most recent...