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Benzodiazepine Comparison Table – IV and Oral
Benzodiazepines are prescribed to over 5% of the United States population and that number continues to grow. This class of medications is responsible for facilitating the binding of the inhibitory...
Can I Use Allopurinol As Needed?
Is as needed (PRN) allopurinol appropriate? I have seen as-needed (PRN) orders for allopurinol in practice. It has been rare, but it has happened. Did I like it? No. Allopurinol helps to lower uric...
Medications You Shouldn’t Stop Abruptly
I love reducing medications and tackling polypharmacy, but it needs to be done the right way. There are numerous medications you shouldn't stop abruptly. I lay out my most important list of...
Caffeine As a Contributor To Polypharmacy?
Caffeine is one of the most commonly used drugs that is widely available and put into numerous energy drinks. Of course, caffeine is also contained within coffee which I would suspect many of you...
Insomnia and Urinary Frequency Case Study
JA is a 61 year old male who has a past medical history of hypertension, diabetes, anemia, and arthritis. His current medications include metoprolol 25 mg BID, hydrochlorothiazide 25 mg once daily,...
Pet Peeves in Hospice Care
Working in assisted livings and long term care facilities for a large chunk of my career, its safe to say I've reviewed a few patients medications who are on hospice. I have three major pet peeves...
Serotonin Syndrome Versus Neuroleptic Malignant Syndrome
Serotonin syndrome and neuroleptic malignant syndrome (NMS) are two commonly taught drug-induced syndromes but are rarely encountered in practice. I wanted to put together some important differences...
Top 5 OTC Drug Interactions
Over-the-counter medications provide easy access for patients to solve their own problems. Too often, patients lean on self-treatment without consulting a healthcare professional. One of my primary...
Benztropine Clinical Pearls
Benztropine (Cogentin) is an older anticholinergic agent primarily used for movement-type disorders and adverse effects. I'll share some of my most important benztropine clinical pearls in this...
Allopurinol Versus Febuxostat – Clinical Comparison
Lowering uric acid is the key to reducing gout flares. Both allopurinol (podcast) and febuxostat are effective at performing this task. However, there are some considerations you need to be aware...











