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Pet Peeves With Urinary Issues
I encounter patients on a daily basis who are taking medications for urinary issues. Incontinence, frequency, BPH, and frequent UTIs are common problems in geriatrics that can lead to the use of...
6 Reasons To Avoid SSRIs
Selective Serotonin Reuptake Inhibitors are a mainstay in the management of depression and other mental health disorders. All SSRIs are not created equal and when I am reviewing a patient case, I...
Should SABA Ever Be Used in Asthma?
I have been receiving questions on occasion regarding asthma therapy. More specifically, with the GINA recommendations, should SABA ever be used in asthma? Many are confused about what we should be...
RLS Guidelines Change and Clinical Pearls
Restless Legs Syndrome (RLS) can be a very difficult diagnosis to manage for some patients. Insomnia, pain and significant discomfort can result on account of this disease. Here are a few of my...
Acetaminophen in Osteoarthritis
When I was in school, acetaminophen was considered the go agent for the management of osteoarthritis pain. While acetaminophen in osteoarthritis is still possibly a 2nd or 3rd line consideration,...
Chemotherapy-Induced Nausea and Vomiting Update
Chemotherapy-induced nausea and vomiting (CINV) is one of the most common side effects in patients getting treated for cancer. Prevention for CINV is important to improve quality of life and...
Azathioprine Clinical Pearls
Azathioprine isn't a drug I see terribly often in clinical practice, but there are some really important things to remember. I recently put together a podcast on azathioprine and I wanted to share...
Drug-Induced Tachycardia Case Scenario
A 77 year old male has a history of atrial fibrillation which had been well controlled on metoprolol 50 mg BID. He presents today reporting an increase in pounding in his chest and indeed, vital...
Biologics in Asthma – The Basics
In clinical practice, I don't see biologics in asthma very often, but it is something that I think is important to remember. The most commonly used agent over the years that I have seen is...
Expired Medications – Which Ones Get Missed?
Working in long-term care, I've had the opportunity to audit medication carts and storage areas on a daily basis. In addition, surveyors will often cite deficiencies when they find expired...