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Biosimilar Updates 2021
FDA-approved biosimilars have been compared to a biologic and shown to be highly similar in structure and function. They are determined to have no clinically meaningful differences in safety,...
Case Study – Diarrhea and Achiness
CA is a 58-year-old female with CKD. Her CrCL today is 45 mL/min and stable sCr of 1.3 mg/dL. She complains of muscle aches that started a couple of weeks ago and that her doctor said she can’t use...
Strategies For Addressing Statin Myopathy
Statin myopathy is a primary reason why patients stop taking these cholesterol-lowering medications. Here's a case scenario where I discuss considerations and options to addressing statin myopathy...
When Do We Use Fibrates?
Fibrates are a type of amphipathic carboxylic acid that treat hypertriglyceridemia. They work by reducing the liver’s production of VLDL particles that carry triglycerides to tissues and...
Cholestyramine For Diarrhea – Prescribing Cascade
One of the symptoms reported by patients that will catch my attention is diarrhea. This can often be an adverse effect of medication. When I see orders for medications that manage diarrhea, I really...
Most Common Atorvastatin Drug Interactions
I recently did a podcast on atorvastatin and thought it might be helpful to share the most common atorvastatin drug interactions that I see in clinical practice. So here it goes... Grapefruit juice...
Glucosamine and Chondroitin For Arthritis: To Use It Or Not?
Patients will frequently ask me what supplements they should use to help treat their conditions and more often, they begin to take something even prior to asking. I was recently asked my thoughts on...
Pharmacist Provider Status Update – We Are Winning Hearts, Minds, and Jobs
I've worked with so many great pharmacists and we are truly winning the hearts and minds of our fellow colleagues. I can't thank you all enough for how much work you have all put in to grow and...
When Should Ezetimibe Be Used?
Ezetimibe (Zetia) is a medication used to lower cholesterol. More specifically, this medication is used in clinical practice to lower LDL and help get patients to a target goal. If you recall from...
Vibegron Versus Mirabegron in the Management of OAB
Vibegron (Gemtesa) is a selective beta-3 adrenergic receptor agonist. It treats OAB, including urge urinary incontinence and urinary frequency by relaxing the detrusor smooth muscle during bladder...