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Switching From Brand to Generic Phenytoin
Brand to generic drug changes can occur due to demands by insurance companies. These changes are often forced due to the low costs of generic medications compared to brand name products but are...
Topiramate Clinical Pearls
Topiramate (Topamax) is used for various reasons outlined below. We wanted to cover some of the most common topiramate clinical pearls and how these might affect our patients. Let's start with a...
Comparison of IV Iron Products
The human body requires sufficient iron to produce red blood cells, which are vital for transporting oxygen to tissues. Without sufficient iron, individuals can develop iron deficiency anemia. Oral...
Doxepin and CYP2D6
We blogged about doxepin a few weeks ago now and I had a colleague bring this article to my attention. The relationship between doxepin and CYP2D6 is a very important one and I wanted to discuss it...
Amiodarone Adverse Effects And Prescribing Cascade
Amiodarone is an older antiarrhythmic drug that you may see used in primary care and geriatrics. I'm well into my latest project on a NEW BOOK involving the prescribing cascade and polypharmacy. I...
How To Transition From An ACE Inhibitor To An ARNI
Sacubitril/valsartan (ARNI) is getting more attention in the guidelines with regards to its use in heart failure (specifically HFrEF). Many patients are already on an ACE and making the transition...
Medications For Akathisia
Akathisia is one of the most common symptoms associated with extrapyramidal symptoms (EPS) due to antipsychotics. There are a few different medications that we can use for the management of...
Bromocriptine Clinical Pearls
I don't see bromocriptine used very often in clinical practice, but as a pharmacist, I feel the need to know every medication I come across. Here's a list of my top bromocriptine clinical pearls! I...
Diuretics And The Prescribing Cascade
Diuretics are a medication that I see used on a daily basis. I also encounter these medications causing adverse effects. With adverse effects comes the potential for providers to add medications to...
Heart Failure Guideline Updates in 2021
There are a few important heart failure guideline updates in the works to the American College of Cardiology’s Heart Failure Guidelines, last published in 2013. Prior to the full guideline release,...