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SSRIs and CYP Enzymes

SSRIs and CYP Enzymes

While many who don't understand pharmacology consider the SSRIs to be interchangeable, significant consequences can result if we don't pay attention to the risk of drug interactions. When looking at...

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Constipation Prescribing Cascade

Constipation Prescribing Cascade

At its worst, constipation can be a very serious issue in some patients and at best be a significant nuisance. Here's a classic example of the constipation prescribing cascade. A 72-year-old female...

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Tramadol Drug Interactions

Tramadol Drug Interactions

Tramadol is used in clinical practice, but it does have numerous drug interactions that you should be aware of. When reviewing a medication list or when a patient starts a new medication, here are...

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Senna and Loperamide Scheduled

Senna and Loperamide Scheduled

Somedays I scratch my head more than others...today was one of those days. Seeing Senna and loperamide scheduled together made me scratch it REAL hard. A 77-year-old male was complaining of...

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5 OTCs That Cause GI Issues

5 OTCs That Cause GI Issues

Over-the-counter medications play a huge role in modern healthcare. In my practice, I've had caught many adverse effects simply by reviewing the entire medication list and asking about OTCs. Here...

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Which Drugs to Avoid in Kids? My Top 5

Which Drugs to Avoid in Kids? My Top 5

While I primarily practice in geriatrics, I've also spent some time in community pharmacy and of course, get asked questions about medications in kids from time to time. In addition to getting asked...

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