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Oral Contraceptive Drug Interactions
Oral contraceptives are the most commonly used contraceptive method in the United States. We are often asked about efficacy, missed pills, and return to fertility; however, it’s important to keep...
Taking Too Many Inhalers: Adherence Benefits of Once-Daily Options
In practice, many patients become overwhelmed by polypharmacy. A diagnosis of COPD or asthma can significantly increase the medication administration burden. I’ve heard many patients report that...
Preparing For The BCMTMS Exam in 2021-2022
I get quite a few questions about preparing for the BCMTMS exam. I've been fortunate to receive feedback from many candidates now regarding our content and how to best tailor our educational...
Medications That Falsely Raise Creatinine
There are many medications that falsely raise creatinine. This can be indicative of worsening renal function, but in some situations, it may not be an issue at all. Here's a case scenario where we...
Thiazides and Hyperglycemia – Is It Significant?
I was asked about the clinical of thiazides and hyperglycemia. To be honest, studies aren't that great surrounding this question, and the main ones I'm aware of and could find were very old. Here's...
How Common Is Gynecomastia With Spironolactone?
I got asked a question the other day about spironolactone. Specifically, how common is gynecomastia with spironolactone? Before I answer that question, let's take a look at some of the common...
Melatonin Clinical Pearls
Melatonin is a supplement that is most often used for insomnia. I see patients take this supplement on a daily and it is also a frequent recommendation of many providers. Here are a few melatonin...
Magnesium Clinical Pearls
In the ambulatory care and geriatrics space, I see magnesium supplements used on a fairly frequent basis in practice. Here are a few magnesium clinical pearls that I've picked up along the way....
Antiarrhythmic Comparison Chart
You will see antiarrhythmics used in clinical practice. They are typically prescribed by cardiovascular specialists, but we wanted to provide an antiarrhythmic comparison chart because as a...
Anticholinergic Potassium Interaction
The anticholinergic potassium interaction is noted on many databases as a serious interaction. Potassium supplements have been shown to cause irritation if left in contact with the GI tract for too...











