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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...
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...
Why We Would and Wouldn’t Use Ziprasidone
Looking at the adverse effect profile of second-generation antipsychotics is critical to medication selection in clinical practice. You should definitely know the general list of adverse effects of...
GLP-1 Agonists And The Prescribing Cascade
The GLP-1 Agonists have grown significantly in their popularity and there are good reasons for that increase in use. They promote weight loss which is a big problem in the majority of our type 2...
2021 BCMTMS Exam Changes and Why It Will Be Harder
It is well known that we create study materials for several board exams. I'm often one of the first to know when changes happen because people ask me how it should impact their preparations! The...
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...
Tiotropium Systemic Absorption – How Much?
I had this question the other day about the extent of tiotropium systemic absorption and I had to double-check. I knew that there was some, but wasn't sure how prevalent it was. According to an...
My Top 5 Drugs That Cause Diarrhea
Diarrhea is a nuisance that can lead to non-adherence to drug therapy. In some cases, diarrhea can be even more than a nuisance and may risk the lives of our patients. Below, I outline my top 5...
SGLT2s And The Prescribing Cascade
SGLT2s like empagliflozin, dapagliflozin, ertugliflozin, and canagliflozin are getting more use in diabetes care as time goes on. As a geriatric pharmacist, I certainly recognize that these agents...
Hyperthermia and Medications Case Scenario
A 53-year-old male presents to the emergency department with severe agitation, fever, and symptoms of delirium. The attending provider assesses the patient and gets a urine drug screen. The drug...











