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Medications That Exacerbate IBS-Diarrhea
Irritable bowel syndrome can be very difficult to manage in some patients and once controlled, you can imagine that the patient wants nothing more than to keep their symptoms at bay. I’ve seen...
Hydralazine Clinical Pearls
Hydralazine is a medication that causes vasodilation on the arterioles which ultimately leads to a reduction in blood pressure. It isn’t a medication that is used terribly often and I will discuss...
Leaving The Nicotine Patch On Overnight
In this case scenario, we discuss the potential risk of leaving the nicotine patch on overnight. A 55-year-old female has a history of hypertension, GERD, and is currently a cigarette smoker. She...
Saw Palmetto With Finasteride
I've been asked by patients before if they can take saw palmetto with finasteride. Here's my thought process based upon a case scenario. JS is a 71-year-old male who presents to his annual physical....
2021 BCPS Exam – Developing A Plan and FAQ’s
Preparing for the BCPS exam is stressful. There's a bit of added stress and mystery for those looking into the 2021 BCPS Exam. The content outline changed in the second half of 2020 and so the exam...
Sodium Chloride Supplements – Alarm Order for SIADH
Here's a case scenario where sodium chloride supplements were added, and why I think it is important to recognize what that may mean. KD is a 63-year-old female with a history of bipolar disorder...
Pet Peeve Alert: Can We Have a Constipation Medication?
This might be one of my biggest pet peeves. Adding a medication when we are already doing the opposite with another medication. I had a patient a while back who was taking cholestyramine twice daily...
Why Do Patients Stop Taking Medications?
Why do patients stop taking medications? I’ve spent a lot of time and effort working with patients to improve their drug therapy, but it really doesn’t matter if they don’t actually take the...
Zinc Drug Interactions
I'm seeing, reading, and hearing a lot about zinc in the prevention and management of various infectious diseases such as COVID and head colds. While I'm not very sold on the data supporting its...
Rybelsus With Food. Is This Ok?
I was asked this question the other day and I wanted to specifically address it. What should I do if I didn't take Rybelsus (semaglutide) 30 minutes before I ate because the package insert says I'm...










