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Capsaicin – Why Doesn’t It Work As Needed (PRN)?
A 76-year-old male has been having some knee pain due to osteoarthritis. He has tried acetaminophen and ibuprofen and didn't find much help with those. He finds a topical agent called capsaicin. He...
Compelling Indications in Diabetes – Why to Choose Different Agents
A compelling indication is simply another reason (typically a disease state) as to why you choose a medication. Compelling indications in diabetes are increasingly important in medication selection...
These Meds Can Cause Drug-Induced Lupus
As a medication expert, being up to date on adverse effects is essential! I recently stumbled into this review article on drug-induced Lupus and I had to share it and some of my thoughts. Symptoms...
Duloxetine Risperidone Interaction – Case Study
Here's a case scenario where the duloxetine risperidone interaction likely contributed to an emergency department visit. A 78-year-old male with dementia, depression, anxiety, neuropathy,...
Thinking Clinically and Paying Attention – 2 Examples
As a clinical pharmacist, I cannot understate the importance of looking for ways to improve our healthcare system. We can be a key lynchpin in identifying concerns before something bad happens. Let...
BCACP 2020 Changes – What You Need to Know
Much like the BCPS exam, the Board Certified Ambulatory Care Pharmacist certification exam (BCACP) is changing in 2020. These changes will not go into effect until the Fall of 2020, but I wanted you...
Falls, Dementia, and Constipation
YS is a 79-year-old female with a medical history of osteoarthritis, insomnia, CVD, GERD, constipation, dementia, and falls. Her current medication list includes donepezil, Senna-S, lisinopril,...
Oral Semaglutide Clinical Pearls
I recently received a text from a friend about the use of oral semaglutide in a patient with diabetes. It is definitely exciting to have more options for patients, even though we know there will...
Comparing Ropinirole and Pramipexole – Which One Should We Use?
Oftentimes there are numerous agents within a class of medication. Ropinirole (Requip) and pramipexole (Mirapex) is an example of this. When comparing ropinirole and pramipexole, there are clinical...
Generic Apixaban is Here!
FDA Approval The FDA has recently approved two generic versions of apixaban and from the amount of apixaban I'm seeing used in clinical practice, this is a great thing for overall healthcare and...