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Medication in Parkinson’s
Parkinson's is one of the most complex disease states you will encounter. Whenever you talk about a disease of the brain and nervous system, you know that we likely don't have a 100% clear...
Using Start Dates to Stop Polypharmacy
In long term care consulting, learning how to review and interpret medical records is an absolute must. It can also be incredibly helpful in other settings such as ambulatory care, community,...
Rivaroxaban Drug Interactions – Clinical Impact
One of the big advantages of newer agents like rivaroxaban is there's less potential for diet and drug interactions than with warfarin. Now that doesn't mean that there aren't any rivaroxaban drug...
BCMTMS Exam – What You Need to Know
A few months ago, I stumbled into a new pharmacist certification called the Board Certified Medication Therapy Management Specialist (BCMTMS). This certification is in its infancy, and if you wanted...
Doxycycline Pharmacology and Clinical Pearls
On an episode of the Real Life Pharmacology Podcast, I broke down doxycycline pharmacology and some important aspects that you need to remember as a healthcare professional. Here are a few practice...
Bactrim Phenytoin Interaction – Case Study
In the case scenario below, I outline a case where the Bactrim phenytoin interaction leads to phenytoin toxicity. An 81-year-old female has a history of GERD, OA, and seizures. She hasn't been...
Stopping Medications Leads to Stopping More Medications
Just like adding medications can lead to adding more medications (prescribing cascade), we can think of this strategy in reverse in an attempt to try to stop polypharmacy. Stopping medications can...
SSRI and NSAID Interaction; Is It Relevant?
The SSRI and NSAID interaction kind of drives me crazy. It is one of those interactions where you don't really know how seriously to take it. SSRI has the potential to impact platelet function....
Comparing Namenda XR and Memantine – Cash is King
I feel like I'm still seeing quite a bit of Namenda XR being used. Namenda XR comes in with a price tag of about $500 dollars per month. The generic version of Namenda (memantine) is an immediate...
Spiking Blood Sugars and Adverse Effects
About 10 days ago, a 76-year-old male called you to tell you that his spiking blood sugars are higher than they have been in a long time. His blood sugars were in the 300-400 range. He used to never...
Study Materials For Pharmacists
