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Apixaban Dose Adjustments and Drug Interactions
Apixaban (Eliquis) is a somewhat newer anticoagulant. While it is tempting to utilize the "set it and forget it" mindset with dosing, we must remember that there are a few reasons that we might...
Adding a Diagnosis to Every Prescription – A Key to Stopping Polypharmacy
Pharmacists spend a ton of time authorizing, clinically reviewing, and verifying prescriptions. We also spend time reviewing what information we have about a patient. Unfortunately, in a community...
Inappropriate Production of Milk and MAJOR Announcements!
Today I'm going to discuss a case involving a patient concern with inappropriate production of milk (formally known as galactorrhea). Keep an eye at the end of this post for some MAJOR...
Section N MDS – Drug Regimen Review October 2018 Updates
As of October 1st, 2018, there has been a big update in long term care. Section N of the Minimum Data Set (MDS) has been updated to include a drug regimen review for residents upon admission. CMS...
Cilostazol in Heart Failure – A Big No-No
Should we use cilostazol in heart failure? A 68 year old male smoker has a past medical history of peripheral vascular disease, cardiovascular disease, myocardial infarction X2, osteoarthritis, CHF...
BCGP Study Schedule – FREE Download
A few months ago, we produced a study schedule for BCPS exam takers (Free Download) Since then, many of you have asked for a BCGP study schedule. I will say it is difficult to develop a one size...
Patient Misconceptions with Antidepressant Therapy
Patient misconceptions with antidepressant therapy is very common. Antidepressant therapy can be life changing for patients, but we have to remember that their are very critical education points...
Ambulatory Care Pharmacy – Lessons Learned in the Clinic
Last week, I participated in an ambulatory care pharmacy roundtable. It was really interesting and there was all sorts of different discussions from everything to board certification, residency,...
3 Medication Recommendations That Should Drive You Crazy
I have a deep passion for trying to provide value while working as a clinical pharmacist. I had a couple of negative experiences with providers when I first graduated. From those poor...
SSRI Platelet Inhibition – Clinical Relevance
I've covered many potential adverse effects and clinical quirks with the SSRI's on this podcast, but one mystery still remains. What to do about the SSRI platelet inhibition effect? The SSRI...