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Tramadol Pearls – Serotonin and Seizure Risk
Tramadol is a opioid like medication that is frequently used for moderate type pain. It is incredibly important to remember that because it has opioid activity, it can certainly lead to the risk of...
Medication Induced Sexual Dysfunction – Case Scenario
A 47 year old male is concerned that his drugs are causing medication induced sexual dysfunction. His primary provider has asked you to review his medications. What would I look at here?...
Olanzapine Smoking Cessation Interaction
Managing schizophrenia can be incredibly challenging. Drug interactions are a major factor in that challenge. Olanzapine is broken down by CYP1A2. Smoking causes induction of the CYP1A2 enzyme. ...
Opioid Equivalencies – Are They Really?
Opioid equivalencies are a challenging item. If you look online, you can find opioid equivalency tables all over the place. They are useful tools, but they may not tell the complete story. In the...
Beginner’s Guide to Common Causes of Anemia
As a clinical pharmacist, we have to recognize that there are several causes of anemia. Anemia can be sometimes be caused by medications and sometimes not so much. Where is can get really...
Patient Misadventures with Osteoporosis Medications
There are numerous osteoporosis medications that can be used and I've seen a ton of patient mistakes with these medications. Managing osteoporosis is like many other chronic diseases in that the...
Advice For New Pharmacists and Residents – Don’t Listen to Others
Being in the heart of summer, there is a lot of transition going on for pharmacy students and residents right now. I wanted to provide some unusual advice for new pharmacists and residents. "Don't...
Iron Drug Interactions – Clinical Significance
Iron drug interactions are very common. Use of iron products like ferrous sulfate is also extremely common. Two diseases that iron deficiency can cause is anemia and restless leg syndrome. There...
Complex Insulin Regimens in the Elderly
Insulin is one of the highest risk medications that our patients can take. Complex insulin regimens can create confusion amongst our geriatric patients. These regimens can obviously be beneficial...
BCACP Exam – Study Strategies and Preparing to Pass
The BCACP Exam has been growing in popularity over the last few years. This is a very challenging exam with passing rates historically in the 60% range. I surveyed a wide range of online resources...











