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Is Taking Iron Every Other Day Actually Better?
In a recent small study where taking iron every other day was given versus once daily iron, they demonstrated an improved absorption. How should we apply this in real world practice? In my...
Setting a Goal A1C – Is an A1C of 8.2 ok?
Working in geriatrics, you run into a lot of tough questions where there isn't always a perfect answer. Setting a goal A1C is sometimes one of those challenges. Here's a scenario where a patient has...
Assessing Medications in a Frequent Faller – Case Scenario
Assessing medications in a frequent faller is something I do on a pretty regular basis. There are often multifactoral reasons for the falls, but as a pharmacist, our obvious focus is on the...
Prozac Wellbutrin Interaction – Case Scenario
Here's a case scenario involving the Prozac Wellbutrin interaction. A 64 year old male has severe depression. He is currently on Remeron 15 mg once daily, Prozac 80 mg once daily, and Abilify 10 mg...
Changes in Pharmacy Services F-Tags; What Does it Really Mean?
There's been a recent update from CMS that has started to be implemented. The F-Tags have been given a little facelift and renumbering. I'm a consultant pharmacist, so I'm going to focus on the...
Bupropion Nortriptyline Interaction – Case Study
In the patient on numerous medications, drug interactions are always a constant concern. In the scenario below, I lay out some strategies to monitor the bupropion nortriptyline interaction with a...
How to Spot Anticholinergic Side Effects
Anticholinergic side effects are something that I see on nearly a daily basis. I've become accustomed at identifying these and trying to come up with a game plan to minimize these adverse effects. ...
Secrets of Opioid Tapering
I've had the opportunity to work with chronic pain patients and opioid tapering. It has been very challenging and I have definitely picked up a few pearls and strategies to try to help coach...
Pharmacy Leaders – Who’s Leading the Discussion Online and Thinking Outside the Box
As I've gotten into the online space, I've had quite a few influences and people I've admired from afar (literally really afar). Many I have never met in person, but from following them and having...
Hot Flashes and Breast Cancer
This post on Hot Flashes and Breast Cancer was donated by Jiamin Liau, a clinical pharmacist from across the world in Australia. Thanks for your contribution! In patients with cancer, hot flashes...