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Advantages and Disadvantages of Extended Release Products
Extended release products are a common method to deliver medications. There are certainly advantages to having medications delivered via this method, but there are also certain instances where this...
Patient Perceptions of an Ambulatory Care Pharmacist
A challenging aspect of working with patients in a primary care clinic is patient perceptions. If you ask 100 patients what a pharmacist does, they would all likely give you some variation of a...
Strategies for Assessing Rare Drug Side Effects
I always get questions about rare drug side effects. It isn't always easy to know how to respond these. I outline some critical questions to ask along with the case scenario below. A 61 year old...
Crazy Medication Administration Errors – Adventures in Patient Education
Teaching patients how to use their medications is at the heart of what we do as pharmacists. I wanted to share some of the crazy medication administration errors that I have seen or heard of. I...
2018 NAPLEX Exam Primer – Taking the Exam
The 2018 NAPLEX Exam is coming for some of you and I'm sure if you are anything like me, you have a mix of excitement, nervousness, and fear! I've been working diligently to update my 2018 NAPLEX...
Drug Diversion in Long Term Care – Case Examples
As a consultant pharmacist, I have encountered numerous scenarios of drug diversion in long term care and assisted living settings. I have a deep appreciation for the safe and appropriate use of...
Patient Case; Dizziness, Weakness, and Dry Mouth
SK is an 80 year old male with a history of BPH, hypertension, CAD, diabetes, and atrial fibrillation. His current medications include: Warfarin – goal INR 2-3 Aspirin 81 mg daily Lisinopril 10 mg...
Asthma Medication List Review
You can't tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here's a...
Propranolol and Difficulty Breathing
It is well known that beta-blockers can affect the beta-2 receptors and potentially cause issues with breathing. Non-selective beta-blockers like propranolol may be even higher risk for causing...
Citalopram Omeprazole Interaction
Managing drug interactions like the citalopram omeprazole interaction can be really challenging. Often times the situation I'm presented with is I'm meeting with a patient and they have been on...