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Acetylcholinesterase Inhibitors and Bradycardia – Case Scenario
Acetylcholinesterase Inhibitors are used in various forms of dementia. They can provide some symptom improvement in dementia, but cannot reverse or stop its progression. We need to remember that...
Reglan Induced Galactorrhea – Case Scenario
In this case scenario, I'm going to demonstrate and unusual side effect of galactorrhea. Reglan induced galactorrhea is a possibility due to the mechanism of dopamine blockade. The case: A 46 year...
Factors in Selecting Opioid Replacement Therapy – Methadone or Buprenorphine/Naloxone
Jiamin Liau is a clinical pharmacist in Australia who donated this piece on opioid replacement therapy! Ms DF, 27 years old, has been on opioid replacement therapy in the past. Treatment ceased...
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. ...
Study Materials For Pharmacists
