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Dopamine Agonists – Clinical Pearls
The two common dopamine agonists used in practice are pramipexole (Mirapex) and ropinerole (Requip). They are often used in the management of restless leg syndrome and also sometimes utilized in...
How Long Does It Take Cymbalta to Work for Pain? Case Scenario
A 48 year old female has a history of diabetic neuropathy and has been placed on Cymbalta (duloxetine). The patient has taken it for three days and is feeling pretty fatigued throughout the day...
Electrolytes in Kidney Disease – Elevations in Mg+ and K+
One of the most important complications to remember in kidney disease is electrolyte abnormalities. Strategic monitoring of electrolytes in kidney disease is essential. When I think about chronic...
Pharmacy Student Loans – Are They Still Killing You?
I just had a follower of the blog email me the other day and they have over $300K in pharmacy student loans. That's a heavy burden and can feel incredibly overwhelming. I feel bad for those folks...
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...
Study Materials For Pharmacists
