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Treating Neuropathy with Tricyclic Antidepressants
Tricyclic antidepressants are an important class of medications that we shouldn't forget about. They are typically very inexpensive and can provide nice relief for pain syndromes, particularly...
GLP-1 Agonists for Diabetes; What Should I Know About These Medications?
GLP-1 Agonists for diabetes are a growing class of medications. There are quite a few clinical pearls. I breakdown a bunch of them in this educational video. What else have you seen?...
Making Recommendations: What to do When you don’t Know What to do
If you haven't come across a situation where you don't know what to do, you probably haven't been asked enough questions. Making recommendations is not easy sometimes. Getting questions when you...
Respiratory Medications – Concerns for Medication Adherence
I work with a lot of geriatric patients in my practice on respiratory medications and I get pretty concerned when I start to see patients with COPD, asthma, or other respiratory diseases who have...
Patient Misconceptions – Statin and Grapefruit Juice Interaction
Patients often don't understand drug interactions. In this scenario, I'll discuss the statin and grapefruit juice interaction and really what we can do about it. For more clinical pearls on...
How and When to Taper a PPI?
Figuring out how and when to taper a PPI is a difficult question sometimes. Here's a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD...
Case Review – Medication Induced QTc Prolongation
Here's a case scenario of possible medication induced QTc prolongation and some thoughts as to what I might do about it. The med list: Amitriptyline 150 mg once daily Geodon 80 mg BID Metformin 500...
A Sincere Thank You – 1,000,000 Times!
I was at a conference a few years back and was incredibly excited about the level of interest I was seeing online in the educational blog posts I was sharing. I remember telling a group of pharmacy...
Assessing Drug Induced Lethargy – Case Scenario
Drug induced lethargy is something that I see on a fairly regular basis. The challenging part is trying to identify which medication or medications are causing lethargy. A 61 year old female...
Considerations in Antidepressant Selection
Antidepressant selection is a bit of an art. There are so many considerations that go into choosing which antidepressant should be utilized. Here's a few things that I think about where making a...