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Polysupplements – Medication List Review
A 64 year old male has a current medication regimen of: Garlic 200 mg daily Chromium 500 mg daily Omega 3 fish oil 1,000 mg daily Magnesium 500 mg daily Cinnamon 500 mg daily Red Yeast rice 1 table...
Fluconazole Clopidogrel Interaction – Case Scenario
Fluconazole is one of those drugs that has a ton of drug interactions. If you don't believe me, here's a classic blast from the past! Here's a different scenario where I breakdown the fluconazole...
Potassium Supplements Without a Diuretic
Often we intentionally contribute to the prescribing cascade. Potassium supplements with a diuretic is one of those scenarios, but I want to teach you about what to think about when you see...
Diabetes Medications and Pancreatitis – Case Scenario
Diabetes is a disease that millions are affected by. It can be very challenging trying to figure out which medication or medication combination is best for a patient. While extremely rare, the...
CMS F-Tags, F-329 Unnecessary Medications; The Most Commonly Cited Meds
I’ve spent years of my life working in and around long term care (nursing homes). The CMS F-tag, F-329 Unnecessary Medications tag is by far (in combination with F-428) the most common survey...
Should I Take St. John’s Wort? Clinical Considerations
So, what would you say if a patient asked you, "Should I take St. John's Wort?" My gut screams no! St. John's Wort is a substantial inducer of many CYP enzymes which can play havoc with many...
Benzodiazepine Equivalents – Clinical Questions to Consider
I came across this useful table of benzodiazepine equivalents and decided to share it with you. Converting one drug to another always comes with challenges and benzodiazepines are no different....
3 Classic Medications That Cause Insomnia
There are many medications that cause insomnia. With any new symptoms, we must first rule out the possibility of medication adverse effects. Here's 3 classic examples of the prescribing cascade...
Clinical Conundrum – Gemfibrozil and Statins, What to do?
Drug interactions is one thing that pharmacists need to be experts at managing. Gemfibrozil and statins present an interesting drug interaction that needs to be addressed. How should we address...
How to Handle Gabapentin Abuse
When giving a presentation the other day, I received a question about how to handle gabapentin abuse. It is a tough question, much like opioid, benzo, stimulant, or any other controlled substance....
Study Materials For Pharmacists
