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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...
2017 Pharmacist Board Certification Pass Rates – How Hard is BCPS, BCACP, BCGP, etc.
I get asked all the time about the Pharmacist Board Certification pass rates and coupled with that, how hard are the exams. I breakdown the recent release from Board of Pharmaceutical Specialties...
How to Address QTc Prolongation Drug Interactions
Addressing QTc Prolongation drug interactions has always been a challenging topic for me. These drug interactions are really hard to know what to do. Problems arising from these interactions...
Managing Resistant Hypertension – 5 Vital Questions to Ask
Managing resistant hypertension can be very challenging. There are lots of factors that can go into raising blood pressure and as a pharmacist, we need to remember a what some of those factors are....
Managing the Metformin Side Effect of Diarrhea
In working with patients, the metformin side effect of diarrhea can be a real challenge. As a healthcare professional, I understand how beneficial it can be for some patients to be on metformin....








