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Glyburide in Kidney Disease
Using glyburide in kidney disease is not recommended. It has a longer half life and may have a little more potent effect in kidney disease. A significant challenge to figure out is if patients are...
Should I Take All These Supplements?
I often get referrals for patients who have questions about supplements. Some will ask me "Should I take all theses supplements?" There are definitely some scenarios where I think supplements may...
Lithium Caffeine Drug Interaction
As a pharmacist, I recognize some of the challenges associated with trying to help patients with their medications. In this scenario, I try to demonstrate the lithium caffeine drug interaction. A...
Hormone Replacement Therapy – Patient Discussions
Hormone replacement therapy (HRT) is the utilization of hormones (i.e. estrogen) to replace the natural decline in hormones when menopause happens. HRT is very effective a reducing/eliminating the...
Dosage Forms for Smoking Cessation – Who Doesn’t Like Options?
There are a lot of different dosage forms for smoking cessation. This is really nice for patients in trying to find a way to help them quit smoking. A 65 year old female has COPD, CVD with prior MI...
Allergy Medication in the Elderly
Allergies are a common problem amongst all ages. Dealing with allergy medication in the elderly can be a little more challenging due to potential adverse effects/tolerability. Here's a scenario: A...
Drug Induced Hyponatremia
Drug induced hyponatremia is a topic I come across every once in a while. There are certainly lots of factors that can cause hyponatremia, but there are definitely a few medications you need to...
Drugs and Breastfeeding
Being a primarily geriatric pharmacist, drugs and breastfeeding has been a topic that I have had to learn a lot about to put myself in the best spot to try to help patients when questions come up....
Duplicate Inhaled Corticosteroids – Patient Education
A 55 year old female has a history of asthma. She has been on Flovent for a long time for her asthma and well controlled. Insurance formularies change and preferred medications can lead to...
Gastroparesis and Parkinson’s Disease
A 82 year old male has a medical history of osteoarthritis, diabetes, BPH, gastroparesis and Parkinson's disease. He is complaining of nausea and stomach upset after meals. Current medications...
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