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Pharmacist Recommendations Examples: The Good and the Bad
A pharmacist's recommendation can be life saving, I've seen them. Pharmacist recommendations can be aggravating and borderline enfuriating to some providers. I've seen those as well. Writing good...
Codeine Drug Interactions – Common Meds That Impact CYP2D6
There are two major concerns that I think about when it comes to codeine drug interactions and pharmacokinetics. One is pharmacogenetic differences, and the other is the potential for drug...
Conversion of Gabapentin to Pregabalin
In a previous post, I discussed the rare situation of patients being on both gabapentin and pregabalin and some possible explanations for this scenario. That prompted someone to ask me how to do a...
Cyclobenzaprine and SSRI Interaction
The cyclobenzaprine and SSRI interaction is usually one that flags on drug interaction programs. I'll look at a brief scenario and some questions to ponder. A 68 year old female was recently...
Medication Induced Yawning – Drug Literature Question
I get a lot of unique questions as a clinical pharmacist. A question I received recently was about the possibility of medication induced yawning. With now years of experience under my belt, I've...
Lasix As Needed – The Importance of Recognizing Diagnosis
An 81 year old female is taking Lasix as needed. The reason for taking the Lasix as needed may surprise you! Medication List: Advair 250/50 BID Simvastatin 20 mg HS Furosemide 40 mg once daily as...
Lamotrigine and Tramadol Medication Review
In this scenario I take a look at lamotrigine and tramadol amongst other things and why a diagnosis for every medication really matters. A 71 year old male has been having increasing osteoarthritis...
Lithium and ACE Inhibitor Drug Interaction
It's often difficult to figure out how exactly to proceed in handling drug interactions. In this scenario, I will discuss the lithium and ACE Inhibitor drug interaction. A 48 year old male with a...
Pharmacist Board Certification in 2018 – Historical Pass Rates and a Look Ahead
I get a lot of questions about pharmacist board certification. So I just wanted to share what I know for pharmacist board certification in 2018. The biggest change will be for those seeking...
Using Gabapentin and Pregabalin Together
I can't think of a good reason to use gabapentin and pregabalin together, but I have seen it a few times. Here's the med list and what I would look at. Dulaglutide 0.5 mls once weekly Gabapentin...









