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Albumin and Phenytoin, You Can Have a Lot of One Without the Other
Albumin is a protein found in the bloodstream of the body, and it can have a significant impact on medications. One of those classic medications that albumin can impact is phenytoin. Albumin and...
Comparison of Warfarin and NOACS
You will find a comparison of warfarin and NOACS below. Both medication classes are frequently used in practice and a familiarity with these agents is necessary for any practicing pharmacist. A...
The 2017 Pharmacy Job Outlook – What A Facebook Ad Can Tell Us
As a practicing pharmacist, I continue to hear rumblings and news trickle in about the 2017 pharmacy job outlook. Fellow pharmacist blogger Jason Poquette put together a nice article early in 2016...
Using Fleets Enema in the Elderly
I have encountered the use of Fleets enema in the elderly a few times. One of the most important things to look for when using this medication is kidney function. The FDA did issue warnings for...
Time to Give Thanks and Can Someone Teach Me How To Do Laundry?
It is time to point the finger outward at people who deserve my thanks. You don't know how much it means to me that so many of you come read my blog posts day after day. The even better part for me...
MAOI’s and Drug Interactions
MAOI's (mono-amine oxidase inhibitors) can be used for depression. With that stated, they have a significant number of clinical pearls that limit there use. MAOI's and drug interactions are two...
The Dreaded Glucagon for Hypoglycemia Order
A 59 year old female is on the following medications: Alprazolam 1 mg four times daily as needed Norvasc 10 mg daily Simvastatin 40 mg at bedtime Cyclobenzaprine 10 mg hs prn Tylenol PM as needed...
Pharmacist Provider Status and the 2016 Election
Whenever dramatic changes happen, I like to sit back and let the new reality set in for a little while before reacting to it. The election of Donald Trump as president was surprising to me like it...
Patient Reports They Are On Morphine – So Why is a Urine Drug Screen Negative?
Urine drug screens are often confusing if you don't interpret them on a regular basis. I think a big reason for confusion is a lack of education on what these tools can do and what they look at. I...
Amiodarone Digoxin Interaction
A 67 year old male has a past medical history of hypertension, atrial fibrillation, CHF, and osteoarthritis. He has had numerous issues with his cardiac status and it has led him to frequent...