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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...
Breaking News – The CGP Credential is Changing
I'm due to do my recertification via examination soon for the Certified Geriatric Pharmacist credential. As I was looking on the CCGP website to reapply, I checked out their recent news. I was...
What Has Happened in Medication Innovation Since the Cubs Last Won the World Series
The is no doubt that the rate of medication innovation is insane right now. Occasionally I like to look back at history and think about all the changes and discoveries that have been made. I'm a...
Lithium NSAID Interaction – Case Study
A 44 year old male has a past medical history of IBS, bipolar disorder, and depression. Today he presents to an urgent clinic with symptoms of nausea and vomiting. He also states that he feels...
Handling Providers Who Write For Unusual Dosing Regimens
I received this question the other day: How do you handle a situation in which the provider writes for an unusual dosing regimen. The example was an alternate regimen than the traditional Zpak...










