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Rifampin and Phenytoin Interaction
Drug interactions can make medication management challenging. Here's a classic case demonstrating the rifampin and phenytoin interaction. A 47 year old patient with diabetes and seizure disorder...
What Advantages Does Warfarin Have Over NOACS?
We all know the negatives of warfarin, but lets take a look at the advantages of warfarin. NOACs are gaining in popularity, no doubt about that. No matter which anticoagulant we are using, we must...
Selecting A Medication For Diabetic Neuropathy
Selecting a medication for diabetic neuropathy can be a bit challenging. You really need to weigh the adverse effect profile when choosing an agent. The case: A 55 year old male has a past medical...
Recurrent Pneumonia and Frequent Antibiotic Use
GF is a 77 year old male with a past medical history of BPH, COPD, hypertension, constipation, Barrett's esophagus, and anemia. Of late, he has had recurrent pneumonia episodes requiring frequent...
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...











