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Opioid Crisis Images – A Picture is Worth a Thousand Words
My eyes were opened a little bit wider this week as I recently attended a conference on the opioid crisis. After a few of the numbers I heard, it is apparent to me that the medical community as a...
4 Big Ones – Pain Management Pearls
Pain management is something I'm faced with everyday as a pharmacist. Pregnancy, geriatrics, pediatrics, and polypharmacy are a few of the many challenges in pain management that can sometimes make...
Selecting an Antihypertensive – 4 Must Know Considerations
There are lots of blood pressure medication option in the ambulatory setting which begs the question: How do we select the right one? There are lots of things to think about. Here's a list of four...
Anticoagulation in Patients with Cancer
AC is a 64 year old female with multiple myeloma. She is in her 3rd cycle of the regimen CyBorD when she presents to the ER with chest pain and sudden onset of shortness of breath at rest. A CT of...
What if Doritos Required a Prior Authorization?
I'll give you a little break from clinical content and share with you a little satire. I'm as guilty as anyone when it comes to those delicious salty treats. Sweets and chocolate are good, but I...
Amiodarone and Warfarin Interaction
JT is a 61 year old male. He has recently been diagnosed with atrial fibrillation and placed on amiodarone. He is also on warfarin with a history of DVT/PE. The amiodarone and warfarin...
Three Important Clinical Pearls – ACE Inhibitors
ACE Inhibitors are one of the most commonly prescribed medications for hypertension. ACE Inhibitors do have precautions, contraindications, and rug interactions that we need to be aware of. Here's...
Celecoxib and Kidney Function – Case Study
A 71 year old female has a past medical history of osteoarthritis, GERD, osteoporosis, hypertension, anxiety, and depression. Her osteoarthritis has been a chronic problem and she complains of pain...
How to Pay Off 145K in Pharmacy Student Loans
In ways I admire people who have no trouble carrying debt, because I despise being in debt. Unfortunately it took me about 6 or 7 years of undergrad and pharmacy school to figure that out, and in...
How to Convert Levothyroxine to Desiccated Thyroid
Converting one medication to another should be done cautiously. We also must recognize that a transition, or equivalent dose is virtually never going to be perfect. So how do you convert...










