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The Challenge of Identifying Drug Induced Dementia – Case Study
Drug induced dementia can and does happen, and it is important to make sure that we assess multiple factors before adding more medications! Here's the scenario: An 81 year old male presents with...
Blood Pressure and Drug Induced Erectile Dysfunction – Case Scenario
Drug induced erectile dysfunction (ED) is an important problem that we need to assess with our patients. Here's the case! A 48 year old male presents with a past medical history of hypertension,...
3 Common Mistakes in Managing Constipation
In working closely with the elderly, you're going to deal with a lot of constipation issues. Here are 3 common mistakes in managing constipation that I have seen in my practice and things you...
5 Must Know Mistakes – How to Write Medication Recommendations to Primary Providers
How to write medication recommendations is a question I frequently address with students. While understanding that there are various formats, processes, and different ideas on this topic, I believe...
Aripiprazole and Tardive Dyskinesia – Case Study
A 69 year old male has an extensive medical history including schizophrenia, depression, Parkinson's disorder, and hypertension. He has historically been fairly adherent to his medication regimen,...
Should Codeine Be Used In Kids? – Case Study
I'm very appreciative of a great guest post that begs the question: Should codeine be used in kids? If you would like to contribute a guest case, please feel free to email me at...
My Pet Peeves – Management of UTI’s
It's no secret that I work with a lot of geriatric patients. These things have been on my mind lately about the management of UTI's, so just wanted to share them. With rare exception,...
What Does Thiamine Warn Us About Metronidazole Use?
A 77 year old male is receiving the following medications: aspirin omeprazole metronidazole thiamine ibuprofen tramadol lamotrigine So, based on this limited information, what would I investigate?...
Medication Reconciliation – Why so many changes?
Medication reconciliation is a major problem! I outline some things to look for in this short video! - Enjoy
6 Notorious Side Effects of Anticholinergics and How They Contribute to the Prescribing Cascade
Why are anticholinergics on the naughty list of medications in the elderly (Beer's criteria)? Side effects. Side effects of anticholinergics can be very troubling. Here's a list of 6 big ones to...