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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...
Explaining Pharmacokinetics
In a previous post, I dug a little into pharmacodynamics. In this post I am going to be explaining pharmacokinetics. In pharmacy and the medical profession we tend to use really big, fancy words...
3 Examples of Medication Errors I’ve Seen in My Practice
Medication errors happen all the time. I have routinely reviewed medication errors for numerous institutions. I wanted to share three examples of medication errors that I've seen in my career. I...
Drug Induced Resistant Hypertension – Medication List Review
Drug induced resistant hypertension does happen. It is important to recognize medications that can contribute to this as well as recognize when patients are on higher doses of this medications that...
Using Gabapentin in Chronic Kidney Disease
I appreciate the fantastic guest post from Amanuel Tseggai, Pharm.D., BCPS! There are plenty of clinical considerations when it comes to gabapentin. Here’s a scenario of using gabapentin in chronic...










