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Consolidating Medications to Reduce Polypharmacy
Constipation is often a chronic problem in the elderly and there are many diseases and obviously many medications that can cause constipation. There are ways to try to minimize pill burden in this...
When a Diagnosis Doesn’t Make Sense
Mistakes happen in healthcare, it doesn't take an expert to tell you that. I always say that you can tell a lot from a medication list. If someone is on 5 blood pressure medications, it probably...
When Should We Discontinue Statins in the Elderly? – 7 Important Considerations
This is often one of the most challenging questions in geriatrics: When should we discontinue statins in the elderly? I've been asked this question several times, and there are a lot of factors that...
3 Really Common Dosage Form Mistakes
I see so many mistakes when it comes to dosage forms. More often than not, it doesn't result in any issues for the patient, but there is always the potential. Here's 3 classic dosage form mistakes...
Treating Trigeminal Neuralgia – Oxcarbazepine and Hyponatremia
JT is a 66 year old male with a past medical history of hypertension and GERD. His current medications include hydrochlorothiazide, lisinopril, nifedipine, and omeprazole. JT has been having...
Year in review and what’s on tap for 2016
I've been really excited about this blog post. I posted goals for 2015 about a year ago, and here we are. Did we achieve them? Yes, and then some. I'm really happy about that. One of my favorite...
4 Common Mistakes with Levothyroxine
Levothyroxine is one of the most common medications that I see used in my everyday practice. I've definitely seen a fair share of mistakes with levothyroxine. Here's a few common ones that come to...
Drug Induced Hypercalcemia
There are definitely a few medications out there that can contribute to drug induced hypercalcemia. Here's a brief case scenario I came across that demonstrates that! A 79 year old female at a long...
Classic Prescribing Cascade – Risperidone and Pseudoparkinsonism
A 77 year old male had recently been having troublesome hallucinations. He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety....
When Can We Discontinue a PPI?
I often struggle with the question, "When can we discontinue a PPI?" It is rarely a black and white issue in the (mostly) geriatric population I work with. Here's a scenario that might make things...