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Is Loperamide the Next Drug of Abuse?
I always had this weird feeling in pharmacy school about loperamide (Imodium). I remember learning about it when we were taught about opioids. At the time, I couldn’t help but think why isn’t this...
Primidone and Latuda Interaction
A 35 year old male with a history of schizophrenia was recently diagnosed with essential tremor. He was tried on propranolol with no apparent benefit. Following the trial of propranolol, he was...
Oral Vancomycin for Cellulitis
Vancomycin has complex pharmacokinetics. I can recall a case where I saw oral vancomycin for cellulitis. The likely causative organism of the cellulitis was MRSA. This patient was fairly complex...
Severe Asthma Medication Review
You can't tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here's a...
Which Medications Should be Discontinued in Hospice Patients?
A 95 year old female has recently entered a hospice program. Whenever a patient is enrolled in hospice, it is very important to assess the medication regimen and identify medications that are no...
Which Medications Can Exacerbate BPH? Medication List Review
BPH is one of the most common causes of urinary retention. Drugs can and do exacerbate this problem. So, looking at this med list, which medications can exacerbate BPH? Here’s the medication review...
Strategies For Writing Elite Medication Recommendations
I'm really excited about this! There is a serious shortage of good content that helps pharmacists become better at writing medication recommendations and becoming an essential component of any...
Classic Case: Medication that can Worsen Gastroparesis?
Gastroparesis can be a serious problem where the GI tract literally "slows down". This issue is common in patients with diabetes. Bloating, abdomnial pain, nausea, vomiting, and a feeling of...
Confusing Orders, Lack of Clinical Thinking = Bad Outcomes
I’ve worked with hundreds of nurses. Most of the nurses I’ve worked with are in long term care. I wanted to touch on an issue that I see happen once in a while. I’ve seen a number of mistakes...
Roflumilast Adverse Effects and the Prescribing Cascade
A 77 year old male has a history of severe COPD. He has been on numerous medications to help treat his COPD. His current regimen Advair 500/50 BID, Spiriva once daily, and Duoneb as needed. His...
Study Materials For Pharmacists
