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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...
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...










