There was an 85 year old female with an extensive seizure history on Dilantin 300 mg daily. Previous Dilantin level was 14 and the patient was not displaying any signs or symptoms of toxicity. They began having some GI complaints and was diagnosed with GERD and put on...
A 32 year old female has been struggling with fatigue, sadness, and overall symptoms of depression. Rather than utilizing traditional antidepressants as recommended by her primary care provider, the patient had heard from a friend that the herbal supplement St....
Is there really a standard way to deal with drug interactions? My answer, you cannot treat them all the same. I see all sorts of different faxes from different pharmacies as well as other healthcare programs in nursing homes, home cares, assisted livings etc. warning...
Rifampin is an enzyme inducer. What does this mean? Basically it causes enzymes in the body to chew up material (drugs, chemicals etc.) more quickly. A while back I posted about how changing this drug’s dosing, starting the medication, or discontinuing the medication...
I’ve had a request to explain a couple of the most common drug/food interactions I see. There were two that immediately popped into my mind: 1. Statins(Zocor-simvastatin, Lipitor-atorvastatin, etc.) are some of the most widely used drugs in the US and there is...
I had a patient a while back struggling with ongoing depression symptoms, fatigue, and constipation indicative of symptoms of hypothyroidism. In this case, a couple of different antidepressants Remeron (mirtazapine) and Zoloft (sertraline) had been tried without any...