One of my biggest pet peeves is the use of sulfonylureas with insulin. Recall that sulfonylureas stimulate the release of insulin and in many patients with Type 2 diabetes we may not be getting much out of the sulfonylurea or in some cases, the extra boost in insulin...
Nitrofurantoin is often used in patients for UTI prophylaxis. One potential concern with nitrofurantoin use is pulmonary toxicity. This can often be overlooked in patients as a potential cause of respiratory problems. Here’s a case scenario where nitrofurantoin...
JK is a 77-year-old male who reports a 1-week history of intermittent dizziness and episodes of loss of balance, particularly when walking around. He denies any recent falls, headaches, visual changes, or chest pain. He describes the sensation as...
The prescribing cascade occurs when a side effect of a medication is misinterpreted as a new medical condition, leading to the prescription of additional medicines that may be unnecessary and potentially harmful. In patients with dementia, this can be common due to...
JR is an 88-year-old female who reports increasing episodes of dizziness upon standing over the past month. She describes it as a lightheaded sensation that lasts about 10–15 seconds after getting up from bed or a chair. From a medical standpoint, we would likely call...
In this case scenario, we outline a situation of risperidone causing tardive dyskinesia. Tardive dyskinesia is a neurological movement disorder that is typically caused by medications that can block dopamine receptors. Antipsychotics are the most commonly used class...
