One thing I always encourage is critical thinking. Reviewing a diagnosis list will give you clues as to the likely medications that a patient is taking or should be taking if they are following guideline-based medication therapy. In this Bactrim CHF case study, I...
In this article, I wanted to share information on tapering clonidine. This drug can cause serious rebound hypertension when abruptly discontinued and patients may not understand or realize that this risk exists. Here’s a case scenario that demonstrates tapering...
Amiodarone is an older antiarrhythmic drug that you may see used in primary care and geriatrics. I’m well into my latest project on a NEW BOOK involving the prescribing cascade and polypharmacy. I wanted to share a part of it by discussing amiodarone adverse...
Diuretics are a medication that I see used on a daily basis. I also encounter these medications causing adverse effects. With adverse effects comes the potential for providers to add medications to treat those adverse effects. Here’s a few examples I’ve...
As a geriatric pharmacist, I can’t tell you the number of times I have seen amlodipine prescribed with the subsequent addition (usually a few weeks later) of furosemide. It is finally nice to have some solid evidence to back up what I have anecdotally seen in...
In this scenario, I review how medications can increase the blood clot risk. A 66 year old female is taking the following medications. Aspirin 81 mg dailyLamotrigine 100 mg BIDApixaban 5 mg BIDAcetaminophen 500 mg BIDPantoprazole 40 mg dailyBaclofen 10 mg...