Here’s a case scenario of possible medication induced QTc prolongation and some thoughts as to what I might do about it. The med list: Amitriptyline 150 mg once daily Geodon 80 mg BID Metformin 500 mg BID Ondansetron 8 mg TID prn Gabapentin 300 mg TID Ativan 1...
An 81 year old female is taking Lasix as needed. The reason for taking the Lasix as needed may surprise you! Medication List: Advair 250/50 BID Simvastatin 20 mg HS Furosemide 40 mg once daily as needed for blood pressure Duonebs QID prn Flonase 1 spray into each...
Hypertension management can get a little overwhelming sometimes since there are so many medications to choose from. We often use multiple medications with different mechanisms of action to treat hypertension. If a patient is already on a medication at a moderate or...
Below is a case scenario where clonidine is being used in the elderly. Clonidine is on the Beer’s list of potentially inappropriate medications in the elderly. Let’s break it down. JS is an 87 year old female with a past medical history of hypertension,...
Drug induced resistant hypertension does happen. It is important to recognize medications that can contribute to this as well as recognize when patients are on higher doses of this medications that may elevate blood pressure. Here’s the scenario: 62 y/o female...
We always need diagnosis and more information, but I like to analyze a medication list as an educational tool. The med list review with some possible concerns to investigate: Cilostazol 100 mg twice daily Aspirin 81 mg daily Propranolol 80 mg twice daily Captopril 25...
