JS is an 89 year old male with a history of insomnia, depression, BPH, rheumatoid arthritis, constipation, nausea, frequent falls, and Parkinson’s disorder. His current medications include: Zolpidem 10 mg HS Mirtazapine 7.5 mg HS Finasteride 5 mg daily Methotrexate...
PPI’s for NSAID prophylaxis is a common practice I’ve seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of polypharmacy is a big one, make sure you are paying attention to the...
A 69 year old male has a past medical history of hypertension, heartburn, CHF, CAD and osteoarthritis. This gentleman had been in and out of the hospital several times over the previous year for a variety of reasons including CHF, femur fracture, and pneumonia....
IBS (Irritable Bowel Syndrome) is a issue I come across in my practice. A 62 year old female has complaints of diarrhea predominant IBS and is taking the following medications: Aspirin Metoprolol Colestipol Imodium Acetaminophen She is diagnosed with new onset of...
Stomach problems can often be a common issue in the elderly and drug induced nausea can sometimes be a challenge to identify due to polypharmacy. If you look under adverse effects of medications, nausea is a side effect for virtually every medication. Here’s a...
Tonight’s Medication List Review – First thing I want you to remember is whenever you see an order for Erythromycin, remember that it has a ton of drug interactions. So whenever we start, increase or decrease this medication, it can have ramifications on...