I want to address an email from a recent podcast listener regarding the appropriate way to take folic acid with methotrexate. Specifically, what is my take on methotrexate and folic acid same-day dosing? First, let’s start with some basics. Folic Acid (vitamin...
The following case on methotrexate and thrombocytopenia was donated by Kirk Seale, M.S., PharmD, BCGP. Kirk received his Master’s degree in Drug regulatory affairs from the University of Florida and received his PharmD from the University of Mississippi. He has also...
A 66 year old female has a past medical history of depression, Polymyalgia Rheumatica, GERD, hot flashes, hypertension, and DVT. Her current medications include: Mirtazepine 15 mg daily Prednisone 20 mg daily Omeprazole 20 mg daily Premarin 0.625 mg daily Ibuprofen...
Anemia can get pretty complicated, especially in the elderly. A few common causes of anemia include; blood loss, CKD, B12 deficiency, folate deficiency, and iron deficiency. A 78 year old female was concerned with fatigue, stating that she felt like she could sleep...
A 21 year old African American male patient with no pertinent medical history presented to the ED by EMS in pulseless electrical activity (PEA) cardiac arrest. As per family at bedside, patient had been having cough with no sputum, headache, fatigue, bloody diarrhea,...
A 47 year old African American female came into the emergency room with a chief complaint stating that “my throat was closing.” The patient had also been coughing with multiple episodes of vomiting throughout the night. Twice last month, the patient experienced a...
