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Methotrexate and Folic Acid Same-Day Dosing – Clinical Controversy

Methotrexate and Folic Acid Same-Day Dosing – Clinical Controversy

by Eric Christianson | Apr 26, 2023 | Hematology and Immunology Case Studies

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...
Methotrexate and Thrombocytopenia Case

Methotrexate and Thrombocytopenia Case

by Eric Christianson | Sep 8, 2019 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies

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...
Long Term Prednisone Use – Medication Review

Long Term Prednisone Use – Medication Review

by Eric Christianson | Mar 27, 2016 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies

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...
Common Causes of Anemia – Medication Case Study

Common Causes of Anemia – Medication Case Study

by Eric Christianson | Nov 25, 2015 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies

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...
Goodpasture’s Syndrome

Goodpasture’s Syndrome

by Eric Christianson | Apr 12, 2015 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies

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,...
What Could Be Causing My Persistent Angioedema?

What Could Be Causing My Persistent Angioedema?

by Eric Christianson | Mar 18, 2015 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies

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...
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Recent Posts

  • BIG Change to the Real Life Pharmacology Podcast! Asthma Pharmacology Q&A With Clinical Pharmacist and Expert Beth Zerr, PharmD, BCACP
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