78 year old patient recently on Dilantin (phenytoin) suspension had a seizure so a total Dilantin level was checked. (A free level probably would’ve been ideal in the case.) The level came back at around 4 which was unusual for this patient. Their normal...
Looking over this medication list, there’s plenty of stuff to pick on, I’m going to limit myself to two things to further investigate and let you all help with the rest. Feel free to speculate on diagnosis, appropriate alternatives, potential causes of...
Possible Acyclovir Neurotoxicity Compounding a Differential Diagnosis of Vascular Dementia with Dementia versus Frontotemporal Dementia Donna M. Lisi, PharmD, BCPS, BCPP, PRS, Drug Information Specialist, St. Barnabas Health Care System, South Plainfield, NJ Connect...
98 y/o female had a long history of seizures was treated with Dilantin (phenytoin) 100 mg twice daily. The Dilantin level was routinely drawn every 6 months and had been in the 6-10 range for quite sometime (normal total level is 10-20, but there are multiple...
Many patients and healthcare professionals may not realize that different formulations of a product can have very different pharmacokinetics. Why does pharmacokinetics matter? An 88 year old patient was receiving Namenda (memantine) 5 mg in the morning and 10 mg in...
Subjective: Middle aged, fragile and small female, presents to our out-patient pharmacy, dressed in a thick sweater and furry hat, even though the ambient temperature is in the low 70’s. The furry hat appears to not only be keeping her warm, but also covering...
