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...
by Eric Christianson | Apr 23, 2023 | Cardiovascular Case Studies, Infectious Disease and Oncology Case Studies
One thing I always encourage is critical thinking. Reviewing a diagnosis list will give you clues as to the likely medications that a patient is taking or should be taking if they are following guideline-based medication therapy. In this Bactrim CHF case study, I...
by Eric Christianson | Mar 29, 2023 | Infectious Disease and Oncology Case Studies, Neurology, Pain, and Musculoskeletal Case Studies
I stumbled into this case about Valtrex neurotoxicity on Linked In, and am so thankful that Kristin Speer, PharmD, BCPS let me share it. A physician attached a message for the care team to review: “Patient continues with dizziness, hallucinations, and...
by Eric Christianson | Nov 2, 2022 | Renal, Urology, and Electrolytes Case Studies
Topiramate is classified as a seizure medication most commonly used in the management of migraines and weight loss. This medication has carbonic anhydrase activity and here I will outline a case of topiramate-causing renal stones. JE is a 66-year-old female with a...
by Eric Christianson | Sep 21, 2022 | Psychiatry and Addiction Medicine Case Studies
Serotonin syndrome and neuroleptic malignant syndrome (NMS) are two commonly taught drug-induced syndromes but are rarely encountered in practice. I wanted to put together some important differences between these two syndromes because many of the symptoms overlap....
by Eric Christianson | Aug 31, 2022 | Gastrointestinal Case Studies
Lactulose (Enulose, Generlac) is technically a laxative medication. While it can be used for that purpose, it is fairly rare in clinical practice that you see it used for that indication. Lactulose, in my experience, is used more frequently for patients who have...
