There are numerous examples of where the indication guides dosing. It is important as a pharmacist to remember this when you see unusual doses. I wanted to share a couple of examples that I came across recently. Escitalopram When using psychiatric medications, we must...
Somedays I scratch my head more than others…today was one of those days. Seeing Senna and loperamide scheduled together made me scratch it REAL hard. A 77-year-old male was complaining of constipation and Miralax PRN was added to help. As I started reviewing the...
A 53-year-old male presents to the emergency department with severe agitation, fever, and symptoms of delirium. The attending provider assesses the patient and gets a urine drug screen. The drug screen was positive for cocaine. In addition to the psychiatric symptoms,...
As a geriatric pharmacist, I can’t tell you the number of times I have seen amlodipine prescribed with the subsequent addition (usually a few weeks later) of furosemide. It is finally nice to have some solid evidence to back up what I have anecdotally seen in...
Why do patients stop taking medications? I’ve spent a lot of time and effort working with patients to improve their drug therapy, but it really doesn’t matter if they don’t actually take the medication that is best for them. Here’s a list of the most common reasons...
In this scenario, I review how medications can increase the blood clot risk. A 66 year old female is taking the following medications. Aspirin 81 mg dailyLamotrigine 100 mg BIDApixaban 5 mg BIDAcetaminophen 500 mg BIDPantoprazole 40 mg dailyBaclofen 10 mg...
