by Eric Christianson | May 3, 2023 | Psychiatry and Addiction Medicine Case Studies
In this Antabuse case study, JE is a 62-year-old male with a history of anxiety, bipolar disorder, alcohol abuse disorder, BPH, hypercholesterolemia, Afib, HTN, and GERD. His current medication list includes the following: Hydroxyzine 25 mg BID for anxiety Seroquel...
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....