A 76 year old female has a history of urinary urgency and frequency. About a month ago she was started on mirabegron. She has been tried on tolterodine and oxybutynin. Tolterodine did not work that well for her so it was discontinued. Oxybutynin did help some, but...
Acetylcholinesterase inhibitors are most often used in mild to moderate Alzheimer’s dementia. They are often a hot button topic amongst the geriatric healthcare community. If you’ve worked with providers in geriatrics, you will know that some providers...
A 48 year old female has a history of diabetic neuropathy and has been placed on Cymbalta (duloxetine). The patient has taken it for three days and is feeling pretty fatigued throughout the day from it. She asks, “How long does it take Cymbalta to work for...
Acetylcholinesterase Inhibitors are used in various forms of dementia. They can provide some symptom improvement in dementia, but cannot reverse or stop its progression. We need to remember that the agents aren’t without risk. Here’s a case to remember...
In this case scenario, I’m going to demonstrate and unusual side effect of galactorrhea. Reglan induced galactorrhea is a possibility due to the mechanism of dopamine blockade. The case: A 46 year old female obese female has a history of type 2 diabetes. She...
Working in geriatrics, you run into a lot of tough questions where there isn’t always a perfect answer. Setting a goal A1C is sometimes one of those challenges. Here’s a scenario where a patient has an A1C of 8.2. Under most conditions, an A1C of 8.2 is...
