A 55 year old female has a history of asthma. She has been on Flovent for a long time for her asthma and well controlled. Insurance formularies change and preferred medications can lead to confusion for patients. In this scenario, it lead to the patient using...
I work with a lot of geriatric patients in my practice on respiratory medications and I get pretty concerned when I start to see patients with COPD, asthma, or other respiratory diseases who have frequent exacerbations that are causing emergency department visits or...
Here’s a case scenario of possible medication induced QTc prolongation and some thoughts as to what I might do about it. The med list: Amitriptyline 150 mg once daily Geodon 80 mg BID Metformin 500 mg BID Ondansetron 8 mg TID prn Gabapentin 300 mg TID Ativan 1...
Drug induced lethargy is something that I see on a fairly regular basis. The challenging part is trying to identify which medication or medications are causing lethargy. A 61 year old female complains of constant lethargy and just feels like she could sleep all day...
Uff…. One of the most challenging questions I get asked by patients is “Can I use alcohol with my medications?” It is such a loaded question. Here’s a few of my thoughts when patients ask me this. How much are we talking about? It is near...
I get a lot of unique questions as a clinical pharmacist. A question I received recently was about the possibility of medication induced yawning. With now years of experience under my belt, I’ve definitely become comfortable with saying, “I don’t...
