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...
An 81 year old female is taking Lasix as needed. The reason for taking the Lasix as needed may surprise you! Medication List: Advair 250/50 BID Simvastatin 20 mg HS Furosemide 40 mg once daily as needed for blood pressure Duonebs QID prn Flonase 1 spray into each...
In this scenario I take a look at lamotrigine and tramadol amongst other things and why a diagnosis for every medication really matters. A 71 year old male has been having increasing osteoarthritis pain. He reports pain in his hands, back, and knees. Acetaminophen...
A 76 year old female presents with the following list of medications, including high dose Ambien (zolpidem). Ambien 10-20 mg at bedtime as needed Prednisone 20 mg daily Warfarin 5 mg daily Ventolin HFA 2 puffs QID prn Glucotrol XL 10 mg daily Fosamax 70 mg weekly...