I received this guest post from Kyle Roberts! It does a really nice job of demonstrating the challenges and potential risks with fentanyl and opioids in general. If you’d like to share a case with a story, please feel free to contact me! An elderly female was...
Below is a case scenario where clonidine is being used in the elderly. Clonidine is on the Beer’s list of potentially inappropriate medications in the elderly. Let’s break it down. JS is an 87 year old female with a past medical history of hypertension,...
An 86 year old male is having a difficult time with weakness and falls. With weakness and falls, we always need to take a good hard look at blood pressure to make sure we aren’t causing drug induced orthostasis. There are also times when family feels like he...
A 75 year old presents with new onset of hallucinations. His wife thinks that it is drug induced hallucinations. About 4 weeks ago he developed worsening RLS and presented to his primary care provider for treatment. He reported that his symptoms seemed to be worse...
GF is a 77 year old male with a past medical history of BPH, COPD, hypertension, constipation, Barrett’s esophagus, and anemia. Of late, he has had recurrent pneumonia episodes requiring frequent antibiotic use. He has had 3 courses of antibiotics within the...
Albumin is a protein found in the bloodstream of the body, and it can have a significant impact on medications. One of those classic medications that albumin can impact is phenytoin. Albumin and phenytoin stick together. How does this matter clinically? When...
