A 71 year old female has a past medical history of osteoarthritis, GERD, osteoporosis, hypertension, anxiety, and depression. Her osteoarthritis has been a chronic problem and she complains of pain all over, but mainly in her hips and knees. She currently takes an...
A 72 year old male has a past medical history of CHF, hypertension, hyperlipidemia, GERD, and osteoarthritis. He has had complaints of non-specific leg weakness. He does also report that it is painful at times and does keep him awake occasionally. When questioned,...
Many patients will have bariatric surgery which will likely shorten the length of the GI tract. It is important to remember what impact this will have on the use of medications and many clinicians will forget this critical fact. Bariatric surgery can lead to long...
Vancomycin has complex pharmacokinetics. I can recall a case where I saw oral vancomycin for cellulitis. The likely causative organism of the cellulitis was MRSA. This patient was fairly complex and hospitalized for a few days. Upon hospitalization, the patient was...
You can’t tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here’s a patient with severe asthma, on multiple medications: Advair...
BPH is one of the most common causes of urinary retention. Drugs can and do exacerbate this problem. So, looking at this med list, which medications can exacerbate BPH? Here’s the medication review with a few questions that I would be looking into further. • Proscar 5...
