A 68 year old female was having difficulty with some anxiety throughout the day but more problematic to the patient was that she could not sleep at night. Multiple different non-drug interventions were tried, but none seemed to make any difference. Trazodone was...
This 76 year old patient was on a laundry list of blood pressure medications. Hydrochlorothiazide, losartan, metoprolol, terazosin, amlodipine, and recently had clonidine added to their regimen with minimal success. Systolic BP’s still consistently ran around...
Often in CHF you may see spironolactone used in combination with loops and other diuretics to try to help treat edema. There are certainly other indications for spironolactone, but I’ll leave that for another day. My patient was having difficulty with edema and...
Tonight’s dose involves trying to prevent the unnecessary use of medications! I’ve come across this type of situation a few different times and just wanted to share it with you all. Patient gets diagnosed with a UTI and started on an antibiotic – pretty...
Weight loss in the younger population generally tends to be less of a problem than weight gain (with the exception of eating disorders etc.). However, in the elderly there are definitely situations where weight loss can be problematic. In these instances we must...
I often see orders for drugs two or three times daily, and while this can be necessary, sometimes it may not be, and at what cost. Lyrica (pregabalin) is flat priced per Medi-span. What does this mean? It means that 1 capsule of 25 mg is the same cost as 1 capsule of...
