A 58-year-old female has a history of depression and reports to you that she forgot her paroxetine when she went on vacation. She has missed one dose and is asking you how many more she can miss before getting the medication again. Her current dosing is 40 mg daily....
In this Antabuse case study, JE is a 62-year-old male with a history of anxiety, bipolar disorder, alcohol abuse disorder, BPH, hypercholesterolemia, Afib, HTN, and GERD. His current medication list includes the following: Hydroxyzine 25 mg BID for anxiety Seroquel...
I want to address an email from a recent podcast listener regarding the appropriate way to take folic acid with methotrexate. Specifically, what is my take on methotrexate and folic acid same-day dosing? First, let’s start with some basics. Folic Acid (vitamin...
One thing I always encourage is critical thinking. Reviewing a diagnosis list will give you clues as to the likely medications that a patient is taking or should be taking if they are following guideline-based medication therapy. In this Bactrim CHF case study, I...
I stumbled into this case about Valtrex neurotoxicity on Linked In, and am so thankful that Kristin Speer, PharmD, BCPS let me share it. A physician attached a message for the care team to review: “Patient continues with dizziness, hallucinations, and...
Topiramate is classified as a seizure medication most commonly used in the management of migraines and weight loss. This medication has carbonic anhydrase activity and here I will outline a case of topiramate-causing renal stones. JE is a 66-year-old female with a...
