Insomnia is a sneaky condition that can lead to polypharmacy. Many of the medications used in the management of insomnia can work for a short period of time, but I’ve seen so many cases where the effects wear off over time. Always remember to do our due...
A 66-year-old female has a past medical history of diabetes, neuropathy, depression, and hypertension. In this case scenario, I discuss the use of a TCA with an SNRI. Her current medication list includes: Aspirin 81 mg dailyCapsaicin cream prnAmitriptyline 10 mg at...
Medications causing depression or at least contributing to symptoms ca happen. There are many (non-medication) reasons why a patient may be more depressed. I love medications and the interplay between them. In this situation, a patient is reporting that their symptoms...
Patient misconceptions with antidepressant therapy is very common. Antidepressant therapy can be life changing for patients, but we have to remember that their are very critical education points that we need to help coach them on. Here’s a list of a few patient...
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...
So, what would you say if a patient asked you, “Should I take St. John’s Wort?” My gut screams no! St. John’s Wort is a substantial inducer of many CYP enzymes which can play havoc with many different drugs and their respective levels....
