Magnesium is an essential mineral used for many bodily functions. There are a few drugs that deplete magnesium and below is a case scenario where we have medications that should be ruled out as contributing factors. MW is a 67-year-old male with a history of...
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...
KE is an 87-year-old female with a history of CKD. The most recent GFR was 21 mls/min which has remained stable from the most previous lab checks. Other diagnoses include atrial fibrillation, hypertension, GERD, back pain, muscle spasms, neuropathy, pruritus, and...
In the case study below, I discuss the risks of tamsulosin and cataract surgery as well as other potential issues that should be investigated. JS is a 68-year-old male who plans to undergo cataract surgery in 3 weeks. His other relevant past medical history includes...
A 76 year old female has a history of urinary urgency and frequency. About a month ago she was started on mirabegron. She has been tried on tolterodine and oxybutynin. Tolterodine did not work that well for her so it was discontinued. Oxybutynin did help some, but...
Drug induced hyponatremia is a topic I come across every once in a while. There are certainly lots of factors that can cause hyponatremia, but there are definitely a few medications you need to look out for. Diuretics are usually the first class of drugs that I think...
