Converting one medication to another should be done cautiously. We also must recognize that a transition, or equivalent dose is virtually never going to be perfect. So how do you convert levothyroxine to disiccated thyroid? Armour Thyroid is probably the most common...
Levothyroxine is one of the most common medications that I see used in my everyday practice. I’ve definitely seen a fair share of mistakes with levothyroxine. Here’s a few common ones that come to mind. Dosing levothyroxine based upon TSH is...
Polypharmacy is a big topic in geriatrics. In the case below, I provide an example of diabetes medications and how we can try to minimize medications. Specifically, I look at the use of sulfonylureas with long acting insulin. An 88 year old female with a past...
As many of you well know, I work closely with a lot of folks in the long term care business. Insulin errors can be one of the scariest errors that can happen. Here’s a case scenario I don’t like seeing happen, but have unfortunately seen it a few times....
What to do with an A1C ? For the experienced clinician, this is a very simple question, but I occasional see orders for A1C’s at a rate more frequently than every three months. Remember that it is basically an average blood sugar over a period of approximately...
88 y/o with a history of depressive type symptoms was placed on an antidepressant to manage symptoms shortly after admission to a long term care facility. This particular patient was trialed on Zoloft (sertraline) and then transitioned to Cymbalta (duloxetine),...
