This might be one of my biggest pet peeves. Adding a medication when we are already doing the opposite with another medication. I had a patient a while back who was taking cholestyramine twice daily for constipation. The patient and caregivers were unclear why the...
In this case study, we discuss a situation where a drug causes a higher pH in the stomach. The elevated pH from an antacid can impact the absorption of other drugs. A 44-year-old female presents to the clinic with Strep throat. Her current medications include...
This guest post on comparing Crohn’s disease and Ulcerative Colitis was contributed by pharmacist Jiamin Liau who is also a Certified Diabetes Educator in Australia. I’m appreciative for her contribution to help educate other healthcare professionals! If...
I have been asked about medication absorption in gastric bypass surgery a fair number of times. It can be a very challenging topic to navigate. In patients who have had gastric bypass, there is definitely potential for drugs to be inadequately absorbed. In...
Selecting medications for patients with IBS (Irritable Bowel Syndrome) can be challenging. It is first most important to ask about or understand the patient’s IBS symptoms. Identifying if the patient has more diarrhea or constipation is a really important...
A 82 year old male has a medical history of osteoarthritis, diabetes, BPH, gastroparesis and Parkinson’s disease. He is complaining of nausea and stomach upset after meals. Current medications include: Sinemet 25/100 mg 2 tablet three times daily Requip 0.5 mg...
