I’ve spent quite a bit of time working in behavioral health on medication related questions. One question that has come up a few different times is genetic testing and antidepressants. Many antidepressants are metabolized by the enzyme CYP2D6. Let’s...
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...
Pharmacist Sue Paul is part of a group putting together a conference on being creative in pharmacy practice. She has donated the following guest post, and I would encourage you to check out the Medipreneurs conference to see if it might be a good fit for you! Patient...
Valproic acid for migraines isn’t generally the first line prophylactic agent as there are a few other agents that can be utilized. There are also other indications for valproic acid like bipolar disorder, and seizures. When using valproic acid for migraines...
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...
Here I present a scenario of a likely multifactorial situation of drug induced hyponatremia. A 69 year old male has a past medication history of epilepsy, depression, diabetes, and hypertension. He has had a little bit of swelling around his ankles lately as well as...