Antidepressant selection is a bit of an art. There are so many considerations that go into choosing which antidepressant should be utilized. Here’s a few things that I think about where making a recommendation. Pain. The TCA”s and SNRI’s do have...
Managing resistant hypertension can be very challenging. There are lots of factors that can go into raising blood pressure and as a pharmacist, we need to remember a what some of those factors are. Here’s a few questions I think about when I encounter a...
In working with patients, the metformin side effect of diarrhea can be a real challenge. As a healthcare professional, I understand how beneficial it can be for some patients to be on metformin. It has a lot of great attributes for a diabetes medication. It can...
In a previous post, I discussed the rare situation of patients being on both gabapentin and pregabalin and some possible explanations for this scenario. That prompted someone to ask me how to do a conversion of gabapentin to pregabalin. Let’s set up the...
I can’t think of a good reason to use gabapentin and pregabalin together, but I have seen it a few times. Here’s the med list and what I would look at. Dulaglutide 0.5 mls once weekly Gabapentin 100 mg TID Omeprazole 20 mg BID Trazodone 100 mg HS...
Timing of ADHD medications is a bit of an art. ADHD medications are used to help children pay attention and ultimately perform better in school and for other activities. Use of these medications is definitely not without controversy. While I won’t address...