Using glyburide in kidney disease is not recommended. It has a longer half life and may have a little more potent effect in kidney disease. A significant challenge to figure out is if patients are doing well on their current dose, should we change it? In this...
Hormone replacement therapy (HRT) is the utilization of hormones (i.e. estrogen) to replace the natural decline in hormones when menopause happens. HRT is very effective a reducing/eliminating the vasomotor symptoms (i.e. hot flashes) associated with menopause. So,...
There are a lot of different dosage forms for smoking cessation. This is really nice for patients in trying to find a way to help them quit smoking. A 65 year old female has COPD, CVD with prior MI x2. After a lengthy discussion, she is ready to quit smoking and...
Allergies are a common problem amongst all ages. Dealing with allergy medication in the elderly can be a little more challenging due to potential adverse effects/tolerability. Here’s a scenario: A 79 year old female has a past medical history of hypertension,...
Being a primarily geriatric pharmacist, drugs and breastfeeding has been a topic that I have had to learn a lot about to put myself in the best spot to try to help patients when questions come up. As I have gotten more and more questions, I’m ok with the answer...
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...
