Figuring out how and when to taper a PPI is a difficult question sometimes. Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...
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...
