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...
There is always a huge challenge in navigating CHF and CKD in our patients. Use of diuretics and ACE inhibitors can be life altering in a very good way for patients who have fluid overload. The difficulty lies in keeping an adequate perfusion to the kidney. A 69 year...
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...
I appreciate the fantastic guest post from Amanuel Tseggai, Pharm.D., BCPS! There are plenty of clinical considerations when it comes to gabapentin. Here’s a scenario of using gabapentin in chronic kidney disease. A 42 year old African American man with a history of...
It’s no secret that I work with a lot of geriatric patients. These things have been on my mind lately about the management of UTI’s, so just wanted to share them. With rare exception, asymptomatic bacteriuria (ASB) should not be treated. ASB is...
Alpha blockers are indicated for both hypertension and BPH. Here’s a few clinical pearls on alpha blockers that you need to know! Alpha blockers in females: I remember a urologist getting frustrated with pharmacists who would always question why he was using...
