Estrogen dosing with oral contraceptives can be a challenging issue that may feel overwhelming to many clinicians. The most common synthetic estrogen analog is ethinyl estradiol. In this article, I’ll discuss the reasons why we might select one dose of estrogen...
Phosphodiesterase-5 inhibitors, or PDE-5 inhibitors, are often the first-line therapy for erectile dysfunction. PDE-5 inhibitors do not produce an erection in the absence of stimulation – rather they enhance the effect of nitric oxide by inhibiting...
Oral contraceptives are the most commonly used contraceptive method in the United States. We are often asked about efficacy, missed pills, and return to fertility; however, it’s important to keep drug interactions in mind, too. Below is a non-exhaustive list of...
If you are a healthcare professional, inevitably, questions about the use of antidepressants in pregnancy come up in clinical practice. Why is paroxetine generally avoided in pregnancy? The primary reason that paroxetine is avoided in pregnancy is that it has...
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,...
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...
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