Anticholinergic side effects are something that I see on nearly a daily basis. I’ve become accustomed at identifying these and trying to come up with a game plan to minimize these adverse effects. Here’s a few strategies for things I look out for on a...
A 63 year old female presents with complaints of taking too many medications and that her “my medications are making me sick”. In addition, she reports that she feels nauseated every morning after breakfast and associates it with her morning pills. She...
There are a lot of examples that fit this criteria and I suspect a lot of heavy opinions on this topic. I’ve certainly made suggestions to switch to a likely “safer” medication, but have had instances where I disagree with this practice as well in...
Here’s a case scenario with a primary focus on the NSAID prescribing cascade. A 76 year old male has a past medical history of: COPD CHF Hypertension GERD Osteoarthritis Current medications include: Metoprolol 25 mg BID Lisinopril 10 mg daily Symbicort 160/4.5...
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...
