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I often find patients on numerous bedtime cocktails and this is often a situation where medications were slowly added over time for recurring symptoms of the same syndrome. A 79-year-old female at a long term care facility has had a long history of having aches and pains in her legs. About 6 months ago, these […]
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On a previous post, I discussed some issues surrounding digoxin use in CHF. In this post, I wanted to cover strategies for managing an out of range digoxin level. Digoxin is a drug that we can and do often assess drug levels. In clinical practice, checking levels for digoxin is a little controversial. Some clinicians […]
Read MoreI received a question about codeine and what to expect from its use. When I was first learning pharmacy back in the late 2000s, I saw a lot of codeine. Most frequently, I remember significant use of Tylenol #3. Thankfully, I don’t see it used very often anymore. Why do I say “thankfully”? Codeine kinetics […]
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Avanafil, sildenafil, tadalafil, and vardenafil are PDE-5 inhibitors available in the USA and indicated for erectile dysfunction. PDE-5 inhibitors prevent the breakdown of cGMP and it is also one of the drug classes that interacts with nitrates. Nitrates are one of the important medications to manage angina and other cardiovascular diseases. Nitrates increase cGMP which […]
Read MoreGood News! We still have a couple of FREE Audible Codes Available if you purchase BCMTMS Study Materials Today! I want to continue to improve on our content and keeping it up to date is critical to me. Board certification exams change over time and the BCMTMS exam is no exception. The most consequential BCMTMS […]
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