An 82-year-old woman with a history of mild Alzheimer’s dementia is started on donepezil 10 mg nightly to help with memory and cognitive function. After several weeks, her family reports that she’s been waking up multiple times per night to urinate and has complained...
In this case scenario, we will look at the importance of making an apixaban (podcast) dose adjustment based upon clinical factors. LS is an 83-year-old female with a history of atrial fibrillation, hypertension, and osteoarthritis. She’s currently prescribed Eliquis...
ES is a 74-year-old female with mild dementia managed with donepezil 10 mg nightly. She had been experiencing severe nighttime restlessness and an irresistible urge to move her legs, leading to frequent awakenings and fatigue during the day. Her provider diagnosed...
SK is a 74-year-old male with a history of chronic systolic heart failure, hypertension, and type 2 diabetes. He has been stable on a regimen that includes carvedilol, sacubitril/valsartan, furosemide, and spironolactone. Recently, he began experiencing worsening...
In this case scenario with gabapentin and metolazone, I lay out how the prescribing cascade can rear its ugly head. SK is a 74-year-old male with a past medical history significant for chronic kidney disease stage 3, type 2 diabetes, hypertension, peripheral...
