by Eric Christianson | Jun 7, 2026 | Drug Interaction Case Studies and Education For Pharmacists
This is a very unique case scenario where we are treating mild fatigue related to anemia, and a new prescription for iron creates more fatigue for our patient. A 72-year-old female with a history of primary hypothyroidism, osteoporosis, hypertension, and iron...
by Eric Christianson | Apr 15, 2026 | Hematology and Immunology Medication and Disease State Clinical Pearls
Epoetin alfa (Epogen/Procrit) is a medication pharmacists commonly encounter in long-term care, dialysis, and oncology settings. While its role in stimulating red blood cell production seems straightforward, there are several key clinical pearls that are essential to...
by Eric Christianson | Jan 14, 2026 | Hematology and Immunology Case Studies
In this case scenario, we discuss the “double trouble” of using PPIs and metformin and their effects on vitamin B12. Mrs. J is a 68-year-old woman with type 2 diabetes and gastroesophageal reflux disease (GERD). She has been taking metformin 1,000 mg twice...
by Eric Christianson | Sep 17, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls
Oral iron replacement is one of the most common ways to manage iron deficiency anemia. While it seems straightforward—take a pill, replace the iron—patients often struggle to reach therapeutic goals. One of the biggest reasons is poor absorption. Here are four common...
by Eric Christianson | Aug 13, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls
Every so often, you see a medication order that just makes you tilt your head and think, “Huh?” One order that I recently encountered that made me scratch my head was (ferrous sulfate) iron 2 tablets once daily. On the surface, it’s straightforward – take two tablets...
