The 2025 Hypertension guidelines are out! The alphabet soup of groups that contributed to the guidelines are as follows: AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM – I didn’t make that up! I made my way through the guidelines and wanted to...
Nonsteroidal anti-inflammatory drugs (NSAIDs) are routinely used for pain and inflammation, but they are also commonly implicated in clinically significant interactions. As medication experts, pharmacists play a critical role in recognizing and navigating these risks....
Many drugs cause insomnia. What is most frustrating to me in my practice is when we start medications for a “new condition” prior to ruling out medication adverse effects. Here is the list of my top 5 drugs that cause insomnia (an important adverse...
JA is a 61 year old male who has a past medical history of hypertension, diabetes, anemia, and arthritis. His current medications include metoprolol 25 mg BID, hydrochlorothiazide 25 mg once daily, lisinopril 10 mg daily, metformin 500 mg BID, ferrous sulfate 325 mg...
In most clinical situations, I’m a stickler for trying to prevent the prescribing cascade. I lay out hundreds of polypharmacy case examples including the prescribing cascade in my highly rated book Perils of Polypharmacy. The prescribing cascade is simply...
