In this case study, I highlight the clinical impact that the ciprofloxacin and zolpidem interaction can have on a patient. JS is a 58-year-old female with a history of insomnia and takes zolpidem 10 mg at bedtime every night. She has recently been diagnosed with a...
In this Antabuse case study, JE is a 62-year-old male with a history of anxiety, bipolar disorder, alcohol abuse disorder, BPH, hypercholesterolemia, Afib, HTN, and GERD. His current medication list includes the following: Hydroxyzine 25 mg BID for anxiety Seroquel...
I want to address an email from a recent podcast listener regarding the appropriate way to take folic acid with methotrexate. Specifically, what is my take on methotrexate and folic acid same-day dosing? First, let’s start with some basics. Folic Acid (vitamin...
One thing I always encourage is critical thinking. Reviewing a diagnosis list will give you clues as to the likely medications that a patient is taking or should be taking if they are following guideline-based medication therapy. In this Bactrim CHF case study, I...
Beta-blockers are a class of medication that is frequently used for cardiac and cardiovascular purposes. Selectivity and evidence of benefit often guide selection, but one thing that may get overlooked is beta-blocker interactions in relation to CYP enzymes. Not all...
