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LT is a 67-year-old white male presenting to your ambulatory care clinic for a CMR. He says his wife tells him he is taking too many medications and he wants your help evaluating his current regimen. According to his chart, his blood pressure has been within goal, but he has been having trouble with heart […]
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Geriatrics can get very complicated very fast. Chronic conditions, polypharmacy, and drug interactions are a few of the many complications. Here are a few things that make me think twice in geriatric patients. Multiple Medication Changes As I reveiw a patient’s medication list, I review recent changes that have been made. The more changes that […]
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Benzodiazepines or “benzos” are a class of psychoactive drugs that are used to treat insomnia and anxiety. While we want to discuss the differences amongst these agents, we must remember that when comparing oral benzodiazepines, it is critical to remember that dosing matters! A dose of clonazepam 0.125 mg is likely going to be way […]
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Here’s a case scenario where the duloxetine risperidone interaction likely contributed to an emergency department visit. A 78-year-old male with dementia, depression, anxiety, neuropathy, osteoarthritis, and behavioral symptoms associated with dementia was having increased hallucinations and physical aggression. Non-pharmacologic interventions had been tried and continue to be utilized as best as possible. The behaviors and […]
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The Beers Criteria was updated in 2019. Of the numerous updates, I wanted to pull out my top 5 clinically relevant Beers Criteria updates. It is important to note that there were many more updates, but I wanted to share some of the most clinically important updates. Discussed in the video are Beers Criteria updates […]
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