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Why Isn’t Iron Replacement Working? My Top 4 Reasons

Why Isn’t Iron Replacement Working? My Top 4 Reasons

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...
Hyperkalemia Case Study

Hyperkalemia Case Study

by Eric Christianson | Aug 27, 2025 | Renal, Urology, and Electrolytes Case Studies

In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
Case Study – Renal Dose Adjustment and Constipation Polypharmacy

Case Study – Renal Dose Adjustment and Constipation Polypharmacy

by Eric Christianson | Aug 10, 2025 | Polypharmacy Cases And The Prescribing Cascade

Mrs. M is an 87-year-old female residing in a skilled nursing facility. Her medication list includes: Apixaban 5 mg BID (for atrial fibrillation) Docusate 100 mg BID Senna 8.6 mg BID PEG 17 g daily Calcium carbonate 500 mg TID Lisinopril 10 mg daily Metoprolol...
Medications to Avoid in BPH – My Top 4

Medications to Avoid in BPH – My Top 4

by Eric Christianson | Jul 27, 2025 | Women’s and Men’s Health Medication and Disease State Clinical Pearls

Benign prostatic hyperplasia (BPH) is one of those conditions that creeps up with age and quietly causes a whole bunch of problems—especially when medications make it worse. A patient might come in complaining of frequent urination, a weak stream, or feeling like they...
Counteracting Drug Effects: 5 Case Examples I’ve Seen In Practice

Counteracting Drug Effects: 5 Case Examples I’ve Seen In Practice

by Eric Christianson | Jul 16, 2025 | Polypharmacy Cases And The Prescribing Cascade

Counteracting drug effects are all too common in geriatric and polypharmacy patients. I wanted to share common examples that I’ve seen in my practice as a clinical pharmacist. NSAIDs vs. AntihypertensivesCase: A 68-year-old man with hypertension controlled on...
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Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Risks of Antipsychotics – Younger Adults Versus Geriatric Patients
  • Adding Iron Creates More Fatigue – Case Scenario
  • Refusing Evening Advair – Case Scenario
  • Weight Loss Medications – Practice Pearls
  • NSAIDs and GI Bleeds – 3 High Risk Case Scenarios I’ve Seen in Practice

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