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...
As a geriatric pharmacist working in long term care and assisted living facilities, I spend a lot of time trying to figure out which medications I should recommend to reduce. Polypharmacy is a big problem but deprescribing needs to be done the right way. There are...
MS is a 78-year-old female with a history of overactive bladder with urinary frequency and urge incontinence. Her current medications include: Oxybutynin 5 mg twice daily, Hydrochlorothiazide 25 mg daily, Lisinopril 10 mg daily, Sertraline 25 mg daily, Lorazepam 0.25...
Reducing diabetes medications in geriatric patients with low A1c involves careful consideration of the risks and benefits of continued intensive glycemic control. In older adults, particularly those with multiple comorbidities, frailty, or limited life expectancy,...
In this case scenario, I lay out a situation where cyclobenzaprine causes confusion. A 76-year-old female has a history of pain issues including RA, back pain, and knee pain. She is currently a resident at a long-term care facility. Her medications include: Lisinopril...
