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YS is a 79-year-old female with a medical history of osteoarthritis, insomnia, CVD, GERD, constipation, dementia, and falls. Her current medication list includes donepezil, Senna-S, lisinopril, zolpidem, amitriptyline, baby aspirin, acetaminophen, and omeprazole. Over the last three months, she has had a total of 7 falls and one that resulted in a fractured wrist. Because […]
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Insomnia is a sneaky condition that can lead to polypharmacy. Many of the medications used in the management of insomnia can work for a short period of time, but I’ve seen so many cases where the effects wear off over time. Always remember to do our due diligence on non-pharmacologic interventions! Here’s a case scenario […]
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KS is a 79-year-old female. She states that she takes too many pills and would like to try to reduce some. Here’s her list. Aspirin 81 mg daily Clopidogrel 75 mg daily Pantoprazole 40 mg daily Valsartan 80 mg daily Metoprolol 25 mg BID Amlodipine 5 mg daily Mirtazapine 15 mg at bedtime Famotidine 20 […]
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A 66-year-old female has a past medical history of diabetes, neuropathy, depression, and hypertension. In this case scenario, I discuss the use of a TCA with an SNRI. Her current medication list includes: Aspirin 81 mg daily Capsaicin cream prn Amitriptyline 10 mg at night Metformin 500 mg BID Losartan 50 mg daily Glipizide 5 […]
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Weight loss in the younger population generally tends to be less of a problem than weight gain (with the exception of eating disorders etc.). However, in the elderly there are definitely situations where weight loss can be problematic. In these instances we must rule out medications first as there are many medications that can cause […]
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