Mirtazapine is commonly used in elderly patients with depression who are also suffering from insomnia. Mirtazapine is often chosen because it is much safer than benzodiazepines, “z-drugs”, and antipsychotics. The mechanisms of mirtazapine (podcast episode on the...
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...
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...
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 dailyClopidogrel 75 mg dailyPantoprazole 40 mg dailyValsartan 80 mg dailyMetoprolol 25 mg BIDAmlodipine 5 mg...
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 dailyCapsaicin cream prnAmitriptyline 10 mg at...
