Deprescribing is an important part of care for hospice patients. The main goal of hospice care is to focus on comfort care rather than curative treatments, which means evaluating if a patient’s current medications are still indicated, effective, safe, and convenient....
Modafinil (Provigil) is a stimulant type of medication that is most often utilized in narcolepsy. In my geriatric practice, I do see occasional off-label use to help stimulate energy in patients who are experiencing fatigue. I’ll outline my top 5 modafinil...
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...
JD is a 58-year-old male with a history of cirrhosis due to alcohol-related liver disease. He has no medication allergies and is taking the following medications: Lactulose 30 mL twice daily, Spironolactone 100 mg daily, Furosemide 40 mg daily, Propranolol 20 mg twice...
Type II diabetes is a complicated disease state that often requires a combination of medications to control. However, some combinations of antidiabetes medications, such as sulfonylureas and basal insulin, may lead to unintended adverse effects. In this article, we...
