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A 72-year-old male has a past history of heart failure with reduced ejection fraction, chronic kidney disease, hypertension, diabetes, intermittent claudication, and osteoarthritis. His current medication regimen includes: Aspirin 81 mg daily Cilostazol 100 mg twice daily Furosemide 40 mg twice daily Amlodipine 10 mg daily Lisinopril 10 mg daily Carvedilol 6.25 mg twice daily […]
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I have seen the prescribing cascade happen in clinical practice far too many times! One of those classic examples is heart failure. A patient is placed on a new medication that contributes to edema and heart failure. With a period of days to weeks, that patient is then placed on diuretics or doses have had […]
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In long term care consulting, learning how to review and interpret medical records is an absolute must. It can also be incredibly helpful in other settings such as ambulatory care, community, assisted living, and hospital pharmacy. I’ve got three examples for you of the where recognizing the start dates of two medications can help you […]
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The tricyclic antidepressants are often overlooked as they do have some real negative adverse effects and potential drug interactions. I’ll give you 5 important clinical pearls below when considering using the tricyclic antidepressants. Know Thy Indication. Using tricyclic antidepressants (TCA) for fibromyalgia or other pain syndromes like neuropathy or possibly even migraine is sometimes useful. […]
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