Sjogren’s Syndrome is not very common but I do see this diagnosis in practice periodically. This disease has two major symptoms that pharmacists should pay EXTREMELY close attention to. Placing a focus on medications that exacerbate Sjogren’s Syndrome is a...
In most clinical situations, I’m a stickler for trying to prevent the prescribing cascade. I lay out hundreds of polypharmacy case examples including the prescribing cascade in my highly rated book Perils of Polypharmacy. The prescribing cascade is simply...
LT is a 67-year-old white male presenting to your ambulatory care clinic for a CMR. He says his wife tells him he is taking too many medications and he wants your help evaluating his current regimen. Recent issues have been a rash due to dermatitis for which he was...
I’ve been doing quite a bit of long term care consulting lately and I’ve been trying to pay attention to which medications and medication classes I have been targeting in an effort to reduce polypharmacy. Here are my top 5 targets to reduce medications in...
A 76-year-old female is tired of taking so many medications. She reports to you that “I’d like to stop all my medications”. While she understands that she likely cannot stop all of them, she’d like to at least eliminate some of them. Here is...