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...
In this gout case study, a 66-year-old female has a past medical history of diabetes, neuropathy, depression, migraines, insomnia, gout, and hypertension. She has numerous complaints. Her gout has not been in good control as she is requiring significant indomethacin...
Tricyclic antidepressants are still used in clinical practice. Their use has diminished over time as newer and generally safer medications have been invented, but you will see them occasionally. In my primarily geriatric practice, I would say that I see them a couple...
I encounter patients on a daily basis who are taking medications for urinary issues. Incontinence, frequency, BPH, and frequent UTIs are common problems in geriatrics that can lead to the use of medications. Here are some of my pet peeves with these issues. No One...
