A 77 year old male has a history of atrial fibrillation which had been well controlled on metoprolol 50 mg BID. He presents today reporting an increase in pounding in his chest and indeed, vital signs reveal that his heart rate is at 125 BPM. You are questioned if any...
One of the symptoms reported by patients that will catch my attention is diarrhea. This can often be an adverse effect of medication. When I see orders for medications that manage diarrhea, I really start to pay attention. Usually, this is indicative of a chronic...
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. According to his chart, his blood pressure has been within goal, but...
Diuretics are a medication that I see used on a daily basis. I also encounter these medications causing adverse effects. With adverse effects comes the potential for providers to add medications to treat those adverse effects. Here’s a few examples I’ve...
Cyclobenzaprine (podcast episode) is a skeletal muscle relaxant that is most commonly used for muscle spasms and back pain. It definitely has some potential adverse effects that I have seen lead to the prescribing cascade. Here’s a rundown of medications that...
