As a geriatric pharmacist, I can’t tell you the number of times I have seen amlodipine prescribed with the subsequent addition (usually a few weeks later) of furosemide. It is finally nice to have some solid evidence to back up what I have anecdotally seen in...
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 dailyCilostazol 100 mg twice...
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...
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...
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....
