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Case Scenario: Duplicate SNRI Therapy

Case Scenario: Duplicate SNRI Therapy

by Eric Christianson | Jan 28, 2026 | Psychiatry and Addiction Medicine Case Studies

This was a case I came across recently where duloxetine was added to a patient’s regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an SNRI in Effexor. This led to a case of duplicate SNRI therapy....
Montelukast Causes The Prescribing Cascade – Case Study

Montelukast Causes The Prescribing Cascade – Case Study

by Eric Christianson | Mar 12, 2025 | Dermatology, ENT, Ophthalmology Case Studies

SM is a 48-year-old female who has new-onset symptoms of restlessness, irritability, insomnia, and vivid nightmares. Over the past 3 months, she has also experienced increasing anxiety and mood swings. She reports a feeling of impending doom and difficulty...
Top 5 Pet Peeves in Geriatric Psych

Top 5 Pet Peeves in Geriatric Psych

by Eric Christianson | Jul 5, 2023 | Psychiatry and Addiction Medication and Disease State Clinical Pearls

It’s no secret that I’ve spent a ton of time in long-term care and assisted living facilities helping the healthcare team take care of some challenging residents. I outline my top 5 pet peeves in geriatric psych management. Believe me, it was hard to...
Medications For Akathisia

Medications For Akathisia

by Eric Christianson | Mar 24, 2021 | Medication and Disease State Clinical Pearls For Pharmacists, Psychiatry and Addiction Medication and Disease State Clinical Pearls

Akathisia is one of the most common symptoms associated with extrapyramidal symptoms (EPS) due to antipsychotics. There are a few different medications that we can use for the management of akathisia. Here’s a good summary of akathisia. Prior to even considering...
Bromocriptine Clinical Pearls

Bromocriptine Clinical Pearls

by Eric Christianson | Mar 17, 2021 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls

I don’t see bromocriptine used very often in clinical practice, but as a pharmacist, I feel the need to know every medication I come across. Here’s a list of my top bromocriptine clinical pearls! I think one of the most important things to recognize is...
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  • Rhabdomyolysis – 3 Big Things Pharmacists Should Remember
  • Carafate Synthroid Interaction – Leads to Hypothyroidism
  • Case Scenario: Duplicate SNRI Therapy
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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Oral Bisphosphonates – NAPLEX Test Prep and Practice Pearls
  • Rhabdomyolysis – 3 Big Things Pharmacists Should Remember
  • Carafate Synthroid Interaction – Leads to Hypothyroidism
  • Case Scenario: Duplicate SNRI Therapy
  • Propranolol-Induced Asthma – Case Study

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