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Azathioprine and TPMT Testing

Azathioprine and TPMT Testing

by Eric Christianson | Oct 14, 2026 | Hematology and Immunology Medication and Disease State Clinical Pearls

Azathioprine (podcast) is an immunosuppressant used to treat inflammatory bowel disease, rheumatoid arthritis, lupus, and prevent organ rejection after transplantation. One important safety concern is bone marrow suppression, which can lead to serious infections and...
Rheumatoid Arthritis Case Review

Rheumatoid Arthritis Case Review

by Eric Christianson | Mar 4, 2026 | Neurology, Pain, and Musculoskeletal Case Studies

Medication reviews in patients with rheumatoid arthritis often uncover clinically significant drug therapy problems. Methotrexate toxicity, drug interactions, and therapeutic duplication are common issues that pharmacists must proactively identify. In this case-based...
Top 5 Drug Interactions in Rheumatoid Arthritis

Top 5 Drug Interactions in Rheumatoid Arthritis

by Eric Christianson | Jun 18, 2025 | Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls

Rheumatoid arthritis (RA) often requires complex, long-term medication regimens. This polypharmacy increases the risk of clinically significant drug interactions that can impact efficacy and safety. Below are five of the most important drug interactions encountered in...
Methotrexate and Folic Acid Same-Day Dosing – Clinical Controversy

Methotrexate and Folic Acid Same-Day Dosing – Clinical Controversy

by Eric Christianson | Apr 26, 2023 | Hematology and Immunology Case Studies

I want to address an email from a recent podcast listener regarding the appropriate way to take folic acid with methotrexate. Specifically, what is my take on methotrexate and folic acid same-day dosing? First, let’s start with some basics.  Folic Acid (vitamin...
Sulfasalazine Clinical Pearls

Sulfasalazine Clinical Pearls

by Eric Christianson | Jul 31, 2022 | Hematology and Immunology Medication and Disease State Clinical Pearls

Sulfasalazine is classified as a DMARD (Disease-modifying antirheumatic drug) as well as a 5-aminosalicylic acid derivative. The most common use in clinical practice that I’ve seen sulfasalazine used for is rheumatoid arthritis, but it can also play a role in...
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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

  • Azathioprine and TPMT Testing
  • SGLT2 Inhibitors and Recurrent Genitourinary Infections: A Clinical Case
  • Medications That Don’t Get Discontinued – 6 Unique Examples From My Experience
  • My Top 5 Reasons Patients Keep Having Asthma Exacerbations
  • Nabumetone Prescribing Cascade – Case Study

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