In this case scenario, a patient is prescribed Carafate (sucralfate) for GI concerns, and it leads to a case of hypothyroidism due to the Carafate Synthroid drug interaction. Robert H. is a 62-year-old male with a history of primary hypothyroidism that has been well...
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....
In this case study, we outline a likely case of propranolol-induced asthma. Mr. J.S. is a 62-year-old male with a past medical history significant for essential tremor, mild persistent asthma, hypertension, and hyperlipidemia. His asthma has been well controlled for...
One of the biggest contributors to polypharmacy isn’t the number of diagnoses a patient has—it’s our mindset around medications that fail to deliver benefit. Everyone knows we need to reduce meds in geriatrics, but how do we do that? Too often, when a drug doesn’t...
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
