Working in geriatrics, you run into a lot of tough questions where there isn’t always a perfect answer. Setting a goal A1C is sometimes one of those challenges. Here’s a scenario where a patient has an A1C of 8.2. Under most conditions, an A1C of 8.2 is...
Assessing medications in a frequent faller is something I do on a pretty regular basis. There are often multifactoral reasons for the falls, but as a pharmacist, our obvious focus is on the medications and how they might complicated our frequent faller’s...
Here’s a case scenario involving the Prozac Wellbutrin interaction. A 64 year old male has severe depression. He is currently on Remeron 15 mg once daily, Prozac 80 mg once daily, and Abilify 10 mg once daily. He has been tried on just about every other SSRI...
There’s been a recent update from CMS that has started to be implemented. The F-Tags have been given a little facelift and renumbering. I’m a consultant pharmacist, so I’m going to focus on the changes in Pharmacy Services F-Tags. The pharmacy...
In the patient on numerous medications, drug interactions are always a constant concern. In the scenario below, I lay out some strategies to monitor the bupropion nortriptyline interaction with a brief description of what might happen on account of this drug-drug...
