SK is an 80 year old male with a history of BPH, hypertension, CAD, diabetes, and atrial fibrillation. His current medications include: Warfarin – goal INR 2-3 Aspirin 81 mg daily Lisinopril 10 mg once daily Tamsulosin 0.8 mg once daily Finasteride 5 mg once daily...
You can’t tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here’s a patient with severe asthma, on multiple medications: Advair...
It is well known that beta-blockers can affect the beta-2 receptors and potentially cause issues with breathing. Non-selective beta-blockers like propranolol may be even higher risk for causing these symptoms. I discuss more in-depth about the pharmacology...
Managing drug interactions like the citalopram omeprazole interaction can be really challenging. Often times the situation I’m presented with is I’m meeting with a patient and they have been on both citalopram and omeprazole for a long time. If the...
I’ve spent quite a bit of time working in behavioral health on medication related questions. One question that has come up a few different times is genetic testing and antidepressants. Many antidepressants are metabolized by the enzyme CYP2D6. Let’s...
