Is as needed (PRN) allopurinol appropriate? I have seen as-needed (PRN) orders for allopurinol in practice. It has been rare, but it has happened. Did I like it? No. Allopurinol helps to lower uric acid levels. Allopurinol inhibits xanthine oxidase which is an enzyme...
I love reducing medications and tackling polypharmacy, but it needs to be done the right way. There are numerous medications you shouldn’t stop abruptly. I lay out my most important list of dangerous medications and the serious consequences that can result if...
Caffeine is one of the most commonly used drugs that is widely available and put into numerous energy drinks. Of course, caffeine is also contained within coffee which I would suspect many of you drink on a regular basis. I think it is very important to ask about...
JA is a 61 year old male who has a past medical history of hypertension, diabetes, anemia, and arthritis. His current medications include metoprolol 25 mg BID, hydrochlorothiazide 25 mg once daily, lisinopril 10 mg daily, metformin 500 mg BID, ferrous sulfate 325 mg...
Working in assisted livings and long term care facilities for a large chunk of my career, its safe to say I’ve reviewed a few patients medications who are on hospice. I have three major pet peeves in hospice care that I feel like I encounter on a regular basis....