Estrogen dosing with oral contraceptives can be a challenging issue that may feel overwhelming to many clinicians. The most common synthetic estrogen analog is ethinyl estradiol. In this article, I’ll discuss the reasons why we might select one dose of estrogen...
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...
In comparing (Effexor) venlafaxine versus desvenlafaxine (Pristiq), you can’t help but start with pharmacokinetics. As you gander at the names of the drugs, it’s hard not to notice that they are nearly identical minus a few letters. Let’s break this...
LT is a 67-year-old white male presenting to your ambulatory care clinic for a CMR. He says his wife tells him he is taking too many medications and he wants your help evaluating his current regimen. Recent issues have been a rash due to dermatitis for which he was...
Valproic acid is most commonly used for the management of seizures, bipolar disorder, and migraines. In my practice, I do see it occasionally used to help manage dementia-related aggressive behaviors. There are a lot of valproic acid clinical pearls that you need to...
