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Insomnia and Urinary Frequency Case Study
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,...
Pet Peeves in Hospice Care
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...
Serotonin Syndrome Versus Neuroleptic Malignant Syndrome
Serotonin syndrome and neuroleptic malignant syndrome (NMS) are two commonly taught drug-induced syndromes but are rarely encountered in practice. I wanted to put together some important differences...
Top 5 OTC Drug Interactions
Over-the-counter medications provide easy access for patients to solve their own problems. Too often, patients lean on self-treatment without consulting a healthcare professional. One of my primary...
Benztropine Clinical Pearls
Benztropine (Cogentin) is an older anticholinergic agent primarily used for movement-type disorders and adverse effects. I'll share some of my most important benztropine clinical pearls in this...
Allopurinol Versus Febuxostat – Clinical Comparison
Lowering uric acid is the key to reducing gout flares. Both allopurinol (podcast) and febuxostat are effective at performing this task. However, there are some considerations you need to be aware...
3 Drug Interactions With GLP-1 Agonists
Drug interactions don't come to the top of my mind when I see GLP-1 agonists in use. We are fortunate that they do not have a lot of significant interactions, but I don't think you should forget...
Sexually Transmitted Infections – Drugs of Choice and Practice Pearls
Sexually transmitted infections (STIs) frequently come up in clinical practice and is also a frequent target for pharmacology and board exam questions! In this post, I will list my top 3 drugs to...
Lactulose Clinical Pearls
Lactulose (Enulose, Generlac) is technically a laxative medication. While it can be used for that purpose, it is fairly rare in clinical practice that you see it used for that indication. Lactulose,...
Warnings for P2Y12 Inhibitors
The P2Y12 inhibitors are frequently used in the management of ACS and other coronary syndromes. They have some clinical quirks you need to be aware of and I will highlight some of my most important...