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Acetaminophen in Osteoarthritis
When I was in school, acetaminophen was considered the go agent for the management of osteoarthritis pain. While acetaminophen in osteoarthritis is still possibly a 2nd or 3rd line consideration,...
Chemotherapy-Induced Nausea and Vomiting Update
Chemotherapy-induced nausea and vomiting (CINV) is one of the most common side effects in patients getting treated for cancer. Prevention for CINV is important to improve quality of life and...
Azathioprine Clinical Pearls
Azathioprine isn't a drug I see terribly often in clinical practice, but there are some really important things to remember. I recently put together a podcast on azathioprine and I wanted to share...
Drug-Induced Tachycardia Case Scenario
A 77 year old male has a history of atrial fibrillation which had been well controlled on metoprolol 50 mg BID. He presents today reporting an increase in pounding in his chest and indeed, vital...
Biologics in Asthma – The Basics
In clinical practice, I don't see biologics in asthma very often, but it is something that I think is important to remember. The most commonly used agent over the years that I have seen is...
Expired Medications – Which Ones Get Missed?
Working in long-term care, I've had the opportunity to audit medication carts and storage areas on a daily basis. In addition, surveyors will often cite deficiencies when they find expired...
Biosimilar Updates 2021
FDA-approved biosimilars have been compared to a biologic and shown to be highly similar in structure and function. They are determined to have no clinically meaningful differences in safety,...
Case Study – Diarrhea and Achiness
CA is a 58-year-old female with CKD. Her CrCL today is 45 mL/min and stable sCr of 1.3 mg/dL. She complains of muscle aches that started a couple of weeks ago and that her doctor said she can’t use...
Strategies For Addressing Statin Myopathy
Statin myopathy is a primary reason why patients stop taking these cholesterol-lowering medications. Here's a case scenario where I discuss considerations and options to addressing statin myopathy...
When Do We Use Fibrates?
Fibrates are a type of amphipathic carboxylic acid that treat hypertriglyceridemia. They work by reducing the liver’s production of VLDL particles that carry triglycerides to tissues and...











