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Pet Peeve Alert: Can We Have a Constipation Medication?
This might be one of my biggest pet peeves. Adding a medication when we are already doing the opposite with another medication. I had a patient a while back who was taking cholestyramine twice daily...
Why Do Patients Stop Taking Medications?
Why do patients stop taking medications? I’ve spent a lot of time and effort working with patients to improve their drug therapy, but it really doesn’t matter if they don’t actually take the...
Zinc Drug Interactions
I'm seeing, reading, and hearing a lot about zinc in the prevention and management of various infectious diseases such as COVID and head colds. While I'm not very sold on the data supporting its...
Rybelsus With Food. Is This Ok?
I was asked this question the other day and I wanted to specifically address it. What should I do if I didn't take Rybelsus (semaglutide) 30 minutes before I ate because the package insert says I'm...
Reasons For Duplicate SSRIs
In this case scenario, I explore some of the possible reasons that you may see a patient on duplicate SSRIs. A 68 year old female has a history of depression, breast cancer, diabetes, hypertension,...
Medication List Review – Blood Clot Risk
In this scenario, I review how medications can increase the blood clot risk. A 66 year old female is taking the following medications. Aspirin 81 mg dailyLamotrigine 100 mg BIDApixaban 5 mg...
Hair Loss – Curbside Consult
A 69-year-old female is concerned with hair loss. She states that she does not have a family history of this issue and believes that her medications might be to blame. Her primary provider does not...
Omeprazole Escitalopram Interaction – Case Study
The omeprazole escitalopram interaction is a relatively common one in clinical practice. Below, I outline a case scenario where this interaction may have caused some adverse effects from...
Titration of GLP-1 Agonists (Table)
GLP-1 agonists are an effective medication in treating type 2 diabetes mellitus. GLP-1 agonists are a synthetic version of the body’s naturally occurring GLP-1. However, synthetic GLP-1 has the...
High pH, Reduced Absorption of These Drugs
PPIs are well known for their ability to block the release of hydrogen ions into the gut. Because of this, the use of PPIs can lead to a basic environment in the stomach. This is synonymous to have...