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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...
Cholestyramine For Diarrhea – Prescribing Cascade
One of the symptoms reported by patients that will catch my attention is diarrhea. This can often be an adverse effect of medication. When I see orders for medications that manage diarrhea, I really...
Most Common Atorvastatin Drug Interactions
I recently did a podcast on atorvastatin and thought it might be helpful to share the most common atorvastatin drug interactions that I see in clinical practice. So here it goes... Grapefruit juice...
Glucosamine and Chondroitin For Arthritis: To Use It Or Not?
Patients will frequently ask me what supplements they should use to help treat their conditions and more often, they begin to take something even prior to asking. I was recently asked my thoughts on...
Pharmacist Provider Status Update – We Are Winning Hearts, Minds, and Jobs
I've worked with so many great pharmacists and we are truly winning the hearts and minds of our fellow colleagues. I can't thank you all enough for how much work you have all put in to grow and...
When Should Ezetimibe Be Used?
Ezetimibe (Zetia) is a medication used to lower cholesterol. More specifically, this medication is used in clinical practice to lower LDL and help get patients to a target goal. If you recall from...
Vibegron Versus Mirabegron in the Management of OAB
Vibegron (Gemtesa) is a selective beta-3 adrenergic receptor agonist. It treats OAB, including urge urinary incontinence and urinary frequency by relaxing the detrusor smooth muscle during bladder...
Trospium Advantage In The Elderly
I've been asked in the past about making recommendations with regards to urinary frequency. Trospium has an advantage over other anticholinergic agents that many do not know about or forget about....
Heart Failure and Diabetes Polypharmacy Case Study
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...
Treatment of Polymyalgia Rheumatica (PMR)
Polymyalgia rheumatica (PMR) is a relatively common condition in adults over 50 years old, and more often affects northern European populations including Scandinavians, although it can affect people...











