BLOG
2 Common Mistakes With Acetaminophen
Many patients will take acetaminophen for their pain management. It is cheap, somewhat effective, and typically pretty safe at normal dosages. There are potential downsides when it comes to...
Tapering Benzodiazepines – Tricks of the Trade
Tapering benzodiazepines or any drug for that matter is a bit of an art. Sure we do have some evidence on these types of topics, but we can't also schedule a taper schedule perfectly based upon a...
Starting Bisphosphonates in Patients With Limited Life Expectancy
I received a question the other day about the use of bisphosphonates in patients who may have a limited life expectancy but have osteoporosis or are at risk for osteoporosis. It is a very good...
Probenecid Clinical Pearls
Probenecid can be used for patients who have gout. The drug lowers uric acid levels which can help prevent future gout flares. While I readily admit that probenecid is not used very often, it does...
Capsaicin – Why Doesn’t It Work As Needed (PRN)?
A 76-year-old male has been having some knee pain due to osteoarthritis. He has tried acetaminophen and ibuprofen and didn't find much help with those. He finds a topical agent called capsaicin. He...
Compelling Indications in Diabetes – Why to Choose Different Agents
A compelling indication is simply another reason (typically a disease state) as to why you choose a medication. Compelling indications in diabetes are increasingly important in medication selection...
These Meds Can Cause Drug-Induced Lupus
As a medication expert, being up to date on adverse effects is essential! I recently stumbled into this review article on drug-induced Lupus and I had to share it and some of my thoughts. Symptoms...
Duloxetine Risperidone Interaction – Case Study
Here's a case scenario where the duloxetine risperidone interaction likely contributed to an emergency department visit. A 78-year-old male with dementia, depression, anxiety, neuropathy,...
Thinking Clinically and Paying Attention – 2 Examples
As a clinical pharmacist, I cannot understate the importance of looking for ways to improve our healthcare system. We can be a key lynchpin in identifying concerns before something bad happens. Let...
BCACP 2020 Changes – What You Need to Know
Much like the BCPS exam, the Board Certified Ambulatory Care Pharmacist certification exam (BCACP) is changing in 2020. These changes will not go into effect until the Fall of 2020, but I wanted you...