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Fatal Insulin Injections and Security of Medications
I've worked within the walls of numerous types of settings that have access to life-saving and life-threatening medications. Whether it be at a clinic, long term care facility, assisted living...
2020 BCPS Exam Changes – How to Prepare
As I look ahead to help all of you prepare for the 2020 BCPS exam changes, I want to make sure that everyone is on the same page in how this might affect your studying. Questions about the exam? You...
Seven Common Types of Drug Interactions
There are numerous types of drug interactions. I outline some of the most common ways that drugs can affect the concentrations and activity of other drugs. Opposing Effects Many drugs will work on...
The Clinical Difference Between Salmeterol and Formoterol
Both salmeterol and formoterol are considered long-acting beta-agonists. These agents have been commonly used in the setting of asthma and COPD. Each of these agents is most commonly combined with...
Changing Glimepiride to Glipizide…to Rock the Boat or Not?
With the recent changes in the Beers Criteria, glimepiride has now been added to the list of sulfonylureas to avoid. Glipizide is the preferred agent if a sulfonylurea is to be used. This begs the...
Med List Review
A 72-year-old male has a past history of heart failure with reduced ejection fraction, chronic kidney disease, hypertension, diabetes, intermittent claudication, and osteoarthritis. His current...
Top 5 Medications That Worsen Dementia
In keeping it real today, I wanted to share my top 5 medications that worsen dementia. This list is totally anecdotal based upon my experience and the frequency with which I see these medications...
Top 5 Medications to Avoid In Heart Failure
I have seen the prescribing cascade happen in clinical practice far too many times! One of those classic examples is heart failure. A patient is placed on a new medication that contributes to edema...
Recommendations to Physicians – Why You’re Not Convincing Anyone
I've written thousands of recommendations to physicians and other healthcare providers throughout my career. I've gotten over the fear of failure so to speak, but there's always still a little doubt...
Carbamazepine Interactions – What to do About Them?
I'm working on a new book that I'm super excited about! I'm writing a book on drug interactions and hope to finish by the end of the year! I'm tackling the top 200 drugs plus those I consider very...