This was a case I came across recently where duloxetine was added to a patient’s regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an SNRI in Effexor. This led to a case of duplicate SNRI therapy....
In this case study, we outline a likely case of propranolol-induced asthma. Mr. J.S. is a 62-year-old male with a past medical history significant for essential tremor, mild persistent asthma, hypertension, and hyperlipidemia. His asthma has been well controlled for...
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
In this case scenario, we discuss the “double trouble” of using PPIs and metformin and their effects on vitamin B12. Mrs. J is a 68-year-old woman with type 2 diabetes and gastroesophageal reflux disease (GERD). She has been taking metformin 1,000 mg twice...
In this case scenario, we outline a situation where biotin causes thyroid problems. It highlights the importance of recognizing the use of OTC and supplement medications. A 46-year-old woman with a history of primary hypothyroidism presents to her primary care clinic...
I recently came across a case scenario of drug induced akathisia. It is important to remember that aripiprazole is one of the most common causes of this adverse effect. Here’s the case – LY is a 72-year-old man with a 10-year history of Parkinson’s disease...
