Hypertension management can get a little overwhelming sometimes since there are so many medications to choose from. We often use multiple medications with different mechanisms of action to treat hypertension. If a patient is already on a medication at a moderate or...
Below is a case scenario where clonidine is being used in the elderly. Clonidine is on the Beer’s list of potentially inappropriate medications in the elderly. Let’s break it down. JS is an 87 year old female with a past medical history of hypertension,...
Drug induced resistant hypertension does happen. It is important to recognize medications that can contribute to this as well as recognize when patients are on higher doses of this medications that may elevate blood pressure. Here’s the scenario: 62 y/o female...
We always need diagnosis and more information, but I like to analyze a medication list as an educational tool. The med list review with some possible concerns to investigate: Cilostazol 100 mg twice daily Aspirin 81 mg daily Propranolol 80 mg twice daily Captopril 25...
Anticoagulants like enoxaprain and warfarin should always be treated with the utmost care. They can cause life-threatening bleeding that can put our patients at serious risk. On the flip side, anticoagulants can prevent life-threatening blood clots. Here’s a...
ACE Inhibitors are a notorious cause of angioedema. Angioedema is a very serious condition where the lip and upper airway can swell up. It is extremely rare when you consider how many people take ACE Inhibitors. When I think of angioedema happening in practice, I...