Diabetes is a disease that millions are affected by. It can be very challenging trying to figure out which medication or medication combination is best for a patient. While extremely rare, the GLP-1’s and DPP4 inhibitors have been potentially associated with...
Many patients will have bariatric surgery which will likely shorten the length of the GI tract. It is important to remember what impact this will have on the use of medications and many clinicians will forget this critical fact. Bariatric surgery can lead to long...
Gastroparesis can be a serious problem where the GI tract literally “slows down”. This issue is common in patients with diabetes. Bloating, abdomnial pain, nausea, vomiting, and a feeling of fullness are all possible symptoms of gastroparesis. There are...
JS is an 89 year old male with a history of insomnia, depression, BPH, rheumatoid arthritis, constipation, nausea, frequent falls, and Parkinson’s disorder. His current medications include: Zolpidem 10 mg HS Mirtazapine 7.5 mg HS Finasteride 5 mg daily Methotrexate...
PPI’s for NSAID prophylaxis is a common practice I’ve seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of polypharmacy is a big one, make sure you are paying attention to the...
A 69 year old male has a past medical history of hypertension, heartburn, CHF, CAD and osteoarthritis. This gentleman had been in and out of the hospital several times over the previous year for a variety of reasons including CHF, femur fracture, and pneumonia....
