In this case scenario, I outline a situation of topiramate-induced cognitive impairment. Topiramate is an anticonvulsant medication that may be used for headache prophylaxis and is known to cause cognitive slowing, manifesting as difficulties in concentration, memory,...
JE is a 75-year-old male with a history of diabetes. He has recently complained of peripheral neuropathy symptoms and his provider has started him on gabapentin 300 mg TID. In this scenario, I’m going to discuss some of the factors to consider when thinking...
In this NAPLEX practice case study, we test your knowledge of pain management. I hope you find some benefit with this case study and if you are looking for more study materials, check out our massive all-access package! NAPLEX Pain Management Case Study TM is a...
I stumbled into this case about Valtrex neurotoxicity on Linked In, and am so thankful that Kristin Speer, PharmD, BCPS let me share it. A physician attached a message for the care team to review: “Patient continues with dizziness, hallucinations, and...
There are numerous examples of where the indication guides dosing. It is important as a pharmacist to remember this when you see unusual doses. I wanted to share a couple of examples that I came across recently. Escitalopram When using psychiatric medications, we must...
In this case scenario, I discuss some ideas as to how I would handle a patient on duplicate dopamine agonists. A 58-year-old female has a history of diabetes, restless legs, anemia, and GERD. Her major concern has been with her restless legs as she has not been able...
