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...
Acetylcholinesterase inhibitors are most often used in mild to moderate Alzheimer’s dementia. They are often a hot button topic amongst the geriatric healthcare community. If you’ve worked with providers in geriatrics, you will know that some providers...
A 48 year old female has a history of diabetic neuropathy and has been placed on Cymbalta (duloxetine). The patient has taken it for three days and is feeling pretty fatigued throughout the day from it. She asks, “How long does it take Cymbalta to work for...
Acetylcholinesterase Inhibitors are used in various forms of dementia. They can provide some symptom improvement in dementia, but cannot reverse or stop its progression. We need to remember that the agents aren’t without risk. Here’s a case to remember...
SK is an 80 year old male with a history of BPH, hypertension, CAD, diabetes, and atrial fibrillation. His current medications include: Warfarin – goal INR 2-3 Aspirin 81 mg daily Lisinopril 10 mg once daily Tamsulosin 0.8 mg once daily Finasteride 5 mg once daily...
