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...
A 45 year old female has come to you reported that her brain just feels foggy. She has trouble at work focusing on tasks that she used to do without issue. She does feel a little bit fatigued, but overall more feels like she just cannot think clearly and focus on...
In this scenario I take a look at lamotrigine and tramadol amongst other things and why a diagnosis for every medication really matters. A 71 year old male has been having increasing osteoarthritis pain. He reports pain in his hands, back, and knees. Acetaminophen...
Here’s a medication list and a few thoughts to go with it. Amiodarone 200 mg daily Famotidine 20 mg daily Enalapril 10 mg daily Metoprolol 25 mg BID Pantoprazole 40 mg daily Acetaminophen 500 mg TID Requip 0.5 mg HS Aranesp (hold for hemoglobin less than 11)...
