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)...
I received this guest post from Kyle Roberts! It does a really nice job of demonstrating the challenges and potential risks with fentanyl and opioids in general. If you’d like to share a case with a story, please feel free to contact me! An elderly female was...
An 86 year old male is having a difficult time with weakness and falls. With weakness and falls, we always need to take a good hard look at blood pressure to make sure we aren’t causing drug induced orthostasis. There are also times when family feels like he...
Albumin is a protein found in the bloodstream of the body, and it can have a significant impact on medications. One of those classic medications that albumin can impact is phenytoin. Albumin and phenytoin stick together. How does this matter clinically? When...
