So, what would you say if a patient asked you, “Should I take St. John’s Wort?” My gut screams no! St. John’s Wort is a substantial inducer of many CYP enzymes which can play havoc with many different drugs and their respective levels....
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)...
Hypertension management can get a little overwhelming sometimes since there are so many medications to choose from. We often use multiple medications with different mechanisms of action to treat hypertension. If a patient is already on a medication at a moderate or...
Patient reports increasing swelling, sedation, and has complaints of being dizzy. She has been having worsening urinary incontinence which has been classified as stress incontinence. She was recently discontinued off her Enablex as she felt it did not work. ...
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...
Below is a case scenario where clonidine is being used in the elderly. Clonidine is on the Beer’s list of potentially inappropriate medications in the elderly. Let’s break it down. JS is an 87 year old female with a past medical history of hypertension,...
