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...
A 75 year old presents with new onset of hallucinations. His wife thinks that it is drug induced hallucinations. About 4 weeks ago he developed worsening RLS and presented to his primary care provider for treatment. He reported that his symptoms seemed to be worse...
GF is a 77 year old male with a past medical history of BPH, COPD, hypertension, constipation, Barrett’s esophagus, and anemia. Of late, he has had recurrent pneumonia episodes requiring frequent antibiotic use. He has had 3 courses of antibiotics within the...
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...
A 59 year old female is on the following medications: Alprazolam 1 mg four times daily as needed Norvasc 10 mg daily Simvastatin 40 mg at bedtime Cyclobenzaprine 10 mg hs prn Tylenol PM as needed Lasix 20 mg daily Glucagon kit as needed Glipizide 5 mg daily Lantus 18...
Drug induced resistant hypertension does happen. It is important to recognize medications that can contribute to this as well as recognize when patients are on higher doses of this medications that may elevate blood pressure. Here’s the scenario: 62 y/o female...
