Many patients will have bariatric surgery which will likely shorten the length of the GI tract. It is important to remember what impact this will have on the use of medications and many clinicians will forget this critical fact. Bariatric surgery can lead to long...
Vancomycin has complex pharmacokinetics. I can recall a case where I saw oral vancomycin for cellulitis. The likely causative organism of the cellulitis was MRSA. This patient was fairly complex and hospitalized for a few days. Upon hospitalization, the patient was...
You can’t tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here’s a patient with severe asthma, on multiple medications: Advair...
BPH is one of the most common causes of urinary retention. Drugs can and do exacerbate this problem. So, looking at this med list, which medications can exacerbate BPH? Here’s the medication review with a few questions that I would be looking into further. • Proscar 5...
Gastroparesis can be a serious problem where the GI tract literally “slows down”. This issue is common in patients with diabetes. Bloating, abdomnial pain, nausea, vomiting, and a feeling of fullness are all possible symptoms of gastroparesis. There are...
A 52 year old female presents to an appointment with her physician. Her primary complaint is that she is sweating profusely. She also has been more anxious of late and can’t sleep. She states that it started approximately 2-4 weeks ago. Her past medical history...
