by Eric Christianson | Jul 16, 2017 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
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...
by Eric Christianson | Jul 2, 2017 | Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies
A 76 year old female presents with the following list of medications, including high dose Ambien (zolpidem). Ambien 10-20 mg at bedtime as needed Prednisone 20 mg daily Warfarin 5 mg daily Ventolin HFA 2 puffs QID prn Glucotrol XL 10 mg daily Fosamax 70 mg weekly...
by Eric Christianson | Jun 11, 2017 | Educational Case Studies For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
Often we intentionally contribute to the prescribing cascade. Potassium supplements with a diuretic is one of those scenarios, but I want to teach you about what to think about when you see potassium supplements without a diuretic. What’s the potassium level?...
by Eric Christianson | Jun 7, 2017 | Educational Case Studies For Pharmacists, Endocrine Case Studies, Gastrointestinal Case Studies
Diabetes is a disease that millions are affected by. It can be very challenging trying to figure out which medication or medication combination is best for a patient. While extremely rare, the GLP-1’s and DPP4 inhibitors have been potentially associated with...
by Eric Christianson | May 31, 2017 | Drug Interaction Case Studies and Education For Pharmacists, Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies
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....
by Eric Christianson | May 7, 2017 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
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)...
