EJ is a 54-year-old female with a history of rheumatoid arthritis. She has been on methotrexate (with folic acid supplementation) for years with relatively few RA flares over the last 10 years. She was recently diagnosed with a urinary tract infection and was...
In this post, I will share some questions that I would investigate from this medication list. I have many questions surrounding renal concerns given the use of sevelamer. Metformin (Glucophage): 500 mg twice daily Glipizide (Glucotrol): 5 mg once daily Insulin...
In this case scenario, I outline a situation of topiramate-induced cognitive impairment. Topiramate is an anticonvulsant medication that may be used for headache prophylaxis and is known to cause cognitive slowing, manifesting as difficulties in concentration, memory,...
JS is a 45 year-old male who has been taking bupropion SR 150 mg twice daily for about 4 weeks. He has been taking it for depression. He reports that depressive symptoms have started to improve but he does notice that he has a harder time getting to sleep and staying...
JE is a 77-year-old male. He reports significant constipation despite the use of three laxative medications. In this case summary, I will outline the most important medications that can contribute to constipation polypharmacy. Past medical history includes:...
With this med review, I’m simply looking at a medication list to help formulate ideas to investigate. I’ll focus heavily on my concern for using an NSAID in this patient. Metoprolol – 50 mg twice daily (Hypertension, Atrial Fibrillation) Furosemide...