One thing I always encourage is critical thinking. Reviewing a diagnosis list will give you clues as to the likely medications that a patient is taking or should be taking if they are following guideline-based medication therapy. In this Bactrim CHF case study, I...
I stumbled into this case about Valtrex neurotoxicity on Linked In, and am so thankful that Kristin Speer, PharmD, BCPS let me share it. A physician attached a message for the care team to review: “Patient continues with dizziness, hallucinations, and...
Topiramate is classified as a seizure medication most commonly used in the management of migraines and weight loss. This medication has carbonic anhydrase activity and here I will outline a case of topiramate-causing renal stones. JE is a 66-year-old female with a...
Serotonin syndrome and neuroleptic malignant syndrome (NMS) are two commonly taught drug-induced syndromes but are rarely encountered in practice. I wanted to put together some important differences between these two syndromes because many of the symptoms overlap....
Lactulose (Enulose, Generlac) is technically a laxative medication. While it can be used for that purpose, it is fairly rare in clinical practice that you see it used for that indication. Lactulose, in my experience, is used more frequently for patients who have...
KE is a 66-year-old male with a history of cigarette smoking (still currently smoking), COPD, atrial fibrillation, hypertension, osteoarthritis, and GERD. In this COPD case review, he reports that he is having a more difficult time breathing, in particular, he notes...
