Converting Risperidone to Other Antipsychotics Lifelong antipsychotic therapy is often needed to adequately manage psychiatric conditions. Unfortunately, therapy often needs to be adjusted to optimize efficacy while avoiding undesirable side effects. Risperidone...
ES is a 61-year-old female who is a resident in a long-term care facility. She has a history of drug abuse, early-onset dementia, GERD, chronic pain, and osteoarthritis. Her current medications include gabapentin 100 mg TID, donepezil 10 mg HS, omeprazole 20 mg in the...
KE is an 87-year-old female with a history of CKD. The most recent GFR was 21 mls/min which has remained stable from the most previous lab checks. Other diagnoses include atrial fibrillation, hypertension, GERD, back pain, muscle spasms, neuropathy, pruritus, and...
In the case study below, I discuss the risks of tamsulosin and cataract surgery as well as other potential issues that should be investigated. JS is a 68-year-old male who plans to undergo cataract surgery in 3 weeks. His other relevant past medical history includes...
In this COPD case study, we outline how to use the GOLD guidelines to guide medication therapy. Here’s the case! KE is a 71-year-old male who has a history of cigarette smoking for 50+ years, COPD, cardiovascular disease, hypertension, peripheral arterial...
If you work in geriatrics to any extent at all, you’re likely familiar with anticholinergic activity. If you’ve learned anything, you know that more is NOT better when it comes to anticholinergic adverse effects. We want to avoid these side effects, but...
