In this case of a 72-year-old male, I want to discuss levofloxacin risks as there can be numerous. He currently lives in an assisted living. He has a past medical history of arrhythmia, depression, GERD, hypertension and gout. He was recently diagnosed with...
A 77 year old male has a history of atrial fibrillation which had been well controlled on metoprolol 50 mg BID. He presents today reporting an increase in pounding in his chest and indeed, vital signs reveal that his heart rate is at 125 BPM. You are questioned if any...
CA is a 58-year-old female with CKD. Her CrCL today is 45 mL/min and stable sCr of 1.3 mg/dL. She complains of muscle aches that started a couple of weeks ago and that her doctor said she can’t use NSAIDs, even though the Tylenol doesn’t completely help the pain. She...
LT is a 67-year-old white male presenting to your ambulatory care clinic for a CMR. He says his wife tells him he is taking too many medications and he wants your help evaluating his current regimen. According to his chart, his blood pressure has been within goal, but...
In this article, I wanted to share information on tapering clonidine. This drug can cause serious rebound hypertension when abruptly discontinued and patients may not understand or realize that this risk exists. Here’s a case scenario that demonstrates tapering...
An 89-year-old female has a history of frequent UTIs. She has been taking ciprofloxacin for UTI prophylaxis at 250 mg once daily for about 1 year. She has not had a UTI since starting on the ciprofloxacin. She takes it in the morning with her breakfast. She has a...
