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...
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....
A 75 year old presents with new onset of hallucinations. His wife thinks that it is drug induced hallucinations. About 4 weeks ago he developed worsening RLS and presented to his primary care provider for treatment. He reported that his symptoms seemed to be worse...
JS is a 76 year old female who was having an increase in sleepiness. Her neighbor recently stopped by and found very sedated and difficult to arouse. She was almost “passed out”. An ambulance was called and she was taken to the ER. Her current...
A 69 year old male has an extensive medical history including schizophrenia, depression, Parkinson’s disorder, and hypertension. He has historically been fairly adherent to his medication regimen, but recently decided that he did not want to take his...
A 77 year old male had recently been having troublesome hallucinations. He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety. Other causes such as medication and medical conditions were ruled out,...
