When Can We Discontinue a PPI?

When Can We Discontinue a PPI?

I often struggle with the question, “When can we discontinue a PPI?” It is rarely a black and white issue in the (mostly) geriatric population I work with.  Here’s a scenario that might make things a little more black and white. Patient 1: She is 81...
Zoloft (sertraline) and Loose Stools

Zoloft (sertraline) and Loose Stools

57 year old patient diagnosed with depression and was initiated on Zoloft (sertraline) 50 mg daily.  The physician in this case felt the patient was very depressed, and wanted to titrate the dose up fairly quickly.  Zoloft was increased to 100 mg daily after two...
NSAIDs and GI Bleeding

NSAIDs and GI Bleeding

A patient was having difficulty with symptoms of gout.  They were on Allopurinol 300 mg daily for their hyperuricemia (elevated uric acid happens in gout).  This particular patient would have flares periodically and had about 3 over the last year requiring the use of...