An 81 year old male presents with worsening confusion over a period of about 3-6 months. The primary provider is considering an Rx for Aricept as she feels that this is Alzheimer’s dementia in the mild to moderate stage. What do we do as pharmacists? One of the...
Urine drug screens are often confusing if you don’t interpret them on a regular basis. I think a big reason for confusion is a lack of education on what these tools can do and what they look at. I would definitely classify myself as needing to learn more about...
I appreciate the fantastic guest post from Amanuel Tseggai, Pharm.D., BCPS! There are plenty of clinical considerations when it comes to gabapentin. Here’s a scenario of using gabapentin in chronic kidney disease. A 42 year old African American man with a history of...
KL is a 79 year old male with a history of Parkinson’s disease. About 2 weeks ago, he had been having worsening symptoms of rigidity and his wife is concerned with this newer development. At that time, his Sinemet dosing was increased from 25/100 TID to 50/200 TID....
Pain management is something I’m faced with everyday as a pharmacist. Pregnancy, geriatrics, pediatrics, and polypharmacy are a few of the many challenges in pain management that can sometimes make choosing an analgesic feel near impossible. Here’s 4...
The acetylcholinesterace inhibitors are used almost exclusively for dementia. Here’s a few clinical pearls and common mistakes that I’ve seen with them. GI symptoms – Diarrhea, nausea, and vomiting are common adverse effects. Be on the lookout for...
