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...
Pain management can be incredibly difficult in the elderly due to the high risk of potential side effects. NSAIDs are some of the most commonly used medications for pain. Here’s 5 reasons why NSAIDs in the elderly may not be such a good idea. 1. NSAIDs can...
I’ve seen numerous mistakes involving these two pain medications that come in a patch formulation. Between drug diversion (fentanyl – Duragesic), inappropriate time intervals for changing (lidocaine – Lidoderm), as needed use (fentanyl), and lost...
A huge challenge in clinical pharmacy is determining what information is actually relevant. By relevant, I mean what information actually impacts patient care. I see gabapentin most frequently used for neuropathy. The pharmacokinetics of gabapentin are a little...
