Dilantin (phenytoin) Can Cause Vitamin D Deficiency

Dilantin (phenytoin) Can Cause Vitamin D Deficiency

Dilantin (phenytoin) is probably one of the dirtiest drugs, but is necessary as it treats an obviously serious condition (seizures). It has many clinical quirks that you need to be aware of. 72 year old female with a long history of seizures was on a maintainence dose...
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...