by Eric Christianson | Aug 30, 2020 | Medication and Disease State Clinical Pearls For Pharmacists, Women’s and Men’s Health Medication and Disease State Clinical Pearls
If you are a healthcare professional, inevitably, questions about the use of antidepressants in pregnancy come up in clinical practice. Why is paroxetine generally avoided in pregnancy? The primary reason that paroxetine is avoided in pregnancy is that it has...
by Eric Christianson | Aug 23, 2020 | Dermatology, ENT, Ophthalmology Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
Timolol is an effective medication for reducing intraocular pressure in patients with glaucoma. The recommended starting dose is one drop of timolol 0.25% ophthalmic solution in the affected eye(s) twice daily. It is a non-selective beta-blocker. Ophthalmic...
by Eric Christianson | Aug 19, 2020 | Medication and Disease State Clinical Pearls For Pharmacists, Psychiatry and Addiction Medication and Disease State Clinical Pearls
As previously discussed, mirtazapine can be more sedating at lower doses. Mirtazapine has a high affinity for the H1 (histamine) receptor. This histamine blockade is thought to increase appetite and sedation. Weight gain with mirtazapine can be advantageous or a...
by Eric Christianson | Aug 16, 2020 | Infectious Disease and Oncology Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
Many providers will not encounter patients with HIV very often, but it may become more commonplace now as HIV therapy has improved dramatically as well as life expectancy in patients with the disease. It is important for providers to meet these patients’ HIV-related...
by Eric Christianson | Aug 12, 2020 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
Direct-acting oral anticoagulants (DOACs; also called NOACs – novel oral anticoagulants) are an increasingly popular alternative to warfarin. Meanwhile, the number of obese patients requiring anticoagulation is also increasing. Because the landmark studies that...
by Eric Christianson | Aug 9, 2020 | Medication and Disease State Clinical Pearls For Pharmacists, Psychiatry and Addiction Medication and Disease State Clinical Pearls
Mirtazapine is commonly used in elderly patients with depression who are also suffering from insomnia. Mirtazapine is often chosen because it is much safer than benzodiazepines, “z-drugs”, and antipsychotics. The mechanisms of mirtazapine (podcast episode on the...