Selecting medications for patients with IBS (Irritable Bowel Syndrome) can be challenging. It is first most important to ask about or understand the patient’s IBS symptoms. Identifying if the patient has more diarrhea or constipation is a really important...
Here I present a scenario of a likely multifactorial situation of drug induced hyponatremia. A 69 year old male has a past medication history of epilepsy, depression, diabetes, and hypertension. He has had a little bit of swelling around his ankles lately as well as...
I definitely get some questions from students and pharmacists preparing for certification exams. I wanted to put together this Diabetes Medication Comparison Table that highlights really important stuff that you need to remember. Drug/Class Primary Mechanism of...
There is always a huge challenge in navigating CHF and CKD in our patients. Use of diuretics and ACE inhibitors can be life altering in a very good way for patients who have fluid overload. The difficulty lies in keeping an adequate perfusion to the kidney. A 69 year...
There are lots of different medications utilized in type 2 diabetes. Finding that perfect combination can be a challenge, and what has worked for them in the past may not always necessarily work in the future as things change. Here I demonstrate the importance of...
Using glyburide in kidney disease is not recommended. It has a longer half life and may have a little more potent effect in kidney disease. A significant challenge to figure out is if patients are doing well on their current dose, should we change it? In this...
