Levothyroxine is one of the most common medications that I see used in my everyday practice. I’ve definitely seen a fair share of mistakes with levothyroxine. Here’s a few common ones that come to mind. Dosing levothyroxine based upon TSH is...
I often struggle with the question, “When can we discontinue a PPI?” It is rarely a black and white issue in the (mostly) geriatric population I work with. Here’s a scenario that might make things a little more black and white. Patient 1: She is 81...
Polypharmacy is a big topic in geriatrics. In the case below, I provide an example of diabetes medications and how we can try to minimize medications. Specifically, I look at the use of sulfonylureas with long acting insulin. An 88 year old female with a past...
Statins (atorvastatin, simvastatin, etc.) are one of the most commonly prescribed classes of medications. Let me share a few common clinical pearls on statins. If you like some more pearls in audio format, be sure to check out the podcast! Statins should also be...
Alpha blockers are indicated for both hypertension and BPH. Here’s a few clinical pearls on alpha blockers that you need to know! Alpha blockers in females: I remember a urologist getting frustrated with pharmacists who would always question why he was using...
When using antidepressants, one of the major reasons why we select a medication is the side effects that medication has. In geriatrics where weight loss can be problematic, you may see Remeron (mirtazapine) used to help stimulate appetite and help a patient’s...
