I do see methylphenidate or Ritalin use for adults from time to time, and this medication case study certainly identifies some issues that Ritalin could be complicating. Let’s dig into this medication list and I will give you my top three things to consider. ...
What to do with an A1C ? For the experienced clinician, this is a very simple question, but I occasional see orders for A1C’s at a rate more frequently than every three months. Remember that it is basically an average blood sugar over a period of approximately...
Thiazide Diuretics are most frequently used for hypertension, edema, and CHF. The video below gives some clinical pearls you should remember about thiazide diuretics. In addition to the thiazide diuretics, I’ve also created other YouTube Videos with more in the...
Quinine for leg cramps has a boxed warning in the U.S. due to potential for serious side effects like arrhythmias and thrombocytopenia. In studies, it has been shown to be ineffective for leg cramps in addition to the risks of adverse effects. I do see it used from...
This is arguably one of the greatest challenges in the elderly. I nearly daily get asked questions about behaviors associated with dementia. Often these patients can be aggressive, hit, spit, kick, swear, hallucinate, be sexually inappropriate, or have delusions. I...
57 year old patient diagnosed with depression and was initiated on Zoloft (sertraline) 50 mg daily. The physician in this case felt the patient was very depressed, and wanted to titrate the dose up fairly quickly. Zoloft was increased to 100 mg daily after two...
