81 year old female at a long term care facility with a history of dementia related behaviors. Whenever you hear dementia related behaviors, do not jump to conclusions. Define the behaviors first. This particular patient refused medications at times, refused...
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. ...
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...
69 year old male with significant respiratory issues including COPD – This patient was challenging, but did have the intent to quit smoking which was most certainly complicating his respiratory status. Other chronic conditions included: Coronary Artery Disease,...
Alright, new topic…let’s roll…I’m going to tackle some psych tonight, because I always get asked questions about these meds! The topic of psych medications in general is very challenging to say the least, I believe it is much more of an art than science – i.e. when...