A 47 year old male is concerned that his drugs are causing medication induced sexual dysfunction. His primary provider has asked you to review his medications. What would I look at here? Amlodipine 5 mg daily Metoprolol 25 mg twice daily Fluoxetine 80 mg daily...
One of the most important complications to remember in kidney disease is electrolyte abnormalities. Strategic monitoring of electrolytes in kidney disease is essential. When I think about chronic kidney disease, the accumulation of electrolytes becomes something that...
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...
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...
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...
I appreciate the fantastic guest post from Amanuel Tseggai, Pharm.D., BCPS! There are plenty of clinical considerations when it comes to gabapentin. Here’s a scenario of using gabapentin in chronic kidney disease. A 42 year old African American man with a history of...
