A 72-year-old male has a past history of heart failure with reduced ejection fraction, chronic kidney disease, hypertension, diabetes, intermittent claudication, and osteoarthritis. His current medication regimen includes: Aspirin 81 mg dailyCilostazol 100 mg twice...
Insomnia is a sneaky condition that can lead to polypharmacy. Many of the medications used in the management of insomnia can work for a short period of time, but I’ve seen so many cases where the effects wear off over time. Always remember to do our due...
In geriatrics, deprescribing has become a very popular term. Deprescribing is simply reducing a patient’s medication burden by reducing and discontinuing medications. This is often done as the potential long term benefits of medication dwindle as a...
In this polypharmacy case study, I pick out some medications that we may be able to discontinue. An 88-year-old male is looking to reduce his medication burden. Current medications include: Aspirin 81 mg dailyFurosemide 10 mg dailyKCL 10 meq dailyOmeprazole 20 mg...
An 81-year-old patient is complaining of cramps in his legs which are particularly bothersome at night. He also states that he gets a creepy/crawly sensation in both of his legs. He was initiated on ropinirole 0.5 mg at bedtime with a diagnosis of restless legs. After...
A 71-year-old male with a history of BPH had developed a head cold. His current medications include finasteride and tamsulosin. He tried some loratadine for a day or two for his rhinitis which he decided did not help. At this point, he was already getting a little...
