A 63 year old female presents with complaints of taking too many medications and that her “my medications are making me sick”. In addition, she reports that she feels nauseated every morning after breakfast and associates it with her morning pills. She...
There are a lot of examples that fit this criteria and I suspect a lot of heavy opinions on this topic. I’ve certainly made suggestions to switch to a likely “safer” medication, but have had instances where I disagree with this practice as well in...
Here’s a case scenario with a primary focus on the NSAID prescribing cascade. A 76 year old male has a past medical history of: COPD CHF Hypertension GERD Osteoarthritis Current medications include: Metoprolol 25 mg BID Lisinopril 10 mg daily Symbicort 160/4.5...
Figuring out how and when to taper a PPI is a difficult question sometimes. Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...
Often we intentionally contribute to the prescribing cascade. Potassium supplements with a diuretic is one of those scenarios, but I want to teach you about what to think about when you see potassium supplements without a diuretic. What’s the potassium level?...
