In most clinical situations, I’m a stickler for trying to prevent the prescribing cascade. I lay out hundreds of polypharmacy case examples including the prescribing cascade in my highly rated book Perils of Polypharmacy. The prescribing cascade is simply...
Carbidopa/levodopa (Sinemet) is used for managing motor symptoms of Parkinson’s Disease (PD). Levodopa is a dopamine precursor used to replenish depleted dopamine levels associated with PD. Unfortunately, levodopa isn’t effective alone as it is broken down before...
Nicotine patches are a useful tool in the management of smoking cessation. The success and tolerability of this form of nicotine replacement does require some pharmacology knowledge. I lay out my most important nicotine patch clinical pearls below. Nicotine Patch...
In the case study below, I discuss the risks of tamsulosin and cataract surgery as well as other potential issues that should be investigated. JS is a 68-year-old male who plans to undergo cataract surgery in 3 weeks. His other relevant past medical history includes...
JE is a 71-year-old female with a history of Polymyalgia Rheumatica (PMR), osteoporosis, GERD, hypertension, and hyperlipidemia. Her current medications include: Alendronate 70 mg weeklyPrednisone 15 mg dailyVitamin D 2,000 units dailyOmeprazole 20 mg dailyLosartan 50...
