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...
A 76-year-old female is tired of taking so many medications. She reports to you that “I’d like to stop all my medications”. While she understands that she likely cannot stop all of them, she’d like to at least eliminate some of them. Here is...
In this gout case study, a 66-year-old female has a past medical history of diabetes, neuropathy, depression, migraines, insomnia, gout, and hypertension. She has numerous complaints. Her gout has not been in good control as she is requiring significant indomethacin...
Tricyclic antidepressants are still used in clinical practice. Their use has diminished over time as newer and generally safer medications have been invented, but you will see them occasionally. In my primarily geriatric practice, I would say that I see them a couple...
