JS is a 58-year-old female who has taken tramadol (podcast) for years due to chronic back pain. She has been experiencing worsening symptoms of depression and has been tried on duloxetine and sertraline in the past. Both of these medications caused GI upset and she is...
EJ is a 54-year-old female with a history of rheumatoid arthritis. She has been on methotrexate (with folic acid supplementation) for years with relatively few RA flares over the last 10 years. She was recently diagnosed with a urinary tract infection and was...
There are plenty of mistakes, pet peeves, and oversights I’ve seen with GERD pharmacotherapy. I’m going to outline some of those common mistakes I’ve seen so you don’t make them! Deprescribing and Reassessment My biggest pet peeve with GERD...
Paroxetine is from the family of SSRIs (selective serotonin reuptake inhibitors. It has been around for a long time and is indicated for depression, anxiety, and many other psychiatric indications just like other SSRIs. It doesn’t get much love from healthcare...
With this med review, I’m simply looking at a medication list to help formulate ideas to investigate. I’ll focus heavily on my concern for using an NSAID in this patient. Metoprolol – 50 mg twice daily (Hypertension, Atrial Fibrillation) Furosemide...