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Adding Metolazone to Furosemide – Don’t Forget to Check Labs!

Adding Metolazone to Furosemide – Don’t Forget to Check Labs!

by Eric Christianson | Oct 5, 2025 | Cardiovascular Case Studies

SK is a 74-year-old male with a history of chronic systolic heart failure, hypertension, and type 2 diabetes. He has been stable on a regimen that includes carvedilol, sacubitril/valsartan, furosemide, and spironolactone. Recently, he began experiencing worsening...
Why Isn’t Iron Replacement Working? My Top 4 Reasons

Why Isn’t Iron Replacement Working? My Top 4 Reasons

by Eric Christianson | Sep 17, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls

Oral iron replacement is one of the most common ways to manage iron deficiency anemia. While it seems straightforward—take a pill, replace the iron—patients often struggle to reach therapeutic goals. One of the biggest reasons is poor absorption. Here are four common...
Hyperkalemia Case Study

Hyperkalemia Case Study

by Eric Christianson | Aug 27, 2025 | Renal, Urology, and Electrolytes Case Studies

In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
Case Study – Renal Dose Adjustment and Constipation Polypharmacy

Case Study – Renal Dose Adjustment and Constipation Polypharmacy

by Eric Christianson | Aug 10, 2025 | Polypharmacy Cases And The Prescribing Cascade

Mrs. M is an 87-year-old female residing in a skilled nursing facility. Her medication list includes: Apixaban 5 mg BID (for atrial fibrillation) Docusate 100 mg BID Senna 8.6 mg BID PEG 17 g daily Calcium carbonate 500 mg TID Lisinopril 10 mg daily Metoprolol...
Medications to Avoid in BPH – My Top 4

Medications to Avoid in BPH – My Top 4

by Eric Christianson | Jul 27, 2025 | Women’s and Men’s Health Medication and Disease State Clinical Pearls

Benign prostatic hyperplasia (BPH) is one of those conditions that creeps up with age and quietly causes a whole bunch of problems—especially when medications make it worse. A patient might come in complaining of frequent urination, a weak stream, or feeling like they...
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  • Should We Discontinue a PPI in Hospice?

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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Duplicate Antidepressant Therapy – Sertraline and Duloxetine
  • Apixaban Dose Adjustment and Bleeding Risk
  • Pramipexole and Drug Induced Hypersexuality – Case Study
  • Adding Metolazone to Furosemide – Don’t Forget to Check Labs!
  • Should We Discontinue a PPI in Hospice?

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