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Phenytoin and Osteoporosis Case Study – An Overlooked Long-Term Side Effect

Phenytoin and Osteoporosis Case Study – An Overlooked Long-Term Side Effect

by Eric Christianson | Jun 17, 2026 | Neurology, Pain, and Musculoskeletal Case Studies

When reviewing medication regimens in older adults, it is easy to focus on medications that increase fall risk, cause cognitive impairment, or contribute to drug interactions. However, some medications can quietly impact bone health over many years before the...
Tapering Seizure Medications – Practical Advice From the Front Lines

Tapering Seizure Medications – Practical Advice From the Front Lines

by Eric Christianson | Mar 29, 2026 | Neurology, Pain, and Musculoskeletal Case Studies

A recent case prompted me to create a blog post about tapering seizure medications. Tapering and discontinuing anti-seizure medications is a delicate process that requires close clinical monitoring and a strategic approach to achieve long-term seizure control for...
Top 5 Bactrim Drug Interactions

Top 5 Bactrim Drug Interactions

by Eric Christianson | Jun 11, 2025 | Drug Interaction Case Studies and Education For Pharmacists

Trimethoprim-sulfamethoxazole (Bactrim) is a commonly prescribed antibiotic for urinary tract and other infections. However, it’s also associated with several clinically significant drug interactions that can lead to serious patient harm if overlooked. Here are my top...
Switching From Brand to Generic Phenytoin

Switching From Brand to Generic Phenytoin

by Eric Christianson | Apr 18, 2021 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls

Brand to generic drug changes can occur due to demands by insurance companies. These changes are often forced due to the low costs of generic medications compared to brand name products but are there certain classes of medications where brand to generic changes may be...
Verapamil Phenytoin Interaction – Management Pearls

Verapamil Phenytoin Interaction – Management Pearls

by Eric Christianson | Nov 6, 2019 | Drug Interaction Case Studies and Education For Pharmacists

In the case scenario below, I discuss the implications of the verapamil phenytoin interaction. JS is a 38-year-old male who has been on phenytoin for seizure prophylaxis for several years. He reports to his primary care provider complaining of severe headaches. He is...
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  • Venlafaxine Causes The Prescribing Cascade – Case Study
  • Top 5 – Tizanidine Pharmacology and Practice Pearls
  • Phenytoin and Osteoporosis Case Study – An Overlooked Long-Term Side Effect
  • Risks of Antipsychotics – Younger Adults Versus Geriatric Patients
  • Adding Iron Creates More Fatigue – Case Scenario

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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

  • Venlafaxine Causes The Prescribing Cascade – Case Study
  • Top 5 – Tizanidine Pharmacology and Practice Pearls
  • Phenytoin and Osteoporosis Case Study – An Overlooked Long-Term Side Effect
  • Risks of Antipsychotics – Younger Adults Versus Geriatric Patients
  • Adding Iron Creates More Fatigue – Case Scenario

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