🩸 Oral iron supplements can be tricky to compare. While efficacy and tolerability are similar at equal doses of elemental iron, the percentage of elemental iron varies between products. Here's the breakdown.. Start with 100-200 m…
As a clinical pharmacist (💊), you’ll hear mixed opinions on how long bisphosphonates (e.g., alendronate) should be used for 🦴 osteoporosis. 🕒 Some patients remain on them indefinitely, but long-term use can pose risks like jaw osteonecrosis (🦷) …
Assessment 👂 Acute Otitis Media (AOM) in Adults is rare but can lead to serious complications. Diagnosis is clinical, and treatment focuses on appropriate antibiotics. Referral to an ENT is essential for recurrent or severe cases. Here's a q…
Intro 🌟 Peptic ulcers can be effectively treated with medications that reduce acid production, eradicate H. pylori , and protect the stomach lining. Here's a quick guide to first-line and second-line treatments, with key precautions and cons…
Wegovy (semaglutide) 💉 is a GLP-1 agonist, similar to Ozempic (0.25 mg-1 mg) but titrated to 2.4 mg weekly for weight loss. Patients can lose ~10-12% more weight than with placebo (~9 kg for a 90 kg pt). Double the weight loss of Saxenda (liragluti…
💊 Methotrexate (MTX) is 1st-line for RA, often as effective as biologics & safer. Starting at 10-15 mg/wk, escalate by 5 mg every 2-4 wks up to 20-30 mg/wk based on response. Switch to parenteral if needed for intolerance or poor response. …
Muscle Pain in Statin Patients? Here’s What to Do... Up to 30% of patients on statins may experience muscle pain 🦵, cramps, or weakness, usually in larger muscles like the thighs. Lowering 🔻 the dose can help reduce symptoms. S…
🩺 As an NSP (Nutrition Support Pharmacist), many ask if they should take MORE Vitamin D and LESS Calcium . Here’s the latest... Vitamin D recommendations.. Experts suggest 1000 IU/day instead of 400 IU/day . More critical than c…
💊⚕️ New buzz in cardiology – Colchicine (Lodoco) 0.5 mg/day 💥 for chronic coronary disease (CCD). Why? Anti-inflammatory effects 📉 reducing CV risk. 🔍 Evidence suggests adding colchicine to standard care (antiplatelets, statins, etc…
🧠💡 New data raises 🔍 about the optimal use of short-term dual antiplatelet therapy (DAPT) after ischemic stroke or TIA.. 🩹 Key points.. Short-term DAPT (aspirin + clopidogrel for 21 days) 🕐 reduces recurrent stroke risk 🎯, especiall…
How can we optimize gestational diabetes management effectively and safely? Let's start.. 🩺🤰 As a pharmacist, focus on lifestyle for gestational diabetes (GD). Rates ↑, likely due to obesity, worsened by pandemic. Risks incl. C-…
Unlocking insights on statins: efficacy, dosage, adverse effects, and management... Mechanism ⚙️: Statins inhibit HMG-CoA reductase, reducing cholesterol synthesis in hepatocytes. They also increase LDL receptors and act on VLDL. Ef…
MedTweetorial on CCBs! 👩⚕️ Dive into dihydropyridines vs. NONdihydropyridines.. A quick guide! 💊 DHPs (amlodipine, nifedipine) = 💪 potent vasodilators, may ⬆️HR.. NON-DHPs (diltiazem, verapamil) = ⬇️HR. HTN 💨? Consider amlodipin…
Let's dive into some hypertension (HTN) medication combos' discussion! 👨⚕️🚨 Most HTN pts need ≥ 2 meds for BP goals 🎯. Comorbidities often guide med combos. Eg, post-MI pts might get ACEI/ARB + BB. Avoid BP med adjustments for a…
Myth💡: Lactated Ringer’s is Contraindicated in Hyperkalemia?! Lactated Ringer’s (LR) solution, containing 4-5 mEq/L of potassium, is often avoided in patients with hyperkalemia due to concerns about increasing serum potassium levels.…
Don’t recommend cranberries to TREAT UTIs ❌. There’s no evidence supporting their efficacy. Use antibiotics for treatment instead. Cranberries for PREVENTION? Conflicting data 🤔. Cranberries may help prevent E. coli from sticking to t…
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