Pharmacy and Therapeutics
Indicated for all patients with decreased BMD or a fragility fracture The following are the First-line treatment to prevent fractures. Calcium: Carbonate or citrate available; citrate can be taken with or without food & with PPI. As such, we will use calcium...
Pharmacy and Therapeutics
Beta-Agonists like Albuterol activate potassium uptake by the cells. This includes bronchodilators and tocolytic agents. Pseudoephedrine Insulin. Diuretics, particularly thiazides, can also cause hypokalemia as a result of the renal loss of...
Pharmacy and Therapeutics
1. Switching from VKA (Warfarin) to a DOAC -Peak onset of action of new agents occurs within 2 to 3 hours -D/c the VKA, monitor PT/INR and initiate the DOAC when INR is ≤ 2.0 -Remember the resolution of the warfarin effect may take several days. 2. Switching from DOAC...
Pharmacy and Therapeutics
In older adults who are taking a statin that is metabolized by CYP 3A4 (atorvastatin, simvastatin, lovastatin), don’t co-prescribe a macrolide such as Clarithromycin or Erythromycin with because that increases the risk of statin toxicity. Reference Ann Intern...
Pharmacy and Therapeutics
First line option: Morphine 2nd Line option: Transdermal fentanyl, hydromorphone, and Methadone. “Morphine is the best first choice for chronic potent opioid therapy (SOR B). It is reliable and inexpensive, and equivalent doses can be easily calculated if the...
