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Pharmacology Consult
Phenytoin: An old friend that still confuses us
February 07, 2012
Dosing of phenytoin is complicated by its unique properties: it is highly lipophilic, highly protein-bound, and undergoes capacity-limited pharmacokinetics at therapeutic levels.
Prescribing opioids safely in patients with an opiate allergy
Larissa DeDea, PharmD, BCPS, PA-C
January 09, 2012
IgE-mediated allergy to opioids is rare but life-threatening, so distinguishing between a true allergic reaction and side effects to a previously prescribed opioid is crucial.
How should extravasation injuries be treated?
Larissa DeDea, PharmD, BCPS, PA-C
December 07, 2011
Most extravasation injuries do not result in significant harm, but prompt recognition and early treatment are crucial.
Understanding the appropriate and effective use of vancomycin
Elizabeth duPreez, PharmD
November 09, 2011
Vancomycin should be dosed aggressively early on, with a loading dose given that is sufficient for rapid achievement of target concentrations.
Starting levothyroxine therapy; treating pernicious anemia
Larissa DeDea, PharmD, BCPS, PA-C
October 26, 2011
This month's topics are how to initiate treatment in patients with hypothyroidism and cobalamin dosing in patients with pernicious anemia.
Simvastatin dosing restrictions; monitoring amiodarone therapy
Larissa DeDea, PharmD, BCPS, PA-C
September 20, 2011
This month's topics are preventing myopathies when using simvastatin and safe use of amiodarone.
Erythromycin for GI motility; sunscreens; enoxaparin in obesity
Larissa DeDea, PharmD, BCPS, PA-C
August 17, 2011
This month's topics are using erythromycin for GI motility, choosing a sunscreen, and DVT prophylaxis with enoxaparin in obese patients.
Tapentadol for pain; enoxaparin after prosthetic valve replacement
Larissa DeDea, PharmD, BCPS, PA-C
July 15, 2011
This month's topics are the new opioid analgesic tapentadol and using enoxaparin after prosthetic valve surgery.
Comparing brand name drugs to their generic equivalents
Larissa DeDea, PharmD, BCPS, PA-C
June 09, 2011
Are generic products truly equivalent to their brand name counterparts, particularly narrow therapeutic index (NTI) medications such as antiepileptics, immunosuppressants, anticoagulants, and levothyroxine?
When to take statins; Lovaza versus OTC fish oil supplements
Larissa DeDea, PharmD, BCPS, PA-C
May 06, 2011
This month's questions are whether statins are best taken at night and whether OTC fish oil supplements are as effective as Lovaza.
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