Continuous Glucose Monitors (CGMs) are becoming an important tool in the management of diabetes. I break down some of the most common clinical practice pearls you should know.
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Here is part 2 of 2 on the final 5 of the 10 commandments of polypharmacy.
6. Thou shalt identify limits for medications not intended for chronic use as well as not continue a medication indefinitely for symptoms that have an expected short duration
7. Thou shalt not start a medication from a similar medication class without appropriate rationale
8. Thou shalt not initiate a medication without considering medications that may treat duplicate conditions – Kill two birds with one stone
9. Thou shalt consider eliminating or reducing medications at every medication review
10. Thou shalt be willing to accept risk in discontinuing a medication if they were willing to accept the risk of initiating a medication
On this special episode, I provide some real-life examples and layout 5 of my 10 commandments of polypharmacy.
Today’s sponsor of the 10 Commandments of Polypharmacy podcast is FreedAI. Freed listens, transcribes, and writes medical documentation for you.
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Here are the first 5 commandments that are addressed in the podcast.
1. Thou shalt not start, ask for, dispense, or administer medication without reviewing a medication list that is accurate, up to date, and complete with over-the-counter medications and supplements
2. Thou shalt consider utilizing non-drug approaches and interventions to solve patient problems before initiating medication
3. Thou shalt assess if a medication is effective before adding a new medication for the same condition
4. Thou shalt consider any new symptom is an adverse effect of another medication until proved otherwise
5. Thou shalt not start a medication without an appropriate indication and assessing appropriate lab work
Today’s sponsor of the Top 10 Anticoagulant Drug Interactions podcast is FreedAI. Freed listens, transcribes, and writes medical documentation for you.
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Apixaban is one of the most commonly used anticoagulants and there are some drug interactions you need to be aware of. Take a listen and find out!
Warfarin concentrations can substantially be elevated by drugs that inhibit CYP2C9. I cover a few of them in my top 10 anticoagulant drug interactions.
Today’s sponsor of the Top 10 SSRI Drug Interactions podcast is FreedAI. Freed listens, transcribes, and writes medical documentation for you.
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In this podcast episode, I discuss how to navigate SSRI drug interactions and identify some of the most common medications that have additive serotonergic activity.
SSRIs have antiplatelet activity. I discuss how to navigate using other medications that may increase bleed risk in combination with SSRIs.
Paroxetine and fluoxetine inhibit CYP2D6 I discuss how this can affect the benefits of tamoxifen therapy.
Fluvoxamine is a nasty medication with regard to the number of and significance of drug interactions. I outline important fluvoxamine interactions in this podcast episode.
On this podcast episode, I finish up my breakdown of the Beers Criteria.
I cover the use of sliding-scale insulin and sulfonylureas in geriatric patients. Hypoglycemia is a major concern with both of these diabetes management strategies.
PPIs show up on the Beers criteria list as they can increase the risk of C. diff, pneumonia, fractures, and GI malignancies.
Metoclopramide has dopamine antagonist activity and can increase the risk of EPS and tardive dyskinesia.
