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HughesMedicine - Pharmacotherapy Pearls from the Internal Medicine Clinical Pharmacist
Tuesday, October 25, 2016
"How it works" series: Vancomycin
Monday, October 10, 2016
Metformin in kidney dysfunction - restriction revised
Metformin is the preferred initial pharmacologic therapy in every patient with type 2 diabetes mellitus who does not have a contraindication or intolerance. It is recommended as monotherapy after diagnosis, continued when adding other medications (including insulin regimens), and should even be considered to prevent diabetes in certain patients (see who at the bottom).
Old labeling
From approval, the restriction on metformin related to kidney function was as followsRecommended for you
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Midodrine is a peripherally-acting selective alpha1 receptor agonist . Let's take that sentence apart to see what we should expect ...
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Let’s start with a patient scenario. A patient presents to the emergency room experiencing a heart failure exacerbation. When entering th...