/publications/issue/2009/2009-04/2009-04-10236

Case Studies

Author: Craig I. Coleman, PharmD


Craig I. Coleman, PharmD
Dr. Coleman is an assistant professor of pharmacy practice and director of the pharmacoeconomics and outcomes studies group at the University of Connecticut School of Pharmacy.



CASE ONE

High Cholesterol


AL is a 65-year-old man with high cholesterol who comes to the pharmacy counter to refill his prescription for rosuvastatin. He mentions how his physician wanted to start him on this “new medication” called Trilipix because his triglyceride levels are still not where they should be. He complains that he is already taking too many drugs for his high cholesterol and asks, “Can I just take more of the one I’m on?” The pharmacist reviews AL’s drug profile and sees that he is currently taking rosuvastatin 20 mg daily.

What should the pharmacist tell AL about Trilipix and why his physician wants to add it?



CASE TWO

Moderate Persistent Asthma

CC is a 17-year-old teenager previously diagnosed with intermittent asthma (infrequent symptoms, usually occurring twice weekly at most) who complains to his family physician of now experiencing daily asthma-like symptoms, almost always requiring the use of his albuterol inhaler. He also tells his physician that over the past 12 months he has gone to the emergency department twice because of shortness of breath, each time resulting in a course of treatment with oral prednisone.

What classification of asthma does CC now present with? How should CC’s pharmacologic asthma treatment be altered based upon this new information?