Pharmacy Times

Case Studies

Author: Elizabeth S. Mearns, PharmD, and Craig I. Coleman, PharmD

Case 1
DG is a white 60-year-old postmenopausal woman who comes to the clinic complaining of hot flashes. She is otherwise healthy, taking only a daily multivitamin. She has no children and lives with her husband. You look at her chart and find that she had breast cancer 12 years earlier.
As the pharmacist, what would you recommend to DG’s physician about treatment options for her hot flashes?

Case 2
LH is a 35-year-old woman who approaches your pharmacy counter to inquire about malaria prophylaxis. She explains that she will be taking a last-minute trip with her husband to South Africa for a 1-week safari. They leave in 3 days, and she knows they will be traveling to a malariaendemic area and will need medication for prevention. LH wants the pharmacist to recommend a medication that she can request when she sees her primary care physician later that day. She heard that one of the medications can cause strange and vivid dreams and is concerned about this potential adverse effect.
What do you tell LH about the available agents for malaria prophylaxis?

Dr. Mearns is health economics and outcomes research fellow at Hartford Hospital Evidence-Based Practice Center, and Dr. Coleman is professor of pharmacy practice, as well as codirector and methods-chief at Hartford Hospital Evidence-Based Practice Center, at the University of Connecticut School of Pharmacy.