Case Studies: Test Your Skills

NOVEMBER 01, 2010
Craig I. Coleman, PharmD; Diana Sobieraj, PharmD; and Meredith Barone, BS
Case One
AJ is a 56-year-old man who receives care from the primary care clinic at a university hospital. Today, AJ presents to his visit with complaints of worsening nocturia, hesitancy, and a weak urinary stream. Although AJ has had similar complaints over the past 6 months, his symptoms have worsened recently and are now interfering with his daily living, especially because he has been waking up several times each night to go to the bathroom. The medical resident taking care of AJ diagnoses him with benign prostatic hyperplasia (BPH). He writes a prescription for Flomax 0.4 mg and instructs AJ to take 1 tablet daily. The medical student working on the team turns to the resident and asks, “How did you choose between Flomax and a drug like Proscar?” How should the resident respond? 

Case Two
AC is a 57-year-old man who has recently begun dutasteride therapy for the treatment of BPH. As he picks up his refill at the pharmacy he states, “I have a question regarding my medication. My buddy is taking dutasteride as well, but his doctor told him not to give blood while taking this medication. Why is this?” What is the safety concern about giving blood while taking dutasteride?

Dr. Coleman is an associate professor of pharmacy practice and director of the pharmacoeconomics and outcomes studies group at the University of Connecticut School of Pharmacy. Dr. Sobieraj is a senior scientist at the University of Connecticut/Hartford Hospital Evidence-Based Practice Center. Ms. Barone is a PharmD Candidate at the University of Connecticut School of Pharmacy.

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