Case Studies

Craig I. Coleman, PharmD, and Andrew D. Straznitskas, PharmD Candidate
Published Online: Wednesday, June 15, 2011

Case One 

CK is a 73-year-old man with persistent atrial fibrillation (AF), hypertension, and a family history of thyroid disease. He has been treated with dronedarone 400 mg twice daily for the past 3 months following successful electrical cardioversion. He comes to the pharmacy today to pick up a refill of dronedarone. CK tells the pharmacist, “I’ve always read about amiodarone being used for AF. My cardiologist called dronedarone a ‘sister drug’ to amiodarone.” CK is unclear about the difference between the 2 drugs and whether dronedarone is the right choice for him. 

How should the pharmacist counsel CK on his prescription?

 

Case Two 

PT is a 65-year old man with diabetes and hypertension, who is recently diagnosed with new-onset AF. PT comes to the pharmacy with a new prescription for clopidogrel 75 mg daily and instructions to purchase and take aspirin 81 mg daily. PT is well known by the pharmacist as being nonadherent with both his medications and his doctors’ visits. When dropping off his prescription, PT tells the pharmacist that he is concerned that he may not be getting the best therapy. He notes a friend of his has had AF for many years and has been taking warfarin to prevent strokes. 

How should the pharmacist respond to PT? 

 

 

 


Dr. Coleman is associate professor of pharmacy practice and director of the pharmacoeconomics and outcomes studies group at the University of Connecticut School of Pharmacy. Mr. Straznitskas is a PharmD candidate from the University of Connecticut School of Pharmacy.

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