Case Studies: Test Your Skills

Craig I. Coleman, PharmD, and Patricia Cutting, PharmD Candidate
Published Online: Monday, March 14, 2011
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Case One
Clopidogrel Hypersensitivity Reaction

CC is a 67-year-old woman who recently underwent percutaneous coronary intervention (PCI) with stenting. She calls the cardiology office 10 days after starting her post-surgery medications and complains about a mild rash. It is determined that the rash is due to clopidogrel, and the resident running the cardiology clinic for the day calls the pharmacist to ask what his options are. How should the pharmacist respond?

Case Two
Levothyroxine After Diagnosis of Hypo- and Hyperthyroidism?
AR is a 24-year-old woman who comes into the pharmacy with a new prescription for levothyroxine. She tells the pharmacist she was recently diagnosed with hypothyroidism due to Hashimoto’s disease (the most common cause of hypothyroidism in the United States). She says that her friend’s mother was diagnosed with a hyperactive thyroid and also takes levothyroxine. AR is worried that this is the wrong prescription, and she does not want to take something that will make her go more “hypo,” as she is a student and really needs to have energy for her busy life.


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. Ms. Cutting is a PharmD candidate at the University of Connecticut School of Pharmacy.




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