Case Studies

JULY 10, 2011
Craig I. Coleman, PharmD, and Christine G. Kohn PharmD Candidate

Case One

MK, a 68-year-old man, was discharged from the hospital after a myocardial infarction (MI) 2 weeks ago. At this routine office visit, MK is diagnosed with depression. His doctor considers prescribing a tricyclic antidepressant (TCA), but contacts his community pharmacist for a recommendation.

What should the pharmacist recommend to manage MK's post-MI depression?

Case Two

SL, a 25-year-old woman, presents to the clinic complaining of an increased frequency and urgency to urinate and dysuria over the past 3 days. She has no fever or flank pain and does not have a recent history of urinary tract infections (UTIs). A urine dipstick is positive for leukocyte esterase, white blood cells, and nitrates. Based upon the above symptoms and test results, and the fact that SL has no known urologic abnormalities, her doctor diagnoses her with an uncomplicated UTI. SL's doctor considers prescribing a fluoroquinolone, but asks you, the pharmacist, for a recommendation. SL has no known drug allergies.

How should the pharmacist handle this prescription?




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.  Ms. Kohn is a PharmD candidate from the University of Connecticut School of Pharmacy. 

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