Case Studies

Craig I. Coleman, PharmD, and Lanting Fuh, PharmD Candidate
Published Online: Tuesday, July 10, 2012
Follow Pharmacy_Times:
ZR is a 32-year-old woman who presents to your pharmacy with complaints of moderate nausea and vomiting. She is 10 weeks pregnant and states she has already tried her doctor’s advice regarding dietary and lifestyle modifications (ie, avoiding spicy and fatty foods; avoiding aggravating environmental triggers; eating small, frequent meals; and taking frequent breaks) with minimal improvement. She would now like to try an OTC medication that “won’t harm my baby.” She has no known drug allergies.
As the pharmacist, what would you recommend?

JF, a 57-year-old woman recently diagnosed with a Helicobacter pylori infection, presents to the pharmacy counter to pick up her prescriptions for clarithromycin and metronidazole. In her hand, JF holds a box of omeprazole (as advised by her doctor to round out her 3-drug H pylori regimen) and a bottle of Nyquil that she states is to “help me sleep at night.” Other than penicillin, she has no known allergies.
What counseling points should the pharmacist have for JF?

Win an iPad! Submit your recommendations for how to handle these cases at and you will be entered into a drawing to win an iPad! Must register to win.

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

Related Articles
A recent study suggests that co-administering the muscle relaxant, baclofen, with the proton pump inhibitor (PPI), omeprazole, may be more effective than PPI monotherapy in reducing heartburn and regurgitation in patients with gastroesophageal reflux disease (GERD).
Essential oils are being used to treat everything from nausea and vomiting, to infections, to cancer.
Wockhardt USA LLC introduces its newest private label, OTC medication Fexofenadine in a small, easy-to-swallow tablet for next year’s fall allergy season.
A new study published in the journal CMAJ shows that a combination of clarithromycin and some statins may result in adverse effects, which can lead to hospitalization.
Latest Issues
  • photo
    Pharmacy Times
    Health-System Edition
    Directions in Pharmacy
    OTC Guide
    Generic Supplements
  • photo
    Pharmacy Careers
    Specialty Pharmacy Times