Case Studies

OCTOBER 11, 2013
Craig I. Coleman, PharmD, and Diana M. Sobieraj, PharmD
Case 1
IC, a 38-year-old man, arrives at the pharmacy with new prescriptions for Delzicol (mesalamine) capsules (dosage: three 400-mg capsules twice daily) and Canasa (mesalamine) suppositories (dosage: one 1000-mg suppository at bedtime). IC tells the pharmacist he was recently discharged from the hospital with a diagnosis of acute, mild to moderate ulcerative colitis and that his colonoscopy showed inflammation of his entire colon. IC says he is feeling better, having only 2 to 3 bouts of non-bloody diarrhea a day, but often has to use the bathroom in the middle of the night. The pharmacist gives IC his 2 prescriptions and, while explaining their use, says they both contain the same active ingredient—mesalamine. IC asks, “Why do I need to take the same drug in 2 different ways?”
How should the pharmacist respond to IC?

Case 2
ZK is a 32-year-old man who regularly comes to your pharmacy. He tried to quit smoking last year but failed because he followed the warning on the package that said “Do not use if you continue to smoke.” Although he tried to stop smoking cigarettes the day he began using the patch, he was unable to sustain this and, after a few days, stopped his attempt to quit smoking. Today, ZK comes to your pharmacy to talk to you about quitting again.
What information can the pharmacist provide to ZK?
Dr. Coleman is associate professor of pharmacy practice and director of the pharmacoeconomics and outcomes studies group, and Dr. Sobieraj is assistant professor of pharmacy practice, at the University of Connecticut School of Pharmacy.


SHARE THIS SHARE THIS
0
 

In Seniors: Consider CMV Serostatus
When Recommending Flu Vaccine

Older people who have cytomegalovirus seem to have less robust responses to the trivalent influenza vaccine than those who do not have CMV.


 

 

Conference Coverage
News from the year's biggest meetings


Pharmacist Education
Clinical features with downloadable PDFs


 

SIGN UP FOR THE PHARMACY TIMES NEWSLETTER
Personalize the information you receive by selecting targeted content and special offers.