Case Studies

Craig I. Coleman, PharmD
Published Online: Friday, July 11, 2014
CC, a 27-year-old man, comes to the pharmacy counter carrying a number of boxes containing various minoxidil products, including different strengths (2% and 5%) and preparations (solutions and foams). Upon quick inspection, you see recession of CC’s frontal hairline, mainly in a triangular pattern. CC asks if you can recommend a product to treat his male pattern baldness. CC is otherwise healthy and takes no prescription or OTC medications. What advice should you give CC about which product to use and what to expect?

BB, a 67-year-old man, is at his dentist appointment. His dentist determines that BB needs to have a tooth extracted and should schedule an appointment. In BB’s chart, the dentist sees that BB has hypertension, type 2 diabetes mellitus, and atrial fibrillation, and that BB is being treated with apixaban 5 mg twice daily for stroke prevention, lisinopril 20 mg once daily, metformin 1000 mg twice daily, and glipizide XL 10 mg once daily. The dentist calls you (BB’s pharmacist) to ask how long BB’s anticoagulation treatment needs to be stopped before a tooth extraction can be performed.
How should you respond to the dentist?

Dr. Coleman is professor of pharmacy practice, as well as codirector and methods chief at Hartford Hospital Evidence-Based Practice Center, at the University of Connecticut School of Pharmacy.

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