
RG is a male patient aged 45 years who has arrived at the pharmacy to pick up his regular maintenance medications after recently losing 45 pounds in 3 months.
Gunda Siska, PharmD, has worked in various fields within the pharmaceutical industry as a licensed pharmacist for more than 20 years. She is currently a staff hospital pharmacist assisting nurses and doctors with drug prescribing, administration, and dispensing, as well as independently monitoring and dosing highly toxic and dangerous drugs. For 2 years, she was concurrently a consultant pharmacist for skilled nursing facilities and nursing homes. Dr. Siska is a member of the New Mexico Society of Health-System Pharmacists and the American Academy of Anti-Aging Medicine. Follow her on Twitter @GundaSiska

RG is a male patient aged 45 years who has arrived at the pharmacy to pick up his regular maintenance medications after recently losing 45 pounds in 3 months.

The mother of an 8-month-old infant, LG, arrives at the pharmacy to pick up her daughter’s seizure medicine, levetiracetam (Keppra) in 100 mg per ml oral solution, with 60 mg given to LG twice daily.

IG, a 25-year-old female patient, approaches the pharmacy counter with an arm full of OTC products. She tells her pharmacist that she is there to pick up the antibiotic cephalexin for an upper respiratory infection.

KG is a female patient aged 44 years who came to the pharmacy with a prescription that the pharmacist recognized is the treatment regimen for a new blood clot.

One afternoon, an emergency department pharmacist receives a medication order to verify. It’s for 10 mg of morphine through IV. The pharmacist notices the dose is unusually high and realizes it could potentially be lethal.

In 1989, more than 1500 young, healthy people started experiencing mysterious symptoms that included unusual skin rashes, muscle pains, dramatic eosinophilia, and tightening of the skin.

Seven cases of young people with stiffness throughout their body and an inability to speak presented to hospitals in different cities throughout the country, with seemingly no link between them.

There is a new study that discovered certain drugs cause problems in healthy people who do not have risk factors or family members with dementia.

A patient has Lynch syndrome, a hereditary condition that puts young people at high risk for colon cancer.

A patient is experiencing severe brain fog, difficulty speaking, bilateral muscle weakness, and ataxia.

What is causing a young, normally healthy person to suddenly fall ill and need immediate medical attention?

A patient has unexplained symptoms that appear to be severe anxiety.

Is there any scientific evidence that sliced onions help rid a home of influenza and other viruses?

What is causing the good changes in this man’s blood work?

Which vitamin is so dangerous you can actually get too much of it in food form?

What was the cause of drug induced renal failure?

Which product caused hepatic failure?

How could a patient be having a heart attack if the troponin levels were super low?

Nutrients should come from food, but when that is not enough, vitamin supplementation is an option

Why is this man gaining weight, instead of losing it, while taking a natural supplement?

Which natural product or herbal medication could cause a severe phototoxic reaction to laser treatment?

Why is a patient prescribed an eye drop to be instilled in her mouth?

How did switching from name brand to generic cause a child’s death?

Why was a customer prescribed an allergy medication when she was expecting a pain pill?

As we age, scientists can measure declining levels of adenosine triphosphate and other biochemicals in our bodies, but research is looking at how aging and diseases can be reversed.

Nutrients should come from food, but when that is not enough, vitamin supplementation is an option.

What caused a customer’s birth control pills to lose efficacy?

It turns out that the US Preventive Services Task Force has a recommendation against this supplementation.

What is causing a patient's outbreak of psoriasis?

Why was a patient prescribed something normally used for stomach problems to help her produce breastmilk?

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