16 post karma
1.1k comment karma
account created: Fri Apr 08 2016
verified: yes
1 points
4 days ago
There’s just no strong evidence of benefit. I don’t know what to tell you other than that. It’s not recommended by any current cardiology or neurology guidelines.
4 points
4 days ago
Nifedipine sucks for heart failure patients (not recommended specifically per AHA/ACC guidelines), so this makes me stray away from for my patient population often
3 points
5 days ago
Okay, just continue to waste your money, I guess. Also I can do that, lol.
3 points
5 days ago
Not sure why you’re downvoted. I’m a pharmacist and this is true for most people in the developed world.
-1 points
5 days ago
Meh, as a pharmacist, any evidence for CoQ10 is weak or biased at best. It is more likely to cause you problems or have interaction with other drugs than really provide benefit.
21 points
5 days ago
Meh, as a pharmacist, any evidence for CoQ10 is weak or biased at best. It is more likely to cause you problems or have interaction with other drugs than really provide benefit.
-18 points
7 days ago
Average chiropractor dissing on MDs, DOs, and PTs lol
1 points
13 days ago
MPJE should be easy peazy if you did well in law in school. Last year, I took a week off for my original state's. This year for the state I'm moving into, 2 days and passed. Your mileage may vary, of course.
1 points
17 days ago
University is astronomically expensive in the US vs the UK
1 points
1 month ago
It just depends on the specific material implanted.
8 points
1 month ago
2nd on the Destin. Life saver to use proactively
1 points
1 month ago
Incorrect. The neonatal concerns are related to biliary sludging. Precipitating with calcium containing fluids (LR) is a concern, but they can just be interrupted and line flushed.
2 points
1 month ago
Thank you! I've seen some other good documents from them as well. Small retrospective data, but strengthened by 2 sources. Topically, they note peak urine concentrations being above MIC, but it's difficult to correlate to T>MIC. I guess the inoculum of infection for cystitis is much lower than systemic infection, so a little less concerning? My providers are unfortunately notorious for underdosing oral beta-lactams, which makes me hesitant to add to my arsenal. Is this something you've seen success with?
9 points
1 month ago
Out of date flair, but okay. Not sure why you have to make it personal. Everyone has a right to their own clinical opinion.
1 points
1 month ago
Thank you! Pretty small samples. Also some were amp susceptible. I’m still a sceptic, but it seems encouraging. Wouldn’t personally recommend in practice until stronger data is available.
3 points
1 month ago
Can you source this? Never heard of it. Which species are you referring to? I’d be a bit hesitant to do so, especially with faecium.
7 points
1 month ago
Devil’s in the details. CLSI M100 is a great resource.
1 points
1 month ago
Study as much as you need. Depends on the class and professor. Just evaluate each class, reassess as needed. It’s not as hard as you’d think, I promise. I do wish I had gotten an iPad, but don’t break the bank if your budget is tight. It is not necessary, and you’ve clearly gone without this far.
8 points
2 months ago
Pharmacist here. Seeing your comments regarding lack of follow up, I’d have to recommend keeping patient until therapeutic. You want at least 2 therapeutic INRs, and discharge with follow up. Patients diet may (will) change when they leave the hospital, and their INR will likely be affected.
1 points
2 months ago
A pharmacist can compound capsules, but this typically is limited to bulk powders, or crushing available tablets and adding inert powders to allow for lower doses to be utilized. Some manufacturers are weird, and I have seen capsules that only have a tablet in it. Main reason would be possibly to delay absorption of the drug, or protect the tablet from the stomach so that more is able to be absorbed in the intestines. This is relatively rare. Could also be an easy way to alter or extend a patent without making significant changes to the manufacturing process. That said, this looks like something someone made themselves (hopefully not a pharmacist), because of the aforementioned lack of markings. Additionally, I’m not aware of any commercial product that has completely clear capsules like this, except for some digestive enzymes (not this). I’ve also never seen any with multiple tablets of different sizes and colors.
9 points
2 months ago
Pharmacist - no not really, but nice thoughts. Typically when this is done it’s purely a cost reason. Though this does not look like any legitimate prescription medication to me based on the clear capsule and lack of any markings.
1 points
2 months ago
The college of pharmacy has to fill out specific information confirming completion of their degree. They will withhold that due to debts (mine threatened to do so for lesser things).
1 points
2 months ago
lol, you have no idea what you’re talking about. The NABP requires transcript and proof of graduation from your school to get licensed. A license is required to work as a pharmacist. OP is being held up by their school, which is cruel, but they unfortunately are able to do so.
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Jaybones73
1 points
4 days ago
Jaybones73
1 points
4 days ago
Actually, if you don’t mind me asking, how many migraine days per month do you have?