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Clinician’s Corner: Clostridium difficile

We pharmacists frequently dispense antibiotics, and sometimes we question the rationale. Now that the fluoroquinolones are very cheap, clinicians seem to jump on them. The current resistance rate for Strep pneumo (respiratory infections) for azithromycin (Z-pak) is around 47%. The current resistance rate for E. coli (urinary tract infections)...

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Clinician’s Corner: Saccharomyces

Tim Heath, our student pharmacist did a great job guest writing last week’s Clinician Column. He described the theory behind probiotic use. His literature search pointed us in the direction of the most efficacy for probiotics is prevention of antibiotic associated diarrhea. “C.dif” (Clostridium difficile) is an anaerobic, gram-positive,...

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Clinician’s Corner: Valerian

Valerian (Valeriana officinalis) is a perennial plant native to North America, Europe and Asia. For hundreds of years it has been used in Europe as a sedative and an antispasmolytic to relieve insomnia, anxiety, muscle spasms and stress induced palpitations. Native Americans boiled the roots into a tea for...

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Clinician’s Corner: Melatonin

We all see a lot of issues using the traditional sleep aids in our patients, especially the elderly. We often hear of reports of “sleep driving” on zolpidem (Ambien), not to mention the risk of falls. Many of our patients seeing that their benzodiazepines, like temazepam (Restoril), and the...

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Clinician’s Corner: Cranberry

We see a lot of patients coming to our pharmacies getting Trimeth/Sulfa DS, Nitrofurantoin, Levofloxacin and Ciprofloxacin for urinary tract infections. Of course some of us gray haired pharmacists remember Mandelamine and Hiprex which are seldom used today. Females, due to their own special structural anatomy have a shorter...

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