Clinical Pharmacy Case Studies

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Zoloft: A Case Study

A 32 year-old female patient visits her health care provider with the specific request of discontinuing her sertraline (Zoloft) medication regimen. The patient reports she has been on Zoloft 50mg daily for the treatment of depression for the past nine days. The patient then goes on to explain she would like to stop her Zoloft as soon as possible because she does not feel any relief from her depression symptoms.

Warfarin: A Case Study

A 52 year old male warfarin (Coumadin) patient presents with an international normalized ratio (INR) of 3. The patient reports he is currently taking warfarin 5 mg once a day, lisinopril (Zestril) 5mg once a day and ibuprofen (Motrin) 400mg up to three times per day for chronic back pain. The patient also reports his diet is inconsistent, he consumes alcohol 3 - 4 days per week and he does not take his lisinopril on a consistent daily bases. What are the top five recommendations that should be made?

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