iForumRx.org

Dec 13 2024 100 ep. 21 mins 25

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This is the podcast site for iForumRx.org - a community of ambulatory care pharmacy specialists and others interested in the evidence regarding drug therapy and patient management.

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Top Ten Things Every Clinician Should Know about e-Cigarettes

Dec 13 2024 28 mins

Electronic cigarettes (e-cigarettes; also known as e-cigs, electronic nicotine delivery systems, vapes, mods, pods, and vape pens) have surged in popularity since their market introduction in 2007. Some view e-cigarettes as a less harmful alternative to traditional cigarettes and a potential harm reduction strategy. Others worry about their addictive potential and see them as a set

Breathe Easier Earlier: Screening and Treating Asthma and COPD

Nov 29 2024 19 mins

Asthma and chronic obstructive pulmonary disease (COPD) are underdiagnosed due to the underuse of spirometry, underreporting of symptoms, and economic barriers. Is there an effective way to capture undiagnosed but symptomatic patients and route them for appropriately managing their respiratory symptoms? That's what the UCAP study attempted to answer. Guest Authors: Michelle Balli,

A Broken Heart: Empagliflozin Falls Flat after Acute Myocardial Infarction

Nov 08 2024 20 mins

Despite advances in the management of acute myocardial infarction (MI), up to 38% of patients will experience signs of heart failure (HF) and many have a reduced left ventricular ejection fraction (LVEF). Sodium-glucose cotransporter 2 (SGLT2) inhibitors have well-documented cardiovascular benefits. However, data are limited regarding their use after an acute MI. Guest Authors: Amy

Carefully Weighing the Adverse Outcomes of Antipsychotics in Patients with Dementia

Oct 25 2024 23 mins

One of the most debilitating aspects of dementia is the behavioral and psychological symptoms of dementia (BPSD) that impact nearly 90% of patients. These symptoms significantly diminish the quality of life and functional abilities of those affected. To combat the most severe of these symptoms, antipsychotic medications are often prescribed, but not without possibly harmful consequ

Get Quit, Stay Quit! Smoking Cessation After Initial Treatment Failure

Oct 04 2024 24 mins

It is still difficult for patients to quit despite their best efforts. Of the nearly 70% of current smokers who want to quit smoking, only about 7.5% succeed. Unfortunately, there is a lack of evidence to inform subsequent treatment strategies if the initial quit attempt is unsuccessful. Guest Authors: Elizabeth Yett, PharmD, BCACP, TTS and Katherine Montag Schafer, PharmD, BCACP

Complex Patient Case 7: Post CABG but not on a statin ... oh my!

Sep 27 2024 34 mins

Reason for Visit: The patient is a 76-year-old Hispanic referred to the ambulatory care pharmacist for dyslipidemia management. The patient has a remote history of an MI (15 years ago) but states he is unable to take statins. Guest Authors: Mayela Warner, PharmD and Maricar Conson, PharmD, BCPS Expert Panelists: Sara Wettergreen, PharmD, BCACP, BC-ADM and Tomasz Jurga, PharmD, BCPS

Semaglutide for CKD – Does the FLOW trial impact the standard of care?

Sep 13 2024 21 mins

Sodium-glucose cotransporter-2 (SGLT-2) inhibitors are one of the established treatments used to slow the progression of CKD and improve outcomes. Could perhaps the glucagon-like peptide 1 (GLP-1) receptor agonists provide similar, additive, or different benefits in patients with CKD? Guest Author: John Swegle, PharmD, BCPS, BCACP Music by Good Talk

“We’ed” Better Work Together to Address Cannabis Use in Pregnancy

Sep 03 2024 17 mins

Over the last several decades, the popularity of cannabis (aka marijuana, weed) has increased significantly, and the recognition of medical benefits is evolving. Cannabis is often celebrated in popular culture as a relaxation-promoting, pain-relieving, harmless substance, and its use among young adults and pregnant women is increasing steadily. A recently published ancillary analys

Remote Patient Monitoring (RPM): The Promise and Pitfalls

Aug 28 2024 18 mins

This episode is a collaboration between the ACCP Ambulatory Care Practice and Research Network (PRN) ... and iForumRx.org. We speak with three panelists who describe the use of remote patient monitoring within their cardiology practices. From measuring weight, blood pressure, heart rate, blood glucose, and even pulmonary artery pressure, the use of remote patient monitoring devices

An Age-Old Question: Warfarin or a Direct Oral Anticoagulant in Frail Adults?

Aug 16 2024 16 mins

It is now uncommon to see warfarin therapy initiated for stroke prevention. However, quality patient care is never a “one-size-fits-all” approach. New evidence from the FRAIL-AF trial suggests that some of our most vulnerable older adults might be better off maintained on a vitamin K antagonist rather than (automatically) switched to a direct oral anticoagulation (DOAC). Guest