DIGOXIN vs Losartan

Hey all, hospital pharmacist here. I work at a large hospital (level 1 trauma center/stroke center etc) that is part of a nationwide health system. We’re the second largest hospital of close to 100 hospitals, and most of the others are small community hospitals. Our health system is transitioning to

I'm a new pharmacist (and manager) at a critical access hospital. We had a frail 84 year old patient, weighed 48 kg, CrCl 30 (at best!!!). She had CHF and aFib. Dr. ordered digoxin 500 mcg IV push. I recommended giving half the dose as a 30 min infusion, then 25% in 4-8 hours, and remaining 25% in 4

Regardless of how cynical or optimistic you are, I think we can all agree that the profession of pharmacy is definitely in the "valley" portion of the employment cycle right now. Saturation is real, the major employers are abusing their employees, reimbursement is declining - things aren't looking

Is the 30 - 50% dose reduction of digoxin only necessary when the patient has already been on prior therapy/stabilized with digoxin and then initiated amiodarone? An input into Lexi-comp indicated that the "sequence" was important. There was a patient in the pharmacy (~60 years old; male) that was

Today went to see my cardiologist and no longer need to take losartan nor atorvastatin ! Got to a healthy weight and good diet that he said I no longer need the medication. Hopefully I can stay off it from now on. Im 5,8 went from 225lbs down to 185, eating a lot of food with high sodium to no/low

Hi, how is it going. Today I'm officially off blood pressure meds completely. With lifestyle changes, low sodium diet, low sugar, aerobic exercise and weight loss. I had blood pressure in the 170 to 180 systolic in January of 2025 after heart surgery on November 2024. I was 230 pounds and am current

I take 100 mg of Losartan daily, but before meds I was easily in the 140-150/90-100 range. Even after taking medication I was usually in the 130/90+ range. My resting heart rate used to sit at about 110 too. I felt like shit and my bod was so tense. But recently I stopped drinking and smoking and be

My blood pressure (seemingly) started giving me problems beginning of this year and I was put on losartan 50mg. I take that once a day and it seems to control my BP well (below 130/80). However, in the 4 months I've been on this medication, I've noticed when I'm on my period, my blood pressure shoot

Just felt compelled to write my positive experience with amlodipine. I've had high blood pressure for about 3-4 years. Average wasn't anything crazy, but around 150-160/90. I was prescribed 50 mg if Losartan, which seemed to do nothing. But I've been in it for the last 2 years. Finally, I decided Lo

I am a 35 year old male, recently diagnosed with stage 1 borderline stage 2 hypertension, my doc started me on 50 mg Losartan right away. I have a history of depression and anxiety and have tried Celexa, Lexapro, before finally settling in on Wellbutrin for a few years now, which has kept my normal

25m. I visited the doctor 2 months ago and was diagnosed with high bp and was put on 50mg Losartan. Was usually in the 150s/90 for the first week then it slowly worked but after my monthly visit back my doctor didn’t like the numbers so my dosage was doubled to 100mg. After 1 and a half months of lo

26m, started losartan in February and up until about 2 months ago it’s been goin great. I was exercising and eating right and doing everything i could to keep bp stead around the 120/80, when i last checked my bp about 2 months ago it was in that range.. These past 2 months I’ve been going through a