DIGOXIN vs METOPROLOL

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

Male , 26. So I had a bit of a shock yesterday. Went to the doctor for a regular check, they took my BP three times within a few minutes: 153/100 165/103 145/95 The doctor immediately prescribed me 25 mg metoprolol. But here’s the confusing part — at home I’ve been checking for the past 1.5 years, a

I have been working on my hypertension since 2019 when at a company health check my BP was 170/110. I am on metoprolol and htcz. I white coat quite badly but I'm working on that. Today at the office reading came in 115/70. Felt good to find the right doses.

I’ve had hypertension since my early 20’s and was initially prescribed lisinopril and later perindopril (both ace inhibitors) to control it. My numbers were usually “ok” with those meds, but unfortunately I developed the ace inhibitor cough and asked my doctors about alternatives. He originally pu

My last few doctors appts I’ve had high blood pressure and I chalked it up to white coat hypertension. And then it happened again so I opted to start tracking at home. Unfortunately it was high at home. I am overweight (I need to lose about 70lbs), but I’m only 32. I also have HORRIBLE anxiety abou

Quick background: For the last several years, I (33m, 6'2", 235 lbs) had been on different combinations of lisinopril (with and without HCTZ), amlodipine, and metoprolol and my pressure was generally in the 140 - 150 / 100 - 110 range. Couple months ago, I went to a new doctor (old doc moved away) a

**Okay, there absolutely has to be a link of anxiety caused by blood pressure medication** *Please put your thoughts in the comments, stories, experiences, and any information you know that could add to this* 20M || Zero Anxiety Prior || Currently Taking Amlodipine 5MG || Prozac 10MG For Anxiety S

I’ve told my friends and my partner and they understand a little but I just wanted to share with some people who have had similar experiences. I’m 33 and have had blood pressure problems stemming from a shitty diet and alcoholism. Despite that, I somehow have managed to stay an ok weight at 200lbs,

Hi everyone! So this is more of a venting post. I’ve had high bp since I was about 22/23 when I was pregnant with my first son (I’m 36 now) so quite a while. It runs pretty deep on my dad’s side, so yea, here we are. Anyway, my bp has been pretty difficult to manage since my last pregnancy (2020) an