PPIs
Which patients on aspirin should get PPI
As a pharmacist, you will be asked, which patients on low-dose aspirin should also get a proton pump inhibitor . New recommendations will clarify which patients on low-dose aspirin should also get a proton pump inhibitor . Daily low-dose aspirin at least DOUBLES GI risk. There's one additional serious GI ulcer or bleed for every 200 patient…
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Myocardial Infarction
Aspirin for PRIMARY prevention is different story
As a cardiovascular pharmacist, you will be asked whether "an aspirin a day" is still good for the heart, based on new U.S. Preventive Services Task Force recommendations. Help patients sort out the facts. This is a case of guidance catching up with the evidence... Recommend aspirin 81 mg/day for SECONDARY prevention , such as…
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Pain Management
Consider the interaction between aspirin and NSAIDs
New data and talk of OTC label changes will reignite debate about whether NSAIDs reduce the cardiovascular (CV) protective effect of aspirin .. Many of us remember when FDA warned that ibuprofen may interact with aspirin . This is because aspirin binds to COX-1 to inhibit platelet aggregation and nonselective NSAIDs can compete for the same receptor. OTC ibuprofen…
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Statins
Ensure peri-op CABG medication regimens are optimized
As a hospital pharmacist, you'll see more focus on medication choices after coronary artery bypass graft (CABG) surgery to improve care and reduce hospital readmissions. Follow the new American Heart Association (AHA) recommendations to ensure peri-operative CABG medication regimens are optimized and help prevent readmissions... Asp…
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