Pregnancy HTN
Guide use of BP meds during pregnancy
As a cardiovascular pharmacist, more questions arise about managing chronic hypertension in pregnancy due to increasing maternal age, obesity, etc. We know to treat all pregnant patients with severe hypertension 160/110 mm Hg or above. But treatment of nonsevere chronic hypertension, such as 140/90 or more, hasn’t been clear-cut, due to limited evidence. …
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Pregnancy-induced Nausea and Vomiting
Get Ready with Info on Ginger
As a nutrition support pharmacist, inquiries frequently arise regarding the efficacy of ginger supplements for alleviating nausea, vomiting , motion sickness, and other purposes. Ginger is studied for oral and topical use, and as aromatherapy. Its active components come from the rhizome and root. Effectiveness Explain th…
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Pregnancy and Breastfeeding
PCOS pharmacotherapeutic approach for junior pharmacists
Polycystic Ovarian Syndrome (PCOS) is a multifaceted endocrine disorder prevalent among women of reproductive age. This article aims to provide pharmacists in clinical practice with a nuanced understanding of PCOS assessment, suspicion, and an evidence-based pharmacotherapeutic approach. ASSESSMENT The diagnostic cr…
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Prenatal Formula
Choosing the right PRENATAL formula
As a nutrition support pharmacist, you can consider using either Elevit Pronatal or Pregnacare during pregnancy. The choice between these two products depends on their specific formulas. The first step is to ensure that the selected formula provides enough essential nutrients for pregnant women, such as iron (around 27 mg), calcium (about 1000 mg), folic acid (betwe…
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Pregnancy and Breastfeeding
Natural medicines HELP in milk supply
As a nutrition support pharmacist, you will be asked more about natural medicines that help with milk supply. Some popular remedies for increasing milk production during breastfeeding include fenugreek and moringa . While there is limited research, small studies suggest that fenugreek supplements or tea (1-2 grams, 1-3 times daily for 21-44 days) may help boost mi…
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Thyroxine
Strict control of HYPOthyroidism during pregnancy
As a clinical pharmacist, you should know how to treat hypothyroidism in pregnant women. New guidelines will call for tighter and more aggressive control of hypothyroidism before and during pregnancy. Levothyroxine needs rapidly increase when a woman becomes pregnant, leaving many patients undertreated during early pregnancy. …
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Pregnancy and Breastfeeding
Medications for PolyCystic Ovary Syndrome (PCOS)
As a pharmacist, you will be asked more about polycystic ovary syndrome (PCOS) . There's growing interest in PCOS, it's the MOST common endocrine disorder in young women. It affects up to 10% of reproductive-age women. These women usually have insulin resistance and evidence of increased androgens. This leads to irregular periods, infertility, obesity, and hi…
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Pregnancy and Breastfeeding
PCOS treatment based on symptoms
As a community pharmacist, you will get questions abouttreatm ent of polycystic ovary syndrome (PCOS), since it affects about 1.4 million Canadian women. They often need help managing irregular periods, excess androgen (acne, hirsutism, etc) and CV risks (obesity, diabetes, etc). Plus PCOS is one of the most common causes of infertility... …
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Pregnancy DM
Focus on lifestyle and insulin for gestational diabetes
As a nutrition support pharmacist, you should focus on lifestyle for gestational diabetes . Gestational diabetes rates have risen sharply in the past few years, likely driven by obesity, which was worsened by the pandemic. We know these patients are at increased risk of C-section, fetal macrosomia, future diabetes , etc. Emphasize a…
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Pregnancy HTN
Be ready to manage SEVERE gestational hypertension
As a clinical pharmacist, you will see more emphasis on urgent treatment of women hospitalized with SEVERE gestational hypertension . Women with gestational hypertension have normal blood pressure (BP) before pregnancy, and develop BPs of at least 140/90 mmHg after 20 weeks' gestation. It's severe when acute-onset BPs reach 160/110 mmHg or higher. …
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Pregnancy Nutrition
Does CAFFEINE increase the risk of miscarriage
As a nutritional support pharmacist, you may hear that caffeine increases the risk of miscarriage. There is debate about whether caffeine increases the risk of miscarriage. A study in the news suggests that caffeine increases miscarriages, while another study says caffeine is not to blame. But on closer scrutiny, both agree that small amoun…
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Pregnancy Nutrition
Is Chromax SAFE for Breastfeeding Mothers?
As a nutrition support pharmacist, you often get questions about the safety of weight loss products like chromium ( Hydroxycut, Hi Chrome, Mepaco Slim, Chromax, etc ) during breastfeeding! Oral chromium can help control blood sugar in people with diabetes, especially at doses above 200 mcg per day. However, its ability to prevent diab…
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Pregnancy HTN
Avoid ACE inhibitors in PREGNANT women
As a clinical pharmacist, you will be asked more, which blood pressure medications are safe to use during pregnancy? ✅ We avoid ACE inhibitors and ARBs because they can cause serious fetal injury or death when used during the second or third trimester. But their effects in the first trimester are more controversial. Some evidence links ACEI …
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Thyroid Disease
Monitor THYROID disease during pregnancy
Uncontrolled thyroid disease during pregnancy has risks, such as miscarriage, preterm birth, low birth weight, and cognitive defects. Consider these tips to limit adverse fetal outcomes... HYPOthyroidism Pregnant women need higher levothyroxine doses due to faster drug metabolism, T4 transfer to the baby, etc. Generally aim for a TSH less than …
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Weight Loss
Yasmin pill help women lose weight
One of the common misperception that prevent women from initiating oral contraceptive use is weight gain. Science hasn’t determined exactly why some birth control may lead to weight gain. But it’s believed that higher estrogen levels can lead to more water retention or that some contraceptives may increase appetite. No birth control…
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Prenatal Formula
Help pregnant choose the right prenatal vitamin
The plethora of prenatal vitamins can lead to confusion. There are specific recommendations for certain ingredients in prenatal vitamins ( e.g., calcium, folic acid, iron, and iodine ). Calcium helps with healthy bones, folic acid with brain and spinal cord development, and iron prevents anemia. …
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