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Educating Patients and Prescribers About Deprescribing to Reduce Medication Burden May Not Be Enough

Unsurprisingly, medication burden increases as we age. At each clinic visit, we consider starting new medications, but it’s still relatively uncommon to critically evaluate medications that could be deprescribed. How can we change the culture to embrace deprescribing as an integral part of patient care?  The OPTIMIZE study was a provider- and patient-level educational intervention that attempted to increase deprescribing.

Guest Authors:  Kashelle Lockman, PharmD, MA and Sarah Greiner, PharmD

Music by Good Talk

Treating mild hypertension during pregnancy: Time for a new CHAPter!

Most practitioners won’t hesitate to start drug therapy in an adult patient with chronically elevated blood pressure (BP) … except, perhaps, if the patient is pregnant. In this vulnerable population, we frequently take a “wait-and-see” approach and withhold therapy unless the BP elevations become severe. But is this the right decision?

Guest Authors:  Timothy D. Gladwell, PharmD, BCPS, BCACP and Scott Baker, PharmD, BCPS

Music by Good Talk

Finally! Something FDA-Approvable for Non-alcoholic Steatohepatitis (NASH)?

Nonalcoholic steatohepatitis (NASH) is quickly emerging as one of the most common reasons for both liver cirrhosis and liver transplant in the United States – soon predicted to overtake hepatitis C virus as the predominant etiology.  Currently, there are no FDA-approved medications to treat these disorders.  Hopefully, that will soon change.

Guest Author: Scott Malinowski, PharmD

Music by Good Talk

Managing Pain in Patients with High Blood Pressure: Is There No Safe PATH?

Pain and hypertension are two of the most prevalent conditions worldwide. Acetaminophen is often considered the “go-to” and the “safe” over-the-counter analgesic for patients with hypertension because it is not commonly believed to increase blood pressure or cardiovascular events. But is that assumption grounded in evidence?

Guest Authors: Lizzie Baumeister, PharmD and Austin Morgan, PharmD, BCACP, CDCES

Music by Good Talk

Continuous Glucose Monitors (CGMs) - Patient Management Strategies and Getting Paid!

This episode is a collaboration between the ACCP Ambulatory Care Practice and Research Network (PRN) ... and iForumRx.org.

Wondering if a continuous glucose monitor (CGM) is right for your patient?  Worried about workflow, prior authorization, billing, and payment?  Our expert panelists explain how they manage patients in their practices and how they bill for their services.

Guests:  Jennifer Trujillo, PharmD, BCPS, CDCES, BC-ADM; Edward Saito, PharmD, BCACP; and Christina Sherrill, PharmD, BCACP, CPP

Produced by Jonathan Hughes, PharmD, BCPS, BCACP and Anna Love, PharmD, BCACP

Music by lemonmusicstudio from Pixabay

A Healthier Way to Commute? Cycling Reduces Mortality in Patients with Diabetes

Physical activity is critical to preventing and treating diabetes and reduces cardiovascular disease (CVD) and mortality.  Although moderate-to-high intensity aerobic exercise of any type is likely beneficial, cycling is particularly attractive because it is a low-impact exercise (e.g. easier on the joints) and can potentially be used as a transportation method.

Guest Author:  Kristin Lutek, PharmD, BCACP, CDCES

Special Guest:  Seena L. Haines, PharmD, BCACP, NBC-HWC

Music by Good Talk

Annual Wellness Visits: Pharmacists Closing Care Gaps

Many older adults do not receive recommended screening exams or treatments and frequently take multiple medications that place them at high risk of adverse effects and drug-drug interactions. Pharmacists performing an Annual Wellness Visit (AWV) provides an opportunity to conduct a comprehensive medication review to identify and correct medication-related problems as well as close care gaps.

Guest Authors: Brenna Gelen, PharmD and Nicole Slater, PharmD, BCACP

Music by Good Talk

FOMO — Keeping Up With the Primary Literature

This episode is a collaboration between the ACCP Ambulatory Care Practice and Research Network (PRN) ... and iForumRx.org.

Do you experience FOMO (aka fear of missing out) when it comes to the primary literature?  How can you keep on top of the never-ending stream of new evidence that's published (and presented) every day!  Of course, iForumRx is one way to keep abreast of the latest evidence ... but there are lots of great tools out there!  Our guests share with us their favorite tools for keeping up.

Guests:  Greg Castelli, PharmD, BCPS and Kate Cozart, PharmD, BCACP, BCPS, BCGP

Produced by Jonathan Hughes, PharmD, BCPS, BCACP and Anna Love, PharmD, BCACP

Music by lemonmusicstudio from Pixabay

Could a DOAC Replace Warfarin to Treat the Thrombotic Antiphospholipid Syndrome?

The thrombotic antiphospholipid syndrome (TAPS) is associated with atypical thromboembolic events and/or recurrent pregnancy loss. Patients with TAPS are at very high risk of recurrent thrombotic events and require indefinite therapy.  Warfarin therapy is very challenging to manage in this patient population and requires frequent monitoring.  Thus a direct oral anticoagulant would be a welcomed alternative to warfarin by many patients with TAPS.  But are they effective?

Guest Authors: Leslie Walters, PharmD, BCACP  and Jennifer Carie, PharmD, BCACP, BC-ADM

Music by Good Talk

The Top Ten Things Every Clinician Should Know About Sacubitril/Valsartan

Sacubitril/valsartan is considered part of the backbone of guideline-recommended therapies for the management of patients with heart failure. In 2021, sacubitril/valsartan became the preferred treatment over an ACEi or ARB in patients with heart failure with reduced ejection fraction (HFrEF) because it reduces the risk of cardiovascular death and hospitalization for heart failure in nearly all adult patients with chronic heart failure. All clinicians should be familiar with the indications, dosing, safety, and monitoring of sacubitril/valsartan.  Affordability, access, and inappropriate dose titration remain major barriers to achieving optimal outcomes.

Guest Authors:  Jessica Wooster, PharmD, BCACP and Elizabeth Yett, PharmD, BCACP

Special Guest:  Dustin (DJ) Clark, PharmD, BCACP

Music by: Good Talk

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