A 26-year-old with OUD on buprenorphine reports continued cravings and intermittent opioid use. What is the BEST medication-management approach?
A 61-year-old abruptly stops long-term benzodiazepines and d…
A 61-year-old abruptly stops long-term benzodiazepines and develops tremor, insomnia, severe anxiety, tachycardia, and rising blood pressure. Which pharmacologic approach best aligns with recommended withdrawal management?
A pharmacogenomic test reveals a patient is a poor CYP2D6 me…
A pharmacogenomic test reveals a patient is a poor CYP2D6 metabolizer. He is taking a TCA. What is the MOST likely clinical implication?
A patient on aripiprazole is prescribed fluoxetine. Why is t…
A patient on aripiprazole is prescribed fluoxetine. Why is this combination clinically important to review?
A 70-year-old with dementia develops agitation. Which prescr…
A 70-year-old with dementia develops agitation. Which prescribing principle is MOST appropriate?
A patient on MOUD asks for take-home naloxone. What is the B…
A patient on MOUD asks for take-home naloxone. What is the BEST rationale for co-prescribing naloxone?
A 34-year-old with chronic insomnia asks how benzodiazepines…
A 34-year-old with chronic insomnia asks how benzodiazepines work. Which explanation is most accurate?
A 45-year-old man treated with high-potency typical antipsyc…
A 45-year-old man treated with high-potency typical antipsychotics develops rigidity, hyperthermia, autonomic instability, and elevated CK. What is the MOST likely diagnosis?
A patient begins lithium therapy for bipolar disorder. Which…
A patient begins lithium therapy for bipolar disorder. Which set of baseline/ongoing labs is standard and supports safe prescribing?
A 63-year-old man with hypertension and type 2 diabetes is s…
A 63-year-old man with hypertension and type 2 diabetes is starting an antidepressant. As an advanced prescriber, what is your primary responsibility regarding psychotropic selection?