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Continuing Medical Education
School of Medicine, UAB |
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Online CME Courses
Course Catalog > Online Courses |
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Drug-Drug
Interactions in the Elderly
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Certified for 1 AMA PRA Category
1 Credit™
Co-Sponsored
by
the
University
of
Alabama
School
of
Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation
| Release Date:
October 10, 2005 |
Expiration
Date: October 10, 2008
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| TARGET
AUDIENCE: |
| Primary
care physicians |
| OBJECTIVES: |
| Upon completion
of this CME activity, clinicians should be able to: |
- Recognize
the drug-drug interactions with commonly prescribed drugs
such as warfarin, ace inhibitors, and theophylline
- Realize
the importance of addressing drug-drug interactions in
patients
- Select
the appropriate diagnostic tests for patients with suspected
drug-drug interactions
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| SOURCE: |
| FACULTY: |
William
T. O'Byrne, MD
General Internist
Albuquerque, New Mexico |
| DISCLOSURE: |
| Dr.
O'Byrne has no commercial affiliations to disclose. |
| CME
PARTICIPATION: |
| To
participate in this program for CME credit, please review
the objectives before beginning the program. Take the course,
complete the case questions and evaluation before October
10, 2008 to receive CME credit. Your certificate will then
be available online. This process should take approximately
60 minutes. |
| ACCREDITATION: |
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The University of Alabama School
of Medicine is accredited by the Accreditation Council
for Continuing Medical Education to provide continuing
medical education for physicians.
The University of Alabama School
of Medicine designates this educational activity for a
maximum of 1 AMA PRA Category 1 credit™.
Physicians should only claim credit commensurate with the
extent of their participation in the activity.
The boards of nursing in many
states, including Alabama, recognize Category 1 continuing
medical education courses as acceptable activities for
the renewal of license to practice nursing.
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| DISCLAIMER: |
| Dosages,
indications, and methods of use of any drug referred to in
this online course may reflect the clinical experience of
the authors, clinical literature, or other clinical resources.
Therefore, please see the full prescribing information before
using any product mentioned. |
| Case
1: |
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JB is a 75 year
old male who has had long-standing atrial fibrillation.
His other medical problems include hypertension and diet-controlled
diabetes mellitus. He has been prescribed Warfarin for
stroke-prevention and has been well controlled on this
medication for 5 years. He has always been strictly adherent
to his medication regimen. He presents to your office for
an urgent visit, telling you that he “gets bruised
if I just touch something”. He has not complained
of this in the past.
On chart review
you noted that his medication regimen has been unchanged
for nearly 2 years:
1. Warfarin,
5 mg orally at bedtime
2. HCTZ, 25 mg orally each day
On physical
examination, you note that the patient has some ecchymoses
on his forearms bilaterally. Further history taking elicits
that he has noted significant bleeding of his gums during
tooth brushing. You question JB closely regarding his medication
regimen. He denies any changes. Then, you remember that
JB complained of some mild bilateral knee joint pain during
his last scheduled visit, as well as symptoms of an upper
respiratory tract infection.
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