no longer supports Internet Explorer.

To browse and the wider internet faster and more securely, please take a few seconds to  upgrade your browser .

Enter the email address you signed up with and we'll email you a reset link.

  • We're Hiring!
  • Help Center

paper cover thumbnail

pharmacy case studies.pdf

Profile image of Dr Doondi Phani Kumar Nagulavancha (Pharm D)

Related Papers

annisa hamzah

pharmacy case studies with answers pdf

Abdul Kader Mohiuddin

Clinical cases

Dixon Thomas

riza muhlis


Camboy Jablez

farmakoterapi kasus

Misnaeni Gani

Alison Blenkinsopp

Almotasim Billah Aloshpi

Community pharmacy and general practice have traditionally worked closely together. Through the primary care home (PCH) model, the National Association of Primary Care (NAPC) aims to take joint working much further and extend the integration of services and the work of multidisciplinary teams so that community pharmacies are integral to supporting the health and care needs of their local population.


Sanaa Awada

Age and Ageing

Denis O'Mahony

Mazen Alzoriqy

havlalr dosk

Nurfajriani Nurfajriani

Damodar Gaddam

Michael Heinrich

Yousef Alomi

Susan Semple

Dr Piotr Merks

American health & drug benefits

Joseph Boscarino

Emanuel Ponciano

BMC Health …

Jozien Bensing

Filipa A Costa

Martin Duerden

surjith lal

Ineke Klinge

Deepak Kumar Bandari

Ernita Widiya

Phlebology / Venous Forum of the Royal Society of Medicine

Steven E Zimmet

Charles Scerri

  •   We're Hiring!
  •   Help Center
  • Find new research papers in:
  • Health Sciences
  • Earth Sciences
  • Cognitive Science
  • Mathematics
  • Computer Science
  • Academia ©2023

We have a new app!

Take the Access library with you wherever you go—easy access to books, videos, images, podcasts, personalized features, and more.

Download the Access App here: iOS and Android

  • Remote Access
  • Save figures into PowerPoint
  • Download tables as PDFs

Drug Information: A Guide for Pharmacists, 5e

Answers for Case Studies

  • Download Chapter PDF

Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy.

Download citation file:

  • Search Book

Jump to a Section

  • Full Chapter
  • Supplementary Content


Common side effects would be included in all major compendia (e.g., Micromedex ® 2.0, Clinical Pharmacology, or Facts & Comparisons) which would be a good initial search. In addition, some of the adverse effect specific resources (e.g., Meyler’s Side Effects of Drugs) would be appropriate to consult for less common side effects.


There are a variety of resources that could be consulted for this information including the text Drugs in Pregnancy and Lactation or some of the major compendia (possibly, Micromedex ® 2.0 or Clinical Pharmacology).

The resources classify levofloxacin as an agent with unknown safety, but likely to be safe.

In order to best answer this question, the requestor should determine if the disease state has other treatment options which have more data available and if the infant is receiving any formula supplementation.


The student might start a search for general information in a toxicology text such as Goldfrank’s Toxicologic Emergencies. That could be followed with a search in Micromedex ® 2.0 to find some general toxicology information; specifically the POISONDEX component of that resource would provide comprehensive information on this topic.

The student would do best to search using the generic name of the medication, in this case using chlorpheniramine.


In a case you are not familiar with a term, a general Internet search might be a good start to help streamline your search. An Internet search shows that AMDUCA stands for Animal Medicinal Drug Use Clarification Act of 1994. Knowing that the term refers to a specific piece of legislation, you would be prompted to consider searching the American Veterinarian Medical Association Web page or Food and Drug Administration Web page.


Since this would be an off-label use, there may be less data in the tertiary resources. In this case it is likely more efficient to do a search in the secondary resources. Medline is a good place to start.

Initially conducting a search with no restrictions/limits ensures that valuable information is not missed.

If the initial search yields a significant number of results, then a restriction to human clinical trials would be beneficial. When conducting this search it is important to realize that the term female sexual arousal disorder has changed over time, so maybe a more general search for female sexual dysfunctions will give more responses. In addition, searching for the specific drug sildenafil will yield useful data, but expanding the search using the class of drugs will provide more data.


Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in.

Sign in or create a free Access profile below to access even more exclusive content.

With an Access profile, you can save and manage favorites from your personal dashboard, complete case quizzes, review Q&A, and take these feature on the go with our Access app.

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.

Please Wait


Interactive Case Studies (August 2020)

How would you respond to these patients?

CASE 1: NS is a 55-year-old man who recently visited his primary-care provider (PCP) for a follow up. His medical history includes hypothyroidism, hypertension, and type 2 diabetes (T2D). He takes levothyroxine 75 mcg daily, lisinopril 20 mg daily, and metformin 1 gram twice a day. His PCP started NS on oral semaglutide 7 mg once daily for his uncontrolled T2D. After a week, NS called the pharmacy because he had difficulty falling asleep since starting the new medication. In addition, he is experiencing jitteriness and some minor unplanned weight loss. NS asks whether there are any interactions with his other medications that may have caused these adverse effects.

How should the pharmacist respond?

ANSWER: Concomitant use of oral semaglutide and levothyroxine can increase exposure to levothyroxine by 33%, according to a package insert. 1 Although the clinical relevance of this is unclear, it can be theorized that this interaction can precipitate signs and symptoms of hyperthyroidism, such as difficulty sleeping, an increased heart rate, irritability, and weight loss. NS appears to be experiencing such adverse effects. The pharmacis should ensure that NS is taking the semaglutide as directed. This includes taking the tablet in the morning at least 30 minutes before the first beverage, food, or other oral medication(s) of the day with no more than 4 ounces of plain water. Advise him to separate the administration of levothyroxine and semaglutide. In addition, tell him to take the levothyroxine at night, separated from other medications and supplements by at least 4 hours. 1 A small study shows that levothyroxine taken at bedtime improves thyroid hormone levels. 2 The pharmacist should also encourage NS to follow up with his PCP to have his thyroid-stimulating hormone levels checked and to rule out any other causes of his symptoms.

CASE 2: The ambulatory care pharmacist on staff for the day receives a consult from a provider who is looking to start an antidepressant for a female patient, DA. She has been experiencing worsening anxiety and insomnia because of the global pandemic. The patient takes zolpidem 5 mg at bedtime as needed for insomnia (taking an average of 3 doses per week) but has no documented history of antidepressant use. The provider would like to attempt prescribing zolpidem, as he thinks that it will improve with proper management of DA's anxiety. After a conversation with the provider, the patient expressed interest in trying an antidepressant but has concerns about weight gain. Upon review of her chart, the pharmacist learns that DA has no known drug allergies or contraindications to the use of antidepressants.

What recommendation should the pharmacist make to the provider to help this patient?

ANSWER: Selective serotonin reuptake inhibitors (SSRIs) are the preferred drug class for the management of generalized anxiety disorder. Three SSRIs have been shown to not only reduce symptoms but also improve remission rates. These include escitalopram, paroxetine, and sertraline. Escitalopram is the least likely to cause problems and should be considered. Paroxetine should ideally be avoided, because of DA's concern about weight gain. Sertraline is likely to worsen her insomnia. The recommended starting dose is 10 mg daily. Dose titration to 20 mg daily can be considered after 1 to 2 weeks based on DA's response and tolerability. Because symptom improvement may take several weeks, the pharmacist can recommend continuing zolpidem while initiating escitalopram. After 4 weeks, symptoms should be reassessed and deprescribing can be considered. The provider can consider tapering the zolpidem dose by 25% every week to reduce the chance of rebound insomnia.

Arian Novaj is a PharmD candidate at the University of Connecticut School of Pharmacy in Storrs. Stefanie C. Nigro, PharmD, BCACP, CDE, is an associate clinical professor at the University of Connecticut School of Pharmacy.

  • Rybelsus. Prescribing information. Novo-Nordisk A/S; 2019. Accessed July 27, 2020.
  • Bolk N, Visser TJ, Nijman J, Jongste IJ, Tijssen JGP, Berghout A. Effects of evening vs morning levothyroxine intake: a randomized double-blind crossover trial. Arch Intern Med. 2010;170(22):1996-2003. doi:10.1001/archinternmed.2010.436

pharmacy case studies with answers pdf

FDA Approves Gepirone Extended-Release for Treatment of Major Depressive Disorder

pharmacy case studies with answers pdf

Pharmacy Focus: Turning the Tide On Obesity - Episode 2

pharmacy case studies with answers pdf

Managing Burnout in the Pharmacy

pharmacy case studies with answers pdf

Pharmacy Focus: Psychedelic Pharmacy - Ibogaine Offers Unique Benefits

pharmacy case studies with answers pdf

Survey: 72% of Pharmacy Technicians’ Workflow Affected by Drug Shortages

pharmacy case studies with answers pdf

A Training Program Addresses Challenges in USP <797> Personnel Competency Evaluations at a Multisite Institution

Blue stamp on a glittering background: FDA approved background | Image Credit: Argus -

2 Clarke Drive Cranbury, NJ 08512


pharmacy case studies with answers pdf


  1. 421848317-Pharmacotherapy-Casebook-7th-Edition-Answers-2-pdf.pdf

    pharmacy case studies with answers pdf

  2. Case Study

    pharmacy case studies with answers pdf

  3. Custom Essay

    pharmacy case studies with answers pdf

  4. Case Studies Clinical pharmacy

    pharmacy case studies with answers pdf

  5. Clinical and Hospital Pharmacy Answer Key

    pharmacy case studies with answers pdf


    pharmacy case studies with answers pdf


  1. Clinical Pharmacy Rounds: Hypertension Case


  3. Pharmacy Practice

  4. Important and Repeated question pharmaceutic

  5. Community Pharmacy & Management

  6. Pharmacy Law & Ethics


  1. How Is Chemistry Related to the Study of Pharmacy?

    The study of chemistry is integral to the study of pharmacy, since pharmaceutical science studies how different medications react chemically with the chemicals within the human body. Life itself can be summarized as the sum total of chemica...

  2. Are the Answers to Studies Weekly Available Online?

    The answers to Studies Weekly are not available online. Each subscription of at least 10 copies includes a teacher supplement that contains the answers. Studies Weekly is a series of magazines designed to teach core state standards of curri...

  3. Where Can I Find a Study Island Answer Key?

    Answer keys to Study Island tests and lessons are available in the teacher toolkit provided by Study Island. A certified educator or school administrator must purchase the toolkit that accompanies the Study Island program.

  4. Pharmacy Case Studies

    pdf/. AMCKD_NICE_guideline_v8.1.pdf [Accessed 4 July 2008]. 360. Pharmacy Case

  5. pharmacy case studies.pdf

    Walker R and Edwards C (1999) Clinical Pharmacy and Therapeutics, 2nd edn. Edinburgh: Churchill Livingstone. Answers Case study level 1 – Ears – see page

  6. Clinical Case Studies with Answers For Pharm.D

    Case Studies for Doctor of Pharmacy students : Case Study-1 (Hypertension with Cardiovascular Comorbidities).

  7. Answers for Case Studies

    Drug Information: A Guide for Pharmacists, 5e. Answers for Case Studies. Sections; Download Chapter PDF; Share. Email; Twitter; Facebook; Linkedin; Reddit. Get

  8. Community Pharmacies Case Studies

    Access to SCR is helping the pharmacy to immediately answer more queries from patients on the spot, facilitating more effective patient care and re- sulting in

  9. Pharmacotherapy Casebook : a Patient-focused Approach

    answer the questions associated with each patient presentation vary from case to case.


    Evans' symptoms have been well-controlled on continuous PPI therapy, would you recommend any changes to his medication? Page 4. COMPUS – Pharmacists'

  11. Patient Case # 1

    Lorazepam. Handout Page 1-410; Answer Page 1-416. Patient Case # 22. Which of

  12. Team England Document Case studies for pharmacists and GP

    at the local Acute Trust to obtain answers to more complex queries. 3

  13. Interactive Case Studies (August 2020)

    ANSWER: Concomitant use of oral semaglutide and levothyroxine can increase exposure to levothyroxine by 33%, according to a package insert. 1

  14. Case Studies Clinical pharmacy

    When the pharmacy receives the order, should the pharmacist make any recommendations on patient's antibiotic therapy? Answer. Metronidazole