DAPAGLIFLOZIN vs DIGOXIN

I’m honestly so happy I’m not even sure how I feel. Back in July I unexpectedly found out I was diabetic after finding a high amount of sugar in my urine and being urged to go to the ER for immediate bloodwork. I’ve been put on 5mg of Farxiga (dapagliflozin) the last month or so and have been keepi

I used to take Xigduo and it was covered just fine on my previous insurance, but then I lost my job and had to get a plan off the healthcare marketplace. They have a fairly large deductible for prescriptions and charge coinsurance on name-brand drugs, so even after using a manufacturer's coupon I'd

http://www.fda.gov/Drugs/DrugSafety/ucm505860.htm The U.S. Food and Drug Administration (FDA) has strengthened the existing warning about the risk of acute kidney injury for the type 2 diabetes medicines canagliflozin (Invokana, Invokamet) and dapagliflozin (Farxiga, Xigduo XR). Based on recent repo

So I just got my first CGM and I'm loving it! Previously, I was finger pricking and noticed that my waking BG was always higher than it was the rest of the day. I suspected Dawn Phenomenon, as it would be 120 odd and then settle down to 80-90 throught the day, with the odd spike upt to 120-140 after

I am 34 F , I have put on weight ( 13 kgs or 30 pounds ) steadily over the last 3-4 years post covid. Current weight is 94kg or 207 pounds at 166cm height. My HB1AC is 6.4 which my doctor said is on the border. I have high LDL cholesterol at 214. HOMA IR is 3.6 so I have insulin sensitivity. My do

I know 6 days is a small window, but hear me out. Diabetic for 9 years. Maintained it below 7 till 6 months back. Met with accident on 6th Oct, thumb got amputated just below nail. Found out during surgery blood tests Hba1c was 8 ( stress and stress eating in last 6 months pushed it up). Surgeon s

Hi, my dad (58) was diagnosed with Type 2 diabetes almost a year ago. My dad drinks alcohol occasionally and is a non-smoker. Last December 6, 2024, his HbA1c increased from 7.5 to 8.1. We were a bit complacent with my dad's diet, and as a family of 5, we also had some lapses. We want to be stricter

Hi everyone, well I had a terrible year last year which brought on a huge amount of stress, due to mental health issues with my daughter and also working in a high pressured environment. I am a self-employed consultant so I have to work as I am the main breadwinner for the family. My diabetic contr

Why on earth was digoxin even stocked in the L&D OR? Yikes…

Hey all, hospital pharmacist here. I work at a large hospital (level 1 trauma center/stroke center etc) that is part of a nationwide health system. We’re the second largest hospital of close to 100 hospitals, and most of the others are small community hospitals. Our health system is transitioning to

Inpatient pharmacist here. Just heard about this story at work today. It doesn’t sound like the error was due to pharmacy, but it still really shook me up, especially as someone who has had 2 c-sections!! It says “The anesthetist did not scan the barcode or read the label aloud to another staff memb

I'm a new pharmacist (and manager) at a critical access hospital. We had a frail 84 year old patient, weighed 48 kg, CrCl 30 (at best!!!). She had CHF and aFib. Dr. ordered digoxin 500 mcg IV push. I recommended giving half the dose as a 30 min infusion, then 25% in 4-8 hours, and remaining 25% in 4

Regardless of how cynical or optimistic you are, I think we can all agree that the profession of pharmacy is definitely in the "valley" portion of the employment cycle right now. Saturation is real, the major employers are abusing their employees, reimbursement is declining - things aren't looking

Is the 30 - 50% dose reduction of digoxin only necessary when the patient has already been on prior therapy/stabilized with digoxin and then initiated amiodarone? An input into Lexi-comp indicated that the "sequence" was important. There was a patient in the pharmacy (~60 years old; male) that was