Archive: 2026/02

Antiemetics and Serotonergic Drugs: Understanding the Risk of Serotonin Syndrome
Marian Andrecki 1

Antiemetics and Serotonergic Drugs: Understanding the Risk of Serotonin Syndrome

Antiemetics like ondansetron can trigger serotonin syndrome when combined with SSRIs or other serotonergic drugs. Learn the risks, symptoms, and how to stay safe.

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Natural Disasters and Drug Shortages: How Climate Change Is Breaking the Medicine Supply Chain
Marian Andrecki 2

Natural Disasters and Drug Shortages: How Climate Change Is Breaking the Medicine Supply Chain

Climate-related disasters are now the leading cause of drug shortages in the U.S., with hurricanes disrupting critical medicine supplies. From IV fluids to insulin, the system is fragile-and patients are paying the price.

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Provider Education on Generics: How Clinicians Can Improve Patient Outcomes
Marian Andrecki 5

Provider Education on Generics: How Clinicians Can Improve Patient Outcomes

Generic drugs make up 90% of prescriptions but many clinicians still hesitate to prescribe them. Learn how targeted education improves confidence, reduces costs, and boosts patient adherence.

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DOAC Dosing in Obesity: What Works, What Doesn’t, and What You Need to Know
Marian Andrecki 10

DOAC Dosing in Obesity: What Works, What Doesn’t, and What You Need to Know

DOACs like apixaban and rivaroxaban are safe and effective for obese patients at standard doses. Dabigatran increases bleeding risk, and edoxaban may need caution in extreme obesity. Learn what works, what doesn’t, and what guidelines say.

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Manufacturing Changes and Generic Approval: What Triggers FDA Re-Evaluation
Marian Andrecki 11

Manufacturing Changes and Generic Approval: What Triggers FDA Re-Evaluation

Understanding what manufacturing changes trigger FDA re-evaluation for generic drugs is key to ensuring drug safety and availability. Major changes like facility transfers, new suppliers, or process upgrades require full review - but new programs are speeding up approvals for U.S.-made generics.

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Warfarin and NSAIDs: The Real Risk of Bleeding You Can't Ignore
Marian Andrecki 12

Warfarin and NSAIDs: The Real Risk of Bleeding You Can't Ignore

Combining warfarin with NSAIDs doubles your risk of dangerous bleeding. Learn why naproxen and ibuprofen are especially risky, what alternatives actually work, and how to protect yourself from life-threatening side effects.

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Mail-order Generics: Benefits, Risks, and How to Stay Safe
Marian Andrecki 10

Mail-order Generics: Benefits, Risks, and How to Stay Safe

Mail-order generics offer home delivery of medications but come with hidden risks like temperature damage and pricing markups. Learn how to use them safely for chronic conditions while avoiding common pitfalls.

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Immunosuppressant Generic Issues: Cyclosporine vs Tacrolimus Risks and Solutions
Marian Andrecki 10

Immunosuppressant Generic Issues: Cyclosporine vs Tacrolimus Risks and Solutions

Exploring the risks and challenges of generic cyclosporine and tacrolimus for transplant patients. Learn why bioequivalence issues, dosing differences, and switching protocols matter for safety and effectiveness.

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How to Manage Medication Costs During Medicare Part D Coverage Gaps (Donut Hole) in 2024-2025
Marian Andrecki 12

How to Manage Medication Costs During Medicare Part D Coverage Gaps (Donut Hole) in 2024-2025

Learn how to cut prescription costs during Medicare Part D’s donut hole in 2024 before the $2,000 out-of-pocket cap eliminates it in 2025. Proven strategies for saving hundreds or thousands on meds.

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SGLT2 Inhibitors for Type 2 Diabetes: What You Need to Know About Benefits and Risks
Marian Andrecki 12

SGLT2 Inhibitors for Type 2 Diabetes: What You Need to Know About Benefits and Risks

SGLT2 inhibitors help lower blood sugar and protect the heart and kidneys in type 2 diabetes, but come with risks like yeast infections and rare but serious ketoacidosis. Know who benefits most and what to watch for.

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