Dylan Skipper, PharmD’s Post

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Pharmacist-Turned-Account Manager | Immunology & Dermatology Specialist at Galderma

"Symptom or Side Effect?" – A Game Every Healthcare Professional Should Play In geriatric care, spotting the difference between a new symptom and a drug side effect can be a real game-changer. Consider this recent case: A patient was prescribed tamsulosin to manage urinary symptoms of BPH. Soon after, they began experiencing persistent back pain—a lesser-known side effect of tamsulosin. This pain affected their mobility, leading them to seek pain medications and physical therapy. Instead of relief, these interventions added new side effect risk and complexity to their daily routine. Fortunately, a trial discontinuation of tamsulosin not only relieved the back pain but also restored the resident's mobility. Pain medications and therapy were were no longer needed. This experience highlights the importance of playing "Symptom or Side Effect?" every time a new issue pops up. This quick check can save our patients from the cascade of extra meds, unnecessary treatments, and potential adverse drug events. 💡Next time you see a change in patient status, ask yourself: Symptom or Side Effect? #Polypharmacy #MedicationSafety #PatientCare #LongTermCare #ConsultantPharmacist

Mukta Mahankali, PharmD

Innovative Clinical Pharmacy Leader | Healthcare IT | Data Analysis | Workflow Optimization | Leader in Antibiotic Stewardship and Medication Reconciliation |

4mo

This is such a great way to think! I appreciate the mindset shift.

This is the signature line of my email. It has generated a lot of conversation with prescribers. "Any symptom in an elderly patient should be considered a drug side effect until proven otherwise."-- J. Gurwitz, et al. Long-Term Care Quality Letter, 1995.

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