Question

FH is a 52 yo male with c/o of chronic low back pain and bilateral knee pain for the past 10 years. Other past medical history includes atrial fbrillation, alcohol abuse (1/2 pint vodka daily), marijuana use (in remission), and depression. Active medications pain affects his moblity and he is not able to exrcise due to pain. Vitals indtude wight 22bs, height 6mn, lood presure 132/82 Heart Rate 860pm. Pertinent labs include serum creatinine 1.86, BUN 15, Liver Function Tests (FTs) AST 105, ALT 98, and glucose 80. include Pradaxa 150mg BID, Zoloft 25mg daily, and acetaminophen 650mg q6 hours PRN. Patient states the Blood pressure 132/82, Heart Rate 86bpm. Pertinent labs include serum

Answer 1

Aceteaminophen has got a side effect of acting the liver, so the person takes alcohol and has elevated lft are the major reason for not prescribing acetamnophen for the patient. In some cases it can also leads to hypoglycemia and taking along with zoloft also increases the chance of side effects.