Examples of important reminders from consultant pharmacists that physicians ignore at their patients peril include the following, according to certified medical director Duncan MacLean:
Drug-drug interactions with Coumadin (may prolong the prothrombin time);
Hyperkalemia risk from ACE inhibitors used in patients with renal insufficiency;
Dilantin dosing in hypoalbuminemia (less protein binding, causing toxicity at a normal blood level).