A 75-year-old male comes in to follow up on his chronic joint pain due to osteoarthritis.

Case Studies will be graded as follows;

Discuss in one  paragraphs using your text book as your reference all evidence supporting or avoiding the drug you will be prescribing or not prescribing. Discuss alternate medications as well.  (70 points)

All required patient education including non-pharmacological treatment must be included. (10 points)

If there is a major drug interaction discuss each interaction you do not have to list every interaction. (5 points)

If labs need to be monitored be sure to discuss which test to be ordered the frequency for monitoring and therapeutic values. (5 points)

If you will be prescribing any meds to treat your patient, you must use the prescription template filling out each script completely. (10 points)

Case study on PAIN

A 75-year-old male comes in to follow up on his chronic joint pain due to osteoarthritis. He has been very well maintained on diclofenac sodium/misoprostol with negative results on all prior Hemoccult cards. His interval history is significant for a recent hospitalization for new-onset atrial fibrillation, and he is now taking warfarin (Coumadin).

What drug interaction are you most concerned about? What are some other treatment alternatives for this man?