Pharmaceutical Treatment Regimen

48-Year-Old Asian Woman with Type 2 Diabetes Mellitus

Initiate Metformin 500 mg PO BID with meals and dispense 60 tablets with three refills. Maintain Metformin, a biguanide that enhances insulin sensitivity and reduces hepatic glucose production. Her A1c of 7.4% is acceptable for monotherapy without insulin. Suggest Vitamin B12 1000 mcg daily OTC to avoid deficiency. Monitor A1c every three months, eGFR quarterly, and B12 yearly counsel on medication compliance, regular diet, and exercise: Pharmaceutical Treatment Regimen.

Explain the goal is to achieve A1c < 7% and prevent complications. Encourage awareness of symptoms of hypoglycemia and reinforce lifestyle change (Moon et al., 2024). I will build rapport with shared decision-making and regular follow-ups. I will also stress that diabetes management is lifelong but easily controlled with consistency and education.

48-Year-Old White Female with Newly Diagnosed Hypothyroidism

Initiate Levothyroxine 75 mcg po once daily, on an empty stomach, 30 minutes before breakfast—order 30 tablets with two refills. The high TSH with low Free T4 establishes overt hypothyroidism and warrants therapy now. Levothyroxine, a synthetic T4 hormone, will normalize metabolic activity. Follow TSH and Free T4 every 6-8 weeks until stable, then every 6-12 months. Instruct the patient to ingest calcium or iron supplements at any time other than dosing time to facilitate absorption.

Stress compliance and reminders that relief of symptoms such as weight gain and fatigue will happen in weeks (Alsifri et al., 2022). I will explain the goals to normalize thyroid function and relieve symptoms. Communication will include being straightforward and compassionate and arranging appointments for dose titration according to laboratory reports and clinical responses.

48-Year-Old Hispanic Male with Newly Diagnosed GERD

Prescribe omeprazole 20 mg daily, orally, 30 minutes before breakfast. Dispense 30 capsules with one refill. Dispense calcium carbonate 500 mg chewable for breakthrough heartburn PRN. Omeprazole, a proton pump inhibitor, reduces acid production and is ideal for chronic GERD, especially in obesity.

Monitor magnesium and vitamin B12 with chronic use and reassess symptoms in 4-8 weeks. Teach avoidance of spicy, fatty foods, caffeine, and late-night eating. Suggest elevation of the bed and weight loss.

Explain that the objective is symptom relief, healing of the esophagus, and complication prevention (Katz et al., 2022). Employ open communication and promote lifestyle change as a part of successful, long-term GERD management in conjunction with pharmacologic treatment.

References

Alsifri, S., Aljuhani, N., Aljedai, A., Nasser, T., Alsabaan, F., Almudaiheem, H., Amir, A., Baissa, E., Ghannam, N., Aldawish, M., Alshammari, A., & Issak, E. R. (2022). Clinical practice recommendations for assessment and management of hypothyroidism. International Journal of Clinical Medicine, 13(12), 650–678. https://doi.org/10.4236/ijcm.2022.1312046

Katz, P. O., Dunbar, K. B., Schnoll-Sussman, F. H., Greer, K. B., Yadlapati, R., & Spechler, S. J. (2022). ACG clinical guideline for the diagnosis and management of gastroesophageal reflux disease. American Journal of Gastroenterology, 117(1), 27–56. https://doi.org/10.14309/ajg.0000000000001538

Moon, J. S., Kang, S., Choi, J. H., Lee, K. A., Moon, J. H., Chon, S., Kim, D. J., Kim, H. J., Seo, J. A., Kim, M. K., Lim, J. H., Song, Y. J., Yang, Y. S., Kim, J. H., Lee, Y., Noh, J., Hur, K. Y., Park, J. S., Rhee, S. Y., . . . Lee, B. (2024). 2023 clinical practice guidelines for diabetes management in Korea: Full version recommendation of the Korean Diabetes Association. Diabetes & Metabolism Journal, 48(4), 546–708. https://doi.org/10.4093/dmj.2024.0249

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Create a pharmaceutical treatment regimen for each of the following.

• 48-year-old Asian female with newly diagnosed T2DM. A1c is 7.4, FBG is 200.
• 48-year-old White female with newly diagnosed hypothyroidism. TSH level is 17
• 48-year-old Hispanic male with newly diagnosed GERD, BMI is 40

• The patient specific details are yours to develop and consider to support your choices.
• The non-prescription medication if any, AND the prescription details must be present.
• You may apply more than one prescription:
• For each the drug name, dose, route, frequency of administration and if prescribed, the quantity to dispense must be present
  

  Pharmaceutical Treatment Regimen

• Include the drug class details
• Justify your reasoning
• What labs will you monitor? Why
• Include content on communication. How will you clearly address the goals of therapy?
• Provide 3 evidence based guideline for your stance using standard APA format.

Notes: