Vitamins and Minerals Active Learning 2022 – Drs. Lesneski and Wise PP 1 all pathways
Case 1: Jakoba (Jack) is an 76 year old male patient who steps up to the pharmacy counter asking for your
recommendation for a multivitamin. His physician suggested he start using one after the office visit today to improve
his energy and because some of his µmbers were slightly off from normalŠPMH: osteoarthritis, osteoporosis, A-fib, HTN, GERD
Med Profile:
•
•
•
Alendronate sodium 70mg po QWeek (Sundays) on empty stomach c water
Celecoxib 200mg po BID cF
Citracal+D3 petites caplets 2 po Qday c breakfast
Lisinopril 20mg po QDay
Omeprazole 20mg po Qday c dinner
Warfarin 5mg po QDay c dinner
Lifestyle: occasional alcohol, former smoker, no cannabis/illicit substances, exercises 30 min each day, regularly donaes
blood.
Review the V&M PPT and make note of these potential issues as well:
•
warfarin is a vit. K antagonist
lisinopril can increase risk of hyperkalemia, and celecoxib may also increase the risk (rarely)
Examine these 3 multivitamins and determine which would be the best for Jack, then answer the questions below. Be
sure to analyze his current meds and disease states. Note: his insurance will not cover any of these, so don forget to
consider cost in your recommendation.
? Centrum Men 50+ https://www.centrum.com/content/dam/cf-consumer-healthcare/bp-wellnesscentrum/en_US/pdf/lbl-00000769-web-ready-centrum-silver-men-tablets-(version-2.pdf
? NatureMade MenàMultivitamin 50+ https://www.naturemade.com/collections/multivitamins-formen/products/nature-made-mens-multi-50-tablets?variant=17610575478855&nm=1
? Metagenics PhytoMulti https://www.metagenics.com/mas_assets/media/metagenics/pdf/MET2238PhytoMulti-Formula-Focus-Sheet.pdf
Questions:
What Vitamins and minerals do you have to be concerned with because of his age?
What vitamins/minerals are a concern with his current medications?
What V&M may be an issue because of his health conditions?
Which did you recommend of Jack?
Give 3 specific reasons you chose this specific product.
1.
2.
3.
Give 2 reasons EACH for why you didn choose the other two products.
A.1.
A. 2.
B. 1.
B 2.
List 3 counseling points for your choice that you would tell Jack.
1.
2.
3.
Case 2: Anamae is a 32 year old female patient who has been referred to you for a recommendation for a prenatal
vitamin. She is just about 6 weeks along and has been having terrible orning sickness%very day.
PMH: episodic migraines without aura, T2DM, asthma
Med profile:
•
•
lbuterol sulfate HFA 90 mcg inh 2 puffs Q4-6Hours prn
Excedrin Migraine 2 tabs po Qday prn
Maxalt 5mg po prn, up to 4 doses per 24 hours
Metformin 500mg po BID cF
Topiramate 50mg po Qam
Lifestyle: no alcohol, non-smoker, no cannabis/illicit substances, no exercise (BMI 33)
Examine these 3 multivitamins and determine which would be the best for Anamae, then answer the questions below.
Be sure to analyze her current meds and disease states. Note: her insurance may cover prenatal vitamins in some cases.
?
One A Day WomenàPrenatal 1 https://www.oneaday.com/vitamins/prenatal-pregnancy-vitamins/prenatalmultivitamin
? NatureMade Prenatal Folic Acid+DHA+Choline https://www.naturemade.com/collections/prenatalpostnatal/products/nature-made-prenatal-gummies?variant=17610634494023
? OrthoMolecular Alpha Base caps with Iron https://www.orthomolecularproducts.com/product/alpha-basecapsules-w-iron
? MyKind Organic Prenatal Multi https://www.gardenoflife.com/products/lifestyle/prenatal-lifestyle/mykindorganics-prenatal-multi
Questions:
What vitamins/minerals do you have to pay attention to because she is pregnant?
What vitamins/minerals are a concern with her current medications?
What V&M may be an issue because of her health conditions?
Which did you recommend of Anamae?
Give 3 specific reasons you chose this specific product.
1.
2.
3.
Give 2 reasons EACH for why you didn choose the other three products.
A.1.
A. 2.
B. 1.
B 2.
C 1.
C 2.
List 3 counseling points for your choice that you would tell Anamae.
1.
2.
3.

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