Stop ACEI or ARB >>> she got pregnant .He got severe hyperkalemia or his eGFR reduced more than 25%.
Stop Alpha blocker >>> he got significant postural symptoms and presyncope .
Sumatriptan >>> he experiences chest pain or TIA.
Olnazepine >>> he got TIA or stroke .
B blocker >>> he has Raynaud’s.
Ropinorole ( gradual )>>> he has now impulse control disorder
Pioglitazone>>> he has decompensated heart failure
Hydralazine or sulfasalazine>> he has photosensitive rash ( lupus) .
Lithium >>> severe polyurea ( DI).
Metformine >>> his eGFR below 30.
Valporate >>> she got pregnant ( give Lamotrigine) or he got hepatic injury .
Mixtard >> he got significant hypoglycemic episodes and BL sugar peaks ( give basal bolus regimen ) .
Amiodarone >>> he has evidence of pulmonary fibrosis or destructive thyrotoxicosis .
Statins >> he has been prescribed macrolides.