PharmD Signal

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🧠 Clinical library

Clinical Specialty Index

541 articles indexed across 24 specialties, each reviewed by a licensed pharmacist before publication.

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Nephrology / Renal Pharmacy ConfirmatoryGrade: Moderate

Finerenone Outperforms Spironolactone for Cardiorenal Protection in Moderate CKD

Finerenone emerges as the safer choice for CKD patients.

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Neurology / Neuropharmacology ConfirmatoryGrade: Low

Tenecteplase Shortens Stroke Treatment and Transfer Times

Tenecteplase speeds up stroke thrombolysis compared to alteplase.

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Rheumatology / Immunology ConfirmatoryGrade: Moderate

EULAR 2025 Streamlines Rheumatoid Arthritis DMARD Management to Nine Recommendations

New EULAR guidelines redefine RA management with DMARDs.

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Showing 23 from 1 topic.Sort: Newest | Oldest
IABP Support Linked to Higher Vancomycin Troughs After Combined CABG and Valve Surgery
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low
Also in Cardiology, Infectious Disease / Antimicrobials

Exploring new factors influencing vancomycin levels after complex heart surgeries.

Bayesian Tobramycin Dosing in Cystic Fibrosis Exposes Hidden Underexposure
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Very Low
Also in Infectious Disease / Antimicrobials

Bayesian TDM redefines tobramycin dosing in cystic fibrosis.

Busulfan Precision Dosing Evolves From TDM Toward Model-Informed Dosing
Analysis Pharmacokinetics / TDM Confirmatory Grade: Low
Also in Oncology, Pediatrics

Optimizing busulfan dosing in pediatric transplants involves bridging TDM with precision models.

AUC-guided Bayesian vancomycin dosing improves targets, renal signal unconfirmed
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low

Bayesian AUC dosing raised target attainment and cut supratherapeutic levels, but the AKI benefit vanished after adjustment.

LLMs Recognize TDM Problems but Reason Overconfidently on NTI Drugs
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low
Also in Medication Safety

LLMs show promise for drug monitoring, yet caution remains due to potential reasoning errors.

Voriconazole Dose Reduction Often Fails to Correct High Troughs
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low

Voriconazole TDM reveals persistent supratherapeutic levels after dose adjustment in hospitalised patients.

Isavuconazole for chronic pulmonary aspergillosis: tolerability and TDM-guided dosing
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low

Standard isavuconazole dosing often overshoots in chronic pulmonary aspergillosis, so early troughs can guide a step down to 100 mg daily.

PBPK model predicts modestly lower acetaminophen exposure in pregnancy
Analysis Women's Health / Reproductive Hypothesis-generating Grade: Very Low
Also in Pharmacokinetics / TDM

Pregnancy alters acetaminophen metabolism—dose adjustments needed!

Optimizing Drug Dosing in Diabetic Kidney Disease
Analysis Pharmacokinetics / TDM
Also in Nephrology, Endocrinology / Diabetes / Obesity

Tailored dosing strategies are key in diabetic kidney disease drug therapy.

PBPK Model Guides Age-Specific Posaconazole Suspension Dosing With Meals
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low
Also in Infectious Disease / Antimicrobials, Pediatrics

Optimize pediatric posaconazole dosing with food intake insights.

Two-Sample 3-and-7-Hour Schedule Optimizes Once-Daily Busulfan TDM
Analysis Pharmacokinetics / TDM Confirmatory Grade: Low

Enhance busulfan dosing with a precise two-sample strategy.

Bilirubin-Guided Voriconazole Dosing Improves Target Attainment in Liver Dysfunction
Analysis Pharmacokinetics / TDM Hypothesis-generating Grade: Low
Also in Gastroenterology / Hepatology

Optimized voriconazole dosing enhances outcomes in liver dysfunction.

TDM Not Yet Justified for Non-Anti-TNF IBD Therapies
Analysis Pharmacokinetics / TDM Confirmatory Grade: Low
Also in Gastroenterology / Hepatology

Could TDM unlock better outcomes for advanced IBD therapies?

Ketamine Versus Pregabalin for Opioid Sparing After Spinal Fusion
★ Editor's Pick Analysis Perioperative / Anesthesia Hypothesis-generating Grade: Low
Also in Pain Management, Pharmacokinetics / TDM

Ketamine might outperform pregabalin in reducing opioid use post-spinal fusion.

Vancomycin Trough Near 15.9 mg/L Flags Nephrotoxicity Risk
Analysis Pharmacokinetics / TDM Confirmatory Grade: Low

Vancomycin trough over 15.9 mg/L linked to kidney injury.