CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Case Reports
Element of caution: a case of reversible cytopenias associated with excessive zinc supplementation.
Zinc is a common supplement and is widely available as a standard component of many over-the-counter products. A number of reports have identified an association between excessive zinc intake and severe cytopenia. We report a case of zinc-induced copper deficiency in a young adult to illustrate this under-recognized cause of anemia and neutropenia.
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Randomized Controlled Trial Multicenter Study Clinical Trial
A randomized controlled trial of a pharmacist consultation program for family physicians and their elderly patients.
Pharmacists can improve patient outcomes in institutional and pharmacy settings, but little is known about their effectiveness as consultants to primary care physicians. We examined whether an intervention by a specially trained pharmacist could reduce the number of daily medication units taken by elderly patients, as well as costs and health care use. ⋯ The intervention did not have a significant effect on patient outcomes. However, physicians were receptive to the recommendations to resolve drug-related problems, suggesting that collaboration between physicians and pharmacists is feasible.