At GS's dedicated appointment with the pharmacist, she brought the following supplements to include in her medication list: Brain Essentials, calcium + vitamin D, Digestive Essentials, melatonin, probiotics, Vision 360, and vitamin B12.
During GS's medication review, the pharmacist noted GS's decreased kidney function. GS also stated the following complaints: potential ineffectiveness of duloxetine in helping her mood and frequent low blood sugar. Her daughter even mentioned recent potassium issues.
Upon additional research, the pharmacist counseled GS about a few precautions with most of her supplements but strongly recommended against Digestive Essentials. Not only can the Digestive Essentials components worsen kidney function, but all of GS's complaints can actually be attributed by this supplement.