Look up Serotonin Syndrome. My wife had it once and it caused a brain bleed and nearly killed her. She hallucinated several days before I figured out what six doctors couldn't. I typed in the meds and adverse reactions and found it. Convincing the doctors was the problem until I told them to read me the pharmacology professors article and asked if they knew him? It was their university hospitals pharmacology professor.
It is so bloody complicated with medications today.
With the advent of a flood of information to clinicians that is provided by the Electronic Medical Records (EMR), you would think that a doctor prescribing a given prescription drug to one of their patients would have a notification pop up informing them that the patient has a medical condition of the liver (such as cirrhosis defined by ICD10 code of K74.60) and that drug could be harmful to the patient.
I have worked on these EMR systems and they all say they have that capability, but I believe it has not been adequately integrated into the workflow, and clinicians on the pointy end of the stick talking to the patient don’t seem to have those kinds of notifications.
Either it is the workflow is not developed well, or it is there as intended, but there is so much information a clinician doesn’t easily see it.
Kind of like pulling up to a four way intersection with dozens of road signs, warning signs, flashing lights, arrows, admonitions, and on and on, and your brain can’t process it because there is a car behind you honking at you to make up your mind and go.