Pharmacy PEBC Practice Exam Flash Cards

TK is a 54 year old male who is a new patient at the pharmacy. He presents today with a new prescription for 20 diazepam 10 mg, i po qid and taper as directed over 5-7 days. In discussion with the pharmacist, TK admits that he has abused alcohol for the last 3 years, but that he stopped drinking yesterday when he went to an alcohol treatment centre. He discloses that he has not been looking after himself or eating well in recent months. His current symptoms include agitation, insomnia and tremulousness. His medical history is otherwise insignificant. Which of the following drug therapy problems is the most important current issue for the pharmacist to identify for TK?