Erik Severino
Defective Drug Recalls Lawyer
Mr. Severino if you need a knowledgeable, experienced Vegas bankruptcy attorney. Mr. Severino works personally with his clients and he sees them through the entire bankruptcy process. Mr. Severino has also been chosen as one of the top bankruptcy attorneys in Las Vegas personal injury law.
Erik Severino attended the University of Nevada, Las Vegas. He graduated with a degree in Economics. Originally from St. James, New York, Mr. Severino moved to Las Vegas, Nevada. After getting his degree from UNLV (Go Rebels!), he studied at the William S. Boyd School of Law at University of Nevada, Las Vegas. In 2006, he received his Juris Doctorate and obtained his license to practice law in Nevada.
Geordan Logan
Defective Drug Recalls Lawyer
Geordan Logan grew up in New York City. As the son of a mechanical engineer and a freelance photographer, Geordan came of age in a world rich with both logic and creativity—two traits that serve him well in the practice of law. After graduating from high school, Geordan went into the United States Air Force where he spent the next nine years—six of those years overseas.
After leaving the military, Geordan moved to Minnesota where he put his instructional talents and entrepreneurial spirit to work in building a hands-on computer training business for a well-established Twin Cities seminar company. This business became a huge success, and it was ultimately purchased by a Fortune 500 company. This company, Kaplan, Inc., then moved Geordan to Nevada to build a business offering pre-licensing and continuing education to real estate, insurance, and financial security professionals throughout Nevada. The business, Kaplan Professional Schools NV, became the largest provider of such services in the state of Nevada. At that point, Kaplan hired Geordan to run its Pre-College Test Prep Business for the Western United States. Geordan was responsible for all aspects of Kaplan’s SAT, ACT, and PSAT business for all western states from Texas to Hawaii.
Paul J. Adras
Defective Drug Recalls Lawyer
Paul began his legal career in 2003. Since that time, Paul has successfully tried a number of felony jury trials and misdemeanor bench trials and has conducted a number of felony preliminary hearings. Paul’s hands-on and practical scientific background, combined with his extensive courtroom experience, enables him to provide high-quality representation and achieve excellent results for his clients.
Robert M. Draskovich
Defective Drug Recalls Lawyer
Attorney Draskovich received his Juris Doctor, with honors, in 1997 from Brigham Young University Law School. He was a staff member of the Brigham Young University Law Review in 1996 and 1997 and was invited to become a member of Brigham Young University Law School Board of Advocates, which he served from 1995 to 1997. He was admitted to the bar in Nevada and the U. S. District Court of Nevada in 1997, and to the U. S. Court of Appeals, Ninth Circuit.
Following law school, Mr. Draskovich quickly earned a reputation for zealously representing clients in difficult cases and successfully helping people where other attorneys had failed. He has defended a wide array of clients, ranging from members of the Hell’s Angels, the Vice President of Smith & Wesson, and a six-time Olympic Gold Medalist. Many of his cases have received intense media coverage due to their out of the ordinary nature.
To date, Attorney Draskovich has tried more than 100 cases to verdict. He is also Nevada Supreme Court Rule 250 certified, which makes him qualified to handle capital/death penalty cases. He is one of the few attorneys in Nevada who have this certification.
Monica Janda
Defective Drug Recalls Lawyer
Monica Janda, Esq. loves helping others. Her unique background allows her to effectively and tirelessly advocate for her clients. Monica was raised in California. She is the first member of her family to graduate college.
Monica understood the value of honesty and hard work at an early age as she watched her Hispanic immigrant parents work diligently to make a better life for her and her younger siblings.
Monica graduated cum laude with a Bachelor’s of Science in Business Administration from the University of Nevada Las Vegas. Monica embarked on attending law school as she desired to help others assert their rights and navigate the law. She attended law school at the prestigious William S. Boyd School of Law at the University of Nevada Las Vegas.
John Shimer
Defective Drug Recalls Lawyer
Attorney John Shimer, managing partner at the Law Offices of Shimer Zach, LLC, brings over 16 years of dedicated legal experience to his practice. A proud Henderson, Nevada native, Mr. Shimer earned his Bachelor of Arts in Criminal Justice with a minor in Business Law from the University of Nevada, Las Vegas.
He continued his legal education at the Thomas M. Cooley Law School in Michigan before returning home to serve his community.
Throughout his career, Mr. Shimer has specialized in criminal defense and personal injury law. Before founding the Law Offices of Shimer Zach, LLC, he sharpened his litigation skills at a prominent Las Vegas law firm. Today, he is committed to advising and representing clients in all areas of personal injury and criminal law, ensuring their legal rights are protected and vigorously pursued.
Adam S. Kutner
Defective Drug Recalls Lawyer
Attorney Adam S. Kutner is a passionate advocate for accident victims. He helps injured clients and their families seek justice by fighting for fair compensation for their losses and holding the responsible party accountable for their actions. His unique legal background and decades of experience in personal injury law give him the skills and insight to win on behalf of his clients.
Adam S. Kutner was born in Philadelphia, Pennsylvania, on February 15, 1966. He graduated from the University of Pennsylvania with a B.A. degree in 1988. With hard work, perseverance, and dedication to the justice system, he earned his Juris Doctor degree from the University of Miami, Coral Gables. He was admitted to the State Bar of Nevada on September 30, 1991, and began practicing law in Las Vegas soon after.
Alex De Castroverde
Defective Drug Recalls Lawyer
The firm now has offices in Las Vegas, Summerlin, Henderson, Reno, Oakland, CA and plans on expanding across the United Sates. The firm concentrates on personal injury, immigration, and criminal defense.
In 1995, Mr. De Castroverde received his undergraduate degree from University of Nevada, Reno.
He received his J.D. from Nova Southeastern University in 1999. Mr. De Castroverde is active in the Southern Nevada community, currently serving on the Board of Directors for Cristo Rey St. Viator Las Vegas College Preparatory and the Kenny Guinn Center for Policy Priorities.
He is also on the Advisory Counsel for the Nevada Independent and serves as a committee member for the Las Vegas Bowl Committee.
What medications need TDM?
Therapeutic Drug Monitoring (TDM) is a clinical practice used to measure specific drug levels in a patient’s blood to ensure optimal dosing—maximizing efficacy while minimizing toxicity. TDM is not necessary for most medications, but it is essential for certain drugs with narrow therapeutic ranges, significant pharmacokinetic variability, or where the relationship between dose and blood concentration is unpredictable.
Key Characteristics of Drugs Needing TDM
Narrow therapeutic index: Small differences between effective and toxic doses.
High pharmacokinetic variability: Drug levels can vary greatly between individuals.
Serious consequences of under- or overdosing: Both subtherapeutic and toxic levels can have significant health impacts.
Long-term therapy: Many TDM drugs are used chronically, requiring ongoing monitoring as patient physiology changes over time.
Common Drug Classes and Examples Requiring TDM
| Drug Category | Examples | Typical Use |
|---|---|---|
| Antibiotics | Aminoglycosides (gentamicin, tobramycin, amikacin), vancomycin | Severe bacterial infections |
| Cardiac drugs | Digoxin, amiodarone, lidocaine, procainamide, quinidine | Heart failure, arrhythmias |
| Antiepileptics | Phenytoin, carbamazepine, valproic acid, phenobarbital | Epilepsy, seizure prevention |
| Immunosuppressants | Cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil | Organ transplantation, autoimmune disorders |
| Psychiatric drugs | Lithium, valproic acid, some tricyclic antidepressants | Bipolar disorder, depression |
| Bronchodilators | Theophylline, caffeine | Asthma, COPD, neonatal apnea |
| Antifungals | Itraconazole, voriconazole, posaconazole | Fungal infections |
| Anti-cancer drugs | Methotrexate, various cytotoxic agents | Cancer, autoimmune conditions |
Notable examples include:
Aminoglycoside antibiotics (e.g., gentamicin, amikacin): Risk of kidney and ear toxicity if levels are too high.
Vancomycin: Used for resistant infections; requires careful monitoring to avoid nephrotoxicity.
Digoxin: Used in heart failure and arrhythmias; toxicity can cause life-threatening arrhythmias.
Lithium: Used in bipolar disorder; narrow therapeutic window with risk of toxicity.
Antiepileptics (e.g., phenytoin, carbamazepine): Both subtherapeutic and toxic levels can be dangerous.
Immunosuppressants (e.g., cyclosporine, tacrolimus): Under-dosing risks organ rejection; overdosing risks infection and toxicity.
Special Considerations
TDM is also applied in certain situations for anti-tuberculosis drugs, especially in complex cases or when drug resistance or pharmacokinetic variability is suspected.
Some newer drugs and biologics may require TDM as evidence and clinical practice evolve.
Conclusion
TDM is essential for medications with a narrow therapeutic index, high variability in metabolism, or where improper dosing carries significant risks. The most commonly monitored drugs include certain antibiotics, cardiac medications, antiepileptics, immunosuppressants, psychiatric drugs, and select antifungals and anti-cancer agents. TDM ensures individualized therapy, maximizing therapeutic benefit while minimizing harm.