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Should We Discontinue a PPI in Hospice?

Should We Discontinue a PPI in Hospice?

by Eric Christianson | Oct 1, 2025 | Polypharmacy Cases And The Prescribing Cascade

I was asked a question the other day about trying to reduce medications in a patient on hospice. More specifically, how to address the use of PPIs. Proton pump inhibitors (PPIs) are some of the most overused medications we see in clinical practice, but hospice...
Midodrine Prescribing Cascade and Complications – Case Study

Midodrine Prescribing Cascade and Complications – Case Study

by Eric Christianson | Sep 28, 2025 | Renal, Urology, and Electrolytes Case Studies

In this case study, we will outline an adverse effect of midodrine that can lead to the prescribing cascade. SK is a 79-year-old male nursing home resident with a history of Parkinson’s disease, hypertension, and benign prostatic hyperplasia (BPH). Over the past few...
Top 10 Meds That Induce Seizures

Top 10 Meds That Induce Seizures

by Eric Christianson | Sep 24, 2025 | Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls

When working with patients who have a seizure disorder, it’s critical for pharmacists to remember which medications can lower the seizure threshold. Even in patients without epilepsy, some drugs can increase seizure risk, especially at high doses, in overdose...
Why Isn’t Iron Replacement Working? My Top 4 Reasons

Why Isn’t Iron Replacement Working? My Top 4 Reasons

by Eric Christianson | Sep 17, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls

Oral iron replacement is one of the most common ways to manage iron deficiency anemia. While it seems straightforward—take a pill, replace the iron—patients often struggle to reach therapeutic goals. One of the biggest reasons is poor absorption. Here are four common...
Can You Identify Two Important Drug Interactions? Case Study

Can You Identify Two Important Drug Interactions? Case Study

by Eric Christianson | Sep 14, 2025 | Drug Interaction Case Studies and Education For Pharmacists

SK is a 77-year-old male who presents to the primary care clinic for a routine follow-up. His past medical history is significant for atrial fibrillation, hypertension, GERD, and depression. Can you identify two important drug interactions in this medication list?...
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  • Should We Discontinue a PPI in Hospice?
  • Midodrine Prescribing Cascade and Complications – Case Study
  • Top 10 Meds That Induce Seizures
  • Why Isn’t Iron Replacement Working? My Top 4 Reasons
  • Can You Identify Two Important Drug Interactions? Case Study

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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Should We Discontinue a PPI in Hospice?
  • Midodrine Prescribing Cascade and Complications – Case Study
  • Top 10 Meds That Induce Seizures
  • Why Isn’t Iron Replacement Working? My Top 4 Reasons
  • Can You Identify Two Important Drug Interactions? Case Study

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