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Classic Prescribing Cascade – Risperidone and Pseudoparkinsonism

Classic Prescribing Cascade – Risperidone and Pseudoparkinsonism

A 77 year old male had recently been having troublesome hallucinations.  He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety. Other causes such as medication and medical conditions were ruled out,...
When Can We Discontinue a PPI?

When Can We Discontinue a PPI?

I often struggle with the question, “When can we discontinue a PPI?” It is rarely a black and white issue in the (mostly) geriatric population I work with.  Here’s a scenario that might make things a little more black and white. Patient 1: She is 81...