by Eric Christianson | Jan 25, 2026 | Respiratory Case Studies
In this case study, we outline a likely case of propranolol-induced asthma. Mr. J.S. is a 62-year-old male with a past medical history significant for essential tremor, mild persistent asthma, hypertension, and hyperlipidemia. His asthma has been well controlled for...
by Eric Christianson | Jan 21, 2026 | Polypharmacy Cases And The Prescribing Cascade
One of the biggest contributors to polypharmacy isn’t the number of diagnoses a patient has—it’s our mindset around medications that fail to deliver benefit. Everyone knows we need to reduce meds in geriatrics, but how do we do that? Too often, when a drug doesn’t...
by Eric Christianson | Jan 18, 2026 | Endocrine Case Studies
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
by Eric Christianson | Jan 14, 2026 | Hematology and Immunology Case Studies
In this case scenario, we discuss the “double trouble” of using PPIs and metformin and their effects on vitamin B12. Mrs. J is a 68-year-old woman with type 2 diabetes and gastroesophageal reflux disease (GERD). She has been taking metformin 1,000 mg twice...
by Eric Christianson | Jan 11, 2026 | Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
In this blog post, I’ll share my top 5 gout pharmacotherapy pearls. This can often show up in practice as well as on those challenging board exams! Allopurinol Doesn’t Treat Flares Allopurinol reduces the production of uric acid. Because of this mechanism,...
