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3 Common Medications That Can Accumulate In Renal Failure

3 Common Medications That Can Accumulate In Renal Failure

by Eric Christianson | Nov 8, 2026 | Renal, Urology, and Electrolytes Case Studies

Chronic kidney disease (CKD) can significantly impact medication clearance and increase the risk of drug toxicity. Three medications I frequently think about in patients with declining renal function are gabapentin, allopurinol, and digoxin. Here are three case...
Urinary Frequency Case – The Prescribing Cascade

Urinary Frequency Case – The Prescribing Cascade

by Eric Christianson | Oct 28, 2026 | Renal, Urology, and Electrolytes Case Studies

A patient reports increased urinary frequency and incontinence. The response? A new prescription for tolterodine (Detrol). Before adding another medication, pharmacists should consider whether this is a potential prescribing cascade. In a recent case scenario, a...
Nabumetone Prescribing Cascade – Case Study

Nabumetone Prescribing Cascade – Case Study

by Eric Christianson | Sep 30, 2026 | Neurology, Pain, and Musculoskeletal Case Studies

A 76-year-old patient with osteoarthritis is started on nabumetone (podcast) for chronic knee pain. A few weeks later, the patient reports that both legs and ankles are becoming swollen. The edema is attributed to “fluid retention,” and Lasix (furosemide) 20 mg daily...
Nausea Overlooked as an Adverse Effect – Case Study

Nausea Overlooked as an Adverse Effect – Case Study

by Eric Christianson | Sep 27, 2026 | Gastrointestinal Case Studies

A 79-year-old patient with newly diagnosed Alzheimer’s disease is started on Aricept (donepezil) 10 mg once daily. The prescription is written for 10 mg from the beginning rather than starting at 5 mg daily and increasing the dose after the patient has had time to...
Allegra-D Causes The Prescribing Cascade

Allegra-D Causes The Prescribing Cascade

by Eric Christianson | Aug 26, 2026 | Dermatology, ENT, Ophthalmology Case Studies

NE is a 62-year-old man with seasonal allergies, hyperlipidemia, and mild osteoarthritis. His blood pressure has historically been well controlled without medication, typically ranging from 122–130/74–82 mmHg. As spring arrives, NE develops worsening allergy symptoms,...
Antipsychotic Selection in Diabetes and Parkinson’s – Case Study

Antipsychotic Selection in Diabetes and Parkinson’s – Case Study

by Eric Christianson | Aug 23, 2026 | Psychiatry and Addiction Medicine Case Studies

ME is a 76-year-old patient with Parkinson’s disease, type 2 diabetes mellitus, hypertension, and hyperlipidemia. His Parkinson’s disease has progressed over the past several years, and he is currently taking carbidopa/levodopa for management of his motor symptoms....
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  • 3 Common Medications That Can Accumulate In Renal Failure
  • $100 BCPS All Access Discount + Bonus Freebie! – Time-sensitive!
  • Pharmacology and Pharmacy Exam Tutoring with Eric Christianson, PharmD, BCPS, BCGP
  • Urinary Frequency Case – The Prescribing Cascade
  • Three Sneaky Medications That Cause Hyperkalemia

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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

  • 3 Common Medications That Can Accumulate In Renal Failure
  • $100 BCPS All Access Discount + Bonus Freebie! – Time-sensitive!
  • Pharmacology and Pharmacy Exam Tutoring with Eric Christianson, PharmD, BCPS, BCGP
  • Urinary Frequency Case – The Prescribing Cascade
  • Three Sneaky Medications That Cause Hyperkalemia

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