by Eric Christianson | Aug 2, 2026 | Gastrointestinal Case Studies, Renal, Urology, and Electrolytes Case Studies
In this case scenario, we describe how and why dicyclomine and BPH can be a bad combination. Jim is a 68-year-old retired teacher who visits his primary care provider complaining of intermittent lower abdominal cramping that has been occurring for several months. The...
by Eric Christianson | Jul 19, 2026 | Gastrointestinal Case Studies
Proton pump inhibitors (PPIs) like omeprazole are among the most commonly prescribed medications and are highly effective for conditions such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and prevention of gastrointestinal bleeding. While they are...
by Eric Christianson | Jul 12, 2026 | Neurology, Pain, and Musculoskeletal Case Studies
Duplicate therapy is a common occurance in practice. It is something that frustrates me quite a bit. There are quite a few reasons why it happens. Some of the most common reasons for duplicate opioids include: Hospital discharge: A patient is started on a new opioid...
by Eric Christianson | Jun 28, 2026 | Cardiovascular Case Studies
There are a few medications that are known to worsen heart failure. Cilostazol can contribute to heart failure complications and because of this concern, a boxed warning exists for this medication. In the case below, we depict a case where cilostazol causes heart...
by Eric Christianson | Jun 24, 2026 | Psychiatry and Addiction Medicine Case Studies
In this case scenario, I demonstrate the venlafaxine prescribing cascade. Mrs. J is a 72-year-old female with depression, chronic pain, and hypertension controlled on lisinopril 20 mg daily. Due to persistent depression and pain symptoms, her venlafaxine XR dose is...
by Eric Christianson | Jun 17, 2026 | Neurology, Pain, and Musculoskeletal Case Studies
When reviewing medication regimens in older adults, it is easy to focus on medications that increase fall risk, cause cognitive impairment, or contribute to drug interactions. However, some medications can quietly impact bone health over many years before the...
