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Venlafaxine Causes The Prescribing Cascade – Case Study

Venlafaxine Causes The Prescribing Cascade – Case Study

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...
High Dose Antipsychotic Error

High Dose Antipsychotic Error

by Eric Christianson | Feb 15, 2026 | Medication Errors, Psychiatry and Addiction Medicine Case Studies

Medication errors can get ugly in a hurry. I was prompted to write this example as I came across a situation recently where an elderly patient received a schizophrenic patient’s high-dose antipsychotic. This high dose antipsychotic error resulted in an ICU stay...
Case Scenario: Duplicate SNRI Therapy

Case Scenario: Duplicate SNRI Therapy

by Eric Christianson | Jan 28, 2026 | Psychiatry and Addiction Medicine Case Studies

This was a case I came across recently where duloxetine was added to a patient’s regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an SNRI in Effexor. This led to a case of duplicate SNRI therapy....
Akathisia Case Study – Which Antipsychotic is the Worst?

Akathisia Case Study – Which Antipsychotic is the Worst?

by Eric Christianson | Dec 10, 2025 | Psychiatry and Addiction Medicine Case Studies

I recently came across a case scenario of drug induced akathisia. It is important to remember that aripiprazole is one of the most common causes of this adverse effect. Here’s the case – LY is a 72-year-old man with a 10-year history of Parkinson’s disease...
Lithium-Induced Hypothyroidism: A Case Scenario

Lithium-Induced Hypothyroidism: A Case Scenario

by Eric Christianson | Nov 23, 2025 | Psychiatry and Addiction Medicine Case Studies

A 45-year-old woman with a history of bipolar I disorder was recently hospitalized for a manic episode. Following stabilization, her psychiatrist initiated lithium carbonate at 300 mg twice daily for mood stabilization. Her baseline thyroid function tests were within...
Ativan and Atarax In Long Term Care – Case Study

Ativan and Atarax In Long Term Care – Case Study

by Eric Christianson | Nov 16, 2025 | Long Term Care Consultant Pharmacist Education and Information, Psychiatry and Addiction Medicine Case Studies

It’s not uncommon to see patients in long-term care facilities prescribed medications for anxiety, agitation, or insomnia. Two such medications that can raise red flags are Atarax (hydroxyzine) and Ativan (lorazepam). While both can be appropriate in select...
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  • Top 5 – Tizanidine Pharmacology and Practice Pearls
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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

  • Venlafaxine Causes The Prescribing Cascade – Case Study
  • Top 5 – Tizanidine Pharmacology and Practice Pearls
  • Phenytoin and Osteoporosis Case Study – An Overlooked Long-Term Side Effect
  • Risks of Antipsychotics – Younger Adults Versus Geriatric Patients
  • Adding Iron Creates More Fatigue – Case Scenario

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