by Eric Christianson | Oct 7, 2026 | Polypharmacy Cases And The Prescribing Cascade
One of the most common medication-related problems I see is not necessarily starting the wrong medication. Sometimes the medication is completely appropriate when it is initially prescribed, but the problem is that it never gets stopped. A medication is started for a...
by Eric Christianson | Aug 19, 2026 | Polypharmacy Cases And The Prescribing Cascade
In my practice as a geriatric consultant pharmacist, reducing medications is always a top priority. Here’s a med list from a recent patient for whom I had numerous polypharmacy targets. Potassium chloride 20 mEq PO daily Omeprazole 20 mg PO twice daily...
by Eric Christianson | Jul 8, 2026 | Polypharmacy Cases And The Prescribing Cascade
Deprescribing requires some effort. I’ve noted a few recent discontinuations and deprescribing opportunities where things have gone right. I’d like to share those examples with you, and hopefully you can use these ideas in your practice. Melatonin...
by Eric Christianson | May 6, 2026 | Polypharmacy Cases And The Prescribing Cascade
If I had 60 seconds to review a med list, I wouldn’t try to analyze every detail. That’s the biggest mistake clinicians make when time is limited. Instead, I rely on pattern recognition—quickly scanning for a handful of high-yield problem areas that consistently lead...
by Eric Christianson | May 3, 2026 | Polypharmacy Cases And The Prescribing Cascade
I’ve been collecting examples of situations where a patient is “stable”, and a provider doesn’t want to change medications. Stable is good, right? It is, but it can also lead to providers not wanting to reduce medications and change anything....
by Eric Christianson | Apr 26, 2026 | Polypharmacy Cases And The Prescribing Cascade
As-needed medications (PRNs) are a common part of life for geriatric patients in long-term care and assisted living facilities. They can make things more complicated as well, and I would implore you to review these medications frequently to ensure that they are truly...
