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...
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 7, 2026 | Polypharmacy Cases And The Prescribing Cascade
Mr. H is a 78-year-old male presenting to a primary care clinic for a routine medication review. In this scenario, we want to identify deprescribing targets. His past medical history includes hypertension, heart failure with preserved ejection fraction (HFpEF),...
