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Digoxin and The Prescribing Cascade

Digoxin and The Prescribing Cascade

by Eric Christianson | May 14, 2025 | Cardiovascular Medication and Disease State Clinical Pearls, Polypharmacy Cases And The Prescribing Cascade

Digoxin is a cardiac glycoside that has a narrow therapeutic window. Because of this, we typically monitor digoxin levels. If levels get too high, we can run into adverse effects. In some cases, particularly geriatric patients, those adverse can be misinterpreted as...
Deprescribing in Hospice – My Top 5 Targets

Deprescribing in Hospice – My Top 5 Targets

by Eric Christianson | Apr 6, 2025 | Polypharmacy Cases And The Prescribing Cascade

Deprescribing is an important part of care for hospice patients. The main goal of hospice care is to focus on comfort care rather than curative treatments, which means evaluating if a patient’s current medications are still indicated, effective, safe, and convenient....
Stimulants and Elderly Patients – Case Study

Stimulants and Elderly Patients – Case Study

by Eric Christianson | Nov 26, 2023 | Polypharmacy Cases And The Prescribing Cascade

In this case, I outline a unique situation involving stimulants and elderly patients. I outline some of the potential complications and contributions to the prescribing cascade. A 76-year-old female resides in an assisted living. She has a history of ADHD, anxiety,...
Deprescribing Opportunities – Case Study

Deprescribing Opportunities – Case Study

by Eric Christianson | Nov 22, 2023 | Polypharmacy Cases And The Prescribing Cascade

I have had plenty of opportunities in my career to review medications with patients and offer solutions to help reduce their pill burden. Keeping track of taking all these medications can be a full-time job for some of our patients. It is critical that we try to...
5 Examples of the Prescribing Cascade In Diabetes Care

5 Examples of the Prescribing Cascade In Diabetes Care

by Eric Christianson | Aug 16, 2023 | Polypharmacy Cases And The Prescribing Cascade

As a geriatric pharmacist, I’m always on high alert for the prescribing cascade. I outline my top 5 examples of the prescribing cascade in diabetes care in this article. Metformin and Loperamide Metformin has been the go-to first-line agent of choice for years....
3 Big Reasons Why We Don’t Reduce Medications

3 Big Reasons Why We Don’t Reduce Medications

by Eric Christianson | Apr 2, 2023 | Polypharmacy Cases And The Prescribing Cascade

Polypharmacy is something I’m extremely passionate about. In my work as a consultant pharmacist, there isn’t a much better feeling for me than eliminating medications that the patient doesn’t need. To successfully minimize polypharmacy (check out my...
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  • Digoxin and The Prescribing Cascade
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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

  • Nitrofurantoin, Pulmonary Toxicity and The Prescribing Cascade
  • Loss of Balance Case Study
  • Digoxin and The Prescribing Cascade
  • Azole Antifungals Comparison – Indications and Coverage
  • Acyclovir Versus Valacyclovir – What’s the Difference?

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