by Eric Christianson | Jun 18, 2017 | Polypharmacy Cases And The Prescribing Cascade
A 64 year old male has a current medication regimen of: Garlic 200 mg daily Chromium 500 mg daily Omega 3 fish oil 1,000 mg daily Magnesium 500 mg daily Cinnamon 500 mg daily Red Yeast rice 1 table daily Aspirin 81 mg daily HCTZ 25 mg daily Diagnosis/Problem List...
by Eric Christianson | Jun 11, 2017 | Educational Case Studies For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
Often we intentionally contribute to the prescribing cascade. Potassium supplements with a diuretic is one of those scenarios, but I want to teach you about what to think about when you see potassium supplements without a diuretic. What’s the potassium level?...
by Eric Christianson | May 17, 2017 | Polypharmacy Cases And The Prescribing Cascade
There are many medications that cause insomnia. With any new symptoms, we must first rule out the possibility of medication adverse effects. Here’s 3 classic examples of the prescribing cascade due to drug induced insomnia. Corticosteroids. They are used for...
by Eric Christianson | Apr 9, 2017 | Polypharmacy Cases And The Prescribing Cascade
Assessment of medication and goals of therapy need to be continually monitored. In this scenario, I pick out a few medications that should be looked in consideration of age and goals of reducing medication burden. A 98 year old female is on the following...
by Eric Christianson | Mar 22, 2017 | Polypharmacy Cases And The Prescribing Cascade
A 79 year old female has a medical history of hypertension, atrial fibrillation, falls with orthostatic hypotension, osteoarthritis, depression and anxiety, constipation, COPD and insomnia. Her current chief complaints are shortness of breath, edema, and falls. Her...
by Eric Christianson | Jan 15, 2017 | Polypharmacy Cases And The Prescribing Cascade
“How to taper off medication” is a question that I have been asked on a frequent basis. Honestly, it is a really challenging question to address and the answer of “it depends” certainly applies. Here’s a few factors that you must think...