There are a lot of examples that fit this criteria and I suspect a lot of heavy opinions on this topic. I’ve certainly made suggestions to switch to a likely “safer” medication, but have had instances where I disagree with this practice as well in...
Here’s a case scenario with a primary focus on the NSAID prescribing cascade. A 76 year old male has a past medical history of: COPD CHF Hypertension GERD Osteoarthritis Current medications include: Metoprolol 25 mg BID Lisinopril 10 mg daily Symbicort 160/4.5...
Figuring out how and when to taper a PPI is a difficult question sometimes. Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...
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?...
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...
