by Eric Christianson | Sep 17, 2017 | Gastrointestinal Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
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...
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...