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Gabapentin and Metolazone – Prescribing Cascade

Gabapentin and Metolazone – Prescribing Cascade

by Eric Christianson | Sep 7, 2025 | Polypharmacy Cases And The Prescribing Cascade

In this case scenario with gabapentin and metolazone, I lay out how the prescribing cascade can rear its ugly head. SK is a 74-year-old male with a past medical history significant for chronic kidney disease stage 3, type 2 diabetes, hypertension, peripheral...
Iron 2 Tablets Daily – Why This is a Bad Idea

Iron 2 Tablets Daily – Why This is a Bad Idea

by Eric Christianson | Aug 13, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls

Every so often, you see a medication order that just makes you tilt your head and think, “Huh?” One order that I recently encountered that made me scratch my head was (ferrous sulfate) iron 2 tablets once daily. On the surface, it’s straightforward – take two tablets...
Nitrofurantoin, Pulmonary Toxicity and The Prescribing Cascade

Nitrofurantoin, Pulmonary Toxicity and The Prescribing Cascade

by Eric Christianson | May 21, 2025 | Infectious Disease and Oncology Case Studies

Nitrofurantoin is often used in patients for UTI prophylaxis. One potential concern with nitrofurantoin use is pulmonary toxicity. This can often be overlooked in patients as a potential cause of respiratory problems. Here’s a case scenario where nitrofurantoin...
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...
Prescribing Cascade in Dementia Care – My Top 5

Prescribing Cascade in Dementia Care – My Top 5

by Eric Christianson | May 4, 2025 | Psychiatry and Addiction Medicine Case Studies

The prescribing cascade occurs when a side effect of a medication is misinterpreted as a new medical condition, leading to the prescription of additional medicines that may be unnecessary and potentially harmful. In patients with dementia, this can be common due to...
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  • Why Isn’t Iron Replacement Working? My Top 4 Reasons
  • Can You Identify Two Important Drug Interactions? Case Study
  • A Rundown of Vitamin D Dosing
  • Gabapentin and Metolazone – Prescribing Cascade
  • Desmopressin for Urinary Incontinence – Case Study

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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

  • Why Isn’t Iron Replacement Working? My Top 4 Reasons
  • Can You Identify Two Important Drug Interactions? Case Study
  • A Rundown of Vitamin D Dosing
  • Gabapentin and Metolazone – Prescribing Cascade
  • Desmopressin for Urinary Incontinence – Case Study

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