by Eric Christianson | Aug 9, 2026 | Psychiatry and Addiction Medication and Disease State Clinical Pearls
I’m often presented with situations where an elderly patient is experiencing new-onset hallucinations. As a pharmacist, my primary focus is to look at the medication list and identify if any drug could potentially be the culprit. Here’s my list of...
by Eric Christianson | Aug 2, 2026 | Gastrointestinal Case Studies, Renal, Urology, and Electrolytes Case Studies
In this case scenario, we describe how and why dicyclomine and BPH can be a bad combination. Jim is a 68-year-old retired teacher who visits his primary care provider complaining of intermittent lower abdominal cramping that has been occurring for several months. The...
by Eric Christianson | Jul 16, 2025 | Polypharmacy Cases And The Prescribing Cascade
Counteracting drug effects are all too common in geriatric and polypharmacy patients. I wanted to share common examples that I’ve seen in my practice as a clinical pharmacist. NSAIDs vs. AntihypertensivesCase: A 68-year-old man with hypertension controlled on...
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...
by Eric Christianson | May 1, 2022 | Dermatology, ENT, Ophthalmology Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
Working with a lot of geriatric patients, I run into patients complaining of dry eyes all the time. While many will readily admit that they have this issue, many will not even think to mention it because they have been dealing with it for a long time or they may...