by Eric Christianson | Jul 12, 2026 | Neurology, Pain, and Musculoskeletal Case Studies
Duplicate therapy is a common occurance in practice. It is something that frustrates me quite a bit. There are quite a few reasons why it happens. Some of the most common reasons for duplicate opioids include: Hospital discharge: A patient is started on a new opioid...
by Eric Christianson | Jul 8, 2026 | Polypharmacy Cases And The Prescribing Cascade
Deprescribing requires some effort. I’ve noted a few recent discontinuations and deprescribing opportunities where things have gone right. I’d like to share those examples with you, and hopefully you can use these ideas in your practice. Melatonin...
by Eric Christianson | Jan 21, 2026 | Polypharmacy Cases And The Prescribing Cascade
One of the biggest contributors to polypharmacy isn’t the number of diagnoses a patient has—it’s our mindset around medications that fail to deliver benefit. Everyone knows we need to reduce meds in geriatrics, but how do we do that? Too often, when a drug doesn’t...
by Eric Christianson | Jan 7, 2026 | Polypharmacy Cases And The Prescribing Cascade
Mr. H is a 78-year-old male presenting to a primary care clinic for a routine medication review. In this scenario, we want to identify deprescribing targets. His past medical history includes hypertension, heart failure with preserved ejection fraction (HFpEF),...
by Eric Christianson | Oct 1, 2025 | Polypharmacy Cases And The Prescribing Cascade
I was asked a question the other day about trying to reduce medications in a patient on hospice. More specifically, how to address the use of PPIs. Proton pump inhibitors (PPIs) are some of the most overused medications we see in clinical practice, but hospice...
