by Eric Christianson | Apr 22, 2026 | Gastrointestinal Case Studies
One of the most common (and easily fixable) medication mismatches I see in practice involves bowel regimens that outlive their original purpose. This is a great example of how deprescribing can reduce pill burden and prevent unnecessary adverse effects. Bowel Regimens...
by Eric Christianson | Jul 23, 2025 | Gastrointestinal Case Studies
I think I’ve seen this scenario play out more times than I would like. A patient is prescribed both a laxative, Senna, and Questran (cholestyramine), a medication used to manage diarrhea symptoms. This example of the prescribing cascade often presents slowly...
by Eric Christianson | Sep 1, 2024 | Gastrointestinal Case Studies
A 76-year-old male has a past medical history of hypertension, diarrhea, mild cognitive impairment, diabetes, osteoarthritis, and gout. He has had a concern that has been ongoing for about 3 months with the symptoms recently escalating over the last 1-2 weeks....
by Eric Christianson | Aug 16, 2023 | Polypharmacy Cases And The Prescribing Cascade
As a geriatric pharmacist, I’m always on high alert for the prescribing cascade. I outline my top 5 examples of the prescribing cascade in diabetes care in this article. Metformin and Loperamide Metformin has been the go-to first-line agent of choice for years....
by Eric Christianson | Mar 12, 2023 | Gastrointestinal Medication and Disease State Clinical Pearls, Infectious Disease and Oncology Medication and Disease State Clinical Pearls
Loperamide (Imodium) is an antidiarrheal and antimotility agent used to help manage and treat traveler’s diarrhea, irritable bowel syndrome associated with chronic diarrhea, acute nonspecific diarrhea in patients two years and older, and reduce ileostomy output....
