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...
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....
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....
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....
I try to tackle questions that I receive periodically and someone asked me the other day, “In your experience, does amoxicillin/clavulanate cause more diarrhea than amoxicillin?” Amoxicillin and amoxicillin/clavulanate (Augmentin) can be used for numerous...
