by Eric Christianson | Aug 19, 2026 | Polypharmacy Cases And The Prescribing Cascade
In my practice as a geriatric consultant pharmacist, reducing medications is always a top priority. Here’s a med list from a recent patient for whom I had numerous polypharmacy targets. Potassium chloride 20 mEq PO daily Omeprazole 20 mg PO twice daily...
by Eric Christianson | Aug 5, 2026 | Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
I’m always on the lookout for new options to treat pain. This is especially true in geriatrics, where opioids and NSAIDs have a bunch of risks. Suzetrigine (Journavx) represents a newer option in pain management in recent years because it introduces an entirely...
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 | May 27, 2026 | Gastrointestinal Case Studies
NSAIDs are a notorious cause of GI bleeds. This is something that I am significantly concerned about as a geriatric consultant pharmacist. In this blog post, I share 3 examples of NSAIDs causing GI bleeds that I have seen in practice. Scenario 1 – Duplicate...
by Eric Christianson | Jan 28, 2026 | Psychiatry and Addiction Medicine Case Studies
This was a case I came across recently where duloxetine was added to a patient’s regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an SNRI in Effexor. This led to a case of duplicate SNRI therapy....