by Eric Christianson | Mar 29, 2026 | Neurology, Pain, and Musculoskeletal Case Studies
A recent case prompted me to create a blog post about tapering seizure medications. Tapering and discontinuing anti-seizure medications is a delicate process that requires close clinical monitoring and a strategic approach to achieve long-term seizure control for...
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 18, 2026 | Endocrine Case Studies
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
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 | Nov 16, 2025 | Long Term Care Consultant Pharmacist Education and Information, Psychiatry and Addiction Medicine Case Studies
It’s not uncommon to see patients in long-term care facilities prescribed medications for anxiety, agitation, or insomnia. Two such medications that can raise red flags are Atarax (hydroxyzine) and Ativan (lorazepam). While both can be appropriate in select...
